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20 results
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Combined Axial and Peripheral Melorheostosis in a Young Boy: A Unique Case
Available online: 10 March 2025More LessBackground Axial melorheostosis is a rare clinical condition with only a few cases identified worldwide. The combination of axial and peripheral melorheostosis has not reported before, to the best of our knowledge. Case Presentation Here, we present a case of a 9-year-old boy, who was referred with pain and swelling over the medial upper right leg with slight limping of insidious onset over a 3-month period. In addition, t Read More
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Systemic Sclerosis Complicated by Rapidly Progressive Osteomyelitis: A Case Report
By Angelo NigroAvailable online: 06 February 2025More LessBackground Systemic sclerosis (SSc) is an autoimmune disorder characterized by progressive fibrosis and vascular complications. Osteomyelitis is a rare but serious complication in patients with systemic sclerosis, particularly those with advanced vascular compromise. This case is notable for the rapid progression of osteomyelitis and highlights the importance of early intervention and thorough clinical monitoring. Case Presentatio Read More
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Innovative Therapies and Strategies for Rheumatoid Arthritis
Available online: 27 January 2025More LessBackground Rheumatoid arthritis (RA) is a chronic inflammatory disease that requires early detection and treatment. Currently, we have three categories of slow-acting disease-modifying antirheumatic drugs (DMARDs): (1) conventional synthetic (csDMARD), (2) biologic (bDMARD), and (3) directed or targeted synthetic (tsDMARD). Objective This review explores innovative therapeutic modalities for RA, discussing their poten Read More
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Infection Screening and Vaccination of Adult and Pediatric Patients with Autoimmune Inflammatory Rheumatic Diseases: An Emirati Delphi Consensus
Authors: Ahlam Almarzooqi, Jehad Abdalla, Mohamed Sharif Elsadeg, Noura Zamani, Amel Abdel Gadir Ginawi, Zaid Alrawi, Rajaie Namas, Afra Aldhaheri, Ahmed Zayat, Faisal Elbadawi, Layla ALDabal, Najla Aljaberi, Shazia Abdullah, Suad Hannawi, Khalid A. Alnaqbi, Fatima Al Dhaheri, Beena Hameed and Jamal Al-SalehAvailable online: 21 January 2025More LessIntroduction Patients with autoimmune and inflammatory rheumatic diseases (AIIRD) have an increased susceptibility to infections due to their compromised immune systems and the use of immunosuppressive therapies. Infections are a leading cause of morbidity and mortality in these patients, emphasizing the need for strategies such as infection control and vaccination to prevent avoidable harm to both patients and h Read More
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The Causal Effects of Lifestyle Factors on Osteoarthritis: A Two-sample Mendelian Randomisation Study
Authors: Justin Ho, Christopher Chi Hang Mak, Lawrence Chun Man Lau, Kendrick To and Wasim KhanAvailable online: 15 January 2025More LessBackground Modern sedentary lifestyles are prevalent among individuals with osteoarthritis. However, direct evidence linking such behaviours as causative factors of osteoarthritis remain limited due to the presence of confounding variables. Objective This study aims to determine the extent to which lifestyle factors have causal effects on osteoarthritis through a two-sample Mendelian randomisation (MR) study. Methods Expo Read More
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Using Multi-Omics Methods to Understand Gouty Arthritis
Authors: Siming Gao and Hui SongAvailable online: 13 January 2025More LessGouty arthritis is a common arthritic disease caused by the deposition of monosodium urate crystals in the joints and the tissues around it. The main pathogenesis of gout is the inflammation caused by the deposition of monosodium urate crystals. Omics studies help us evaluate global changes in gout during recent years, but most studies used only a single omics approach to illustrate the mechanisms of gout. In this re Read More
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Influence of Multidrug Resistance 1 Gene Variants on Response to Intravenous Methylprednisolone Pulse in Systemic Lupus Erythematosus Patients: Preliminary Results
Available online: 08 January 2025More LessIntroduction/Objectives Genetic variations could explain individual responses to drugs. This case-control study aimed to investigate the association between the multidrug resistance 1 (MDR1) gene exonic single nucleotide variants (SNVs), rs1128503/C1236T and rs1045642/C3435T, and the response to intravenous methylprednisolone in Egyptian patients with active systemic lupus erythematosus (SLE). Method Real-time poly Read More
