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Current State of Biosimilars in Mexico: The Position of the Mexican College of Rheumatology, 2016
Publication date: Available online 21 April 2018 Source:Reumatología Clínica (English Edition) Author(s): Daniel Xibille, Sandra Carrillo, Gabriela Huerta-Sil, Ramiro Hernández, Leonardo Limón, Guadalupe Olvera-Soto, Luis Javier Jara-Quezada, Abdieel Esquivel, Marcela Pérez-Rodríguez The present document is a position statement of the Mexican College of Rheumatology on the use of biosimilars in rheumatic diseases. This position considers that biosimilars should be considered as interchangeable, that automatic substitution without previous notice in stable patients during follow-up...
Source: Reumatologia Clinica - April 22, 2018 Category: Rheumatology Source Type: research

Fibromyalgia and Facebook ™: Beyond the “I like”
Publication date: Available online 12 April 2018 Source:Reumatología Clínica (English Edition) Author(s): Paul Jesús Tejada-Llacsa, Judith Cahuana-Aparco, Carlos A. Cordova Cassia (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - April 13, 2018 Category: Rheumatology Source Type: research

Rheumatoid Arthritis and Ocular Myasthenia Gravis: Effectiveness of Rituximab in the Management of These Two Diseases
Publication date: Available online 9 April 2018 Source:Reumatología Clínica (English Edition) Author(s): Marta Novella-Navarro, Juan Salvatierra-Ossorio, María del Mar Muñoz-Gómez, María Pavo-Blanco (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - April 11, 2018 Category: Rheumatology Source Type: research

Sacroiliitis Due to Calcium Pyrophosphate Deposition Disease
Publication date: Available online 9 April 2018 Source:Reumatología Clínica (English Edition) Author(s): Maria Jose Moreno Martinez, Manuel J. Moreno Ramos, Luis F. Linares Ferrando (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - April 11, 2018 Category: Rheumatology Source Type: research

Suitability of a High-resolution Ultrasound-guided Puncture in the Diagnosis of a Soft Tissue Mass Infected With Mycobacterium tuberculosis
Publication date: Available online 9 April 2018 Source:Reumatología Clínica (English Edition) Author(s): Hèctor Corominas, Dèlia Reina, Vicenç Torrente-Segarra, Cristina Chico, Vanessa Antón, Paula Estrada, Vanessa Navarro (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - April 9, 2018 Category: Rheumatology Source Type: research

Systemic Sclerosis Sine Scleroderma in Mexican Patients. Case Reports
Conclusion In patients with RP, esophageal dysmotility, interstitial lung disease and pulmonary arterial hypertension should be tested for ACA in order to establish a prompt diagnosis and treatment of ssSSc. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - April 3, 2018 Category: Rheumatology Source Type: research

GRADE system, systematic and transparent evaluation
Publication date: March–April 2018 Source:Reumatología Clínica (English Edition), Volume 14, Issue 2 Author(s): Claudia Mendoza Pinto, Mario García Carrasco (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 21, 2018 Category: Rheumatology Source Type: research

A Reflection on How We Define, Determine and Interpret the Finding of Lupus Anticoagulant
Publication date: Available online 12 March 2018 Source:Reumatología Clínica (English Edition) Author(s): Lara Valor, Diana Hernández-Flórez, Julia Martínez-Barrio, Francisco Javier López Longo (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 14, 2018 Category: Rheumatology Source Type: research

Prevalence of Risk Factors for the Development of Avascular Hip Necrosis in a Third-level Hospital
Publication date: Available online 10 March 2018 Source:Reumatología Clínica (English Edition) Author(s): Elena Cristina de Sautu de Borbón, Montserrat Morales Conejo, Juan Manuel Guerra Vales (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 11, 2018 Category: Rheumatology Source Type: research

Web-like bronchial stenosis secondary to granulomatosis with polyangiitis
Publication date: Available online 10 March 2018 Source:Reumatología Clínica (English Edition) Author(s): Catalina Ulloa-Clavijo, Miguel Ariza-Prota, Manuel Vaquero-Cacho, Luis Caminal-Montero (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 11, 2018 Category: Rheumatology Source Type: research

