Publications by authors named "Ji-Hyoun Kim"

Article Synopsis
  • Rheumatoid arthritis (RA) is a long-term inflammatory disease affecting joints, but treatment with TNF-α inhibitors has improved management, despite potential adverse skin reactions.
  • A cohort study explored genetic risk factors for skin reactions induced by TNF-α inhibitors in RA patients using machine learning to analyze genetic data and develop a risk-scoring system.
  • Key findings revealed that specific genetic markers significantly increased the likelihood of skin adverse events, with varying risk scores indicating a high correlation between score and incidence rates of skin complications, paving the way for personalized treatment approaches.
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  • - Neuro-Behçet's disease (NBD) is a severe complication of Behçet's syndrome that can increase risks of death and disability, typically treated with high-dose corticosteroids and immunosuppressants.
  • - A case study of a 48-year-old male with NBD showed worsening speech issues and increased eye pressure while on steroids, prompting a brain MRI that uncovered multiple high signal areas in his brain.
  • - As an alternative treatment, the patient received a combination of adalimumab and cyclophosphamide instead of steroids, which proved effective with no new lesions or clinical relapses for 17 months, suggesting this could be a promising corticosteroid-free approach for NBD.
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  • The study examines how lifestyle habits, specifically diet and exercise, affect the health-related quality of life (HRQOL) in gout patients using the Gout Impact Scale (GIS).
  • Data from 232 Korean patients revealed that those who exercised more and consumed fewer soft drinks and meat reported better overall gout concerns and well-being during attacks.
  • Results indicate that increased vegetable intake and regular exercise are associated with improved HRQOL in gout patients, emphasizing the importance of lifestyle choices in managing the condition.
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: Tuberculosis is caused by Mycobacterium tuberculosis (MTB), while nontuberculous mycobacteria (NTM) encompass a group of mycobacterial species that are distinct from the MTB complex and leprae. Spondyloarthritis (SpA) is a group of chronic inflammatory diseases with shared clinical characteristics and is treated with biological agents; however, their use may elevate the risk of MTB and NTM infections. This study aimed to compare the incidence and risk of MTB and NTM infections in patients with SpA, including ankylosing spondylitis (AS) and psoriatic arthritis (PsA), using a population-based approach.

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Objective: The objective of this study was to conduct a population-based analysis of the malignancy risks of patients with AS.

Methods: A total of 1796 patients with AS and 7184 age- and sex-matched controls (1:4 ratio) were selected from the Korea National Health Insurance Service-National Sample Cohort database. Data of patients diagnosed with AS (code M45) according to the International Classification of Diseases (ICD) 10th edition, between 2002 and 2019, were reviewed.

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Achieving target serum uric acid (SUA) levels is important in gout management. Guidelines recommend lowering SUA levels to < 6 mg/dL; however, many patients fail to reach this target, even with uric acid-lowering therapy (ULT). This study investigated clinical characteristics of target SUA achievers among Korean patients with gout.

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Background: Dysphagia is a common condition in older as well as young patients, and a variety of treatments have been reported depending on the cause. However, clinicians are challenged when the cause is unclear. This is the case with psychogenic dysphagia, which has typically been treated with supportive psychotherapy, medication, swallowing exercise, and dysphagia rehabilitation therapy.

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Background: The association between systemic sclerosis and the development of bronchiectasis is unclear. This study aimed to compare the risk of bronchiectasis between individuals with systemic sclerosis and those without using a nationwide longitudinal dataset.

Methods: Using the Korean National Health Insurance Service dataset between 2010 and 2017, we identified 4845 individuals aged ≥ 20 years with systemic sclerosis and 24,225 without systemic sclerosis who were matched 1:5 by age and sex.

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  • The study analyzed how menopausal hormone therapy (MHT) affects the development of rheumatoid arthritis (RA) in postmenopausal women, involving a large cohort of over 452,000 women.
  • Results showed that overall, MHT users did not have a significantly higher risk of RA compared to non-users; however, those who used MHT for three years or less had an increased risk.
  • Specific MHT drugs, like estrogen/progestogen and tibolone, were linked to higher risks of RA during this initial usage period.
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Objective: To investigate the clinical features and associated underlying conditions of isolated tuberculous myositis (ITBM), a rare extrapulmonary tuberculosis (TB).

Methods: A systematic literature search and a multicenter survey were performed using a triangulation strategy. Data from the identified ITBM cases were extracted and analyzed to determine the underlying conditions, clinical presentations, treatments, and outcomes.

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This study examined the 10-year trends in the prevalence of osteoporosis according to disability grade and type compared with those without disabilities in South Korea. We linked national disability registration data with the National Health Insurance claims data. Age- and sex-standardized prevalence of osteoporosis were analyzed from 2008 to 2017 according to sex, disability type, and disability grade.

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Widespread use of vaccinations worldwide in the coronavirus disease (COVID-19) pandemic has resulted in various side effects. Here, we presented a 27-year-old man with autoimmune-like hepatitis after the first dose of the BNT162b2 (mRNA) COVID-19 vaccine and reviewed previous reports. He presented with sweating, febrile sensations, and general weakness.

