Rheumatism in 2023: New Challenges and Perspectives

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Personalized Therapy and Drug Delivery".

Deadline for manuscript submissions: closed (5 December 2023) | Viewed by 5198

Special Issue Editors


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Guest Editor
Department of Clinical and Experimental Medicine, University of Florence, 50134 Florence, Italy
Interests: rheumatology; rheumatoid arthritis; immunology; nutrition

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Guest Editor
1. Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
2. Department of Geriatric Medicine, Division of Rheumatology AOUC & Scleroderma Unit, University of Florence, Florence, Italy
Interests: inflammatory joint diseases; rheumatoid arthritis; osteoporosis; musculoskeletal

Special Issue Information

Dear Colleagues,

In the past, rheumatism (from Greek ῥευματίζομαι, “to suffer from a flux”) was the umbrella term used when referring to any of the vast group of inflammatory disorders affecting joints, tendons, or muscles. Nowadays, it is known that under this quite obsolete term, about 200 different diseases are classified, each one with its pathogenesis, natural history, diagnostic work-up, and therapeutic strategy. Moreover, every patient suffering from a rheumatic disease has their own characteristics which can differ from those of someone else affected by the same illness. Finally, overlap syndromes are possible, making the rheumatologist’s work even more challenging. The scope of this Special Issue is to delineate the latest advances in terms of differential diagnosis, patients’ typification, and tailored therapy in the world of rheumatic diseases. With this aim, we are looking for both comprehensive reviews and original research articles from authors dedicated to academical and clinical rheumatology.

Dr. Arianna Damiani
Dr. Martina Orlandi
Guest Editors

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Keywords

  • differential diagnosis
  • rheumatic diseases
  • tailored therapy
  • patients’ typification

Published Papers (2 papers)

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Research

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15 pages, 1770 KiB  
Article
Early and Late Response and Glucocorticoid-Sparing Effect of Belimumab in Patients with Systemic Lupus Erythematosus with Joint and Skin Manifestations: Results from the Belimumab in Real Life Setting Study—Joint and Skin (BeRLiSS-JS)
by Margherita Zen, Mariele Gatto, Roberto Depascale, Francesca Regola, Micaela Fredi, Laura Andreoli, Franco Franceschini, Maria Letizia Urban, Giacomo Emmi, Fulvia Ceccarelli, Fabrizio Conti, Alessandra Bortoluzzi, Marcello Govoni, Chiara Tani, Marta Mosca, Tania Ubiali, Maria Gerosa, Enrica P. Bozzolo, Valentina Canti, Paolo Cardinaletti, Armando Gabrielli, Giacomo Tanti, Elisa Gremese, Ginevra De Marchi, Salvatore De Vita, Serena Fasano, Francesco Ciccia, Giulia Pazzola, Carlo Salvarani, Simone Negrini, Andrea Di Matteo, Rossella De Angelis, Giovanni Orsolini, Maurizio Rossini, Paola Faggioli, Antonella Laria, Matteo Piga, Alberto Cauli, Salvatore Scarpato, Francesca Wanda Rossi, Amato De Paulis, Enrico Brunetta, Angela Ceribelli, Carlo Selmi, Marcella Prete, Vito Racanelli, Angelo Vacca, Elena Bartoloni, Roberto Gerli, Elisabetta Zanatta, Maddalena Larosa, Francesca Saccon, Andrea Doria and Luca Iaccarinoadd Show full author list remove Hide full author list
J. Pers. Med. 2023, 13(4), 691; https://doi.org/10.3390/jpm13040691 - 20 Apr 2023
Cited by 2 | Viewed by 2962
Abstract
Aim. To assess the efficacy of belimumab in joint and skin manifestations in a nationwide cohort of patients with SLE. Methods. All patients with skin and joint involvement enrolled in the BeRLiSS cohort were considered. Belimumab (intravenous, 10 mg/kg) effectiveness in joint and [...] Read more.
Aim. To assess the efficacy of belimumab in joint and skin manifestations in a nationwide cohort of patients with SLE. Methods. All patients with skin and joint involvement enrolled in the BeRLiSS cohort were considered. Belimumab (intravenous, 10 mg/kg) effectiveness in joint and skin manifestations was assessed by DAS28 and CLASI, respectively. Attainment and predictors of DAS28 remission (<2.6) and LDA (≥2.6, ≤3.2), CLASI = 0, 1, and improvement in DAS28 and CLASI indices ≥20%, ≥50%, and ≥70% were evaluated at 6, 12, 24, and 36 months. Results. DAS28 < 2.6 was achieved by 46%, 57%, and 71% of patients at 6, 12, and 24 months, respectively. CLASI = 0 was achieved by 36%, 48%, and 62% of patients at 6, 12, and 24 months, respectively. Belimumab showed a glucocorticoid-sparing effect, being glucocorticoid-free at 8.5%, 15.4%, 25.6%, and 31.6% of patients at 6, 12, 24, and 36 months, respectively. Patients achieving DAS-LDA and CLASI-50 at 6 months had a higher probability of remission at 12 months compared with those who did not (p = 0.034 and p = 0.028, respectively). Conclusions. Belimumab led to clinical improvement in a significant proportion of patients with joint or skin involvement in a real-life setting and was associated with a glucocorticoid-sparing effect. A significant proportion of patients with a partial response at 6 months achieved remission later on during follow-up. Full article
(This article belongs to the Special Issue Rheumatism in 2023: New Challenges and Perspectives)
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12 pages, 659 KiB  
Review
Soluble Urokinase Plasminogen Activator Receptor (suPAR) in Autoimmune Rheumatic and Non Rheumatic Diseases
by Mariangela Manfredi, Lieve Van Hoovels, Maurizio Benucci, Riccardo De Luca, Carmela Coccia, Pamela Bernardini, Edda Russo, Amedeo Amedei, Serena Guiducci, Valentina Grossi, Xavier Bossuyt, Carlo Perricone and Maria Infantino
J. Pers. Med. 2023, 13(4), 688; https://doi.org/10.3390/jpm13040688 - 19 Apr 2023
Cited by 1 | Viewed by 1883
Abstract
The soluble urokinase plasminogen activator receptor (suPAR) is the bioactive form of uPAR, a membrane-bound glycoprotein, and it is primarily expressed on the surface of immunologically active cells. Mirroring local inflammation and immune activation, suPAR has gained interest as a potential prognostic biomarker [...] Read more.
The soluble urokinase plasminogen activator receptor (suPAR) is the bioactive form of uPAR, a membrane-bound glycoprotein, and it is primarily expressed on the surface of immunologically active cells. Mirroring local inflammation and immune activation, suPAR has gained interest as a potential prognostic biomarker in several inflammatory diseases. Indeed, in many diseases, including cancer, diabetes, cardiovascular diseases, kidney diseases, and inflammatory disorders, higher suPAR concentrations have been associated with disease severity, disease relapse, and mortality. Our review describes and discusses the supporting literature concerning the promising role of suPAR as a biomarker in different autoimmune rheumatic and non-rheumatic diseases. Full article
(This article belongs to the Special Issue Rheumatism in 2023: New Challenges and Perspectives)
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