Best Practice and Research. Clinical Rheumatology 
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Publication date: June 2019Source: Best Practice & Research Clinical Rheumatology, Volume 33, Issue 3Author(s): Christoph Baerwald, Ernest Choy (Source: Best Practice and Research Clinical Rheumatology)
Source: Best Practice and Research Clinical Rheumatology - November 7, 2019 Category: Rheumatology Source Type: research
How to investigate: Pre-clinical rheumatoid arthritis
Publication date: Available online 15 October 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Patrícia Martins, João Eurico FonsecaAbstractMultiple studies have shown that there is a pre-clinical period preceding the development of rheumatoid arthritis (RA). During this period, complex interactions between the environmental and genetic causes occur, and the expression “preclinical RA” has been proposed to define it. Early treatment intervention is associated with less joint damage and has an increased possibility of achieving remission. In this review, we provide an overview of the preclinical ph...
Source: Best Practice and Research Clinical Rheumatology - October 16, 2019 Category: Rheumatology Source Type: research
Myalgia in myositis and myopathies
Publication date: Available online 4 October 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Stefanie Glaubitz, Karsten Schmidt, Jana Zschüntzsch, Jens SchmidtAbstractMyalgia is a common symptom of various neuromuscular disorders: myalgia occurs in metabolic muscle diseases, inflammatory muscle diseases, dystrophic myopathies and myotonic muscle disorders. Myalgia leads to a significantly reduced quality of life. Other muscular symptoms that are present along with myalgia often provide the clue towards a diagnosis and include weakness, cramps and myotonia as well as the type of pain. In addition, extr...
Source: Best Practice and Research Clinical Rheumatology - October 5, 2019 Category: Rheumatology Source Type: research
Suspected inflammatory rheumatic diseases in patients presenting with skin rashes
Publication date: Available online 1 October 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Francisca Alves, Margarida GonçaloAbstractSkin lesions occur, often at very early stages, in many of the most frequent inflammatory rheumatic diseases such as in systemic lupus erythematosus (SLE), dermatomyositis (DM), systemic sclerosis (SSc), Sjögren's syndrome, rheumatoid arthritis (RA), and psoriatic arthritis.It is important to recognize the different specific cutaneous lesions in SLE (e.g., “butterfly” rash in acute, annular or psoriasiform photosensitive lesions in the subacute form, and discoid l...
Source: Best Practice and Research Clinical Rheumatology - October 2, 2019 Category: Rheumatology Source Type: research
How to investigate: Suspected systemic rheumatic diseases in patients presenting with muscle complaints
Publication date: Available online 26 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Irene Altabás-González, Naír Pérez-Gómez, José María Pego-ReigosaAbstractMuscular symptoms, which may be due to multiple causes, are one of the most common early complaints in a rheumatology practice. Musculoskeletal symptoms in rheumatic conditions are very varied, ranging from mechanical problems to muscular symptoms derived from inflammatory and systemic autoimmune diseases. Several drugs commonly used by different specialists and certain drugs used in rheumatology can also cause a wide variety of ...
Source: Best Practice and Research Clinical Rheumatology - September 27, 2019 Category: Rheumatology Source Type: research
Interdisciplinary care of hip fractures.: Orthogeriatric models, alternative models, interdisciplinary teamwork
Publication date: April 2019Source: Best Practice & Research Clinical Rheumatology, Volume 33, Issue 2Author(s): Anette Hylen Ranhoff, Ingvild Saltvedt, Frede Frihagen, Johan Raeder, Sameer Maini, Olav SletvoldAbstractHip fractures are common among older people, and the prognosis is serious in terms of mobility, independence in daily life activities, and cognition, with 42% of patients never achieving the same function as before the fracture. Norway has the highest incidence of hip fractures, and the important tasks are to improve patient care and prevent new fractures.The aim was to develop Norwegian Guidelines for Interd...
Source: Best Practice and Research Clinical Rheumatology - September 21, 2019 Category: Rheumatology Source Type: research
Index
Publication date: April 2019Source: Best Practice & Research Clinical Rheumatology, Volume 33, Issue 2Author(s): (Source: Best Practice and Research Clinical Rheumatology)
Source: Best Practice and Research Clinical Rheumatology - September 21, 2019 Category: Rheumatology Source Type: research
Editorial Board
Publication date: April 2019Source: Best Practice & Research Clinical Rheumatology, Volume 33, Issue 2Author(s): (Source: Best Practice and Research Clinical Rheumatology)
Source: Best Practice and Research Clinical Rheumatology - September 21, 2019 Category: Rheumatology Source Type: research
Impact of fatigue on rheumatic diseases
Publication date: Available online 13 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Olga Seifert, Christoph BaerwaldAbstractFatigue is a common, disabling, and difficult-to-manage problem in rheumatic diseases. The concept of fatigue is difficult to define. No clear and widely accepted definition of fatigue is available. The symptoms of fatigue are defined as an overwhelming, debilitating, and sustained sense of exhaustion that decreases the ability to function and carry out daily activities. Prevalence estimates of fatigue within musculoskeletal diseases vary considerably (35%–82%). In t...
