27,948 results match your criteria: "Systemic Rheumatic Disease"

Asymptomatic Hyperuricemia: A Nephro-Rheumatological Perspective.

Arch Immunol Ther Exp (Warsz)

January 2024

Department of Transplantology, Immunology, Nephrology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.

Article Synopsis
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Association between iridocyclitis and immune-related disease: A 2-sample Mendelian randomization study.

Medicine (Baltimore)

November 2024

Beijing Tongren Eye Center, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Beijing Key Laboratory of Intraocular Tumor Diagnosis and Treatment, Capital Medical University, Beijing, China.

The genetic basis of iridocyclitis, an inflammatory eye disease, remains poorly understood, particularly in relation to autoimmune diseases. This study aimed to explore the causal associations between 6 immune-related diseases and iridocyclitis using Mendelian randomization (MR). A total of 230 single nucleotide polymorphisms (SNPs) significantly associated with systemic lupus erythematosus, ankylosing spondylitis (AS), rheumatoid arthritis (RA), Graves disease (GD), Crohn disease (CD), and allergic contact dermatitis were identified based on stringent MR assumptions.

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Objective: Next-generation sequencing (NGS) panels are increasingly used for the diagnosis of monogenic systemic autoinflammatory diseases (SAIDs). However, their role in patients with adult-onset Still's disease (AOSD) remains unknown. This study aims to assess the usefulness of NGS panels in AOSD patients to improve diagnosis and management of the disease.

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Despite rapid advances in the field of rheumatology, many patients with rheumatoid arthritis suffer from chronic and debilitating systemic disease, with a high symptom burden and limited life expectancy. In this paper, we demonstrate an approach to managing a patient with rheumatoid arthritis with life-limiting illness for the palliative care physician. In particular, we focus on the systemic nature of rheumatoid arthritis and nuances around medication management towards the end of life.

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Anti-Ro/SS-A antibodies are prevalent across systemic autoimmune rheumatic diseases (SARDs) and may signify a distinctive phenotype. This study aimed to identify protein biomarkers associated with symptom burden and health-related quality of life (HR-QoL), and use protein-based stratification to identify clinically meaningful clusters and inflammatory pathways implicated. Anti-Ro positive SARD patients were enrolled in a 6-month pilot study.

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Evaluation of uric acid levels and other biochemical parameters among Gout patients with Ketogenic diet in Erbil province.

Cell Mol Biol (Noisy-le-grand)

November 2024

Clinical Biochemistry Department, College of Health Sciences, Hawler Medical University, Erbil, Iraq.

Gout is a systemic disorder that occurs due to an accumulation of uric acid crystals in the tissues. The association between the Ketogenic diet and uric acid concentration has been poorly established. This study aims to evaluate and assess the association of Serum uric acid and other variables with ketogenic diet among Gout patients in comparison with Healthy control subjects.

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Article Synopsis
  • * Results show that while the overall DNT cell count is similar between groups, the number of αβDNT cells is significantly higher in children with rheumatic disorders, with no correlation to disease activity.
  • * The findings suggest that expanded αβDNT cells may be a nonspecific marker of autoimmunity in pediatric patients, pointing to the need for further research to clarify their role in rheumatic diseases.
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From Multimorbidity to Network Medicine in Patients with Rheumatic Diseases.

Rheumatol Ther

November 2024

Department of Clinical and Biological Sciences, Centre for Biostatistics, Epidemiology, and Public Health, University of Turin, Turin, Italy.

Article Synopsis
  • The shift from a comorbidity-focused approach to a multimorbidity perspective in managing rheumatic diseases emphasizes the presence of multiple diseases, resulting in greater individual and societal impacts, but often leads to fragmented care.
  • Network medicine presents a more integrated approach by examining the interactions and connections between different diseases at a biological level, focusing on shared pathways and mechanisms.
  • This paradigm shift allows for a holistic understanding of rheumatic diseases, highlighting their interconnectedness through systemic inflammation and immune system dysregulation.
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  • The study investigates HIPK3 DNA methylation as a potential biomarker for rheumatoid arthritis (RA) and its relationship with clinical indicators in multiple rheumatic diseases.
  • Researchers analyzed methylation levels in 368 participants, using advanced sequencing technology, and discovered that HIPK3 methylation was significantly lower in RA, systemic lupus erythematosus (SLE), and dermatomyositis (DM) compared to healthy controls.
  • Findings indicate a negative correlation between HIPK3 methylation levels and various clinical markers in RA, suggesting HIPK3 hypomethylation could serve as a diagnostic indicator for RA and related diseases.
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From the INVICTUS Trial to Current Considerations: It's Not Time to Retire Vitamin K Inhibitors Yet!

