- Disentangling the hepatic risks of familial Mediterranean Fever and colchicine: A propensity score-matched analysis of 19,231 patients. [Journal Article]Semin Arthritis Rheum. 2026 Jul 28; 80:153045. [Online ahead of print]SA
- CONCLUSIONS: FMF is independently associated with increased hepatic injury risk, while colchicine treatment does not appear to confer additional liver toxicity. These findings underscore the importance of controlling FMF-related inflammation to prevent hepatic complications, and support the continued use of colchicine as a safe therapeutic agent in this population.
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- Epidemiology of eosinophilic granulomatosis with polyangiitis in Northern Italy: a population-based capture-recapture study. [Journal Article]Semin Arthritis Rheum. 2026 Jul 29; 80:153050. [Online ahead of print]SA
- CONCLUSIONS: EGPA prevalence in Northern Italy is among the highest reported in Europe, likely reflecting near-complete case ascertainment through integrated health data sources rather than true geographic variation.
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- Co-occurrence of rheumatoid arthritis and calcium pyrophosphate deposition disease: A systematic literature review. [Review]Semin Arthritis Rheum. 2026 Jul 29; 80:153047. [Online ahead of print]SA
- CONCLUSIONS: While the studies were small, RA, which is commonly seronegative, and CPPD can co-exist in the elderly. Higher-quality studies are required to determine the prevalence of co-existent RA and CPPD, thereby improving insight into the epidemiology and potentially enhancing outcomes of these patients.
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- Trends in incidence, patient characteristics, healthcare use, and medication in fibromyalgia: A large Israeli cohort study. [Journal Article]Semin Arthritis Rheum. 2026 Jul 29; 80:153046. [Online ahead of print]SA
- CONCLUSIONS: FM diagnoses have increased substantially over time, accompanied by evolving clinical and treatment patterns. Despite improved recognition, management remains suboptimal, highlighting the need for more effective and comprehensive strategies.
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- Menopause status and its role in incident Alzheimer's disease and related dementias, rheumatoid arthritis (RA) disease severity, and overall mortality in women with RA. [Journal Article]Semin Arthritis Rheum. 2026 Jul 30; 80:153051. [Online ahead of print]SA
- CONCLUSIONS: Women with early/premature and late menopause had nonsignificant, increased risk of incident ADRD. Menopausal characteristics had significant associations with RA severity and cardiovascular events, and may be relevant contextual factors in long-term risk assessment for women with RA.
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- Epidemiology and clinical characteristics of polyarteritis nodosa in Japan: findings from a nationwide survey. [Journal Article]Semin Arthritis Rheum. 2026 Jul 29; 80:153049. [Online ahead of print]SA
- CONCLUSIONS: This epidemiological study revealed the number and sex ratio of patients with PAN in Japan, along with their clinical characteristics. It also detailed the features of cutaneous arteritis.
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- Definition and prevalence of residual disease in inflammatory arthritis: a systematic literature review and meta-analysis. [Review]Semin Arthritis Rheum. 2026 Jul 14; 80:153044. [Online ahead of print]SA
- CONCLUSIONS: Residual disease definitions in RA/PsA/axSpA are based on various disease activity instruments/thresholds and indicators (signs/symptoms). Residual disease affects up to half of patients. Future research should aim for a consensus-based definition of residual disease.
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- Interstitial lung disease in mixed connective tissue disease: Insights from an electronic health record-based retrospective cohort study. [Journal Article]Semin Arthritis Rheum. 2026 Jul 11; 80:153043. [Online ahead of print]SA
- CONCLUSIONS: ILD affected roughly half of patients with MCTD in this EHR-based cohort. PH and older age were independently associated with ILD, suggesting that patients with these features may warrant heightened pulmonary surveillance. Survival analyses were hypothesis-generating, with ILD associated with numerically higher mortality that did not reach statistical significance. Structured EHR methods can delineate real-world disease patterns in rare systemic autoimmune disease like MCTD. Standardized classification and routine pulmonary screening may enable earlier recognition and targeted intervention.