Source: Best Practice and Research Clinical Rheumatology - September 14, 2019 Category: Rheumatology Source Type: research
Sleep and rheumatic diseases
Publication date: Available online 11 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Tobias Boeselt, Rembert Koczulla, Christoph Nell, Bjoern Beutel, Konrad Guenther, Werner Cassel, Olaf Hildebrandt, Ulrich Koehler, Johannes KroenigAbstractThis review article discusses various forms of sleep disorders associated with musculoskeletal diseases (MD). It presents the pathophysiology and interaction of sleep-related disorders and MD and summarizes clinical symptoms and therapies from a somnological perspective.BackgroundA large number of patients suffering from MD report fragmented sleep with poo...
Source: Best Practice and Research Clinical Rheumatology - September 11, 2019 Category: Rheumatology Source Type: research
Taking the patient and the patient's perspective into account to improve outcomes of care of patients with musculoskeletal diseases
Publication date: Available online 6 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Martijn A.H. Oude Voshaar, Mart A.F.J. van de LaarAbstractPatient-reported outcome measures are commonly used in the assessment of patients with musculoskeletal diseases. The present review provides an overview of historic and recent developments, including core set recommendations for assessing patient-reported outcomes in patients with fibromyalgia, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and psoriatic arthritis. The evidence supporting commonly used patient-reported outcomes measures ...
Source: Best Practice and Research Clinical Rheumatology - September 8, 2019 Category: Rheumatology Source Type: research
Pain without inflammation
Publication date: Available online 6 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Jon LampaAbstractChronic pain is a common symptom in rheumatic diseases, and the patient with pain and no signs of inflammation poses a challenge to the physician.Notably, all rheumatic diseases have components of non-inflammatory pain and a higher prevalence of fibromyalgia compared to the overall population.Hypothetically, a chronic pain stimulus may have stronger impact in a chronic inflammatory state, and the process towards a pain condition may be influenced by individual predisposition for development o...
Source: Best Practice and Research Clinical Rheumatology - September 8, 2019 Category: Rheumatology Source Type: research
Very early systemic sclerosis
Publication date: Available online 3 September 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Silvia Bellando-Randone, Marco Matucci-CerinicAbstractThe early diagnosis of systemic sclerosis (SSc) can be very difficult, when most of the typical signs and symptoms are absent. For this reason, the approach to SSc has changed during the last decades because the importance of an early diagnosis and treatment has been widely understood. “Very early SSc” is identified as a condition characterized by Raynaud's phenomenon, puffy fingers, disease-specific autoantibodies, and microvascular alterations at cap...
Source: Best Practice and Research Clinical Rheumatology - September 5, 2019 Category: Rheumatology Source Type: research
Suspected systemic rheumatic diseases in adults presenting with fever
Publication date: Available online 29 August 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Dalia R. Ludwig, Tara N. Amin, Jessica J. MansonAbstractA significant proportion of patients with pyrexia of unknown origin (PUO) are found to have a rheumatological cause. The mainstay of treatment for rheumatic disease is immunosuppression, and therefore, accurate diagnosis is crucial given the risks associated with these drugs. In this review, we analyse the rheumatological conditions that most commonly present with fever and illustrate clinical cases demonstrating some of the challenges in the workup of the...
Source: Best Practice and Research Clinical Rheumatology - August 30, 2019 Category: Rheumatology Source Type: research
Emerging role of eHealth in the identification of very early inflammatory rheumatic diseases
Publication date: Available online 27 August 2019Source: Best Practice & Research Clinical RheumatologyAuthor(s): Suchitra Kataria, Vinod RavindranAbstractDigital health or eHealth technologies, notably pervasive computing, robotics, big-data, wearable devices, machine learning, and artificial intelligence (AI), have opened unprecedented opportunities as to how the diseases are diagnosed and managed with active patient engagement. Patient-related data have provided insights (real world data) into understanding the disease processes. Advanced analytics have refined these insights further to draw dynamic algorithms aiding cl...
Source: Best Practice and Research Clinical Rheumatology - August 29, 2019 Category: Rheumatology Source Type: research
