1,338 results match your criteria: "Division of Clinical Immunology and Rheumatology.[Affiliation]"

Background: Targeted therapies have been associated with potential risk of malignancy, which is a common concern in daily rheumatology practice in patients with inflammatory arthritis (IA) and a history of cancer.

Objectives: To perform a systematic literature review to inform a Task Force formulating EULAR points to consider on the initiation of targeted therapies in patients with IA and a history of cancer.

Methods: Specific research questions were defined within the Task Force before formulating the exact research queries with a librarian.

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2024 EULAR points to consider on the initiation of targeted therapies in patients with inflammatory arthritis and a history of cancer.

Ann Rheum Dis

December 2024

Department of Rheumatology, Centre National de Référence des Maladies Auto-Immunes Rares, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France

Background: Potential associations between targeted therapies and a new cancer in patients with inflammatory arthritis (IA) and a previous malignancy are a frequent concern in daily rheumatology practice.

Objectives: To develop points to consider (PTC) to assist rheumatologists when initiating a targeted therapy in the context of a previous malignancy.

Methods: Following EULAR standardised operating procedures, a task force met to define the research questions for a systematic literature review and to formulate the overarching principles (OPs) and the PTC.

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Objectives: Describe tofacitinib safety from an integrated analysis of randomized controlled trials (RCTs) in patients with ankylosing spondylitis (AS).

Method: Pooled data from Phase 2 (NCT01786668; 04/2013-03/2015)/Phase 3 (NCT03502616; 06/2018-08/2020) RCTs in AS patients were analyzed (3 overlapping cohorts): 16-week placebo-controlled (tofacitinib 5 mg twice daily [BID] [n = 185]; placebo [n = 187]); 48-week only-tofacitinib 5 mg BID (n = 316); 48-week all-tofacitinib (≥ 1 dose of tofacitinib 2, 5, or 10 mg BID; n = 420). Baseline 10-year atherosclerotic cardiovascular disease (ASCVD) risk was determined in patients without history of ASCVD (48-week cohorts).

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Epidemiology of myositis.

Curr Opin Rheumatol

December 2024

Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Alabama.

Purpose Of Review: This review aims to synthesize recent developments in the epidemiology of idiopathic inflammatory myopathies (IIMs), focusing on incidence, prevalence, disease classification, and clinical outcomes.

Recent Findings: IIM is a rare group of autoimmune diseases characterized by muscle weakness and systemic involvement, with incidence rates ranging from 0.2 to 2 cases per 100 000 person-years.

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Intraperitoneal Administration of S100A8 Ameliorates Experimental Acute Colitis in Rats.

Biology (Basel)

November 2024

Department of Medical Technology and Sciences, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan.

S100A8 is a protein that is abundant in neutrophils and macrophages (MΦ), but its role in inflammation remains unclear. This study aimed to assess the immunological role(s) of S100A8 in acute intestinal inflammation in rats and its role in MΦ. Rat recombinant S100A8 (rr-S100A8, 1.

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Article Synopsis
  • * Research focused on IL1RN rs9973741, highlighting that this gout risk allele (G) is associated with decreased production of the anti-inflammatory cytokine IL-1Ra after stimulation and increased IL-1β production in immune cells.
  • * The findings suggest that the genetic variations in the IL1RN-IL1F10 locus influence how immune cells respond to MSU crystals, contributing to the inflammatory processes involved in gout.
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Background: Iron deficiency anemia (IDA) remains a global health concern, and has been associated with cognitive decline. However, very few studies have explored the association between IDA and cognitive function among Ghanaians. We assessed the association between IDA and cognitive function among adolescents in the Ashanti region, Ghana.

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Article Synopsis
  • - The report by the European Calcified Tissue Society (ECTS) outlines evidence-based recommendations for preventing and treating glucocorticoid-induced osteoporosis (GIOP) in adults, aimed at healthcare providers who may not specialize in bone health.
  • - Experts reviewed the literature and created 25 recommendations that categorize patients based on their fracture risk: medium, high, and very high, considering factors like age and history of fractures for appropriate treatment strategy.
  • - Key general measures include optimizing calcium and vitamin D intake, assessing fracture risk regularly for those on glucocorticoids for three months or longer, and minimizing fall risks among patients.
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New onset work disability in rheumatoid arthritis is an underrecognized cardiovascular risk factor: A retrospective cohort study using the CorEvitas registry.

