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Incidence of Pneumocystis jirovecii Pneumonia and Prophylaxis-Associated Adverse Events Among Patients With Systemic Lupus Erythematosus. 系统性红斑狼疮患者中肺孢子虫肺炎发病率和预防相关不良事件
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2023-1038
Yiran Jiang, Alí A Duarte-García, Michael S Putman, David J Gazeley

Objective: Pneumocystis jirovecii pneumonia (PJP) is an opportunistic infection that may affect patients with systemic lupus erythematosus (SLE). The objective of this project was to describe the incidence of PJP among patients with SLE.

Methods: A retrospective cohort analysis of the TriNetX database was conducted. Included patients had ≥ 2 International Classification of Diseases, 9th or 10th revision, Clinical Modification (ICD-9-CM/ICD-10-CM) codes for SLE separated by at least 30 days and were new users of mycophenolate mofetil (MMF) and/or cyclophosphamide (CYC). The incidence of PJP over the first 6 months of therapy was calculated; adverse events were assessed using incidence rate ratios (IRR) and Cox proportional hazards regressions.

Results: A total of 6017 patients with SLE were identified. Most were female (n = 5176, 86%) and Black or African American (n = 2138, 35.5%). Induction medications included MMF (n = 5208, 86.6%), CYC (n = 505, 8.4%), or both (n = 304, 5.1%); the most common PJP prophylaxis was trimethoprim-sulfamethoxazole (n = 1126, 18.7%). Five PJP cases were identified over 2752 person-years (PYs), one of whom received PJP prophylaxis, for an incidence rate of 1.8 cases/1000 PYs. In the adjusted analysis, patients who received prophylaxis had a higher risk of neutropenia (hazard ratio [HR] 2.5, 95% CI 1.4-4.4), leukopenia (HR 1.9, 95% CI 1.3-2.8), nephropathy (HR 1.7, 95% CI 1.4-2.1), and hyperkalemia (HR 1.4, 95% CI 0.9-2.0).

Conclusion: PJP rarely affects patients with SLE undergoing therapy with MMF and/or CYC; prophylaxis against PJP is associated with adverse events. The majority of patients with SLE and PJP had structural lung disease. These data do not support universal prescribing of PJP prophylaxis for patients with SLE without lung disease.

目的:吉罗韦氏肺囊虫肺炎(PJP)是一种机会性感染,可能会影响系统性红斑狼疮(SLE)患者。本项目旨在描述系统性红斑狼疮患者中 PJP 的发病率:方法:对 TriNetX 数据库进行回顾性队列分析。方法:对 TriNetX 数据库进行回顾性队列分析。所纳入的患者至少有 2 个间隔 30 天的系统性红斑狼疮 ICD9- CM/ICD10-CM 代码,并且是霉酚酸酯或环磷酰胺的新使用者。计算了治疗头六个月的PJP发生率;使用事件发生率比(IRR)和Cox比例危险度回归评估了不良事件:共发现了6017名系统性红斑狼疮患者。大多数患者为女性(5176人,86%)和黑人或非裔美国人(2138人,35.5%)。诱导药物包括霉酚酸酯(5208人,86.6%)、环磷酰胺(505人,8.4%)或两种药物(304人,5.1%);最常见的PJP预防药物是三甲双胍/磺胺甲噁唑(1126人,18.7%)。在 2,752 人年中发现了五例 PJP 病例,其中一人接受了 PJP 预防治疗,发病率为每千人年 1.8 例。在调整分析中,接受预防治疗的患者发生中性粒细胞减少症(危险比(HR)2.5,CI 1.4-4.4)、白细胞减少症(HR 1.9,CI 1.3-2.8)、肾病(HR 1.7,CI 1.4-2.1)和高钾血症(HR 1.4,CI 0.9-2.0)的风险较高:PJP很少影响接受霉酚酸酯或环磷酰胺治疗的系统性红斑狼疮患者;预防PJP与不良事件有关。大多数患有系统性红斑狼疮和PJP的患者都有肺部结构性疾病。这些数据并不支持为没有肺部疾病的系统性红斑狼疮患者普遍开具预防 PJP 的处方。
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引用次数: 0
A Real-World Analysis of Weather Variation on Disease Activity and Patient-Reported Outcomes in Psoriatic Arthritis. 银屑病关节炎疾病活动性和患者报告结果的天气变化真实世界分析。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0520
Maxine Joly-Chevrier, Louis Coupal, Loïc Choquette Sauvageau, Mohammad Movahedi, Denis Choquette

