1442. Giant cell arteritis mimics with severe consequences: a long-term monocentric inception cohort.
作者: Simon Parreau.;Cory Cayrou.;Stéphanie Dumonteil.;Sébastien Laburthe.;Gregory Bosphore.;Edouard Desvaux.;Nina Ratti.;Jean-Guillaume Lopez.;Menfild Margotonne.;Florence Couillard.;Remy Bouquet.;Bastien Salvador.;Sylvain Palat.;Romain Foré.;Guillaume Gondran.;Holy Bezanahary.;Anne-Laure Fauchais.;Eric Liozon.;Kim-Heang Ly.
来源: Rheumatology (Oxford). 2025年64卷8期4726-4731页
To describe patients who underwent a temporal artery biopsy (TAB) for suspected GCA but were given a different diagnosis. We focused on a subset of alternate diagnoses mimicking GCA with ominous consequences of a delayed diagnosis or undue glucocorticoid treatment.
1443. Cut-off matters in the interpretation of myositis antibodies by line immunoassay.
作者: Xiumei Wei.;James Yun.;Jianna He.;Allan Sturgess.
来源: Rheumatology (Oxford). 2025年64卷7期4364-4370页
To evaluate the performance of a commercial line immunoassay (LIA) in cohorts of healthy controls (HC), disease controls (DC) and patients with idiopathic inflammatory myopathies (IIMs) and investigate whether different cut-offs would enhance the accuracy of myositis antibodies (MAs) by LIA.
1444. Urological cancer risk in patients with rheumatoid arthritis compared to matched controls: a nationwide cohort study.
作者: Dagyeong Lee.;Keun Hye Jeon.;Jinhyung Jung.;Kyungdo Han.;Mi Hee Cho.;In Young Cho.;Dong Wook Shin.
来源: Rheumatology (Oxford). 2025年64卷6期3458-3467页
Rheumatoid arthritis (RA) is a chronic inflammatory disease associated with several comorbidities, including an increased risk of certain cancers. This study aimed to investigate the potential associations between RA and increased risk of urological cancers - specifically kidney, bladder, prostate and testicular cancers - and the influence of RA serological status on this risk.
1445. Shorter reproductive time span and early menopause increase the risk of ACPA-negative inflammatory arthritis in postmenopausal women with clinically suspect arthralgia.
作者: Judith W Heutz.;Anna M P Boeren.;Stijn Claassen.;Elise van Mulligen.;Pascal H P de Jong.;Annette H M van der Helm-van Mil.
来源: Rheumatology (Oxford). 2025年64卷6期3451-3457页
The drop in oestrogen levels during menopause coincides with the peak incidence of rheumatoid arthritis (RA) in women, suggesting a role of oestrogens in its pathophysiology. However, the timing of the effect of oestrogens during RA development is unknown. Studies in the final phase of RA development, from clinically suspect arthralgia (CSA) towards clinically apparent arthritis, are lacking. We hypothesized that shorter lifetime oestrogen exposure might be associated with a higher risk of inflammatory arthritis (IA) development in women with CSA and studied this in two cohorts.
1446. Can treatment expectations or treatment itself in patients with arthralgia suspicious for progression to rheumatoid arthritis improve illness perceptions?
作者: Simonetta R G van Griethuysen.;Quirine A Dumoulin.;Elise van Mulligen.;Annette H M van der Helm-van Mil.
来源: Rheumatology (Oxford). 2025年64卷6期3444-3450页
Negative illness perceptions (IPs) are associated with poorer disease outcomes in rheumatoid arthritis (RA). Unfortunately, IPs are generally stable in established RA. We hypothesized that IPs, especially in the cognitive domain, are modifiable in arthralgia at risk of RA. We aimed to study if receiving DMARD treatment, or the offer of DMARD treatment associates with more positive IPs in patients with clinically suspect arthralgia (CSA).
1447. Comment on: Association of serum interferon alpha-2a levels with disease severity and prognosis in systemic sclerosis.