Screening of Inflammatory Bowel Disease and Spondyloarthritis for Referring Patients Between Rheumatology and Gastroenterology
Conclusion Screening criteria for IBD in patients with SpA, and vice versa, have been developed. These criteria will be useful for early detection of both diseases. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 11, 2018 Category: Rheumatology Source Type: research

Tropical Arthritogenic Alphaviruses
The objective of this review is to provide a clinical approach to the different arthritogenic tropical alphaviruses, especially those in which chronic rheumatic disease is more frequent. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - March 8, 2018 Category: Rheumatology Source Type: research

Dacryoadenitis Associated With IgG4-related Disease in an Afro-Colombian Adolescent
We report the case of an Afro-Colombian teenage woman, who had a unilateral ocular protrusion of unknown cause, with histopathologic findings that revealed infiltration of lymphocyte and plasma cells into the lacrimal gland. It was positive for IgG4, ruling out other conditions, and confirming IgG4-related dacryoadenitis. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 19, 2018 Category: Rheumatology Source Type: research

Progress of the Attractiveness of Rheumatology Among Medical Speciality Training Candidates (MIR) in Spain
Conclusions After a sharp decline in the attractiveness of rheumatology during the last years of the 20th century, there seems to be a recovery. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 19, 2018 Category: Rheumatology Source Type: research

Effectiveness of Conventional Disease-modifying Antirheumatic Drugs in Psoriatic Arthritis: A Systematic Review
Conclusions Since the studies included are not robust, and there are arguments to support the effectiveness of methotrexate, the evidence observed with the treatment of DMARDs in PsA is not conclusive. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 10, 2018 Category: Rheumatology Source Type: research

Rapid Dactylitis Resolution in a Patient With Psoriatic Arthritis After Treatment With Ustekinumab
Publication date: Available online 9 February 2018 Source:Reumatología Clínica (English Edition) Author(s): Alba Quesada Moreno, Olga Martínez González, Laura Pérez Garrido, Carlos Montilla Morales (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 10, 2018 Category: Rheumatology Source Type: research

Undifferentiated Connective Tissue Disease and Interstitial Lung Disease: Trying to Define Patterns
Conclusion The presence of ‘highly specific’ CTD manifestations was associated with female sex, younger age and better functional behavior. These findings highlight the impact of the clinical features in the outcome of patients with UCTD ILD. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 10, 2018 Category: Rheumatology Source Type: research

