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Managing treatment fatigue in patients with multiple sclerosis (MS) on long-term therapy: the role of multiple sclerosis nurses. Patients with MS on long-term therapy may suffer from treatment fatigue and poor adherence. MS nurses are ideally situated to help patients cope with any factors that may limit adherence. PubMed, Patient Prefer Adherence, 2014 Aug 19;8:1093-9. (Also see: Fatigue and Multiple Sclerosis)

No association of atherosclerosis with digital ulcers (DU) in Japanese patients with systemic sclerosis (SSc): evaluation of carotid (IMT) and plaque characteristics There were no differences in serum lipid level, carotid IMT or plaque score between SSc patients with and without DU, suggesting that atherosclerotic changes are not primarily involved in the development of DU. PubMed, J Dermatology, 2014 Jul;41(7):604-8. (Also see: Athersclerosis and Digital Ulcers)

Neck manipulation may be associated with stroke. Blood vessel tears that lead to strokes may be associated with — but not necessarily caused by — treatments involving neck manipulations, researchers say. Reuters, 08/11/2014. (Also see: Stroke and Mini-Stroke (Transient Ischemic Attack, or TIA)

Is statin-induced myositis part of the polymyositis disease spectrum? Statin medications have recently been shown to cause not only a toxic myopathy but also an immune-mediated necrotizing myositis. PubMed, Curr Rheumatol Rep, 2014 Aug;16(8):433. (Also see: Polymyositis and Statins)

Good outcome of interstitial lung disease in patients with scleroderma associated to anti-PM/Scl antibody. Several features and prognosis of ILD in SSc may be modified depending on the identified immunological profile. Seminars in Arthritis and Rheumatism, 07/15/2014. (Also see: Pulmonary Fibrosis Prognosis and Antibodies in Systemic Scleroderma)

New tool to help those with arachnophobia. Being afraid of spiders may seem silly, but when a person checks every corner before entering a room or hyperventilates just thinking about them, it's serious and likely a phobia. Chicago Tribune, 08/07/2014.

Advances in the understanding and treatment of systemic complications in Sjögren's syndrome. Dryness of the mucosal surfaces is the pivotal, but not only, clinical involvement that characterizes primary Sjögren's syndrome. PubMed, Curr Opin Rheumatol, 2014 Sep;26(5):520-7. (Also see: Sjogren's Syndrome Treatments)

Incidence of pulmonary hypertension (PHT) in patients with systemic sclerosis (SSc) and no pulmonary symptoms: is annual echocardiographic screening necessary? The incidence of echocardiography-diagnosed PHT with SSc, and no pulmonary symptoms was low. Annual echocardiography is less beneficial among such patients; repeated echocardiography should instead be performed on those with a declining functional class. PubMed, J Clin Rheumatol, 2014 Aug;20(5):268-74. (Also see: Echocardiograms for Pulmonary Hypertension)

Summer skin care: Could be the season of the itch? With summer can come assaults on exposed skin, whether from poison oak, mosquitoes and other pests or just too much fun in the sun without UV protection. Los Angeles Times, 08/01/2014.

Rituximab (RTX) in primary Sjögren's (pSS) syndrome: a ten-year journey. The good results observed after RTX treatment in pSS should represent the starting point to develop evidence-based guidelines for the use of biologic therapy in this disease. PubMed, Lupus, 2014 Aug 5. (Also see: Sjogren's Syndrome Treatments)

Novel Ideas: The Increased Skin Viscoelasticity - A Possible New Fifth Sign for the Very Early Diagnosis of Systemic Sclerosis. In combination with nailfold videocapillaroscopy, the increased skin viscoelasticity parameter could be proposed as the possible new fifth sign for the very early diagnosis of SSc. Current Rheumatology Reviews, 08/06/2014. (Also see: Diagnosis of Skin Fibrosis and Skin Viscoelasticity)

Extreme medicine: The search for new antibiotics. Pampering leafcutter ants with fragrant rose petals and fresh oranges may seem an unlikely way to rescue modern medicine, but scientists at a lab in eastern England think it's well worth trying. Reuters, 08/17/2014.

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