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September 2013 Volume 9 Number 9 | |||||||||||||||||||||||||||||||||||||
In this issue Research Highlights News and Views Reviews Perspectives
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NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
Spondyloarthritis: Treat-to-target in spondyloarthritis—do we have a plan? Walter P. Maksymowych Published online: 06 August 2013 p507 | doi:10.1038/nrrheum.2013.123 Clinicians now have the therapies and outcome tools to implement treat-to-target strategies aimed at achieving and maintaining adequate function and control of symptoms in spondyloarthritis and psoriatic arthritis. However, validation of surrogate markers of structural progression is a prerequisite for treat-to-target strategies aimed at improving long-term outcomes such as joint damage. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Bone diseases: Incident fractures during treatment for osteoporosis Peter Vestergaard Published online: 13 August 2013 p508 | doi:10.1038/nrrheum.2013.122 An incident fracture sustained during treatment for osteoporosis does not necessarily represent treatment failure, an outcome that was redefined in 2012. Predictors of the new definition have now been reported and include ≥2 falls within the past year. Preventing fractures in the most at-risk patients, however, requires improved management strategies. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Rheumatoid arthritis: Triple therapy or etanercept after methotrexate failure in RA? Ronald F. van Vollenhoven & Katerina Chatzidionysiou Published online: 30 July 2013 p510 | doi:10.1038/nrrheum.2013.118 Since the 1990s, patients with rheumatoid arthritis have been treated with at least one DMARD. Methotrexate, which is usually the first-line treatment, elicits good or even excellent clinical results in 20–30% of patients—but in most patients it does not. Thus, an important question is what to do after methotrexate failure. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
Changes in lipid levels with inflammation and therapy in RA: a maturing paradigm Jamie Robertson, Mike J. Peters, Iain B. McInnes & Naveed Sattar Published online: 18 June 2013 p513 | doi:10.1038/nrrheum.2013.91 Despite having increased cardiovascular risk, patients with rheumatoid arthritis (RA) often have low serum cholesterol levels. In this Review, the authors discuss this putative 'lipid paradox', highlighting the relationships of inflammation and anti-inflammatory therapy with lipid profiles in RA. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Bedfellows: mycobacteria and rheumatoid arthritis in the era of biologic therapy Kevin L. Winthrop & Michael Iseman Published online: 25 June 2013 p524 | doi:10.1038/nrrheum.2013.82 Prevention and recognition of mycobacterial disease is of increasing importance to the practicing rheumatologist. Tuberculosis remains a well-known problem for patients and clinicians wishing to use immunosuppressive therapies. Less well recognized, and yet perhaps more important to consider in this context, is nontuberculous mycobacterial disease. Epidemiological data and mechanistic explanations for the increased risk of mycobacterial infection in patients with RA are reviewed herein, and appropriate strategies to prevent and manage these comorbidities are outlined. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Vaccinations in juvenile chronic inflammatory diseases: an update Clovis A. Silva, Nadia E. Aikawa & Eloisa Bonfa Published online: 02 July 2013 p532 | doi:10.1038/nrrheum.2013.95 Vaccinating children with underlying rheumatic diseases is important to reduce their risk of acquiring infectious diseases. These vaccines are safe to use in this patient group, with the exceptions of profoundly immunosuppressed pateints or those with malevonate kinase deficiency. Some vaccines also induce lower than normal immune responses in these children. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Advances in understanding the pathogenesis of primary Sjögren's syndrome Gaetane Nocturne & Xavier Mariette Published online: 16 July 2013 p544 | doi:10.1038/nrrheum.2013.110 In the past decade, knowledge of the pathogenesis of primary Sjögren's syndrome and the lymphomagenesis associated with this disease has advanced considerably. This Review summarizes our current understanding of these processes, highlighting the importance of crosstalk between the innate and adaptive immune systems. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
TIMELINE Advances from clinical trials in juvenile idiopathic arthritis Daniel J. Lovell, Nicola Ruperto, Edward H. Giannini & Alberto Martini Published online: 09 July 2013 p557 | doi:10.1038/nrrheum.2013.105 Many advances in the treatment of juvenile idiopathic arthritis have been underpinned by the development of organizations such as PRINTO and PRCSG. This Perspectives provides a timeline for these advances, including clinical trial designs and diagnostic criteria essential to performing research in this small group of patients whose age necessitates a cautious approach to treatment. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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*Journal Citation Reports, Thomson, 2012. Nature Reviews Rheumatology was previously published as Nature Clinical Practice Rheumatology. |
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