作者: Karim Dorgham.;Maude Calixte.;Omaira Da Mata Jardin.;Zahir Amoura.;Guy Gorochov.;Alexis Mathian.
来源: Rheumatology (Oxford). 2025年64卷7期4436-4437页 1448. VEXAS syndrome through a rheumatologist's lens: insights from a Spanish national cohort.
作者: Paula García-Escudero.;Marta López-Gómez.;Berta Magallares López.;Alicia García Dorta.;Beatriz Frade-Sosa.;Meritxell Sallés Lizarzaburu.;Íñigo Rúa-Figueroa.;Dolly Viviana Fiallo.;Francisco Javier Toyos Sáenz de Miera.;Rafael Benito Melero-Gonzalez.;Diego Dios Santos.;José Alberto Miranda.;Clara García Belando.;Giuliano Boselli.;Alina Lucica Boteanu.;Lourdes Villalobos.;Cristina Corrales Selaya.;Cristiana Sieiro Santos.;Elvira Díez Álvarez.;Judit Font.;Elena Riera Alonso.;Ernesto Trallero Araguás.;Eugenia Enríquez Merayo.;María Rodriguez-Laguna.;Irene Monjo.;Ignacio Vázquez Gómez.;Paloma Vela-Casasempere.;Carolina Merino.;Marta Ibáñez Martínez.;José Ángel Hernández Beriain.;Alberto Ruiz-Román.;Jaime Calvo-Alén.
来源: Rheumatology (Oxford). 2025年64卷6期3747-3755页
To describe the clinical spectrum of VEXAS (vacuoles, E1 enzyme, X-linked, autoinflammatory, and somatic) syndrome in patients managed by rheumatology units and analyse genotype-phenotype correlations.
1449. Comparative safety of biologic and targeted synthetic disease-modifying anti-rheumatic drugs for cardiovascular outcomes in rheumatoid arthritis.
作者: Xavier Sendaydiego.;Laura S Gold.;Maureen Dubreuil.;James S Andrews.;Pankti Reid.;David F L Liew.;Radjiv Goulabchand.;Grant C Hughes.;Jeffrey A Sparks.;Jeffrey G Jarvik.;Siddharth Singh.;Jean W Liew.;Namrata Singh.
来源: Rheumatology (Oxford). 2025年64卷6期3434-3443页
To assess the comparative safety of TNF inhibitor (TNFi), non-TNFi, and Janus kinase inhibitor (JAKi) biologic or targeted synthetic DMARD (b/tsDMARD) in patients with RA for the risk of major adverse cardiovascular events (MACE) using US administrative claims data.
1450. Between uncertainty and destiny: the patient journey in axial spondyloarthritis care from the perspectives of patients and their relatives.
作者: Susann May.;Greta Nordmann.;Franziska Gabb.;Katharina Boy.;Magali Wagner.;Niklas Ohm.;Hanna Labinsky.;Johannes Knitza.;Sebastian Kuhn.;Martin Heinze.;Martin Welcker.;Felix Muehlensiepen.
来源: BMC Rheumatol. 2025年9卷1期14页
Axial spondyloarthritis (axSpA) is an inflammatory rheumatic disease primarily affecting the sacroiliac joints and spine, leading to chronic pain, fatigue, and reduced mobility. The diagnostic delay for axSpA is often long, causing significant physical, psychological, and social burdens for patients and their relatives. This study aims to explore the patient journey of individuals with axSpA and their relatives within the German healthcare system, identifying key challenges and unmet needs from symptom onset to diagnosis and treatment. A qualitative approach was employed, involving structured interviews with axSpA patients and their relatives. Participants were selected through purposive sampling to ensure diverse representation. Data collection involved individual telephone interviews, which were transcribed and analyzed using Kuckartz's structured qualitative content analysis framework. The patient journey was characterized by four distinct phases: Time before diagnosis, Diagnosis, After the diagnosis, and Current treatment. Participants reported significant psychological and emotional burdens, with many experiences attributed to chance encounters with knowledgeable healthcare professionals. Key issues included a lack of awareness among healthcare professionals, diagnostic delays, and inadequate psychological support. The perspectives of patients and their relatives highlighted the significant psychological burden they both experience throughout the journey. This underscores the need for services that cater not only to patients but also to their relatives. The study highlights critical gaps in the current healthcare system regarding the diagnosis and care of axSpA patients. To improve care, systematic efforts are needed to enhance awareness, reduce diagnostic delays, integrate psychological support, and provide comprehensive information throughout the patient journey for both, patients and relatives. Effective care should not rely on chance; systematic improvements are necessary to ensure consistent, high-quality care.