Objective: Patients with inflammatory articular diseases, such as psoriatic arthritis (PsA), report weather changes in their symptoms. Our objective was to investigate the correlation between weather variation, disease activity (DA), and patient-reported outcomes (PROs) in patients with PsA.

Methods: Hourly measurements of temperature, relative humidity, and pressure were obtained from 2015 to 2020 in Montreal (through Environment Canada) and were matched with DA and PROs of patients with PsA enrolled in Rhumadata. The differences in mean DA and PROs were examined between winter and summer. Pearson correlation coefficients were calculated between clinical profile and weather measurements.

Results: Among patients with PsA, 2665 PROs were collected for a total of 858 patients. The Clinical Disease Activity Index (P = 0.001) and Simplified Disease Activity Index (P < 0.001) were lower in winter. In summer, positive correlations were found between humidity and symptoms (using patient global assessment, fatigue, pain, C-reactive protein, Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Functional Index), whereas negative correlations between temperature and Health Assessment Questionnaire-Disability Index were reported. In winter, positive correlations were observed between temperature, fatigue, and pain.

Conclusion: This is the first study to investigate weather variations through subjective and objective PROs matched with patients with PsA. Statistically significant differences in clinical profile were evident between winter and summer, as well as in their correlation with weather measurements. However, these distinctions lack clinical significance, suggesting a small impact on patients with PsA.

目的:据传闻,银屑病关节炎(PsA)等炎症性关节疾病(IAD)患者会报告天气对其症状的影响。方法:2015 年至 2020 年期间,我们从蒙特利尔(加拿大环境部)获得了每小时的温度、相对湿度和气压测量值,并将这些测量值与 RHUMADATA™ 中登记的 PsA 患者的疼痛程度和症状表现相匹配。研究了冬季和夏季的平均DA和PROs差异。计算了临床概况与天气测量之间的皮尔逊相关系数:在PsA患者中,共收集了858名患者的2665个PROs。CDAI(P=0.001)和SDAI(P=0.001):这是第一项通过与 PsA 患者相匹配的主观和客观 PROs 调查天气变化的研究。冬季和夏季的临床特征有明显差异,且与天气测量结果相关。然而,这些差异缺乏临床意义,这表明它们对 PsA 患者的影响较小。
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引用次数: 0
Broadening the Landscape for Treatment Recommendations in the Management of Axial Spondyloarthritis. 拓宽轴性脊柱关节炎治疗建议的视野。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-1041
Wilson Bautista-Molano
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引用次数: 0
Renal-Limited IgG4-Related Disease Presenting as Hypodense Lesions Found During Surveillance Imaging in a Patient With High-Grade Urothelial Cell Carcinoma. 一名高级别尿路上皮细胞癌患者在监测成像过程中发现低密度病变的肾局限性 IgG4 相关疾病
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0474
Nehaal H Ahmed, Matthew J Koster
{"title":"Renal-Limited IgG4-Related Disease Presenting as Hypodense Lesions Found During Surveillance Imaging in a Patient With High-Grade Urothelial Cell Carcinoma.","authors":"Nehaal H Ahmed, Matthew J Koster","doi":"10.3899/jrheum.2024-0474","DOIUrl":"10.3899/jrheum.2024-0474","url":null,"abstract":"","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"105"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteoarthritis Across Joint Sites in the Million Veteran Program Cohort: Insights From Electronic Health Records and Military Service History. 百万退伍军人计划队列中各关节部位的骨关节炎:从电子健康记录和服兵役史中获得的启示》(Osteoarthritis across Joint Sites in the Million Veteran Program Cohort: Insights from Electronic Health Records and Military Service History.
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0237
Kaleen M Lavin, Joshua S Richman, Merry-Lynn N McDonald, Jasvinder A Singh

Objective: To characterize the relationship between the frequency of idiopathic osteoarthritis (OA) and characteristics including demographics, comorbidities, military service history, and physical health in a veteran population.

