Journal of Clinical Rheumatology

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  1. Basic science for the clinician 47[corrected]: Fcgamma receptors.

    Journal of Clinical Rheumatology 13(6):355 (2007) PMID 18176149

    It is said that a gun has only one "business end" but not so for antibodies. The end with the antigen binding sites (the Fab) certainly has gained a great deal of deserved attention; this is, after all, where the humoral immune system uses its much vaunted "antigen specificity" to engage the out...
  2. Damage, accelerated atherosclerosis, and mortality in patients with systemic lupus erythematosus: lessons from LUMINA, a multiethnic US cohort.

    Journal of Clinical Rheumatology 13(6):350 (2007) PMID 18176147

  3. Cutaneous mucormycosis complicating methotrexate, prednisone, and infliximab therapy.

    Journal of Clinical Rheumatology 13(6):361 (2007) PMID 18176152

  4. Thyroid acropachy.

    Journal of Clinical Rheumatology 13(6):360 (2007) PMID 18176151

  5. Protein-losing enteropathy in systemic lupus erythematosus: analysis of the clinical features of fifteen patients.

    Journal of Clinical Rheumatology 13(6):313 (2007) PMID 18176138

    Protein-losing enteropathy (PLE) is an unusual manifestation of systemic lupus erythematosus (SLE), so its clinical manifestations and management are not well understood. In this study, we try to characterize the basic clinical features and the management of PLE by retrospectively analyzing the ...
  6. MELAS masquerading as a systemic vasculitis.

    Journal of Clinical Rheumatology 13(6):334 (2007) PMID 18176143

    Mitochondrial encephalomyopathy, lactic acidosis, and stroke (MELAS) is a mitochondrial genetic disorder caused by a point mutation, resulting in the substitution of guanine for adenine at nucleotide 3243 (A3243G). It is a multisystem disorder with variable manifestations and typically presents ...
  7. STIR MRI to direct muscle biopsy in suspected idiopathic inflammatory myopathy.

    Journal of Clinical Rheumatology 13(6):341 (2007) PMID 18176145

    Successful management of the idiopathic inflammatory myopathies requires an early and accurate diagnosis. The muscle biopsy remains the definitive test. However, false-negative biopsy results are common, as the disease is typically patchy in distribution. The advent of short tau inversion recove...
  8. Factors that impact decision making among rheumatologists in the initiation of treatment for hypertension in rheumatoid arthritis.

    Journal of Clinical Rheumatology 13(6):307 (2007) PMID 18176137

    Increased risks of morbidity and mortality from cardiovascular (CV) events are reported in patients with rheumatoid arthritis (RA). Recent reviews recommend aggressive treatment of modifiable CV risk factors, including systemic hypertension (HTN). We examined possible contributory factors influe...
  9. A strategic approach to managed care contracting.

    Journal of Clinical Rheumatology 13(6):346 (2007) PMID 18176146

  10. Toe necrosis and acute myocardial infarction precipitated by a pheochromocytoma in a patient with systemic sclerosis.

    Journal of Clinical Rheumatology 13(6):331 (2007) PMID 18176142

    Systemic sclerosis (SSc) patients typically experience Raynaud phenomena that is often complicated by digital ischemic lesions, gangrene, and digital loss. Other causes of peripheral ischemia, such as atherosclerosis, cryoglobulinemia, antiphospholipid syndrome, myeloproliferative disorders, par...
  11. Long-delayed onset of chest wall pain defining a patient with SAPHO syndrome.

    Journal of Clinical Rheumatology 13(6):338 (2007) PMID 18176144

    A 57-year-old woman presented with 2 months history of right chest pain with direct tenderness and swelling over the right sternoclavicular joint. She had a 20-year history of skin rash over both soles and palms suggestive of pustulosis palmaris and plantaris without musculoskeletal symptoms. CT...
  12. Unusual Occurrence of renal cell carcinoma (RCC) diagnosed in 2 young Hispanic patients with diffuse systemic sclerosis (dSSc).

    Journal of Clinical Rheumatology 13(6):363 (2007) PMID 18176153

  13. Tophaceous gout mass distending the prepatellar bursa.

    Journal of Clinical Rheumatology 13(6):359 (2007) PMID 18176150

  14. Extensive extranodal adult T-cell lymphoma presenting with a lytic arthropathy of the ankle.

    Journal of Clinical Rheumatology 13(6):328 (2007) PMID 18176141

    A case is presented of a 44-year-old human T-cell lymphotropic virus-1 seropositive Afro-Caribbean man whose adult T-cell lymphoma presented with an ankle arthropathy. Over a period of weeks he developed subcutaneous tumor masses, osteolytic lesions, sinonasal involvement, and spinal disease cul...
  15. Evaluation of a quantitative scoring of enthesitis in ankylosing spondylitis.

    Journal of Clinical Rheumatology 13(6):303 (2007) PMID 18176136

    Enthesitis is inflammation at the insertion of ligaments, tendons, joint capsule, or fascia to bone, and a well-known characteristic feature of ankylosing spondylitis (AS) and related spondyloarthropathies. The clinical evaluation of enthesitis is an important outcome measure and is scored by ap...
  16. Lyme disease presenting as ruptured synovial cysts.

    Journal of Clinical Rheumatology 13(6):365 (2007) PMID 18176154

  17. Revisiting Jaccoud arthropathy as an ultrasound diagnosed erosive arthropathy in systemic lupus erythematosus.

    Journal of Clinical Rheumatology 13(6):322 (2007) PMID 18176140

    Jaccoud arthropathy (JA), now most commonly associated with systemic lupus erythematosus (SLE), is widely perceived as a benign joint deformity that is radiographically nonerosive and that confers little if any disability. Advances and accessibility of imaging modalities such as ultrasound (US) ...
  18. Correlations between symptoms as assessed in traditional chinese medicine (TCM) and ACR20 efficacy response: a comparison study in 396 patients with rheumatoid arthritis treated with TCM or Western medicine.

    Journal of Clinical Rheumatology 13(6):317 (2007) PMID 18176139

    This research was designed to explore the role of joint and nonarticular clinical manifestations traditionally evaluated in Chinese herbal medicine in predicting efficacy of treatment for rheumatoid arthritis. Three hundred ninety-six patients were randomly divided to receive Western medicine (W...
  19. Systemic lupus erythematosus in a multiethnic US cohort (LUMINA L II): relationship between vascular events and the use of hormone replacement therapy in postmenopausal women.

    Journal of Clinical Rheumatology 13(5):261 (2007) PMID 17921793

    To examine the influence of hormone replacement therapy (HRT) in the occurrence of vascular arterial and venous thrombotic events in postmenopausal women with systemic lupus erythematosus (SLE). SLE women aged > or =16 years, disease duration < or =5 years from LUMINA, a multiethnic, longitudina...
  20. Rapid onset of muscle weakness (rhabdomyolysis) associated with the combined use of simvastatin and colchicine.

    Journal of Clinical Rheumatology 13(5):266 (2007) PMID 17921794

    We report a case of a patient with mild chronic renal insufficiency who had been taking simvastatin for over a year and developed acute weakness within 3 weeks after the start of treatment with colchicine for acute gouty bursitis. Profound muscle weakness of lower extremities with inability to s...