Pharmaceuticals (Basel)

October 2024

Division of Cardiology and CardioLab, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.

Article Synopsis
  • Atrial fibrillation (AF) is common and usually treated with oral anticoagulants to prevent strokes, where direct oral anticoagulants (DOAC) are more effective in reducing certain types of bleeding compared to vitamin K antagonists (VKA).
  • The INVICTUS study showed that the DOAC rivaroxaban was not superior to VKA in preventing serious complications like stroke for patients with rheumatic valvular AF, leading to higher death and drug discontinuation rates in the DOAC group.
  • While VKAs remain the standard treatment for patients with moderate-to-severe mitral stenosis and prosthetic valves, new factor XI inhibitors show promise in reducing bleeding risks and are currently undergoing further testing in AF and
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Sjögren's Disease and Gastroesophageal Reflux Disease: What Is Their Evidence-Based Link?

Medicina (Kaunas)

November 2024

Department of Personalised Medicine, State Research Institute Center for Innovative Medicine, Santariskiu st. 5, LT-08405 Vilnius, Lithuania.

Sjögren's disease (SjD), or primary Sjögren's syndrome (pSS), is a heterogeneous chronic autoimmune disorder with multiple clinical manifestations that can develop into non-Hodgkin's lymphoma in mucosa-associated lymphoid tissue. SjD is one of the autoimmune diseases with the maximum delayed diagnosis due to its insidious onset, heterogeneous clinical features and varied course. It is increasingly recognized that extraglandular manifestations represent a clinical challenge for patients with SjD.

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Fibroblast-like synoviocytes (FLSs) are among the main disease-driving players in most cases of monoarthritis (MonoA), oligoarthritis, and polyarthritis. In this review, we look at the characteristics and therapeutic challenges at the onset of arthritis and during follow-up management. In some cases, these forms of arthritis develop into autoimmune polyarthritis, such as rheumatoid arthritis (RA), whereas local eradication of the RA synovium could still be combined with systemic treatment using immunosuppressive agents.

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Article Synopsis
  • Inflammation from cytokines, especially IL-6, is linked to increased cardiovascular disease (CVD) risk, particularly in rheumatoid arthritis (RA) patients, but the impact of IL-6 inhibitors like tocilizumab on CVD is unclear.
  • A study of 45 RA patients on long-term tocilizumab therapy showed no significant increase in cardiovascular risk or structural changes in carotid arteries, and cholesterol levels remained stable for those not on statins.
  • For patients on statins, there were significant improvements in cholesterol metrics, including a 43% increase in beneficial HDL-C and reductions in total cholesterol and atherogenicity, with associations found between cholesterol changes and inflammation markers.
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Targeted Therapy of Antibody-Induced Autoimmune Arthritis Using Peptide-Guided Nanoparticles.

Int J Mol Sci

November 2024

Research and Development, VA Maryland Healthcare System, Baltimore VA Medical Center, Baltimore, MD 21201, USA.

Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic inflammation of the joints and it affects over 18 million people worldwide. Despite the availability of a variety of potent drugs for RA, over 30-40 percent of patients fail to achieve adequate remission, and many patients suffer from systemic adverse effects. Thus, there is an urgent need for a joint-targeted drug delivery system.

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Prescription Patterns of Mycophenolate Mofetil in a Group of Patients from Colombia.

Healthcare (Basel)

November 2024

Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma S.A., Pereira 660003, Risaralda, Colombia.

Background: Mycophenolate mofetil is used for the prevention of solid organ transplant rejection and for other indications, such as systemic lupus erythematosus (SLE).

Objective: To determine the prescription patterns of mycophenolate mofetil in a group of Colombian patients.

Methods: This was a cross-sectional study of patients receiving mycophenolate mofetil between 2021 and 2022.

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Oral Mucosa Capillaroscopy: A Narrative Review.

Cancers (Basel)

November 2024

Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via Luigi de Crecchio, 6, 80138 Naples, Italy.

