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Ixekizumab Gets FDA Nod for Active Psoriatic Arthritis
Psoriatic arthritis is the second approved indication for Taltz in the United States. (Source: ConsultantLive)
Source: ConsultantLive - December 12, 2017 Category: Internal Medicine Authors: Rheumatology Network Staff Tags: Psoriatic Arthritis Source Type: news

A Case of Worsening Dyspnea and Cough
Bob is a 72-year-old male, with a 40-pack-year smoking history. He quit about 8 years ago, when severe COPD was diagnosed. Until last year, he had been stable on his regimen of Advair 250/50 and Spiriva Handihaler, other than an occasional “bronchitis,” usually treated with an antibiotic and/or steroids. Over the past year or so, however, he has noticed a marked turn for the worse. He no longer can walk up the steps in his house without stopping and gasping for breath. (Source: ConsultantLive)
Source: ConsultantLive - November 27, 2017 Category: Internal Medicine Authors: Jonathan Ilowite, MD Tags: Respiratory Diseases Source Type: news

What You Need to Know Before Your First RSNA
Tips on preparing for RSNA. (Source: ConsultantLive)
Source: ConsultantLive - November 24, 2017 Category: Internal Medicine Authors: Jonathan Flug, MD, MBA Tags: Blog Conferences/RSNA 2015 Conferences/RSNA 2016 RSNA 2017 Residents Source Type: news

Obesity Weighs on Spondyloarthropathy Outcomes
Patients experience higher disease activity, lower quality of life, and worse physical functioning. (Source: ConsultantLive)
Source: ConsultantLive - November 22, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Spondyloarthritis Obesity Source Type: news

Shock-Waves Reduce Finger Ulcers in Scleroderma
Compared with conventional treatment, extracorporeal shock-wave therapy resulted in a significant decrease in finger ulcers. (Source: ConsultantLive)
Source: ConsultantLive - November 22, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Scleroderma Systemic Sclerosis Rheumatic Diseases Source Type: news

Opioid Use for Osteoarthritis Is Prevalent
A large percentage of patients with advanced knee, hip, or spine OA take opioids for their chronic pain. (Source: ConsultantLive)
Source: ConsultantLive - November 22, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Osteoarthritis Pain Pain Management Source Type: news

Bone Marrow Swelling: Spondyloarthritis or Healthy Athlete?
MRI of the sacral spine may help determine which patients are in need of rheumatologic care. (Source: ConsultantLive)
Source: ConsultantLive - November 22, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Spondyloarthritis Source Type: news

Juvenile Onset Arthritis Raises Pregnancy Risks
The risk of pregnancy-related complications is further increased when juvenile arthritis persists into adulthood. (Source: ConsultantLive)
Source: ConsultantLive - November 21, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Arthritis Juvenile Arthritis Rheumatoid Arthritis Source Type: news

Rheumatoid Arthritis Linked with COPD Hospitalization
The risk is nearly twice as high as in the general population, and women are at significantly higher risk. (Source: ConsultantLive)
Source: ConsultantLive - November 21, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: COPD Rheumatoid Arthritis Source Type: news

Tofacitinib is Effective in Psoriatic Arthritis
This agent was superior to placebo in patients who had not responded to or could not take a conventional DMARD. (Source: ConsultantLive)
Source: ConsultantLive - November 21, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Psoriatic Arthritis Source Type: news

Digital Coaching Enhances Rheumatoid Arthritis Outcomes
This tool may be used to reduce stressors, improve well-being, and decrease symptoms. (Source: ConsultantLive)
Source: ConsultantLive - November 20, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Rheumatoid Arthritis Source Type: news

Fibromyalgia Tied to Chronic Migraines
The frequency is significantly higher than in patients with chronic tension-type headaches and the symptoms are more severe. (Source: ConsultantLive)
Source: ConsultantLive - November 16, 2017 Category: Internal Medicine Authors: Gregory M. Weiss, M.D. Tags: Pain Pain Management Fibromyalgia Source Type: news