Semin Arthritis Rheum

October 2024

Hospital for Special Surgery, Division of Rheumatology, New York, NY, USA; Weill Cornell Medicine, Division of General Internal Medicine, New York, NY, United States of America. Electronic address:

Article Synopsis
  • - Patients younger than 65 with rheumatoid arthritis (RA) who experience new-onset work disability face a significantly higher risk of cardiovascular disease (CVD) compared to their working counterparts.
  • - The study found that the incidence rate of CVD was 5.40 per 1,000 person-years in those with work disability versus 2.17 in the working group, with an adjusted hazard ratio indicating a more than double risk for those with work disability.
  • - Despite analyzing various factors such as functional status and traditional CVD risks, the study concluded that the increased CVD risk in newly disabled patients remains partly unexplained, suggesting that other factors like social determinants of health may play a role.
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Interventions to Improve COVID-19 Vaccine Hesitancy.

Rheum Dis Clin North Am

February 2025

Division of Rheumatology, Inflammation and Immunity, Department of Medicine, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address:

Coronavirus disease 2019 (COVID-19) vaccine uptake among individuals with rheumatic conditions remains low despite heightened risk for related adverse outcomes. This is especially pronounced among historically marginalized populations who suffered disproportionately from the COVID-19 pandemic. Among the myriad of reasons for low vaccine uptake, mistrust in the healthcare system, misinformation related to the vaccine development process, fear of rheumatic disease flares, and inconsistent physician recommendations, are highlighted.

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Objective: Evidence for an association of smoking with gout is conflicting. We assessed associations of current and past smoking with gout in an Aotearoa New Zealand (NZ) population.

Methods: Multivariable logistic regression analysis was performed on cross-sectional data from participants of NZ Māori (from 2 studies: Genetics of Gout in Aotearoa [GGA] study of 293 participants with gout and 431 without; and Ngāti Porou Hauora [NPH] study of 111 participants with gout and 42 without), Pacific people (257 participants with gout and 357 without), and European (694 participants with gout and 688 without) ancestry.

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Article Synopsis
  • * The study analyzed data from 258 gout patients and found that increased oxypurinol exposure is necessary for effective urate reduction in those with decreased kidney function or on diuretics, despite lower overall dose requirements at severe kidney impairment.
  • * Ultimately, the research concluded that patients with significant kidney impairment need lower allopurinol doses, but these doses do not directly correlate with kidney function, and diuretics do not affect required doses.
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Facial ulcerations in anti-MDA5 dermatomyositis.

Lancet Rheumatol

October 2024

Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, India. Electronic address:

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Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasculitides. We highlight how the inflammatory processes inherent in vasculitis contribute to accelerated atherosclerosis and myocardial ischemia.

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The prototypic IFN-inducible transcription factor, IRF1, not only controls inflammatory gene expression but also regulates T cell and macrophage fate specification and function. Using bone marrow chimeras (80% B6.129S2-Ighmtm1Cgn/J [µMT] + 20% B6.

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Objective: To examine the predictors of the occurrence of severe thrombocytopenia and its impact on damage accrual and mortality in SLE patients.

Methods: Factors associated with time to severe thrombocytopenia (platelet count ≤20,000/mm) occurring from the onset of SLE symptoms were assessed by Cox proportional hazards regressions. The association of severe thrombocytopenia with mortality was evaluated by logistic regression analyses while its impact on damage was by negative binomial regression.

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Hospital and Patient Factors Associated With Length of Hospitalization in Patients Who Have Osteoarthritis Undergoing Primary Total Knee Arthroplasty: An Analysis of National Data.

J Arthroplasty

October 2024

Division of Clinical Immunology and Rheumatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama; Medicine Service, VA Medical Center, Birmingham, Alabama; Department of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama.

Background: By 2040, an estimated 3.5 million primary total knee arthroplasties (TKAs) are expected to be performed annually in the United States. Osteoarthritis (OA) is the most common indication for primary TKA.

