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August 2013 Volume 9 Number 8 | ||||||||||||||||||||||||||||||||||||||
In this issue Research Highlights News and Views Reviews Perspectives
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NEWS AND VIEWS | Top | |||||||||||||||||||||||||||||||||||||
Paediatric rheumatology: Juvenile idiopathic arthritis—are biologic agents effective for pain? Alessandro Consolaro & Angelo Ravelli Published online: 02 July 2013 p447 | doi:10.1038/nrrheum.2013.108 Biologic medications are highly efficacious in juvenile idiopathic arthritis. However, a recent study found that a subgroup of children treated with anti-TNF agents had persistent pain despite good disease control. This finding highlights the importance of monitoring pain symptoms during treatment with modern DMARDs. Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
Osteoarthritis: Osteoporotic OA: a reasonable target for bone-acting agents Gabriel Herrero-Beaumont & Jorge A. Roman-Blas Published online: 16 July 2013 p448 | doi:10.1038/nrrheum.2013.113 Beneficial effects of bone-acting drugs in osteoarthritis (OA) are increasingly reported, but reliable conclusions regarding their efficacy are hindered by methodological drawbacks in study design. Identifying patients with osteoporotic OA, a phenotype defined by decreased density associated with high remodelling in subchondral bone, might improve the success of bone-directed agents. Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
REVIEWS | Top | |||||||||||||||||||||||||||||||||||||
Targeted therapies for systemic sclerosis Christopher P. Denton & Voon H. Ong Published online: 09 April 2013 p451 | doi:10.1038/nrrheum.2013.46 In the era of targeted therapy, patients with rheumatic diseases have seen real results. But what about those with systemic sclerosis—where is the long-awaited antifibrotic drug? Disparate aspects of the pathogenesis are gradually being integrated into a cohesive model, and molecular targets that are shared with other diseases are also being defined. As this Review stresses, careful evaluation of new strategies, with a focus on learning fundamental lessons about the underlying biology, will be needed to translate novel approaches into actual clinical progress in this recalcitrant disease. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
Causes, mechanisms and management of paediatric osteoporosis Outi Mäkitie Published online: 16 April 2013 p465 | doi:10.1038/nrrheum.2013.45 Genetic factors have critical roles in primary paediatric osteoporosis, which occurs in otherwise healthy individuals in forms that include osteogenesis imperfecta. Secondary osteoporosis results from an underlying illness and is common in children with chronic systemic inflammation, neuromuscular disabilities, or who are receiving glucocorticoid treatment. Makitie discusses the occurrence and management of paediatric osteoporosis, with a focus on prevention of skeletal complications, and highlights the need to broaden treatment options. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
Gene-function studies in systemic lupus erythematosus José C. Crispín, Christian M. Hedrich & George C. Tsokos Published online: 04 June 2013 p476 | doi:10.1038/nrrheum.2013.78 Multiple genes have been associated with susceptibility to systemic lupus erythematosus (SLE), but how do they promote disease development? In this Review, the authors examine the roles of a selected set of genes in the pathogenesis of SLE, and discuss how epigenetic modifications and microRNAs can mediate pathogenic changes in gene expression. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
Post-traumatic osteoarthritis: from mouse models to clinical trials Christopher B. Little & David J. Hunter Published online: 21 May 2013 p485 | doi:10.1038/nrrheum.2013.72 In this Review, Little and Hunter discuss the use of animal models in osteoartritis (OA) research, focusing on their importance in understanding post-traumatic OA, the human form of the disease that the models most accurately reflect. The authors also outline the approach necessary for the successful translation of scientific data into clinically useable drugs. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
PERSPECTIVES | Top | |||||||||||||||||||||||||||||||||||||
Opinion: Perspectives on imaging in axial spondyloarthritis Xenofon Baraliakos & Jürgen Braun Published online: 18 June 2013 p498 | doi:10.1038/nrrheum.2013.83 Imaging is central for the classification and diagnosis of axial spondyloarthritis, as well as for monitoring disease progression and predicting response to treatment. Xenofon Baraliakos and Jürgen Braun provide an overview of the role of imaging for patients with axial spondyloarthritis and discuss how imaging techniques might influence research and clinical practice in the future. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||
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*Journal Citation Reports, Thomson, 2012. Nature Reviews Rheumatology was previously published as Nature Clinical Practice Rheumatology. |
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