Best Practice & Research in Clinical Rheumatology最新文献_第3页

Imaging in the diagnosis and management of peripheral psoriatic arthritis: Update and recent advances 周围性银屑病关节炎的影像学诊断和治疗：最新进展。

IF 4.8 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-09-01 DOI: 10.1016/j.berh.2025.102061

Ashish J. Mathew , Alan L. Zhou , Mikkel Østergaard , Sahil Koppikar

{"title":"Imaging in the diagnosis and management of peripheral psoriatic arthritis: Update and recent advances","authors":"Ashish J. Mathew , Alan L. Zhou , Mikkel Østergaard , Sahil Koppikar","doi":"10.1016/j.berh.2025.102061","DOIUrl":"10.1016/j.berh.2025.102061","url":null,"abstract":"<div><div><span><span>Psoriatic arthritis is an immune-mediated </span>inflammatory disease characterized by inflammatory and structural changes in multiple clinical domains, including peripheral and axial arthritis, </span>enthesitis<span><span>, and dactylitis<span>. Early diagnosis and initiation of targeted therapies in patients with PsA lead to a better </span></span>quality of life<span><span>. Conventional radiography<span> continues to be the most frequently used imaging modality in routine care, given its easy accessibility and low cost. Advanced imaging techniques, such as ultrasound and magnetic resonance imaging, with their ability to assess both inflammatory and structural pathologies simultaneously, have facilitated a better understanding of disease pathogenesis, early diagnosis leading to early initiation of therapy, sensitive outcome measurement in </span></span>clinical trials, and close monitoring of the disease process, enabling practical switching of therapies. Novel imaging techniques still seeking broad applicability have demonstrated encouraging results but require further testing before clinical use. This review focuses on the progress in imaging techniques for peripheral psoriatic disease.</span></span></div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 3","pages":"Article 102061"},"PeriodicalIF":4.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Corrigendum to “Arthritis related to parasitic infections” [Best Practice Res Clinic Rheumatol 39 (2025) 102062] “与寄生虫感染有关的关节炎”的勘误表[最佳实践Res诊所风湿病39(2025)102062]。

IF 4.8 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-09-01 DOI: 10.1016/j.berh.2025.102086

Shaheed Ahmed , Jasmin Raja

引用次数: 0

Update in imaging for large vessel vasculitis 大血管炎的最新成像技术。

IF 4.8 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-09-01 DOI: 10.1016/j.berh.2025.102060

Berit D. Nielsen , Luca Seitz , Wolfgang A. Schmidt

引用次数: 0

Novel therapies - IMID Co-morbidities. 新疗法- IMID合并症。

IF 4.8 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-08-12 DOI: 10.1016/j.berh.2025.102089

Tsz On Lam, Ho So, Lai-Shan Tam

引用次数: 0

Novel therapies in Sjögren's disease: A systematic review of the literature. Sjögren病的新疗法：文献系统综述

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-07-07 DOI: 10.1016/j.berh.2025.102084

Cristina Pelkas, Kyle B Franke, Fabien B Vincent, Maureen Rischmueller

{"title":"Novel therapies in Sjögren's disease: A systematic review of the literature.","authors":"Cristina Pelkas, Kyle B Franke, Fabien B Vincent, Maureen Rischmueller","doi":"10.1016/j.berh.2025.102084","DOIUrl":"https://doi.org/10.1016/j.berh.2025.102084","url":null,"abstract":"<p><p>Sjögren's disease (SjD) is a chronic systemic autoimmune disorder that primarily involves lymphocytic infiltration of exocrine glands, with frequent extra-glandular manifestations. Historically, treatment options for SjD have been limited to alleviating symptoms, rather than treating the underlying cause or preventing disease progression. Furthermore, past clinical trials of therapies such as rituximab failed to demonstrate improvement in symptoms or disease activity. Recently, novel therapeutic strategies targeting underlying disease pathogenesis - including transcription factors, circulating RNA, and B and T cell activity - herald a paradigm shift. Given the complexities of diagnosis, clinical assessment and treatment in SjD, improved clinical trial design with enhanced patient stratification, greater inclusivity and better outcome measures are paramount in evaluating new therapeutics. This systematic review aims to provide a comprehensive overview of recent SjD therapeutic advances, assess trial inclusivity with respect to sex/gender and ethnicity, critically examine negative pivotal trials and highlight promising directions for future research.</p>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":" ","pages":"102084"},"PeriodicalIF":4.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tropical pyomyositis 热带pyomyositis。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102041