Methods: We performed a cohort study in the Million Veteran Program (MVP) using International Classification of Diseases, 9th and 10th revision codes to define the frequency of site-specific OA across 3 joints or unspecified OA in veterans with respect to demographics (eg, age, sex, race and ethnicity), military service data, detailed electronic health records, military branch, and war era.

Results: We validated previous reports of sex- and age-dependent differences in OA frequency, and we identified that unspecified OA was associated with a higher frequency of 16 Deyo-Charlson comorbidities. These associations generally persisted within each isolated joint site-specific OA. Depending on military branch, prior military engagement was differentially associated with the frequency of OA. Prior United States Army and Navy service were associated with higher and lower risk, respectively, of OA across all joint sites; however, multivariable-adjusted models adjusting for a range of covariates, including age, sex, and ancestry, reversed the apparent protective effect of prior Navy service.

Conclusion: These findings highlight the breadth of factors associated with OA in the MVP veteran population and suggest that physical status may be a modifiable risk factor for OA. This work may help in the design of strategies to optimize appropriate detection, intervention, treatment, and even rehabilitation for OA in veterans and the general population.

目的研究退伍军人中特发性骨关节炎发病率与人口统计学、合并症、服兵役史和身体健康状况等特征之间的关系:我们在 "百万退伍军人计划"(Million Veteran Program,MVP)中进行了一项队列研究,使用国际疾病分类 9 和 10 代码来定义退伍军人三个关节部位特异性 OA 或未指定 OA 的频率,并与人口统计学特征(年龄、性别、种族/民族等)、兵役数据、详细的电子健康记录、军种和战争年代相关联:结果:我们验证了之前关于 OA 发生率与性别和年龄有关的报告,并发现未明确的 OA 与 16 种 Deyo-Charlson 合并症发生率较高有关。这些关联在每个孤立关节部位的特定 OA 中普遍存在。根据军种的不同,参军经历与 OA 发生率的关系也不同。在所有关节部位,曾在陆军和海军服役分别与较高和较低的 OA 风险相关。然而,对一系列协变量(包括年龄、性别和血统)进行调整的多变量调整模型逆转了曾在海军服役的明显保护作用:这些发现凸显了与 MVP 退伍军人人群 OA 相关的因素的广泛性,并表明身体状况可能是导致 OA 的一个可改变的风险因素。这项工作可能有助于设计战略,以优化退伍军人和普通人群 OA 的适当检测、干预、治疗甚至康复战略。
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引用次数: 0
Genetics of Neonatal Lupus Erythematosus Risk and Specific Manifestations. 新生儿红斑狼疮风险和特殊表现的遗传学。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2023-1036
Melissa C Misztal, Nick Gold, Jingjing Cao, Talia Diaz, Daniela Dominguez, Kendal Thompson, Edgar Jaeggi, Andrea M Knight, Carl Laskin, Lawrence Ng, Earl D Silverman, Linda T Hiraki

Objective: Neonatal lupus erythematosus (NLE) is a passively acquired autoimmune disease in infants born to anti-Ro and/or anti-La autoantibody-positive mothers. Genetics may affect NLE risk. We analyzed the genetics of infants and anti-Ro antibody-positive mothers, with NLE and NLE-specific manifestations.

Methods: Infants and mothers from a tertiary care clinic underwent genotyping on the Global Screening Array. We created additive non-HLA and HLA polygenic risk scores (PRS) for systemic lupus erythematosus (SLE), from one of the largest genome-wide association studies. Outcomes were any NLE manifestations, cardiac NLE, and cutaneous NLE. We tested the association between SLE-PRS in the infant, mother, and the PRS difference between the mother and infant with NLE outcomes, in logistic regression and generalized linear mixed models (Bonferroni P < 0.02). We also performed HLA-wide analyses for the outcomes (P < 5.00 × 10-8).