New Pain Management Strategies Spelled Out
National initiatives are designed to provide education, advance research, solve the opioid crisis, and help patients. (Source: ConsultantLive)
Source: ConsultantLive - November 15, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Pain Pain Management Rheumatic Diseases Source Type: news

The Neglected HIV Epidemic
Why has the HIV epidemic shifted from affluent gay white men in New York and San Francisco to impoverished people of color in the South? (Source: ConsultantLive)
Source: ConsultantLive - November 14, 2017 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: HIV AIDS Source Type: news

In RA, No Added Second Malignancy Risk With Biologics
Some physicians have shown reluctance to use these agents for patients who have rheumatoid arthritis and a previous cancer diagnosis. (Source: ConsultantLive)
Source: ConsultantLive - November 14, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Rheumatoid Arthritis Source Type: news

Break From Methotrexate Boosts Flu Shot Efficacy in RA
With a drug holiday, patients with rheumatoid arthritis could improve their response to influenza vaccinations without increasing disease activity. (Source: ConsultantLive)
Source: ConsultantLive - November 14, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Rheumatoid Arthritis Source Type: news

How Cannabis Might Treat Rheumatic Diseases
The role of legalized marijuana in society and evidence-based medicine was examined at the ACR/ARHP Annual Meeting. (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Rheumatic Diseases Source Type: news

Biologic Use in Pregnancy Does Not Increase Infant Infection Risk
New evidence is reassuring for women with rheumatoid arthritis who need treatment with a biologic throughout pregnancy. (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Pregnancy and Birth Rheumatoid Arthritis Source Type: news

Biosimilars: To Switch or Not to Switch?
The pros and cons of using biosimilar medications shaped the “Great Debate” at this year’s ACR/ARHP Annual Meeting. (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Rheumatoid Arthritis Rheumatic Diseases Source Type: news

No Gold Standard Biomarker for Lupus Flare Prediction
A recent systematic review of literature found no validated and widely accepted biomarker. (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2017 Category: Internal Medicine Authors: Mariah Zebrowski Leach, JD, MS Tags: Lupus Source Type: news

Opioids, SSRIs Boost Fracture Risk in Rheumatoid Arthritis
The increased fracture risk may be the result of an increased risk of falls associated with these medications. (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Rheumatoid Arthritis Source Type: news

Obesity, Rheumatoid Arthritis Linked at ACR Meeting
Obesity is associated with a higher degree of synovitis, lower remission, and higher disability, studies showed. (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Rheumatoid Arthritis Source Type: news

Alzheimer Disease: New Drugs in the Offing?
What medications are in the pipeline that may help slow or even prevent the development of Alzheimer disease? (Source: ConsultantLive)
Source: ConsultantLive - November 3, 2017 Category: Internal Medicine Authors: Howard M. FillIt, MD Tags: Alzheimer Alzheimer disease Dementia Source Type: news

Drug-Drug Interactions with DOACs: Proceed with Caution!
Which drugs taken concurrently with the new oral anticoagulants put patients with Afib at greatest increased risk for major bleeding? (Source: ConsultantLive)
Source: ConsultantLive - October 16, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

Atrial Fibrillation and Type I Diabetes: What & #039;s the Link?
A first-of-its-kind study reports an association between T1DM and AF, and between glycemic control and AF. Plus, there are gender differences. (Source: ConsultantLive)
Source: ConsultantLive - October 16, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Diabetes Source Type: news

Cannabis and Chronic Pain: True or False?
True or False: most of the studies on use of medicinal cannabis for chronic pain are in cancer patients. Find out and ponder 9 other T/F questions here. (Source: ConsultantLive)
Source: ConsultantLive - October 12, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Pain Source Type: news

An Elderly Man with Altered Mental Status, Abnormal ECG
Hallucinations and rambling speech came on suddenly and are getting worse. Review history and ECG. What's your diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - October 9, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: What ' s Your Diagnosis Source Type: news