Praveen Kumar Tirlangi , Anjely Sebastian , Mukhyaprana Prabhu M

{"title":"Tropical pyomyositis","authors":"Praveen Kumar Tirlangi , Anjely Sebastian , Mukhyaprana Prabhu M","doi":"10.1016/j.berh.2025.102041","DOIUrl":"10.1016/j.berh.2025.102041","url":null,"abstract":"<div><div>Tropical pyomyositis is a serious infectious disease characterised by the formation of abscesses in the skeletal muscles and is primarily caused by <em>Staphylococcus aureus</em>, with an increasing incidence in non-tropical regions. The disease primarily affects men and young adults, often following minor trauma, with an increasing incidence in immunocompromised individuals. Immunocompromised hosts are more likely to be affected by Gram-negative organisms, <em>Mycobacterium tuberculosis</em>, opportunistic infections such as fungal pathogens, non-tuberculous mycobacteria, and <em>Nocardia</em> species. Diagnosis is complicated by non-specific symptoms and the low yield of blood cultures, so imaging studies such as Magnetic Resonance Imaging (MRI) are required for accurate identification. Treatment focuses on controlling the source through drainage, tailored antibiotic therapy, and supportive care, especially in patients with complications such as multi-organ dysfunction. Given the complex clinical manifestations, heightened awareness and a collaborative approach to education and resource provision are critical to improving outcomes in patients with tropical pyomyositis.</div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 2","pages":"Article 102041"},"PeriodicalIF":4.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correspondence on “Epidemiology of rheumatic diseases in tropical populations” by Goyal & Santhanam Goyal & Santhanam关于“热带人群中风湿病流行病学”的通信。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102073

Benoit Suzon , Aurore Abel , Emmanuelle Sylvestre , Andre Cabie , Arthur Felix , Fabienne Louis-Sidney

引用次数: 0

Access to rheumatologic care in tropical regions: Barriers and solutions 热带地区风湿病治疗的可及性：障碍和解决办法。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102052

Keerthi Talari , Himanshu Pathak , Neeraj Jain , Vinod Ravindran

引用次数: 0

Arthritis related to parasitic infections 关节炎与寄生虫感染有关。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102062

Shaheed Ahmed , Jasmin Raja

引用次数: 0

Chikungunya and other viral arthritis 基孔肯雅和其他病毒性关节炎。

IF 4.5 2区医学

Best Practice & Research in Clinical Rheumatology Pub Date : 2025-05-01 DOI: 10.1016/j.berh.2025.102068

Arvind Chopra , Anuradha Venugopalan

{"title":"Chikungunya and other viral arthritis","authors":"Arvind Chopra , Anuradha Venugopalan","doi":"10.1016/j.berh.2025.102068","DOIUrl":"10.1016/j.berh.2025.102068","url":null,"abstract":"<div><div>Several viruses cause acute and chronic arthritis. Millions of people suffered from Chikungunya(CHIK) during the recent epidemics/outbreaks in Asia, Africa and the Americas. Almost 20–40 % failed to recover completely and suffered from chronic pain and arthritis sequel. A wide spectrum of clinical phenotypic arthritis was described. Non-specific arthralgias(NSA) and soft tissue pains were predominant although inflammatory arthritis (mostly undifferentiated)(IA-U) was substantial. Specifically, rheumatoid arthritis(RA) and spondyloarthritis(SpA) like disorders were described. The frequency of biomarkers such as rheumatoid factor(RF) was low. Arthritis was mostly non-erosive in population studies. Abnormal immune mechanisms and persistent specific CHIK virus (CHIKV) IgM and IgG antibodies were shown. The etiopathogenetic evidence was divided between intense joint tissue inflammation due to prolonged virus persistence and abnormal autoimmune mechanisms. There was no specific therapy. The symptomatic management was often combined with an empirical use of disease modifying anti rheumatoid drugs and steroids. Substantial research is required to address knowledge gaps and unravel evidence-based medicine.</div></div>","PeriodicalId":50983,"journal":{"name":"Best Practice & Research in Clinical Rheumatology","volume":"39 2","pages":"Article 102068"},"PeriodicalIF":4.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0