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ACR Journals
@acr-journals.bsky.social
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Official journals of the American College of Rheumatology:
Arthritis & Rheumatology
Arthritis Care & Research
ACR Open Rheumatology
SoMe Editor: Karen Costenbader, MD, MPH
Posts Replies Media Videos
acr-journals.bsky.social
NEW EPISODE! Aaron Smith, MD, joins the podcast to discuss why rheumatology needs stronger grounding in aging principles & how clinicians can better support older adults with rheumatic conditions. 🎙️ LISTEN to his insights on shifting clinical practice → https://acr.tw/4ikt6XM

#Medsky #geriatrics
ACR Journals on Air podcast banner
November 28, 2025 at 9:40 PM
acr-journals.bsky.social
Role of IL-33 as a central mediator in idiopathic inflammatory myopathy interstitial lung disease

Arthritis & Rheumatology
doi.org/10.1002/art....

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IL-33 is upregulated in IIM-ILD patients and promotes disease progression in a murine MAILD model. (A and B) Representative images and quantification of IL-33 expression using IHC staining in lung tissues from IIM-ILD patients (n=3). (C) Serum IL-33 levels measured by ELISA in IIM-ILD patients and healthy controls (n=40). (D and E) Representative images and quantification of IL-33 IHC staining in lung tissues from MAILD mice (n=3). (F) Hematoxylin and eosin (H&E) staining of lung sections. (G) Ashcroft scoring of lung inflammation (n=5). (H) Body weight changes of mice throughout the experimental period. (I and J) Masson’s trichrome staining of lung sections and quantification of collagen deposition.
November 28, 2025 at 1:47 PM
acr-journals.bsky.social
A 12-year-old boy presented with chronic left hip pain unresponsive to antibiotics. Laboratory tests showed raised white blood cells and C-reactive protein. MRI showed evidence of left hip synovitis

Case report in ACR Open Rheumatology
https://doi.org/10.1002/acr2.70136

#Medsky
Magnetic resonance imaging T2 fat-suppression sequence showed the presence of left hip effusion with synovial hypertrophy.
November 27, 2025 at 2:05 PM
acr-journals.bsky.social
In a large cohort of cancer patients with rheumatoid arthritis treated with ICIs for metastatic NSCLC, use of glucocorticoids other than dexamethasone did not affect survival over 91 days. Median prednisone equivalent dose was 6.6 mg/day

Arthritis & Rheumatology
doi.org/10.1002/art....

#Medsky
91-Day Landmark Kaplan Meier curve by glucocorticoid exposure in the first 91 days after ICI initiation
November 26, 2025 at 10:21 PM
acr-journals.bsky.social
DASI questionnaire & timed up and go test had high negative predictive value (unlikely to have very low fitness), but low positive predictive value. Suggests better use as screening tools to rule out low fitness

Multiple regression equations to predict peak V̇O₂
Multiple regression equations to predict peak V̇O₂ using estimated peak V̇O₂ via DASI or daily step count or TUG time, with sex, age, BMI and WOMAC score
November 26, 2025 at 1:57 PM
acr-journals.bsky.social
Analysis of Individual Case Safety Reports in the WHO Pharmacovigilance database identified 16 drugs with probable association with onset or worsening of Raynaud phenomenon, including amphetamine-like, antimigraine drugs, antineoplastics drugs, & dopaminergic agonists

A&R
doi.org/10.1002/art....
Drugs induced Raynaud's phenomenon and underlying mechanism: a disproportionality analysis from the WHO pharmacovigilance database. Graphical abstract created using BioRender
November 24, 2025 at 9:44 PM
acr-journals.bsky.social
PK/PD study of subcutaneous belimumab in pediatric patients with active SLE - #Medsky

doi.org/10.1002/acr....

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Pharmacokinetics, Pharmacodynamics, and Safety of Subcutaneous Belimumab in Pediatric Patients with Systemic Lupus Erythematosus: A Multicenter, Open-Label Trial. A graphical abstract
November 24, 2025 at 1:28 PM
acr-journals.bsky.social
Case of periostitis in a 25-year-old patient induced by ~3 months of treatment with the anesthetic sevoflurane

Clinical images in Arthritis & Rheumatology
doi.org/10.1002/art....

#Medsky
Radiography demonstrated signs of calcifying periostitis (red arrows), amorphous calcifications at the medial aspect of the joint capsule (white arrows) and altered trabeculation in the juxta-articular distal humerus. Chest CT identified periostitis with new bone formation of ribs II to VIII bilaterally, both scapulae and both proximal humeri (yellow arrows).
November 23, 2025 at 1:31 PM
acr-journals.bsky.social
New editorial in A&R on the SMILE RCT - doi.org/10.1002/art....
"[This trial] represents an extremely important first attempt and has already taught us much about the possibility of 'preventing' SLE and how we might improve the design of future trials, because there will and should be more."
#Medsky
[This trial] represents an extremely important first attempt and has already taught us much about the possibility of 'preventing' SLE and how we might improve the design of future trials, because there will and should be more.
November 22, 2025 at 10:04 PM
acr-journals.bsky.social
New papers this week in Arthritis Care & Research →

Anti-collagen II antibodies neither sensitive nor specific for relapsing polychondritis
doi.org/10.1002/acr....