Is gout an easy-to-treat disease? The importance of health determinants
Publication date: January–February 2018 Source:Reumatología Clínica (English Edition), Volume 14, Issue 1 Author(s): Aldo Barajas-Ochoa, Jose Juan Castaneda-Sanchez, Cesar Ramos-Remus (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Purpuric Component Features that Differentiate Urticarial Vasculitis and Urticaria Without Vasculitis
Publication date: January–February 2018 Source:Reumatología Clínica (English Edition), Volume 14, Issue 1 Author(s): Belén Lozano Masdemont, Celia Horcajada Reales, Laura Gómez-Recuero Muñoz, Verónica Parra Blanco (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Catastrophic antiphospholipid antibody syndrome presenting as acute vascular occlusion in a young female patient
We report a case of a 19-year-old female patient who developed catastrophic antiphospholipid syndrome (CAPS syndrome or Asherson syndrome) 6 weeks post stillbirth with an initial presentation of acute vascular occlusion. The patient was immediately operated and anticoagulated with significant improvement. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Managing hypertriglyceridemia in children with systemic lupus erythematosus: Two sides of the same coin
Publication date: January–February 2018 Source:Reumatología Clínica (English Edition), Volume 14, Issue 1 Author(s): Biswanath Basu, Binu George Babu, Suman Bhattacharyya Hypertriglyceridemia is common in children with systemic lupus erythematosus (SLE). A retrospective analysis of the baseline clinical–pathological presentation and treatment outcome (status of lipid profiles) was performed in two children with SLE, who presented with extreme hypertriglyceridemia over a follow-up period of four weeks. The children were treated with prednisolone, mycophenolate mofetil (MMF), hydroxychloroquine and...
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Topical capsaicin for pain in osteoarthritis: A literature review
Publication date: January–February 2018 Source:Reumatología Clínica (English Edition), Volume 14, Issue 1 Author(s): Vânia Guedes, João Paulo Castro, Iva Brito Osteoarthritis is the most common joint disorder worldwide. The predominant symptom, pain, is usually treated with acetaminophen or oral non-steroidal anti-inflammatory drugs, although they are associated with a significant risk of side effects. Topical capsaicin may represent an effective and safe alternative. The aim of this review is to examine the evidence for the efficacy and safety profile of topical capsaicin in the managemen...
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Evolution over thirty years of the profile of inpatients with reactive arthritis in a tertiary rheumatology unit
Conclusion Reactive arthritis is still a current rheumatologic problem in a developed country, with a need of early and tailored rheumatologic management. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Radiographic Changes of the Distal Phalangeal Tuft of the Hands in Subjects With Systemic Sclerosis. Systematic Review
Conclusions Resorption and calcinosis of DPTH are the characteristic radiographic findings in patients with systemic sclerosis. However, new studies with greater methodological strength are needed to establish associations between these phenomena and their presence in other connective tissue diseases. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Direct medical costs and their predictors in the EMAR-II cohort: “Variability in the management of rheumatoid arthritis and spondyloarthritis in Spain”
Conclusion Our data show a remarkable economic impact of RA. It is important to identify and estimate the economic impact of the disease, compare data from other geographic samples and to develop improvement strategies to reduce these costs and increase the quality of care. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - February 3, 2018 Category: Rheumatology Source Type: research

Early Interstitial Lung Disease in Microscopic Polyangiitis: Case Report and Literature Review
We present a case in which ILD was the first manifestation of MPA, without alveolar hemorrhage, with subsequent renal involvement and, in which, the established treatment produced a significant clinical improvement. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 31, 2017 Category: Rheumatology Source Type: research

Biologic Disease-modifying Antirheumatic Drug Attributes in the First Lines of Treatment of Rheumatoid Arthritis. 2015 ACORDAR Project
Conclusions There was a high degree of agreement concerning the selected attributes. Fifteen of them had the support of 100% of the working group and could be considered the definition of the ideal bDMARD in the first lines of RA treatment. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 21, 2017 Category: Rheumatology Source Type: research

SAPHO Syndrome in Childhood. A Case Report
We present the case of a child with polyarticular involvement, osteoarthritis of the sternoclavicular joint with severe inflammatory disorders and acne conglobata, with an excellent response to intravenous pamidronate. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 21, 2017 Category: Rheumatology Source Type: research

Radiographic Changes of the Distal Phalanx Tuft of the Hands in Subjects With Systemic Sclerosis. Systematic Review
Conclusions Resorption and calcinosis of DPTH are the characteristic radiographic findings in patients with systemic sclerosis. However, new studies with greater methodological strength are needed to establish associations between these phenomena and their presence in other connective tissue diseases. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 19, 2017 Category: Rheumatology Source Type: research

Response to: Madelung deformity
Publication date: Available online 18 December 2017 Source:Reumatología Clínica (English Edition) Author(s): Maria Amelia Muñoz Calonge, Sara M. Murias Loza, Nerea Itza (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 18, 2017 Category: Rheumatology Source Type: research

Diaphragmatic Paralysis in Eosinophilic Granulomatosis With Polyangiitis
Publication date: Available online 18 December 2017 Source:Reumatología Clínica (English Edition) Author(s): René Agustín Flores-Franco, Jesús Castillo-Soltero, Cesar Francisco Pacheco-Tena (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 18, 2017 Category: Rheumatology Source Type: research