1453. Efficacy of IL-23 inhibitors in axial involvements of chronic non-bacterial osteitis with palmoplantar pustulosis: a case series.
作者: Hirotaka Yamamoto.;Yoshinori Taniguchi.;Shigeyoshi Tsuji.;Philip S Helliwell.;Mitsumasa Kishimoto.
来源: Rheumatology (Oxford). 2025年64卷6期4081-4083页 1454. Impact of adding urine alkalization therapy to xanthine oxidase inhibitor in gout management: a prospective cohort study.
作者: Can Wang.;Kai Guo.;Nicola Dalbeth.;Mingshu Sun.;Jie Lu.;Ying Chen.;Hui Zhang.;Xuefeng Wang.;Xiaopeng Ji.;Xinde Li.;Wenyan Sun.;Lin Han.;Lingling Cui.;Zhen Liu.;Aichang Ji.;Yuwei He.;Robert Terkeltaub.;Changgui Li.
来源: Rheumatology (Oxford). 2025年64卷6期3509-3517页
Gout patients frequently have decreased urine pH, related to metabolic syndrome (MetS) and chronic kidney disease. Here, we aimed to investigate whether the addition of urine alkalization to urate-lowering therapy (ULT) is associated with improvements in albuminuria, gout flares or MetS outcomes in men with gout and low urinary pH (pH < 6.2).
1455. IGFBP5 regulates fibrocartilage differentiation and cartilage injury induced by T-2 toxin via blocking IGF-1/IGF-1R signalling.
作者: Xiaoqing Wang.;Yinxia Wang.;Pengzhen Lei.;Xiaodong Qu.;Rui Qi.;Duanmingyu Chen.;Yanhai Chang.
来源: Rheumatology (Oxford). 2025年64卷6期4051-4060页
Kashin-Beck disease (KBD) is a form of osteoarthropathy that affects the skeletal and joint systems of children and adolescents. Insulin-like growth factor binding protein 5 (IGFBP5) plays an important role in bone growth and development. This study aimed to investigate the role of IGBFP5 in regulating the function and differentiation of chondrocytes in KBD.
1460. Approach to Janus kinase inhibition for juvenile dermatomyositis among CARRA and PReS providers.
作者: Matthew A Sherman.;Rebecca Nicolai.;Emily K Datyner.;Silvia Rosina.;Angela Hamilton.;Kaveh Ardalan.;Brigitte Bader-Meunier.;Amanda G Brown.;Marc H A Jansen.;Susan Kim.;Bianca Lang.;Raquel Campanilho-Marques.;Liza J McCann.;Helga Sanner.;Saskia R Veldkamp.;Meredyth G Ll Wilkinson.;Belina Y Yi.;Hanna Kim.;Stacey E Tarvin.;Charalampia Papadopoulou.; .
来源: Rheumatology (Oxford). 2025年64卷8期4732-4737页
Janus kinase inhibition (JAKi) has been proposed as a treatment for idiopathic inflammatory myopathies to target increased interferon signalling. Predominantly retrospective reports have demonstrated effectiveness of JAKi in refractory JDM. However, JAKi remains an off-label treatment for JDM and there may be variation in use worldwide. An international survey was conducted to investigate approaches to JAKi for JDM.
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