Most months we have a couple residents rotating with us on a Rheumatology elective. As part of that month, we hold a journal club where each resident and the teaching attending presents an article. Here is what we discussed this month:
Askling et al. Cancer Risk in Patients With Rheumatoid Arthritis Treated with Anti-Tumor Necrosis Factor Alpha Therapies. Arthritis and Rheumatism. 2009; 60:11.
- Chosen by the attending. Supports the observations against increasing cancer risk over time with these medications.
Woodburn et al. A Randomized Controlled Trial of Foot Orthoses in Rheumatoid Arthritis. The Journal of Rheumatology. 2002; 29:7.
- Chosen by the podiatry resident. Orthotics are very helpful in RA but they need to be worn (pts wore them avg of 6 hours/day) and it is helpful to ensure someone skilled in orthotics and gait is fitting them.
Daimon et al. Nonspecific Interstitial Pneumonia Associated with Collagen Vascular Disease: Analysis of CT Features to Distinguish the Various Types. Internal Medicine. 2009; 48.
- Chosen by the prelim radiology resident. It’s hard to diagnose Rheumatologic conditions just by a CT scan. Score one for the H&P! However, CT can be an important piece of the equation.