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Rheumatoid arthritis (RA) is a severe chronic inflammatory condition that affects joint synovium. Suppressor/enhancer of lin-12-like (SEL1L)-Synoviolin 1 (SYVN1)-mediated endoplasmic reticulum-associated degradation (ERAD) is highly associated with RA development. Although targeting SEL1L-SYVN1-mediated ERAD can be beneficial, studies that evaluate the association between polymorphisms in their genes and remission from the disease in RA patients taking tumor necrosis factor (TNF)-α inhibitors have yet to be carried out.

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Article Synopsis
  • * The study involved 11 hospitalized ILD patients who underwent various evaluations, including pulmonary function tests and bronchoscopy to collect fluid from both severely and mildly affected lung areas.
  • * Findings showed lower species diversity in the more affected lung areas, with certain bacteria like Fusobacteria being more common in fibrotic ILD; however, site-specific dysbiosis was not found, and more research is needed to understand the microbiome's role in ILD.
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Uric acid acts as both an antioxidant and a pre-oxidant that induces oxidative stress; thus, it plays a paradoxical role in inflammation. However, the effect of gout, a hallmark of hyperuricemia, on osteoporosis remains unclear. Therefore, this study aimed to investigate the association between gout and osteoporosis.

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This study was designed to investigate the effects of polymorphisms in RETN on remission in RA patients receiving TNF-α inhibitors. In addition, machine learning algorithms were trained to predict remission. Ten single-nucleotide polymorphisms were investigated.

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Objective: Hyperuricemia might have neuroprotective or neurodegenerative effects on dementia via oxidative stress or inflammatory response regulation. Few studies have explored the association of hyperuricemia or gout with dementia. This retrospective cohort study aimed to investigate the association between gout and dementia in Korea.

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Objectives: The aim of this study was to evaluate the patient's perception of the use of biological disease-modifying anti-rheumatic drugs (bDMARDs) and provide a basis for physicians to understand the patient's perspective.

Patients And Methods: Between December 2018 and June 2019, a total of 307 patients (162 males, 145 females; mean age: 48 years; range, 18 to 81 years) were included in this investigator-initiated, multi-center, observational, and cross-sectional study in six rheumatology centers. We asked patients using bDMARDs to treat rheumatoid arthritis (RA) or ankylosing spondylitis (AS) to complete a questionnaire regarding major considerations and satisfaction with bDMARDs, preferred administration route, knowledge about bDMARDs, experiences of adverse events, non-adherence, and expectations of their healthcare provider.

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As more individuals were coronavirus disease 2019 (COVID-19) vaccinated, unexpected side effects appeared. Herein, we present the case of a 30-year-old man with myopathy in both extremities after the second dose of the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine. Symptoms, swelling and pain, started from the proximal upper and lower extremities and extended to the distal parts.

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: This retrospective cohort study aimed to investigate the association between gout and Parkinson's disease (PD) in Korea. : Overall, 327,160 patients with gout and 327,160 age- and sex-matched controls were selected from the Korean National Health Insurance Service (NHIS) database. PD incidence was evaluated by reviewing NHIS records during the period from 2002 to 2019.

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Objectives: Systemic rheumatic disease is characterized by autoimmunity and systemic inflammation and affects multiple organs. Few studies have investigated whether autoimmune diseases increase the risk of dementia. Herein, we evaluate the relationship between systemic rheumatic disease and dementia through a population-based study using the Korean National Health Insurance Service (NHIS) claims database.

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Aim: Cardiovascular (CV) risk and mortality associated with spondyloarthritis (SpA) remain controversial. Herein, we performed a meta-analysis of the latest large-scale population-based studies to demonstrate the elevated risk of CV disease and mortality in patients with SpA than in the general population.

Methods: MEDLINE and EMBASE databases were searched systematically for population-based studies published between January 1997 and September 2019.

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Background: We aimed to assess the performance of the 2015 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) classification criteria for gout in Korean patients with acute arthritis and to compare the performance of the ACR/EULAR criteria to that of other sets of criteria for gout classification.

Methods: Patients with acute arthritis who underwent diagnostic arthrocentesis at one of the four participating rheumatology clinics were consecutively enrolled between February and December 2017. Crystal-proven gout was diagnosed upon confirming the presence of monosodium urate (MSU) crystals in patients with a clinical impression of gout as judged by the rheumatologist.

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Objectives: We examined the association between socioeconomic status (SES) and comorbidity distribution among patients with RA.

Methods: Information on comprehensive health status of 1088 RA patients (weighted n = 612 303) was obtained from the 2007-2015 Korea National Health and Nutrition Examination Survey database. SES components were household equivalence income, education and area of residence.

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Semaphorin 3A (Sema3A) and semaphorin 4D (Sema4D) are molecules which regulate immune responses as well as bone remodeling process. The aim of this study was to evaluate the serum levels of Sema3A and Sema4D and to investigate their clinical significance in rheumatoid arthritis (RA). The serum levels of Sema3A and Sema4D were measured in 130 patients with RA and 65 sex- and age-matched healthy individuals.

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