Results: The study included 332 infants, 270 anti-Ro antibody-positive mothers, and 253 mother-infant pairs. A large proportion of mothers (40.4%) and infants (41.3%) were European, and 50% of infants were female. More than half of the infants had NLE (53%), including 7.2% with cardiac NLE and 11.7% with cutaneous NLE. We did not identify significant associations between infant PRS, maternal PRS, or maternal-infant PRS difference and any NLE outcomes. HLA-wide analyses did not identify NLE risk alleles.

Conclusion: In a multiethnic cohort of infants and anti-Ro antibody-positive mothers, we did not identify a significant association between SLE genetics and risk of NLE outcomes.

目的:新生儿红斑狼疮(NLE)是一种被动获得性自身免疫疾病:新生儿红斑狼疮(NLE)是一种被动获得性自身免疫性疾病,患者多为抗 Ro 和/或 La 自身抗体阳性母亲所生的婴儿。遗传可能会影响新生儿红斑狼疮的风险。我们分析了患有 NLE 和 NLE 特殊表现的婴儿和抗 Ro 抗体阳性母亲的遗传学情况:方法:来自一家三级医疗诊所的婴儿和母亲接受了全球筛查阵列的基因分型。我们从最大的全基因组关联研究之一中创建了系统性红斑狼疮(SLE)的非 HLA 和 HLA 多基因风险加和评分 (PRS)。研究结果包括任何非传染性红斑狼疮表现、心脏非传染性红斑狼疮和皮肤非传染性红斑狼疮。我们通过逻辑回归和广义线性混合模型(Bonferroni P-8)检验了婴儿、母亲的系统性红斑狼疮PRS以及母亲和婴儿的PRS差异与NLE结果之间的关联:研究包括 332 名婴儿、270 名抗 Ro 抗体阳性母亲和 253 对母婴。大部分母亲(40.3%)和婴儿(41.3%)为欧洲人,50.0%的婴儿为女性。半数以上的婴儿患有非传染性肺结核(53.0%),其中 7.2% 患有心脏非传染性肺结核,11.7% 患有皮肤非传染性肺结核。我们没有发现婴儿、母体或母婴 PRS 与任何 NLE 结果之间存在明显关联。全 HLA 分析未发现 NLE 风险等位基因:结论:在一个多种族婴儿和抗 Ro 抗体阳性母亲的队列中,我们没有发现系统性红斑狼疮遗传与 NLE 结果风险之间存在显著关联。
{"title":"Genetics of Neonatal Lupus Erythematosus Risk and Specific Manifestations.","authors":"Melissa C Misztal, Nick Gold, Jingjing Cao, Talia Diaz, Daniela Dominguez, Kendal Thompson, Edgar Jaeggi, Andrea M Knight, Carl Laskin, Lawrence Ng, Earl D Silverman, Linda T Hiraki","doi":"10.3899/jrheum.2023-1036","DOIUrl":"10.3899/jrheum.2023-1036","url":null,"abstract":"<p><strong>Objective: </strong>Neonatal lupus erythematosus (NLE) is a passively acquired autoimmune disease in infants born to anti-Ro and/or anti-La autoantibody-positive mothers. Genetics may affect NLE risk. We analyzed the genetics of infants and anti-Ro antibody-positive mothers, with NLE and NLE-specific manifestations.</p><p><strong>Methods: </strong>Infants and mothers from a tertiary care clinic underwent genotyping on the Global Screening Array. We created additive non-HLA and HLA polygenic risk scores (PRS) for systemic lupus erythematosus (SLE), from one of the largest genome-wide association studies. Outcomes were any NLE manifestations, cardiac NLE, and cutaneous NLE. We tested the association between SLE-PRS in the infant, mother, and the PRS difference between the mother and infant with NLE outcomes, in logistic regression and generalized linear mixed models (Bonferroni <i>P</i> < 0.02). We also performed HLA-wide analyses for the outcomes (<i>P</i> < 5.00 × 10<sup>-8</sup>).</p><p><strong>Results: </strong>The study included 332 infants, 270 anti-Ro antibody-positive mothers, and 253 mother-infant pairs. A large proportion of mothers (40.4%) and infants (41.3%) were European, and 50% of infants were female. More than half of the infants had NLE (53%), including 7.2% with cardiac NLE and 11.7% with cutaneous NLE. We did not identify significant associations between infant PRS, maternal PRS, or maternal-infant PRS difference and any NLE outcomes. HLA-wide analyses did not identify NLE risk alleles.</p><p><strong>Conclusion: </strong>In a multiethnic cohort of infants and anti-Ro antibody-positive mothers, we did not identify a significant association between SLE genetics and risk of NLE outcomes.</p>","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"52-57"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of Pancreatitis and Protein-Losing Gastroenteropathy Associated With Systemic Lupus Erythematosus by Protein Leakage Scintigraphy. 通过蛋白质泄漏闪烁成像检测与系统性红斑狼疮相关的胰腺炎和蛋白质丢失性胃肠病