Recommendations for the Use of Ultrasound and Magnetic Resonance in Patients With Rheumatoid Arthritis
Conclusions These recommendations will help clinicians use US and MRI in RA patients. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - December 18, 2017 Category: Rheumatology Source Type: research

Direct Medical Costs and Its Predictors in EMAR-II Cohort
Conclusion Our data show a remarkable economic impact of RA. It is important to identify and estimate the economic impact of the disease, compare data from other geographic samples and to develop improvement strategies to reduce these costs and increase the quality of care. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 21, 2017 Category: Rheumatology Source Type: research

Recommendations for the Use of Ultrasound and Magnetic Resonance in Patients With Spondyloarthritis, Including Psoriatic Arthritis, and Patients With Juvenile Idiopathic Arthritis
Conclusions These recommendations will help clinicians use US and magnetic resonance imaging in patients with spondyloarthritis and juvenile idiopathic arthritis. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 29, 2017 Category: Rheumatology Source Type: research

Cherubism. A case report
Publication date: November–December 2017 Source:Reumatología Clínica (English Edition), Volume 13, Issue 6 Author(s): Paolo Cariati, Fernando Monsalve Iglesias, José Fernández Solís, Alfredo Valencia Laseca, Ildefonso Martinez Lara Cherubism is a rare disorder with autosomal dominant inheritance. It is classified as a benign fibro-osseous lesions and may involve either facial bone. Its typical dentofacial deformities are caused by mutations in the SH3BP2 gene. The protein encoded by SH3BP2 had a significant role in the regulation of osteoblasts and osteoclasts. Accordingly with the...
Source: Reumatologia Clinica - October 27, 2017 Category: Rheumatology Source Type: research

Hyponatremia as presentation in a patient with neurosarcoidosis
Publication date: November–December 2017 Source:Reumatología Clínica (English Edition), Volume 13, Issue 6 Author(s): Ekin Akyildiz, Murat Yalcin, Fidan Sever, Hüseyin Semiz, Senol Kobak Sarcoidosis is an inflammatory disease with unknown cause characterized by non-caseating granuloma formations. It may present with bilateral hilar lymphadenopathy, skin lesions, eye and musculoskeletal system involvement. Hypercalcemia and hypercalciuria are important electrolyte imbalances resulting from sarcoidosis and sometimes they may cause nephrolitiasis and kidney failure. Hyponatremia, although being quite...
Source: Reumatologia Clinica - October 27, 2017 Category: Rheumatology Source Type: research

Epigenetic therapies, still in the midway between facts and fiction
Publication date: November–December 2017 Source:Reumatología Clínica (English Edition), Volume 13, Issue 6 Author(s): Olga Sánchez-Pernaute (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 27, 2017 Category: Rheumatology Source Type: research

Hemarthrosis and Scurvy
Publication date: Available online 10 October 2017 Source:Reumatología Clínica (English Edition) Author(s): Anahy M. Brandy-García, Iván Cabezas-Rodríguez, Daniel Caravia-Durán, Luis Caminal-Montero (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 11, 2017 Category: Rheumatology Source Type: research

Rhupus and Autoimmune Hepatitis: A Rare Association
Publication date: Available online 10 October 2017 Source:Reumatología Clínica (English Edition) Author(s): Ernesto Zavala-Flores, David Loja-Oropeza (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 11, 2017 Category: Rheumatology Source Type: research

Multicenter Registry on Inflammatory Myositis From the Rheumatology Society in Madrid, Spain: Descriptive Analysis
Conclusions A total of 479 patients were recruited in the REMICAM registry of inflammatory myopathies. Including sociodemographic, clinical and prognostic information, it represents the largest Spanish multicenter registry to date in rheumatology, and constitutes an important source for conducting further substudies. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 11, 2017 Category: Rheumatology Source Type: research

