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The Mystery of IVIg

Eveline Wu, MD, Michael M. Frank, MD  |  March 8, 2012

Although initially given as replacement therapy for patients with primary and secondary immunodeficiency states, intravenous immunoglobulin (IVIg) has proven to be effective in the treatment of various autoimmune and inflammatory disorders. This success has led to a dramatic increase in the use of IVIg, with its use as an antiinflammatory agent now vastly surpassing its use in the treatment of immunodeficiencies. Even so, the basis for the antiinflammatory activity of IVIg remains unclear.

Filed under:ConditionsOther Rheumatic Conditions Tagged with:anti-inflammatorydrugHYDROXYCHLOROQUINEimmunodeficiencyinflammationintravenous immune globulinMethotrexatemyalgiapatient carePediatricsrheumatologistTreatment

First ARHP ‘Best of the Meeting’ Highlights Sleep Research, Osteoporosis Screening, More

Kathleen Louden  |  March 8, 2012

“The line between ACR and ARHP sessions has totally blurred,” said Donah Zack Crawford, MA, during the presentation, “Highlights from the 2011 ARHP Sessions,” here at the 2011 ACR/ARHP Annual Scientific Meeting held in Chicago in November 2011.

Filed under:Career DevelopmentConditionsEducation & TrainingMeeting ReportsOsteoarthritis and Bone DisordersProfessional TopicsResearch Rheum Tagged with:2011 ACR/ARHP Annual Scientific MeetingAC&RAmerican College of Rheumatology (ACR)Association of Rheumatology Professionals (ARP)Educationeducation and trainingObesityOsteoarthritisOsteoporosisResearchSleep

Pain is a Tricky Thing to Treat, or Even Evaluate

Simon M. Helfgott, MD  |  March 8, 2012

Rheumatology is such a gratifying and emotionally rewarding medical specialty. There is no better feeling than helping patients with conditions whose proper diagnosis and management have eluded other practitioners. A patient with diffuse idiopathic skeletal hyperostosis (DISH) presents with pain, and a major clinical tenet of DISH has been its lack of association with pain.

Filed under:Axial SpondyloarthritisConditionsOpinionRheuminationsSpeak Out Rheum Tagged with:Ankylosing SpondylitisDiagnostic CriteriaHelfgottimagingPainpatient careradiographrheumatologist

Coding Corner – New Patient vs. Established Patient Quiz

Staff  |  March 8, 2012

New Patient vs. Established Patient Quiz 1. A 65-year-old female patient comes to see Dr. Raven at her new practice. The last time this patient saw Dr. Raven was eight weeks ago at her old practice. What type of patient visit is this? Established New 2. Dr. Smith joins a new practice and many of…

Filed under:Billing/CodingPractice Support Tagged with:BillingCodingCPTPractice Managementrheumatologist

Coding Corner Answer – New Patient vs. Established Patient Quiz

Staff  |  March 8, 2012

Take the challenge… 1. A: Established. Even though Dr. Raven is now practicing at a new location, the patient is considered an established patient because she received professional services from Dr. Raven within the past three years. The CPT manual defines a new patient as “one who has not received any professional services from the…

Filed under:Billing/CodingPractice Support Tagged with:BillingCodingCPTPractice Managementrheumatologist

Where Will Kinase Inhibitors Fit into the RA Treatment Mix?

Vanessa Caceres  |  March 8, 2012

Presenters at “Looking Ahead to Kinase Inhibition in Rheumatoid Arthritis,” a session here at the 2011 ACR/ARHP Annual Scientific Meeting, delved into some of the big questions that rheumatology faces with kinase inhibitor use.

Filed under:ConditionsDrug UpdatesMeeting ReportsResearch RheumRheumatoid Arthritis Tagged with:ACR/ARHP Annual MeetingdrugImmunologyJAK inhibitorsjanus kinaseMethotrexatepatient careRAResearchRheumatoid arthritisTofacitinibTreatment

Susac’s Syndrome: Confusion, Expressive Aphasia, Gait Instability

Candace H. Feldman, MD, MPH, Gwendolyn Kane-Wagner, MD  |  March 8, 2012

A 49-year-old man presented to the hospital with confusion, dysarthria, expressive aphasia, and progressive gait instability.

Filed under:Career DevelopmentConditionsEducation & TrainingOther Rheumatic ConditionsProfessional Topics Tagged with:ANA titerDiagnostic Criteriadrugimagingintravenous immunoglobulinsPathogenesispatient careprednisonerheumatologistTreatment

Information on New Drug Approvals and Medication Safety

Michele B. Kaufman, PharmD, BCGP  |  March 8, 2012

Rheumatology-related drug safety, approvals, and what’s in the pipeline.

Filed under:Biologics/DMARDsConditionsDrug UpdatesGout and Crystalline Arthritis Tagged with:anti-inflammatoryBiologicscrystal arthritisdrugGoutJAK inhibitorsjanus kinaseMethotrexateRheumatoid arthritisrheumatologistSafetyTofacitinib

How to Retire from Your Medical Practice

Steven M. Harris, Esq.  |  March 8, 2012

If you are a physician nearing retirement, it is important that you plan, discuss, and make contractual agreements that will allow you to accomplish your goals and changing needs.

Filed under:Career DevelopmentLegal UpdatesPractice SupportProfessional TopicsWorkforce Tagged with:Career developmentLegalPractice Managementretirementrheumatologist

Scientists Pinpoint Three HLA Proteins Linked to Seropositive Rheumatoid Arthritis

Carrie Printz  |  February 28, 2012

Researchers have identified five amino acids in three HLA proteins that explain most of the association between major histocompatibility complex (MHC) and seropositive rheumatoid arthritis (RA).

Filed under:ConditionsResearch RheumRheumatoid Arthritis Tagged with:ArthritisBiomarkersRA

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