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Clodronate: The Influence on ATP Purinergic Signaling
Authors: Sergio Rosini, Stefano Rosini, Gianantonio Saviola and Luigi MolfettaAvailable online: 03 January 2025More LessATP is involved in numerous physiological functions, such as neurotransmission, modulation, and secretion, as well as in cell proliferation, differentiation, and death. While ATP serves an essential intracellular role as a source of energy, it behaves differently in the extracellular environment, where it acts as a signaling molecule capable of activating specific purinergic receptors (P2YRs and P2XRs) that modulate Read More
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Updates on Recent Advances in the Therapy of Adult Psoriatic Disease
Authors: Fadi Kharouf and Dafna D GladmanAvailable online: 01 January 2025More LessPsoriatic arthritis (PsA) is a heterogeneous inflammatory disease with various joint and skin manifestations and multiple associated comorbidities. The management of PsA is important not only in controlling disease activity and preventing subsequent damage but also in improving the quality of life and reducing mortality. Over the years, numerous drugs have been introduced into the therapeutic armamentarium of the disease. Read More
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De novo Presentation of Systemic Lupus as Bullous Erythematosus: A Case Report
Available online: 09 December 2024More LessBackground Systemic Lupus Erythematosus (SLE) (C1) is a disease with multi-organ involvement that can have a variety of cutaneous manifestations in 76% of cases during the disease. Less than 1% of these patients are diagnosed with confirmed bullous systemic lupus erythematosus (C1). Given the wide differential diagnosis of a bullous lesion, it is imperative to reach a conclusive diagnosis as it can hav Read More
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Expression of CD68+ Cells in Synovial Tissue from Patients with PsA and its Association with Disease Activity Indices: A Clinical Pilot Study
Available online: 03 December 2024More LessIntroduction Investigating CD68+ positive cells in the synovial tissue is crucial for understanding the pathogenesis of psoriatic arthritis (PsA) and developing targeted treatment strategies. The role of CD68+ positive cells in the synovial tissue of patients with PsA for joint destruction has not been fully studied. Objective The objective of the study was to examine the presence of CD68+ cells in the synovial tissue of patients wit Read More
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Upadacitinib and Cardiovascular Adverse Events in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis
Authors: Fatemeh Omidi, Parisa Delkash, Mohammad Javad Nasiri and Mehdi MirsaeidiAvailable online: 07 November 2024More LessBackground Upadacitinib, a Janus kinase (JAK) inhibitor used in rheumatoid arthritis treatment, has prompted safety concerns due to potential cardiovascular adverse events. However, current evidence does not provide a definitive conclusion. Methods We conducted a comprehensive systematic review of the literature up until March 15, 2024, utilizing databases like PubMed/Medline, Embase, and Cochrane CENTRAL. A Read More
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Sjögren’s Syndrome and Ankylosing Spondylitis Association: A Case-Based Review
Authors: Maroua Slouma, Takwa Mehmli, Emna Hannech, Rim Dhahri, Islam Mejri, Meriem Affes and Imen GharsallahAvailable online: 05 November 2024More LessIntroduction Unlike restrictive pulmonary function and apical fibrobullous disease, diffuse interstitial lung disease is scarce in patients with ankylosing spondylitis (AS). We present a systematic review of the association between AS and SS. We also report a new case of SS revealed by interstitial lung disease in AS patients treated with tumor necrosis factor (TNF) inhibitors. Materials and methods The systematic review Read More
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Unmasking the Hidden Peril: A Case Report of Ankylosing Spondylitis Revealing a Giant Aortic Aneurysm
Available online: 31 October 2024More LessBackground Ankylosing Spondylitis is a chronic inflammatory rheumatic disease with both articular and extra-articular features. While cardiovascular involvement in Ankylosing spondylitis is rare, it can be life-threatening. This condition is typically associated with the HLA-B27 antigen and often presents in the advanced stages of the disease. This case is particularly uncommon as cardiovascular involvement was identifi Read More