Miescher Syndrome: An Uncommon Cause of Recurrent Swelling of the Lips
Publication date: Available online 11 October 2017 Source:Reumatología Clínica (English Edition) Author(s): Andrés González-García, Ignacio Barbolla Díaz, Walter Alberto Sifuentes Giraldo, José Luis Patier-de la Peña (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 11, 2017 Category: Rheumatology Source Type: research

Impact of Genetic Variants of ATP Binding Cassette B1, AICAR Transformylase/IMP Cyclohydrolase, Folyl-polyglutamate Synthetase, and Methylenetetrahydrofolate Reductase on Methotrexate Toxicity
Discussion Our data suggest that genotyping functional variants in FGPS and MTHFR enzymes and the transporter ABCB1 could help to identify patients with increased risk of MTX toxicity. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 4, 2017 Category: Rheumatology Source Type: research

Knowledge on Fibromyalgia Among General Practitioners, From Chiclayo-Peru, 2016
Conclusions Knowledge of the diagnosis and treatment of fibromyalgia by general doctors in Chiclayo is poor. There are some differences in knowledge depending on the age and type of institution to which each belongs. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 30, 2017 Category: Rheumatology Source Type: research

Interventional Rheumatology, an Unsettled Issue
Publication date: Available online 28 September 2017 Source:Reumatología Clínica (English Edition) Author(s): Marco Aurelio Ramírez Huaranga, Ángel Estuardo Plasencia Ezaine (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 29, 2017 Category: Rheumatology Source Type: research

Purpuric Component Features to Differentiate Urticarial Vasculitis and Urticaria Without Vasculitis
Publication date: Available online 27 September 2017 Source:Reumatología Clínica (English Edition) Author(s): Belén Lozano Masdemont, Celia Horcajada Reales, Laura Gómez-Recuero Muñoz, Verónica Parra Blanco (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 28, 2017 Category: Rheumatology Source Type: research

Follicular Helper T Cells in Peripheral Blood of Patients With Rheumatoid Arthritis
Conclusion There were no differences between the percentages of CD4+CXCR5+ T cells and their subsets in peripheral blood of RA patients and the percentages of cells in the control groups. This finding does not rule out a pathogenic role of these cells in the development and activity of RA. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 23, 2017 Category: Rheumatology Source Type: research

Status of Private Rheumatology in Spain
Conclusions 38% of Spanish rheumatologists are working in private practice. The profile of professionals working in private practice is different from that of those who work exclusively in public health. Private rheumatology is located in all regions, although most private rheumatologists are located in the regions of Catalonia, Madrid, Valencia and Andalusia, representing more than 50% of the total. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 23, 2017 Category: Rheumatology Source Type: research

Atypical Onset of Sciatica in a Patient With a Filum Terminale Hemangioblastoma
Publication date: Available online 22 September 2017 Source:Reumatología Clínica (English Edition) Author(s): Tarek Carlos Salman-Monte, Francisco Castro-Dominguez, Gloria Villalba, Jaume Capellades, Jordi Monfort (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 23, 2017 Category: Rheumatology Source Type: research

Synovial Osteochondromatosis of the Shoulder: Case Report and Literature Review
Publication date: Available online 21 September 2017 Source:Reumatología Clínica (English Edition) Author(s): José Francisco Díaz Fernández, Roberto Alejandro Peraza Mc Liberty (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 22, 2017 Category: Rheumatology Source Type: research

Myelitis and Lupus: Clinical Manifestations, Diagnosis and Treatment. Review
Publication date: Available online 24 August 2017 Source:Reumatología Clínica (English Edition) Author(s): Edson Hernán Chiganer, Javier Pablo Hryb, Edgar Carnero Contentti Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that affects multiple systems. Myelopathy is one of 19 neuropsychiatric syndromes related to SLE defined by the American College of Rheumatology. Although infrequent, it is a severe manifestation, leading to motor and sensory deficits, and sphincter dysfunction. The pathogenesis is not clearly known, but may be related to arterial thrombosis and vasculitis. Diagnosi...
Source: Reumatologia Clinica - August 24, 2017 Category: Rheumatology Source Type: research