Article Synopsis
  • The oral cavity can be affected by various diseases that alter the microvascular structure, typically assessed through biopsy samples, but live tissue characterization methods are still under exploration.
  • Capillaroscopy, a technique that uses polarized light and magnification, has shown potential for better imaging of the oral mucosa microvasculature in preliminary studies.
  • The literature review aims to examine capillaroscopy's applications, diagnostic and prognostic significance in oral diseases, while emphasizing the need for more research, particularly in oral oncology, to assess its effectiveness for diagnosing and predicting outcomes of malignant disorders.
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[Between the normal and the pathological: The concept of pre-disease applied to systemic autoimmune rheumatic diseases].

Rev Med Interne

November 2024

Service d'immuno-rhumatologie, CHU de Montpellier, Inserm U1046, CNRS UMR 9214, université de Montpellier, physiologie et médecine expérimentale du cœur et des muscles (PhyMedExp), Montpellier, France.

The incidence of systemic autoimmune diseases is constantly rising. They are chronic diseases requiring prolonged treatment, with considerable psychosocial impact. While attention to the promising results obtained with CAR-T cells in refractory patients is justified, it seems important not to overlook the opportunities for prevention based on the identification of a pre-disease state.

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High prevalence of esophageal motility disorders in patients with rheumatologic diseases.

Dis Esophagus

November 2024

Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA.

Article Synopsis
  • * A study of 289 adults showed that 58% had esophageal motility disorders, with various types identified, despite normal barium swallow results in half of these cases.
  • * Specific rheumatic conditions affected the likelihood of esophageal dysmotility, with lower rates in those with psoriatic arthritis and varying odds for rheumatoid arthritis and scleroderma.
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Stability of symptom-based subtypes in Sjogren's disease.

RMD Open

November 2024

Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK

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Article Synopsis
  • Rheumatoid arthritis (RA) is a chronic inflammatory autoimmune disease affecting synovial joints, often linked to environmental factors and genetics, characterized by both joint and extra-articular symptoms.
  • The review explores the therapeutic potential of natural products in managing arthritis through three methodologies: in-silico analysis identifies molecular targets, in-vivo studies assess safety and effectiveness in reducing inflammation, and in-vitro studies examine cellular interactions and signaling pathways.
  • Overall, the study suggests that natural compounds could serve as valuable adjuncts to traditional RA treatments, highlighting their anti-inflammatory properties and the need for further research to enhance their therapeutic benefits.
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Unveiling the Potential of Probiotics in Osteoarthritis Management.

Curr Rheumatol Rep

November 2024

Department of Basic Medical Sciences, College of Medicine, University of Sharjah, 27272, Sharjah, United Arab Emirates.

Article Synopsis
  • Osteoarthritis (OA) is a common joint disease that affects quality of life, prompting research into the use of probiotics as a potential treatment.
  • Probiotics may help by altering gut bacteria to reduce inflammation, which can lead to less joint pain and better function in OA patients.
  • The review discusses promising findings from studies on specific probiotic strains, but also highlights the need for more extensive clinical trials to confirm their effectiveness in treating OA.
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Serum IL-40 increases in patients with rheumatoid arthritis and correlates with some clinical characteristics and comorbidities.

Sci Rep

November 2024

Department of Clinical Laboratory, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, People's Republic of China.

The role of Interleukin-40 (IL-40) in rheumatoid arthritis (RA) is not well understood, and this study was designed to explore serum IL-40 levels in RA patients to assess its potential as a disease biomarker. In this research, serum IL-40 levels were determined using enzyme-linked immunosorbent assay in 116 patients with RA, 40 with osteoarthritis (OA), 29 with systemic lupus erythematosus (SLE), and 66 healthy controls (HCs). Paired serum samples were collected from 86 of the 116 patients treated during follow-up visits at week 12.

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siRNA-based nanotherapeutic approaches for targeted delivery in rheumatoid arthritis.

Biomater Adv

March 2025

Department of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi, India. Electronic address:

Rheumatoid arthritis (RA), characterized as a systemic autoimmune ailment, predominantly results in substantial joint and tissue damage, affecting millions of individuals globally. Modern treatment modalities are being explored as the traditional RA therapy with non-specific immunosuppressive drugs showcased potential side effects and variable responses. Research potential with small interfering RNA (siRNA) depicted potential in the treatment of RA.

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