Table of contents

August 2008 Volume 4 No 8

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Editorial

Fast forward for systemic lupus erythematosus clinical trials

Mary K Crow

387

doi:10.1038/ncprheum0866 | Full Text | PDF (104K)


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Research Highlights

Potential new therapeutic approach for patients with RA

388

doi:10.1038/ncprheum0848 | Full Text | PDF (75K)

Bisphosphonates do not prevent ankylosis in a mouse model of spondyloarthritis

388

doi:10.1038/ncprheum0849 | Full Text | PDF (75K)

Changes in insula glutamate levels are associated with changes in fibromyalgic pain

388

doi:10.1038/ncprheum0850 | Full Text | PDF (84K)

Bazedoxifene as effective as raloxifene in preventing bone loss

389

doi:10.1038/ncprheum0851 | Full Text | PDF (73K)

Novel device to measure skin characteristics of systemic sclerosis

389

doi:10.1038/ncprheum0852 | Full Text | PDF (84K)

Gout: the HAQ DI is a reliable measure of physical function

390

doi:10.1038/ncprheum0853 | Full Text | PDF (75K)

New tool for assessing enthesitis in patients with psoriatic arthritis

390

doi:10.1038/ncprheum0854 | Full Text | PDF (75K)

In briefs

391

doi:10.1038/ncprheum0862 | Full Text | PDF (94K)


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Guidelines Summary

Commentary on the EULAR recommendations for the management of fibromyalgia

Daniel J Clauw

392

doi:10.1038/ncprheum0840 | Full Text | PDF (124K)


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Practice Points

Does early growth hormone therapy prevent glucocorticoid-associated growth retardation in children with JIA?

Lisa G Rider and Ellen W Leschek

394

doi:10.1038/ncprheum0845 | Full Text | PDF (131K)

Is a step-down regimen more effective than a step-up regimen in the treatment of early rheumatoid arthritis?

Edward C Keystone

396

doi:10.1038/ncprheum0861 | Full Text | PDF (127K)

Infliximab therapy for patients with ankylosing spondylitis: on-demand or continuous treatment?

Joachim Sieper

398

doi:10.1038/ncprheum0846 | Full Text | PDF (128K)

Are intra-articular injections of hylan more effective than injections of hyaluronic acid for knee osteoarthritis?

Frances MK Williams and Tim D Spector

400

doi:10.1038/ncprheum0847 | Full Text | PDF (126K)


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Viewpoint

Focal and generalized bone loss in rheumatoid arthritis: separate or similar concepts?

Glenn Haugeberg

402

In rheumatoid arthritis, bone involvement presents as generalized osteoporosis, periarticular osteoporosis and erosions. Prof. Haugeberg discusses evidence for all three features resulting from increased activation of the osteoclast, and suggests that potent anti-inflammatory treatment, or direct inhibition of the osteoclast, might protect against all of these types of bone damage seen in patients with rheumatoid arthritis.

doi:10.1038/ncprheum0843 | Full Text | PDF (123K)


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Reviews

Control of autoimmune diseases by the vitamin D endocrine system

Luciano Adorini and Giuseppe Penna

404

The vitamin D system has both pathophysiological and therapeutic importance for autoimmune disease. In this Review, the authors discuss the role of the vitamin D system in autoimmunity, the mechanistic basis for this role, and present the potential of vitamin D receptor agonists to treat or prevent autoimmune diseases.

doi:10.1038/ncprheum0855 | Full Text | PDF (269K)

beta-Catenin in the race to fracture repair: in it to Wnt

David Silkstone, Helen Hong and Benjamin A Alman

413

The canonical Wnt/beta-catenin signaling pathway regulates multiple biological events, including embryonic bone development and fracture repair. In this Review, the authors discuss the role of this pathway in fracture repair at the molecular, cellular and physiological levels, and its potential as a therapeutic target.

doi:10.1038/ncprheum0838 | Full Text | PDF (259K)

Drug Insight: aggrecanases as therapeutic targets for osteoarthritis

Amanda J Fosang and Christopher B Little

420

High concentrations of intact aggrecan are required for effective weight-bearing in healthy cartilage. Aggrecanases from the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) enzyme family, particularly ADAMTS-4 and ADAMTS-5, are thought to be involved in the pathogenesis of osteoarthritis. In this Review, Drs Fosang and Little discuss potential disease-modifying agents for osteoarthritis that could trigger the downregulation of ADAMTS enzymes.

doi:10.1038/ncprheum0841 | Full Text | PDF (307K)

Therapy Insight: the changing spectrum of rheumatic disease in HIV infection

Rashmi M Maganti, John D Reveille and Frances M Williams

428

The impact of the global HIV pandemic continues to grow and rheumatologists need to be aware of the spectrum of rheumatic diseases that occur in HIV-positive individuals, as outlined in this Review. Changes in the patterns of rheumatic diseases that have developed since the introduction of highly active antiretroviral therapy and the management of treatment of rheumatic diseases in HIV-positive patients are also discussed.

doi:10.1038/ncprheum0836 | Full Text | PDF (560K)


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Case Study

Continuing Medical Education

A case of adult-onset Satoyoshi syndrome with gastric ulceration and eosinophilic enteritis

Ronald A Asherson, Dominic Giampaolo and Michael Strimling

439

Drs Asherson, Giampaolo and Strimling describe a middle-aged patient with total alopecia, muscular spasms, diarrhea and gastric ulceration. She is only the fifth reported case of adult-onset Satoyoshi syndrome (usual age of onset is 5–19 years), and the first person reported to have a combination of Satoyoshi syndrome, gastric ulceration, and eosinophilic enteritis.

doi:10.1038/ncprheum0839 | Full Text | PDF (317K)


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