A Teenage Boy with Leg Shame
A 13-year-old is teased at school because of several coin-sized shiny spots that have appeared on both shins and will not heal. Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 7, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Childrens ’ Probiotics: To Immunity and Beyond
Emerging research supports probiotics for a range of conditions, from allergies to oral health. (Source: ConsultantLive)
Source: ConsultantLive - October 5, 2017 Category: Internal Medicine Authors: Melissa Kvidahl Tags: Digestive Health Immune Support Weight Management Nutrition Source Type: news

5 Top Mental Health Apps for Primary Care
Click through this slide-show primer on 5 apps that support mental health assessment and treatment in the primary care setting. (Source: ConsultantLive)
Source: ConsultantLive - October 5, 2017 Category: Internal Medicine Authors: Ted W James, MD Source Type: news

Chlamydia, Gonorrhea, Syphilis Rates Up
The CDC's annual report on STD rates in the United States is in, and the news about chlamydia, gonorrhea, and syphilis is not good. (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Sexual Health Source Type: news

Calcium: Strong Bones, Weak Heart?
Do calcium supplements really increase cardiovascular risk? Here ’s what the latest research says. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Irfan Qureshi Tags: Heart Health Joint/Bone Health Science Vitamins & Minerals Source Type: news

Chlamydia, Gonorrhea, Syphilis Rates Up
The CDC's annual report on STD rates in the United States is in, and the news about chlamydia, gonorrhea, and syphilis is not good. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Susan Kweskin Source Type: news

The Latest on Low Back Pain
Here ’s an update on the ACP’s latest guideline on noninvasive treatment options for acute, subacute, and chronic low back pain. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Pain Source Type: news

A Mysterious Case of Bumps on the Beach
After a few days at play on the beach, young brothers present with similar erythematous eruptions on their abdomens. Can you Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Montelukast Adds Little For Elderly Asthma Patients
A new study ’s lead author notes, however, that lack of significant effect may have been secondary to important study limitations. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Childhood Respiratory Tract Infections Linked to Later Asthma
Lower respiratory infections in children seem to predispose to poor adult lung function, but causation and directionality have yet to be determined. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

The Latest on Low Back Pain
Here ’s an update on the ACP’s latest guideline on noninvasive treatment options for acute, subacute, and chronic low back pain. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Pain Source Type: news

A Mysterious Case of Bumps on the Beach
Young brothers present with similar erythematous eruptions on their abdomens after a few days at the beach. Can you Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Montelukast Adds Little For Elderly Asthma Patients
Montelukast for 8 weeks appeared to reduce daily symptoms scores and number of puffs of albuterol relative to placebo, but the results did not reach statistical significance. But....there are caveats. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Childhood Respiratory Tract Infections Linked to Later Asthma
Lung function in childhood is most likely related to lung function in adulthood, a new study suggests. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

6 Lumps, Bumps, and Spots
6 patients who presented with lumps, bumps, and spots. Your diagnoses? (Source: ConsultantLive)
Source: ConsultantLive - September 28, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Quiz Source Type: news

9 Brand New Drugs for Primary Care
COPD … nasal polyps.. gout …. dyskinesia in Parkinson Disease: here’s a brief look at new drugs for these and other disorders coming your way. (Source: ConsultantLive)
Source: ConsultantLive - September 28, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: COPD Gout Source Type: news

What Will It Take to Expand Probiotics ’ Customer Base?
“The key to continued probiotic growth is to expand the user base—have it go more mainstream,” says Dupont’s Megan DeStefano. “To do this, we need to attract new consumers through new and different benefits beyond immune and digestive health.” (Source: ConsultantLive)
Source: ConsultantLive - September 25, 2017 Category: Internal Medicine Authors: Kimberly J. Decker Tags: Delivery Systems Digestive Health Immune Support Trends & Business Source Type: news