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Rheumatology

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Rheumatology

When and How to Image Polymyalgia Rheumatica: International Recommendations for a Targeted, Evidence-Based Approach

New international recommendations position imaging as a context-driven adjunct in polymyalgia rheumatica (PMR): not routine for clear cases, most helpful in intermediate or atypical presentations, and not recommended for routine monitoring.

MedXY Editorial Team
Nov 4, 2026

Latest updates

Orthopedics

Optimizing Platelet-Rich Plasma Therapy in Early Knee Osteoarthritis: A Multicenter Randomized Trial of a Standardized Clinical Pathway

A multicenter RCT demonstrates that a standardized clinical pathway for platelet-rich plasma therapy improves 12-month pain and function outcomes with fewer adverse events in early knee osteoarthritis compared to conventional care.

Nov 4, 2026
Rheumatology

Unveiling the Role of CCL20+ Macrophages as TNF Producers in Axial Spondyloarthritis Synovium: Implications for Targeted Therapy

This study identifies a CCL20+ macrophage subpopulation as a major source of TNF in axial spondyloarthritis synovium, driven by CD40L and an IL-1β/TNF-α autocrine loop, providing insights into disease pathogenesis and therapeutic targets.

Nov 3, 2026
Rheumatology

Sustained Remission and Long-Term Success: A Decade of Treat-to-Target Therapy in Early Rheumatoid Arthritis

A 10-year follow-up of early rheumatoid arthritis patients treated with a treat-to-target strategy shows sustained remission leads to lasting clinical, structural, and functional benefits, supporting current treatment guidelines.

Nov 2, 2026
Orthopedics

Persistent Alterations in Inflammatory and Cartilage Biomarkers Following Anterior Cruciate Ligament Reconstruction: Insights Into Postoperative Joint Biology

This study reveals sustained elevations in inflammatory and cartilage metabolism serum biomarkers during the first year after ACL reconstruction, indicating ongoing joint biological responses beyond surgery and rehabilitation.

Nov 2, 2026
Rheumatology

Isotype-Specific Autoantibody Remodeling in Antiphospholipid Syndrome via BAFF-APRIL Blockade

This study reveals that dual BAFF-APRIL blockade with telitacicept distinctly remodels pathogenic autoantibodies in antiphospholipid syndrome, showing differential effects across immunoglobulin isotypes and identifying marrow plasma-cell cl

Nov 1, 2026
Rheumatology

Decoding Immunological Changes Preceding Clinical Synovitis in Imminent Rheumatoid Arthritis

This article explores distinct immune cell activations in ACPA-positive individuals progressing to rheumatoid arthritis, emphasizing type I interferon activity prior to ultrasound-detectable synovitis and subsequent inflammatory shifts mark

Oct 31, 2026
Dermatology

Risk of Progression from Pediatric Discoid Lupus Erythematosus to Systemic Lupus Erythematosus: Insights from a Multicenter Cohort Study

This study quantifies the risk and identifies predictors for systemic lupus erythematosus development in children presenting with skin-limited discoid lupus erythematosus, highlighting the importance of early monitoring especially in patien

Oct 31, 2026
Rheumatology

Unveiling Molecular Subtypes in TMJ Disease: Insights from Integrated Multi-Omics Profiling Revealing Nonlinear Disease Progression

Integrated proteomic and metabolomic profiling of TMJ disease reveals nonlinear progression, molecular heterogeneity, and identifies distinct subtypes, offering a new framework for precision diagnosis and targeted therapies.

Oct 30, 2026
Rheumatology

DNA Methylation Signatures Distinguish Gout from Asymptomatic Hyperuricaemia and Align with Genetic Risk at Immune-Metabolic Loci

This study identifies specific DNA methylation patterns in blood that differentiate gout patients from those with asymptomatic hyperuricaemia and normouricaemic controls, linking epigenetic changes to immune-metabolic genetic risk factors a

Oct 29, 2026
Rheumatology

Peripheral Blood UBA1 Variant Burden as a Prognostic Biomarker in VEXAS Syndrome: Insights from a Nationwide Prospective Study

This prospective nationwide study identifies baseline peripheral blood UBA1 variant allele frequency as a robust predictor of poor outcomes in VEXAS syndrome, providing a new tool for risk stratification and management.

Oct 28, 2026
news

Evaluating Reduced Versus Standard Dosing of Janus Kinase Inhibitors in Rheumatoid Arthritis: Insights from a Propensity Score-Matched Real-World Study

A real-world Japanese study finds comparable 24-month treatment persistence between reduced and standard dosing of JAK inhibitors in rheumatoid arthritis patients with preserved renal function, with dose considerations influenced by poor pr

Oct 26, 2026
news

Nerandomilast Shows Promise in Slowing Progressive Pulmonary Fibrosis in Autoimmune Disease: Insights from the FIBRONEER-ILD Trial

The FIBRONEER-ILD trial demonstrates nerandomilast’s potential to slow lung function decline and reduce mortality in patients with autoimmune-related progressive pulmonary fibrosis, with a favorable safety profile.

Oct 25, 2026
news

Garetosmab: A Promising Disease-Modifying Antibody for Fibrodysplasia Ossificans Progressiva

This phase 3 trial shows garetosmab significantly reduces new heterotopic bone lesions and is generally well tolerated in adults with fibrodysplasia ossificans progressiva (FOP), an ultra-rare and disabling genetic disorder.

Oct 24, 2026
news

Early Lipid Metabolic Alterations in Synovial Fibroblasts: A Window into Rheumatoid Arthritis Pathogenesis

Enhanced lipolysis in synovial fibroblasts marks early pathogenic changes in individuals at risk for rheumatoid arthritis, indicating metabolic shifts precede clinical disease onset.

Oct 24, 2026
news

Evaluating Single Ultrasound-Guided Dextrose Prolotherapy Combined with Exercise in Subacromial-Subdeltoid Bursitis: Insights from a Pilot Double-Blind RCT

A pilot double-blind RCT suggests that adding a single ultrasound-guided dextrose prolotherapy injection to therapeutic exercise moderately improves shoulder pain and function in adults with subacromial-subdeltoid bursitis.

Oct 24, 2026
Clinical Updates

Lonvoguran Ziclumeran: A Breakthrough In Vivo CRISPR Gene-Editing Therapy for Hereditary Angioedema

Lonvoguran ziclumeran, an in vivo CRISPR-based single-dose gene-editing therapy, significantly reduces hereditary angioedema attacks and demonstrates a favorable safety profile, marking a transformative advance in treatment.

Oct 24, 2026
Rheumatology

Switching from Mepolizumab to Benralizumab in EGPA: A Promising Alternative for Persistent Respiratory Symptoms

In EGPA patients unresponsive to mepolizumab, switching to benralizumab improves lung function, reduces glucocorticoid use, and shows a favorable safety profile, suggesting its potential as an effective alternative treatment.

Oct 23, 2026
news

High-Impact Physical Activity and Joint Replacement Risk in Hip and Knee Osteoarthritis: A Large-Scale Longitudinal Mediation Study

High-impact physical activity in patients with hip osteoarthritis is associated with a reduced 12-month risk of total hip replacement, without increasing knee replacement risk in knee OA patients. Functional capacity partly mediates this be

Oct 21, 2026
news

Enhanced Fibromyalgia Management Through Six-Month Supervised Telerehabilitation: Integrating Pilates and Self-Myofascial Release

A six-month supervised telerehabilitation programme combining Pilates-based exercises and self-myofascial release significantly improved fibromyalgia impact, sleep quality, depressive symptoms, and stress levels compared to usual care in ad

Oct 21, 2026
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