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- Interobserver variability in synovial tissue biopsy markers in Rheumatoid Arthritis: Results from OMERACT special interest group on synovial tissue biopsy. [Journal Article]Semin Arthritis Rheum. 2026 Jun 30; 80:153041. [Online ahead of print]SA
- CONCLUSIONS: This study demonstrates that consensus-based methods can improve interobserver agreement in ST histology and IHC scoring across centres. Adoption of a maximum-score approach among observers represents a further step toward standardization of ST biopsy analysis, and may support its broader application STATEMENT OF CLINICAL SIGNIFICANCE: Histological and immunohistochemical analysis of synovial tissue (ST) biopsy is a promising tool in rheumatoid arthritis (RA), both in translational and clinical research. Notably, the differences in ST biopsy evaluation and interpretation persist across different centres of excellence hampers its widespread clinical application and use in multicentre trials. Our study demonstrates that consensus-based approaches, particularly the adoption of a maximum-score principle, can improve interobserver agreement of ST scoring across centres. Our findings represent a critical step toward the standardization of ST biopsy analysis.
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- Efficacy and safety of Janus kinase inhibitors in Behçet's disease: A systematic literature review. [Review]Semin Arthritis Rheum. 2026 Jul 06; 80:153040. [Online ahead of print]SA
- CONCLUSIONS: JAK inhibitors demonstrate promising efficacy in BD, particularly in refractory and multisystem disease. The most consistent evidence of efficacy was observed in gastrointestinal involvement, whereas data for other disease domains remain limited. Their safety profile appears consistent with existing data, although further follow up and validation is required. High-quality randomized controlled studies are an imminent need to study the potential role of JAK inhibitors in BD.
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- Immune checkpoint inhibitor-associated eosinophilic fasciitis: A FAERS pharmacovigilance analysis of a rare rheumatic immune-related adverse event. [Journal Article]Semin Arthritis Rheum. 2026 Jul 07; 80:153042. [Online ahead of print]SA
- CONCLUSIONS: ICI-associated EF appears to be an uncommon but potentially serious delayed rheumatic immune-related adverse event. This FAERS analysis identified a strong pharmacovigilance signal linking ICIs to EF, with the most robust signals observed for PD-1 inhibitors, particularly nivolumab and pembrolizumab. Greater clinical awareness may facilitate earlier recognition of this fibroinflammatory toxicity and improve diagnostic and therapeutic management.
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- Optimizing the use of patient-reported outcome measures in axial spondyloarthritis: a mixed-methods study from the QUESTIONAX Project. [Journal Article]Semin Arthritis Rheum. 2026 Jun 27; 80:153035. [Online ahead of print]SA
- CONCLUSIONS: Although PROMs are valuable tools in axSpA, their effective use is limited by barriers related to comprehension and implementation. Improving clarity, education, and workflow integration-without altering validated content-may enhance their usability and clinical impact.
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- Barriers and enablers to the implementation of osteoarthritis management programmes in primary or community care settings: A systematic review and qualitative framework synthesis. [Systematic Review]Semin Arthritis Rheum. 2026 Aug; 79:153007.SA
- CONCLUSIONS: Findings highlight opportunities to facilitate OAMP implementation in primary and community care settings, and can inform targeted implementation strategies.
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- Predictors of relapse, early escalation and 1-Year use of glucocorticoids in new-onset polymyalgia rheumatica: A prospective cohort study. [Journal Article]Semin Arthritis Rheum. 2026 Jul 01; 80:153039. [Online ahead of print]SA
- A sub-population of patients with polymyalgia rheumatica (PMR) require early glucocorticoid (GC) escalation to achieve remission or have a relapsing disease course. This study aimed to investigate predictors of early GC escalation, risk of relapse, and treatment after year 1 with GCs.
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- Postoperative complications and outcomes after surgical treatment for tophaceous gout: A systematic review and meta-analysis. [Review]Semin Arthritis Rheum. 2026 Jun 30; 80:153038. [Online ahead of print]SA
- CONCLUSIONS: Surgical treatment for tophaceous gout is associated with measurable postoperative risks, particularly infection and overall complications. These findings support careful perioperative counseling, structured postoperative surveillance, integrated long-term urate-lowering management, and more standardized reporting of perioperative risk factors and postoperative outcomes in future surgical studies of tophaceous gout.
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