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CAR-T-Cell Therapy for Systemic Lupus Erythematosus: A Comprehensive Overview.

Int J Mol Sci

September 2024

Department of Medicine, Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA.

Systemic lupus erythematosus (SLE) is a complex autoimmune disorder characterized by the production of autoreactive B and T cells and cytokines, leading to chronic inflammation affecting multiple organs. SLE is associated with significant complications that substantially increase morbidity and mortality. Given its complex pathogenesis, conventional treatments for SLE often have significant side effects and limited efficacy, necessitating the exploration of novel therapeutic strategies.

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Article Synopsis
  • - Gout is a chronic condition caused by the immune system's reaction to monosodium urate crystals due to high uric acid levels, and recent research sheds light on its inflammatory mechanisms.
  • - A large genome-wide association study (GWAS) involving 2.6 million people identified 377 genetic locations linked to gout, with a focus on 149 new loci related to urate and gout inflammation.
  • - The study also pinpointed candidate genes influencing the inflammatory response in gout, including those affecting NLRP3 inflammasome activity, and suggests a potential causal role of specific genetic factors in developing the disease.
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Article Synopsis
  • The study validated algorithms using Medicare claims data to accurately identify Systemic Lupus Erythematosus (SLE) and lupus nephritis (LN), aiming to improve the Lupus Index for research purposes.
  • Researchers analyzed retrospective data from a South Carolina cohort and compared algorithm performance based on ICD-10 codes, finding that the best results for SLE were from two ICD-10 codes with or without a 30-day gap.
  • The results emphasize the need for specific algorithms tailored to research goals, facilitating better geographical resource allocation and studies on health disparities and clinical trial site identification.
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Prolonged eosinophilia caused by Strongyloidiasis in a patient with rheumatoid arthritis treated with Upadacitinib.

Mod Rheumatol Case Rep

October 2024

Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, University of Zagreb, School of Medicine, University Hospital Center Zagreb, Zagreb, Croatia.

Article Synopsis
  • - Rheumatoid arthritis (RA) is an autoimmune disease that weakens the immune system, making patients more vulnerable to infections, especially when treated with immunosuppressive medications.
  • - A case study reports a Caucasian patient in South-eastern Europe who developed prolonged eosinophilia while being treated with upadacitinib for RA, eventually diagnosed with Strongyloidiasis despite living in a non-endemic area.
  • - The study highlights the need for regular medical follow-ups for immunocompromised patients and the importance of being aware of both common and uncommon infections that can arise during their treatment.
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Epidural steroid injections (ESIs) are a common and often effective treatment for radicular back pain. While oral glucocorticoids increase fracture incidence, little is known regarding fracture risk after ESI. This study investigated the incidence of fractures among individuals who received ESI and those who did not.

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Methotrexate: Use in the Post Dobbs v. Jackson Era.

J Clin Rheumatol

October 2024

From the Division of Clinical Immunology and Rheumatology, University of Alabama Birmingham, Birmingham, Alabama.

Article Synopsis
  • Methotrexate is a commonly prescribed medication for various rheumatic diseases like rheumatoid arthritis and systemic lupus erythematosus, originally developed for cancer treatment in the 1960s and approved for RA in 1988.
  • It has been used for medical abortions and can cause serious birth defects, affecting 6%-10% of pregnant women taking it, making its use complex in light of current abortion policies in the U.S. after the Dobbs ruling.
  • The Dobbs decision has influenced healthcare providers' and patients' views on methotrexate, suggesting an expanded role for rheumatologists in addressing patients' reproductive health concerns.
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Objective: To assess chemokine receptor CXCR4 expression in lung parenchyma and on peripheral immune cells in systemic sclerosis-related interstitial lung disease (SSc-ILD) patients.

Methods: SSc-ILD patients underwent 68Ga- CPCR4 Trifluoroacetate positron emission tomography (PET) scan, SUVmean in different lung regions and architecturally abnormal areas, and receiver operating characteristic (ROC) curves were analyzed. CXCR4 expression on peripheral immune cells using flow cytometer was studied and correlated with the different lung regions.

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