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Disclaimer: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

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Optimizing gout treatment: A comprehensive review of current and emerging uricosurics.

Joint Bone Spine

November 2024

Division of Rheumatology, Department of Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, 84132 Utah, United States; Department of Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, 84132 Utah, United States.

Gout is the most common inflammatory arthritis, affecting approximately 5.1% of adults in the United States (US) population. Gout is a metabolic and autoinflammatory disease.

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Introduction: Venetoclax is a potent oral oncology drug (OOD) frequently used to treat hematologic cancers due to its convenience and high efficacy. However, some patients cannot tolerate solid oral formulations, requiring a reformulated version of venetoclax for effective administration. Currently, there is limited information in the literature regarding the extemporaneous compounding of venetoclax.

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Background: Tumor lysis syndrome (TLS) is a potentially life-threatening condition resulting from the rapid destruction of malignant cells, leading to electrolyte imbalances and severe complications, such as acute kidney injury, arrhythmias, and seizures. TLS can be managed through hyperhydration, urate-lowering treatments, and a steroid prophase strategy.

Aims: This study aims to explore the impact of fractionated rituximab, an anti-CD20 antibody, on the occurrence and severity of TLS during the initial cycle in patients with aggressive B-cell non-Hodgkin lymphoma (B-NHL).

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Tumour lysis syndrome.

Nat Rev Dis Primers

August 2024

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Article Synopsis
  • - Tumour lysis syndrome (TLS) is a serious medical emergency that occurs when cancer cells break down rapidly, releasing their contents into the bloodstream, which can lead to severe electrolyte imbalances and potential organ failure.
  • - Common complications of TLS include high levels of uric acid, potassium, and phosphate, as well as low calcium levels, which can affect kidney function and increase the risk of seizures or even death.
  • - Prevention involves careful monitoring and hydration to protect kidney health, and treatments may include medications like rasburicase and allopurinol to manage uric acid levels, though the role of xanthine measurement during treatment is still being researched.
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