When a rheumatologist treats a patient with rheumatoid arthritis, the focus will naturally be on the joints: Are they swollen? Are they tender? How much morning stiffness does the rheumatoid arthritis cause the patient? Which drug is best for a particular patient?
But both the rheumatologist and patient rarely discuss the impact rheumatoid... Read more
Many rheumatologists at least verbalize a reluctance to use “cortisone”-like drugs such as prednisone in the treatment of rheumatoid arthritis; but many, if not most, rheumatologists do use prednisone. Prednisone, even in low dosages, can cause high blood sugar, cardiovascular disease, weight gain, and osteoporosis. And prednisone may also... Read more
On December 19, 2006, the United States Food and Drug Administration issued an “Alert” regarding the safety of Rituxan use in patients suffering from rheumatologic illnesses.This alert was issued because there were two reported cases of fatal Progressive Multifocal Leukoencepholopathy, more conveniently referred to as PML. And while these... Read more
Dear Dr. Borigini,
I'm newly diagnosed with Rheumatoid Arthritis. After doing only preliminary reading, it seemed that there is evidence that changes in hormones estrogen/progesterone can cause the onset of RA symptoms-- i.e., following childbirth and remission of symptoms during pregnancy. If this is true, couldn't hormone therapy in the form of... Read more
Dear Dr. Borigini,I have both Rheumatoid Arthritis and diabetes. I'm having a difficult time finding a way to control the two together. I can take medicine for the arthritis pain but it shoots my blood sugar count out of control so I cut back. I can exercise to control the blood sugar levels, but the RA makes exercise impossible sometimes.... Read more
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