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The Ability of Indigenous Plants in Alleviating Rheumatoid Arthritis: A Comprehensive Review
Authors: Aslam Khan, Avijit Mazumder, Bhavani Pentela, Rashmi Mishra and Sachin Kumar SinghAvailable online: 30 October 2024More LessRheumatoid Arthritis is a long-lasted, inflammatory, systemic autoimmune disease that predominantly manifests in people between the ages of 30 and 50 Rheumatoid arthritis is characterized by more than a half-hour of morning stiffness in the affected joints, fever, soreness, swelling, weight loss, tiredness, warm joints, and subcutaneous rheumatoid nodules. Hormonal, genetic, epigenetic, reproductive, and neuroendocrine ri Read More
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Promising Anti-Inflammatory Properties of Ursolic Acid Isolated from Atylosia goensis
Authors: Leemol Varghese and Shanaz BanuAvailable online: 24 October 2024More LessIntroduction Indigenous plants are plant species that are native to a specific region and have evolved naturally and adapted to local environmental conditions over a long period. Aim This study aimed to explore the anti-arthritic effects of Atylosia goensis, an indigenous plant species in the Western Ghats of India. Methodology An ethanolic extract of Atylosia goensis was obtained using the Soxhlet extraction method, which r Read More
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Factors Associated with Axial Spondyloarthritis Remission in a Cohort of Saudi Patients with Longstanding Disease: A Multicenter Prospective Cohort Study
Available online: 21 October 2024More LessBackground/Aim Earlier treatment in axial spondyloarthritis (axSpA) was proposed to alter disease prognosis in this often-challenging condition. We aimed to assess the proportion of patients and prognostic factors associated with axSpA remission. Objective The aim was to determine the number of patients with Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP) of <2.1 (inactive/moderate di Read More
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A Case of Eosinophilic Fasciitis
Authors: Georges El Hasbani, Ali Tarhini, Ali SM Jawad and Imad UthmanAvailable online: 16 October 2024More Less
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High-dose Omega-3 Alters Serum Magnesium and Calcium Levels and Affects Fibromyalgia Symptoms: A Randomized, Double-blind, Placebo-Control Study
Available online: 20 September 2024More LessObjective The aim of this study is to investigate the effect of a high oral dose of omega-3 on serum magnesium (Mg) and calcium (Ca) levels and their effects on clinical measures of pain threshold. Methods One hundred twenty patients were recruited and randomized 1:1 to omega-3 or placebo and blinded to their treatment group. At baseline and after 8 weeks of treatment, the Widespread Pain Index (WPI), the Sympto Read More
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What is the Link between Lung Involvement and Anti-CCP Antibodies in Rheumatoid Arthritis: A Cross-sectional Study
Authors: Hind El-Kasmi, Taoufik Harzy and Nessrine AkasbiAvailable online: 12 September 2024More LessBackground In Rheumatoid Arthritis (RA), pulmonary involvement is one of the most frequent extra-articular manifestations. Several studies have demonstrated an association between RA-related lung disease and the positivity of anti-cyclic citrullinated peptide (anti-CCP) antibodies. Objective Our aim is to describe the frequency of pulmonary involvement in the RA population and investigate the association between anti-CCP a Read More
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Familial Mediterranean Fever
Authors: Esra Baskin and Umit Saatci
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Metabolic Syndrome in Behçets Disease Patients: Keep an Eye on the Eye
Authors: Suzan S. ElAdle, Eiman A. Latif, Yousra H. Abdel-Fattah, Emad El Shebini, Iman I. El-Gazzar, Hanan M. El-Saadany, Nermeen Samy, Reem El-Mallah, Mohamed N. Salem, Nahla Eesa, Rawhya El Shereef, Marwa El Khalifa, Samar Tharwat, Samah I. Nasef, Maha Emad Ibrahim, Noha M. Khalil, Ahmed M. Abdalla, Mervat I. Abd Elazeem, Rasha Abdel Noor, Rehab Sallam, Amany El-Bahnasawy, Amira El Shanawany, Soha Senara, Hanan M. Fathi, Samah A. El Bakry, Ahmed Elsaman, Amany El Najjar, Usama Ragab, Esraa A. Talaat, Nevin Hammam, Aya K. El-Hindawy, Tamer A. Gheita and Faten Ismail
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