Phase 2b study: sarilumab in severe polyarticular JIA
doi.org/10.1002/acr....

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Weekly recap in ACR Journals banner - Arthritis Care & Research cover
November 22, 2025 at 4:38 PM
acr-journals.bsky.social
Get caught up on new research in Arthritis & Rheumatology →

Colchicine initiation after gout dx assoc. with modestly lower risk of total joint arthroplasty doi.org/10.1002/art....

Vorinostat suppresses IFN-I production in an SLE model
doi.org/10.1002/art....

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Weekly recap in ACR Journals banner - Arthritis & Rheumatology cover
November 22, 2025 at 1:33 PM
acr-journals.bsky.social
Measuring affinity of plasmablast and plasma cell antibodies for the enzyme glucose-6-phosphate isomerase (GPI) in K/BxN mice provided ex vivo characterization of autoreactive IgG secreting cells during initial arthritis development

Arthritis & Rheumatology
doi.org/10.1002/art....
Dynamics of circulating anti-GPI antibodies in K/BxN. (A) ED50 computed from anti-GPI ELISA on serum taken at indicated ages from K/BxN mice. Values outside of dilution range were indicated as either <300 or >218,700. (B-C) Surface Plasmon Resonance measures of (B) average anti-GPI affinity and (C) proportion of anti-GPI IgG autoantibodies among circulating IgG on serum taken at indicated ages from K/BxN mice. (D) Kinetic evolution of average anti-GPI affinity and autoantibody proportion among circulating IgG, with mean SEM indicated. The orange arrow indicates the trajectory taken for average affinity and autoantibody proportion over time from 3 (start of line) to 113 weeks (arrowhead). (E) Kinetic evolution of the number of anti-GPI B220+ CD38+ plasma cells/plasmablasts in indicated tissues. (A, B, C)
November 21, 2025 at 10:34 PM
acr-journals.bsky.social
Persistent pain remains a major challenge in inflammatory arthritis, even when joint inflammation is well controlled. Review in Arthritis Care & Research looks at brain-focused research and neuroimaging in rheumatology practice.

📄 🔓 Read the open access review: doi.org/10.1002/acr....

#Medsky
Beyond Inflammation: Why Understanding the Brain Matters in Inflammatory Arthritis. Graphical abstract created using BioRender
November 21, 2025 at 1:45 PM
acr-journals.bsky.social
External validation of a genetic risk score (GRS) and combined risk score for identifying risk of RA-ILD. Combining a genetic risk score with clinical risk factors performed significantly better than the GRS alone

Arthritis Care & Research
doi.org/10.1002/acr....

#Medsky
Validation of a Genetic Risk Score Combined with Clinical Variables for Predicting Pulmonary Fibrosis in early Rheumatoid Arthritis. Graphical abstract created using BioRender
November 20, 2025 at 9:45 PM
acr-journals.bsky.social
Investigating whether fractional excretion of urate (FEUA) modulates urate-lowering response to allopurinol showed that allopurinol was modestly more effective in patients with low FEUA, likely due to decreased oxypurinol renal clearance

Arthritis Care & Research
doi.org/10.1002/acr....

#Medsky
Response to allopurinol and febuxostat according to the fractional excretion of urate in men with gout. Graphical abstract created using BioRender
November 20, 2025 at 5:38 PM
acr-journals.bsky.social
Phase 2b study of sarilumab in severe polyarticular JIA - doi.org/10.1002/acr.... #Medsky

• Selected optimal doses: 3.0 mg/kg q2w for patients weighing ≥30 kg, 4.0 mg/kg q2w for ≥10–<30 kg, which yielded exposures similar to approved dose of 200 mg q2w in adults with RA

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(A) Proportion of the patients achieving JIA-ACR30/50/70/90 response (as observed while on-treatment) up to Week 48. (B) Change from baseline in cJADAS scores (as observed while on-treatment) up to Week 48. (C) Mean cJADAS scores (as observed while on-treatment) up to Week 48 (D) Proportions of patients with disease activity reduction criteria (observed cases) at Week 48 in patients who received selected dose 2 from baseline
November 20, 2025 at 1:27 PM
acr-journals.bsky.social
Genetic contributions of C4A and C4B in systemic sclerosis subtypes susceptibility - doi.org/10.1002/art....

•lower copy numbers (CNs) of C4 were associated with increased risk of different clinical and serologic subtypes of SSc

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Distinct effects of complement C4A and C4B copy number in Systemic Sclerosis serological and clinical subtypes. Graphical abstract created using BioRender
November 19, 2025 at 9:47 PM
acr-journals.bsky.social
Linezolid inhibited mitochondrial translation and ameliorated fibrotic tissue remodeling in SSc skin and scleroderma mouse models

Arthritis & Rheumatology
doi.org/10.1002/art....
Linezolid prevents fibroblast activation and ameliorates tissue fibrosis by inhibition of mitochondrial translation. Graphical abstract created using BioRender
November 19, 2025 at 5:47 PM
acr-journals.bsky.social
Potential immunologic signature of Treg dysfunctionality in osteoarthritis-related pain

Arthritis & Rheumatology
doi.org/10.1002/art....

