ISR

Hand osteoarthritis improves with prednisolone

The results of the low-dose prednisolone in patients with hand osteoarthritis (HOPE) study presented at EULAR 2019 show that low-dose prednisolone significantly improves pain and function in patients with painful hand osteoarthritis. Treatments are currently limited to topical and oral non-steroidal anti-inflammatory drugs (NSAIDs) to relieve pain. However, studies have shown that synovial inflammation is…

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Disease control on tocilizumab

The results of a randomised controlled trial presented at EULAR 2019 demonstrate high levels of treatment success in approximately two-thirds of patients despite tapered glucocorticoid (GC) discontinuation, while a small loss of disease control was observed at the total study population level. “On the basis of our results, we believe that all patients achieving low…

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Disease remission associated with 80% reduction in cardiovascular outcomes

Remission in patients with rheumatoid arthritis (RA) is associated with an 80 per cent reduction in risk of cardiovascular outcomes, the results of a study presented at EULAR 2019 show. “The heightened risk of cardiovascular disease in patients with rheumatoid arthritis is in large part a consequence of uncontrolled inflammation. By demonstrating that remission of…

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Being overweight linked to psoriatic arthritis

The results of a study presented at EULAR 2019 demonstrate significant correlation between body mass index (BMI) and disease severity in psoriatic arthritis (PsA). Although PsA has been associated with an enhanced prevalence of obesity and being overweight, few studies have assessed the relationship between weight and the severity of disease in these patients. Results…

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Gout patients suffering in silence

The results of a 14 country pan-European survey presented at the Annual European Congress of Rheumatology (EULAR 2019) suggest gout is being diagnosed late, is not well controlled, and is not regularly monitored. The survey included 1,100 patients with gout and found a quarter were not diagnosed until they had four or more flares. Furthermore,…

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Disease control most important factor in treating pregnant rheumatology patients

Rheumatologists need to prioritise disease control in their pregnant patients and update themselves on the facts and recent changes in clinical approaches in treating this cohort, a leading UK expert in the area told the ISR Spring Meeting. Prof Catherine Nelson-Piercy, Guys and St Thomas Foundation Trust, UK, gave a comprehensive presentation on treating pregnant…

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Greater collaboration needed between dermatologists and rheumatologists

The skin manifestations of lupus give vital clues to how serious the disease course will be and rheumatologists need to engage more with their dermatology colleagues to better diagnose and care for these patients, the ISR Spring Meeting was told. Prof Andrea Kalus, Associate Professor of Dermatology, University of Washington, Seattle, US, updated attendees on…

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Health services need to better accommodate homeless patients

Health services need to be more accommodating of the needs of their homeless patients, and consider changing how they currently treat the group, the ISR Spring Meeting heard from an expert in the area. Dr Austin O’Carroll, Mountjoy Street Family Practice, Dublin, and founder of homeless primary care healthcare service Safetynet, gave a thought-provoking and…

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Diagnosing and classifying vasculitis remains a challenge

Making an accurate diagnosis is still one of the biggest challenges in treating the vasculitides,the 2019 ISR Spring Meeting heard. Vasculitis sees the inflammation of blood vessels and invasion of white blood cells, accompanied by destruction of tissue, leading to necrosis and occlusion of blood vessels, organ damage and increased premature mortality, particularly if untreated.…

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Successful Spring Meeting for ISR

The 2019 Irish Society for Rheumatology (ISR) Spring Meeting called on the Government to fund and implement the new HSE national model of care for rheumatic and musculoskeletal disorders, and increase staffing numbers in the area as a priority. Speaking to the Medical Independent (MI), ISR President Dr Sinéad Harney, Consultant Rheumatologist at Cork University…

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