A few suggestions to bring rheumatic disease the recognition and respect it deserves
Pain Perspective in Scleroderma
Systemic sclerosis (SSc; scleroderma) is a disease in which inflammatory and fibrotic changes result in overproduction and accumulation of collagen and other extracellular matrix proteins, resulting in intimal vascular damage, fibrosis, and occasionally organ dysfunction affecting the gastrointestinal, lung, heart, and renal systems. There are two classifications of SSc—limited cutaneous or CREST (calcinosis, Raynaud’s, esophageal dysmotility, sclerodactyly, and telangectasias) syndrome, where skin thickening occurs mainly in the distal extremities and facial/neck areas and internal organ involvement, if present, occurs later in the disease process; and diffuse cutaneous disease where there is a more rapid progression of skin thickening from distal to proximal and organ involvement can be severe and occur early in the disease. As noted by various authors, there is no “crystal ball” into which one can look to see the outcome of the disease, and involvement varies significantly from one person to the next.
Public-Private Partnership Takes ACTION Against Pain
New initiative seeks to improve clinical trials, develop novel analgesics
Opioids More Dangerous than other Analgesics for Elderly
Safety events vary among different opioids
Similarities to Fibromyalgia Found in Post-War Illness
Many questions remain about these chronic multisymptom illnesses
Are NSAIDS Even Less Safe Than We Thought?
Recent meta-analysis points to MI risks, but many questions remain
Experts Tackle Tough Pain Challenges
NIH conference brings together experts to discuss pain treatment
Rheumatologist=Pain Doctor?
Managing pain is an important part of rheumatologic care—and a focus for the ACR
Is an Onslaught of Pain on the Horizon?
Pain treatment varies based on race and gender, and many patients don’t receive optimal care
Advancing Rheumatology on Many Fronts
Presidential priorities for the coming year
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