Figure: Immunologic cell subset and cytokines linked to OA-pain with MRI bone marrow lesions and knee effusion
Immunological cell subset and cytokines linked to OA-pain with MRI BML and knee effusion A. BML and knee representative MRI scan. B. Deep immune phenotyping expression heatmap of the 15 cells subsets associated with WOMAC pain according to low (N=15), high pain intensity (N 29) and BML (N=6) and knee effusion (N=8) represented cell subset mean scaled proportion. C. Scatter plot of cell population percentage (represented on y-axis) specifically associated with high pain intensity, BML or knee effusion compared to low pain intensity group (N=42) using a Mann-whitney U-test (p≤0.05) with patients with low pain intensity as the control group. D. Scatter plot of cytokines MFI-value (y-axis) specifically associated with high pain intensity (N=29), BML (N=16) or knee effusion (N=8) compared to low pain intensity group (N=15) using a Mann-whitney U-test (p≤0.05) with patients with low pain intensity as the control group
November 19, 2025 at 1:22 PM
acr-journals.bsky.social
Anti-collagen II antibodies were neither sensitive nor specific for relapsing polychondritis. Presence of anti-collagen II antibodies may indicate a history of cartilage inflammation rather a disease-specific pathologic antibody

Arthritis Care & Research
doi.org/10.1002/acr....

#Medsky
Anti-collagen II (Anti-Col2) antibodies and clinical associations. Prevalence of AntiCol2 antibodies at two different titers did not differ between relapsing polychondritis (RP), MAGIC syndrome, VEXAS, large-vessel vasculitis (LVV), and small/medium vessel vasculitis (SMVV) (A). Anti-Col2 antibodies did not differ by disease where green indicates normal, blue is borderline elevated, and red is elevated (B). Anti-Col2 antibody titers were not associated with physician global assessment (PGA) scores of disease activity in patients with RP (C) or when excluding patients with RP who were B-cell depleted (D).
November 18, 2025 at 10:12 PM
acr-journals.bsky.social
Vorinostat suppressed IFN-I production and ameliorated disease severity in an SLE mouse model

Arthritis & Rheumatology
doi.org/10.1002/art....
Identification of histone deacetylase inhibitor targeting type I interferon and B-cell abnormalities in systemic lupus erythematosus. A graphical abstract.
November 18, 2025 at 1:51 PM
acr-journals.bsky.social
Colchicine initiation after gout diagnosis associated with modestly (12%) lower risk of total joint arthroplasty (vs. those who did not initiate colchicine)

UK population-based cohort study (IQVIA Medical Research Database)

Arthritis & Rheumatology
doi.org/10.1002/art....

#Medsky
Cumulative incidence of knee/hip arthroplasty
November 17, 2025 at 9:55 PM
acr-journals.bsky.social
Digital gangrene in systemic sclerosis after lung or heart transplant - doi.org/10.1002/acr2...
•25% (4/16) developed dry digital gangrene
•median time to onset 44.5 days (range 8–90) post-op
•all SSc pts w/ gangrene also had diabetes
•median survival time with digital gangrene was sign. shorter
(A) Overall survival of patients with digital gangrene vs without digital gangrene. (B) Overall survival of patients with systemic sclerosis with digital gangrene vs without digital gangrene.
November 17, 2025 at 1:53 PM
acr-journals.bsky.social
Case of HCQ-related cardiomyopathy in a 17-year-old adolescent with childhood-onset systemic lupus erythematosus

Clinical images in Arthritis & Rheumatology
doi.org/10.1002/art....

#Medsky #Cardiosky
A, Cardiac biopsy revealed extensive vacuolar changes (star) in the myocytes and variation in nuclear size B-D, Electron microscopy showed abnormal mitochondria with enlargement and disordered cristae, myeloid bodies (C), and curvilinear bodies (D)
November 16, 2025 at 9:42 PM
acr-journals.bsky.social
A 74 y/o hypertensive man presented with generalized aches & pains, flexor contractures in both palms for 5 years, and tingling & numbness in both hands & feet for 2 years. Exam revealed blackish pigmentation in bilateral pinna & sclera

Clinical images in A&R
doi.org/10.1002/art....

#Medsky
(A) Pigmentation of sclera, (B) Intervertebral disc and interspinous ligament calcification with thoracic kyphosis and loss of lumbar lordosis, (C) Bilateral knees with secondary osteoarthritis and meniscal calcification, (D) Ultrasonography of the pelvis revealing prostatic calcification, (E) Two aliquots of urine with and without exposure to sun showing darkening of urine on exposure to sunlight.
November 16, 2025 at 1:50 PM