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Rheumatology

Editor's Choice

Advances in juvenile-onset SLE

Recent advances in understanding the pathogenesis of juvenile-onset systemic lupus erythematosus has prompted the development of screening tools, molecular predictors, and new treatments.

Hodgkin lymphoma in a patient with Behçet disease

A case illustrating a rare but important association between Behçet disease and Hodgkin lymphoma, possibly mediated by immune dysregulation and chronic immunosuppression.

Navigating the complexities of hypoparathyroidism

A comprehensive review on hypoparathyroidism, offering an updated and holistic perspective on its management to support the delivery of effective and individualized care across the spectrum of disease severity.

HLH deaths in Europe almost doubled over past decade

Deaths due to hemophagocytic lymphohistiocytosis in Europe have almost doubled in a decade, highlighting major gaps in awareness, diagnosis, and reporting.

Imaging approaches in spondyloarthritis

Understand the pros and cons of the available imaging modalities for diagnosing axial and peripheral forms of spondyloarthritis, and discover the role that artificial intelligence may play in diagnosis and management. 

COVID-19-associated large-vessel vasculitis

Three cases of new-onset LVV that developed after COVID-19. All patients had elevated anti-ACE2 antibodies that normalized after clinical remission. Do these antibodies have a role in the pathogenesis of post-COVID-19 vasculitis?

taVNS of limited benefit in erosive osteoarthritis

Transcutaneous auricular vagus nerve stimulation does not significantly improve hand pain relative to sham stimulation in people with erosive hand osteoarthritis, but may benefit certain subgroups.

Treat-to-target strategies improve PsA outcomes

The STAMP trial has shown similar improvements in psoriatic arthritis clinical outcomes with intensive treat-to-target strategies with additional secukinumab and a standard step-up treat-to-target approach with methotrexate.

The role of FDG-PET in large-vessel vasculitis

How can FDG-PET be used to diagnose and monitor disease activity in different forms of large-vessel vasculitis? And what improvements are needed to make it easier to incorporate PET imaging into a clinical workflow?

CV risk factors and target attainment a concern in APS

Many patients with antiphospholipid syndrome have uncontrolled cardiovascular risk factors, with primary APS patients showing particularly poor target attainment.

New insights into juvenile dermatomyositis

Ongoing research is transforming the understanding of juvenile dermatomyositis, and revealing new therapeutic and biomarker opportunities. These advances offer the potential to improve outcomes and achieve durable remission.

Extreme thrombocytosis as initial presentation of vasculitis

This case highlights that extreme reactive thrombocytosis may be part of the initial presentation of microscopic polyangiitis, potentially serving as an early diagnostic clue in the context of systemic inflammation. 

CAR NK-cell therapy shows potential for refractory lupus

Allogeneic chimeric antigen receptor therapy with natural killer cells shows promise for treating people with refractory or relapsed systemic lupus erythematosus.

Myocardial infarction in rheumatic diseases

People with rheumatic diseases have an increased risk for myocardial infarction, underscoring the need for early risk stratification, integrated cardio-rheumatologic care, and precision-based therapeutic strategies.

SSc linked to increased risk for pregnancy adverse events

Pregnancies in women with systemic sclerosis are associated with higher rates of adverse pregnancy outcomes, severe postpartum hemorrhage, and maternal disease worsening.

VEXAS syndrome presenting with Sjögren's features

The first case of VEXAS syndrome with features of Sjögren disease, including chronic oral sicca, high-titer SSA antibodies, a positive rheumatoid factor, and lymphopenia.

ICU admission and mortality in rheumatic diseases

Acute complications requiring ICU management remain a major cause of morbidity and mortality in rheumatic diseases. This disease-specific overview of ICU risks, complications, and outcomes provides a primer for clinicians.

Updates on the role of DXA in osteoporosis

Dual X-ray absorptiometry is a valuable tool for assessing bone density and fracture risk. But it is essential to be familiar with the guidelines, limitations, and pitfalls to optimize the interpretation of results and guide clinical decisions.

Sjögren disease manifesting as fulminant myocarditis

Fulminant autoimmune myocarditis was the initial manifestation of Sjögren disease, complicated by electrical storm and cardiogenic shock. Prompt initiation of corticosteroids resulted in rapid cardiac recover and successful VA-ECMO weaning.

DAHLIAS trial supports nipocalimab use in Sjögren disease

The FcRn blocker nipocalimab significantly improves clinical disease activity in people with moderate-to-severe Sjögren disease and could be a promising approach for these patients.

Image Credits
Doctor speaking with young girl in clinic/© PeopleImages.com / Getty Images / iStock (symbolic image with models), FDG PET-CT of patient with Behçet disease and Hodgkin lymphoma/© 2025, Matthew Coulter et al, under exclusive licence to International League of Associations for Rheumatology (ILAR), Clin Rheumatol, Doctor conducts a study on virtual screen/© Natali_Mis / iStock / Getty Images Plus, Map of Europe with glowing details of city and human population density areas/© kasezo / Getty Images / iStock, Man going into a CT scanner/© Peakstock / stock.adobe.com (symbolic image with models), PET-CT scan of patient with COVID-19-associated large-vessel vasculitis/© 2025, Setsuko Oyama et al, under exclusive licence to International League of Associations for Rheumatology (ILAR), Clin Rheumatol, Close-up of person massaging their hand/© Jacob Wackerhausen / Getty Images / iStock, Red target surrounded by blue arrows/© MicroStockHub / Getty Images / iStock, PET scan/© JohnnyGreig / Getty Images / iStock (symbolic image with model), Glowing exclamation mark in a neon red warning triangle/© hardvicore / stock.adobe.com / Generated with AI, Doctor examining child in the clinic/© Pixel-Shot / Stock.adobe.com (symbolic image with models), Renal biopsy of patient with thrombocytosis and ANCA-associated vasculitis/© 2025, Andrés Hormaza-Jaramillo et al, BMC Rheumatol, Close up of IV drip bags/© SDI Productions / Getty Images / iStock, 3D render of a human heart overlaid on an ECG graph/© peterschreiber.media / Getty Images / iStock, Doctor talking to pregnant patient in clinic/© bernardbodo / Getty Images / iStockphoto (symbolic image with models), Histology of patient with VEXAS syndrome presenting with Sjogren's features/© 2025, Marwin Groener et al, under exclusive licence to International League of Associations for Rheumatology (ILAR), Clin Rheumatol, Doctor putting breathing mask on patient in critical care/© Yakobchuk Olena / stock.adobe.com (symbolic image with model), Woman having a bone density scan/© fotodelux / Getty Images / iStock (symbolic image with models), Woman sweating and clutching chest/© Doucefleur / Getty Images / iStock (symbolic image with model), Pink dahlias in a flowerbed/© imamchits / stock.adobe.com