Rheumatology Board Review by Karen Law, Aliza Lipson

By Karen Law, Aliza Lipson

The box encompassed via rheumatology has advanced swiftly over the past decade to incorporate a number of immune-modulating and biologic drugs, new type standards, major updates on bone metabolism, and entirely new paradigms of remedy in line with groundbreaking stories released in the final five years. even supposing a lot has been followed as commonplace of care in response to new info, such a lot textbooks don't mirror those perform changes.

Rheumatology Board Review highlights the most recent advances within the box and new criteria of care, together with references to present citations within the clinical literature. It offers overseas criteria and guidance and is designed to express a greatest quantity of knowledge quick and successfully, with many beneficial schematics, radiographs, and tables.

Rheumatology Board Review bargains bankruptcy insurance of:

• Non-inflammatory joint and gentle tissue disorders
• chosen subject matters in rheumatoid arthritis
• chosen issues in systemic lupus erythematosus
• Antiphospholipid antibody syndrome
• IgG4-related disease
• Myopathies
• chosen themes in pediatric rheumatology
• HIV and rheumatic diseases
• Miscellaneous arthropathies
• Osteoporosis
• overview of musculoskeletal radiology
• research layout, size, and simple statistical analysis
• replace on vasculitis

Rheumatology Board Review is a must have reference for rheumatology fellows and execs looking a concise but thorough assessment of cutting-edge rheumatology.

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Sample text

CHAPTER 2 Selected topics in rheumatoid arthritis Athan Tiliakos, Karen Law, Aliza Lipson Emory University School of Medicine, Atlanta, GA, USA Introduction The field of rheumatoid arthritis (RA) continues to expand, especially with the establishment of updated classification criteria, application of more specific serologies in diagnosis, understanding of broader systemic issues related to the disease, and new medications able to offer additional treatment options for patients who fail standard therapy.

Arthritis and Rheumatism 52(suppl): S677. , et al. (2002) Treatment of rheumatoid arthritis with anakinra, a recombinant human interleukin-1 receptor antagonist, in combination with methotrexate: results of a twenty-four-week, multicenter, randomized, double-blind, placebo-controlled trial. Arthritis and Rheumatism 46(3): 614–624. , et al. (2004) A multicentre, double blind, randomised, placebo controlled trial of anakinra (Kineret), a recombinant interleukin 1 receptor antagonist, in patients with rheumatoid arthritis treated with background methotrexate.

Each of these criteria is given a score, with a total value of greater than or equal to 6/10 being required for the diagnosis of “definite RA” Rheumatology Board Review, First Edition. Edited by Karen Law and Aliza Lipson. © 2014 John Wiley & Sons, Inc. Published 2014 by John Wiley & Sons, Inc. 27 28 Rheumatology Board Review ○ The criteria can be applied if the patient has at least one joint with synovitis, and the synovitis cannot be better explained by another disease ○ Small joint involvement as well as >10 joints involved are scored higher, increasing the likelihood of RA, however, DIPs, first CMC, and first MTP joints are excluded from assessment Keep in mind The DIPs are typically spared in RA, and the first CMC and MTP joints are more commonly affected by osteoarthritis.

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