We recruited all patients with RA who were ever on TNFi for a minimum duration of 3 months at our centre. Based on the European League Against
Rheumatism response criteria, subjects were further divided into responders and non-responders. see more Age-matched RA patients who were on conventional disease-modifying anti-rheumatic drugs and in remission were enrolled as controls. Subjects were tested for quantitative values of IgA, IgM, IgG RF and anti-citrulinated cyclic peptides (CCP). Further, all subjects were assessed for the disease activity score that includes 28 joints (DAS28) and Stanford Health Assessment Questionnaire (HAQ) 8-item Disability Index (HAQ-DI). A total of 31 subjects with RA who had received TNFi and 15 controls were enrolled in this study. There was a trend for the non-responders (n = 10) to have higher levels of all isotypes of RF and anti-CCP. However, only the IgA RF and anti-CCP levels were significantly higher in the non-responder group compared to the responders
and controls (P = 0.001, P = 0.034, respectively). On multivariate analysis, learn more only the IgA RF remained significant (OR 0.989; 95% CI 0.980–0.999; P = 0.026). IgA RF is potentially a novel predictor of response to TNFi in RA patients. Testing for pretreatment IgA RF levels could be a reasonable consideration before commencement of TNFi. “
“Osteoarthritis is a leading cause of disability with incidence and prevalence rising in most nations. Management to address the degenerative joint is stratified according to degree of severity of involvement and always begins with non-surgical modalities before progressing through a range of surgeries, including arthroscopy, osteotomy, unicompartmental and total knee replacement. Predictability of results depends on the type of procedure with total joint replacement giving the most sustainable relief from symptoms, improvement of function and longevity of construct. Obesity is a health
priority in developed countries where it is overrepresented in patients presenting for joint replacement. Complications, poor patient satisfaction and joint function can be directly attributable Leukocyte receptor tyrosine kinase to obesity. Efforts to address obesity should be considered as part of the approach to managing osteoarthritis. “
“Cyclophosphamide efficacy in lupus nephritis (LN) and neuropsychiatric systemic lupus erythematosus (NPSLE) is probably mediated by a non-specific ablation of reactive lymphocytes. However, little is known in regard to its effect on T regulatory cells (Tregs) in such patients, which was the aim of this study. Ten Caucasian lupus patients were included, six with LN classes IV–V (mean age 33.8 ± 8.8 years) and four with NPSLE (mean age 35.5 ± 8.8 years, clinical manifestations: 1/4 acute confusional state, 1/4 psychosis, 2/4 refractory seizures).