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0468
Hirofumi Yamada, Takahiro Sugiyama, Yasuhiko Ito, Akira Toriihara
{"title":"Detection of Pancreatitis and Protein-Losing Gastroenteropathy Associated With Systemic Lupus Erythematosus by Protein Leakage Scintigraphy.","authors":"Hirofumi Yamada, Takahiro Sugiyama, Yasuhiko Ito, Akira Toriihara","doi":"10.3899/jrheum.2024-0468","DOIUrl":"10.3899/jrheum.2024-0468","url":null,"abstract":"","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"103-104"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular Health and Adverse Pregnancy Outcomes in Autoimmune Rheumatic Diseases. 自身免疫性风湿病患者的心血管健康与不良妊娠结局。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0828
Vijaya Prasanna Parimi, Vinod Ravindran
{"title":"Cardiovascular Health and Adverse Pregnancy Outcomes in Autoimmune Rheumatic Diseases.","authors":"Vijaya Prasanna Parimi, Vinod Ravindran","doi":"10.3899/jrheum.2024-0828","DOIUrl":"10.3899/jrheum.2024-0828","url":null,"abstract":"","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"6-9"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 1st GRAPPA International Meeting on Psoriasis and Psoriatic Arthritis - 1º Encontro Internacional do GRAPPA Sobre Psoríase e Artrite Psoriásica. 第一届 GRAPPA 银屑病和银屑病关节炎国际会议 - 1º Encontro Internacional do GRAPPA sobre Psoríase e Artrite Psoriásica。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0589
Claudia Goldenstein-Schainberg, Dimitri Luz Felipe da Silva, Enrique R Soriano, Laura J Savage, Philip J Mease
{"title":"The 1st GRAPPA International Meeting on Psoriasis and Psoriatic Arthritis - 1º Encontro Internacional do GRAPPA Sobre Psoríase e Artrite Psoriásica.","authors":"Claudia Goldenstein-Schainberg, Dimitri Luz Felipe da Silva, Enrique R Soriano, Laura J Savage, Philip J Mease","doi":"10.3899/jrheum.2024-0589","DOIUrl":"10.3899/jrheum.2024-0589","url":null,"abstract":"","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"100-102"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiographic Axial Spondyloarthritis (Ankylosing Spondylitis) Commencing Late in Life. 晚年出现的轴性脊柱关节炎(强直性脊柱炎)影像学表现。
IF 3.6 2区 医学 Q2 RHEUMATOLOGY Pub Date : 2025-01-01 DOI: 10.3899/jrheum.2024-0392
Mark C Hwang, Karim Doughem, MinJae Lee, Lianne S Gensler, Mariko L Ishimori, Michael M Ward, Matthew A Brown, Amirali Tahanan, Michael H Weisman, Mohammad H Rahbar, John D Reveille
{"title":"Radiographic Axial Spondyloarthritis (Ankylosing Spondylitis) Commencing Late in Life.","authors":"Mark C Hwang, Karim Doughem, MinJae Lee, Lianne S Gensler, Mariko L Ishimori, Michael M Ward, Matthew A Brown, Amirali Tahanan, Michael H Weisman, Mohammad H Rahbar, John D Reveille","doi":"10.3899/jrheum.2024-0392","DOIUrl":"10.3899/jrheum.2024-0392","url":null,"abstract":"","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"106-108"},"PeriodicalIF":3.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Rheumatology
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