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		<title>Skin Cancer and Biologics&#8230;Have you seen your dermatologist?</title>
		<link>http://arthritisguru.com/skin-cancer-biologics-have-dermatoligist</link>
		<comments>http://arthritisguru.com/skin-cancer-biologics-have-dermatoligist#comments</comments>
		<pubDate>Tue, 23 Aug 2011 01:43:27 +0000</pubDate>
		<dc:creator>LaRita</dc:creator>
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		<guid isPermaLink="false">http://arthritisguru.com/?p=588</guid>
		<description><![CDATA[Studies of more than 20,000 US veterans show a higher risk of nonmelanoma skin cancer in RA patients treated with TNF inhibitors than those treated with DMARDS. It is important to note that non-melanoma skin cancer (NMSC)  is found on the outer layer of the skin and  is generally found on sun-exposed skin like the [...]]]></description>
			<content:encoded><![CDATA[<p>Studies of more than 20,000 US veterans show a higher risk of nonmelanoma skin cancer in RA patients treated with TNF inhibitors than those treated with DMARDS.</p>
<p>It is important to note that non-melanoma skin cancer (NMSC)  is found on the outer layer of the skin and  is generally found on sun-exposed skin like the face, ears, hands, etc.  These cancers rarely spread elsewhere on the body.</p>
<p>Most importantly&#8211;<strong><em>these are highly treatable and are usually cured with early detection and treatment.</em></strong></p>
<p>From the story:</p>
<p>Senior author Prabha Ranganathan, MD, from the Department of Medicine at Washington University School of Medicine, St. Louis,  suggests that<strong><em> patients with RA treated with TNF inhibitors have a complete skin exam by a dermatologist once a year. </em></strong><em></em></p>
<p><em>(For a reminder on which drugs are TNF inhibitors, click on the medications tab above)</em><strong><em><br />
</em></strong></p>
<p>As more studies are conducted, it seems prudent that all of us on any of the biologics pay close attention to our skin&#8211;but don&#8217;t panic!</p>
<p>As noted by Dr.  Ranganathan, &#8220;It is intriguing that NMSC risk is increased in patients on anti-TNFs, while most studies to date show that overall cancer risk is not increased in these patients. <em><strong>But this is an observational study, so association does not equal causality.</strong></em>&#8221;</p>
<p>So limit your sun exposure, wear sunscreen, and see your doctor.  Sound familiar?    Enjoy the end of summer folks!</p>
<p>As always, links are provided below for more information.</p>
<p><a title="TNF Inhibitors May Increase Nonmelanoma Skin Caner Risk" href="http://www.medscape.com/viewarticle/748028">http://www.medscape.com/viewarticle/748028</a></p>
<p><a title="Skin Cancer Facts from the American Cancer Society" href="http://www.cancer.org/Cancer/CancerCauses/SunandUVExposure/skin-cancer-facts">http://www.cancer.org/Cancer/CancerCauses/SunandUVExposure/skin-cancer-facts</a></p>
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		<title>Injections at home vs Infusions at the doctor’s office</title>
		<link>http://arthritisguru.com/injections-vs-infusions</link>
		<comments>http://arthritisguru.com/injections-vs-infusions#comments</comments>
		<pubDate>Fri, 19 Aug 2011 17:31:07 +0000</pubDate>
		<dc:creator>LaRita</dc:creator>
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		<guid isPermaLink="false">http://arthritisguru.com/?page_id=511</guid>
		<description><![CDATA[Some people can’t stand the thought of giving themselves an injection (shot).  Others are frustrated by the need to go to the doctor’s office for an intravenous infusion (IV).  If you are currently taking a biologic drug or considering it, where do you stand? Three weeks ago Bristol-Myers Squibb received FDA approval for Orencia to [...]]]></description>
			<content:encoded><![CDATA[<p><span style="color: #0000ff;"><span style="color: #000000;">Some people can’t stand the thought of giving themselves an injection (shot).  Others are frustrated by the need to go to the doctor’s office for an intravenous infusion (IV). </span></span></p>
<p><span style="color: #0000ff;"> If you are currently taking a biologic drug or considering it, where do you stand?</span></p>
<p><span style="color: #000000;">Three weeks ago Bristol-Myers Squibb received FDA approval for Orencia to be formulated as a subcutaneous self- injectable drug. This makes Orencia first biologic arthritis treatment to be available as both an infusion and an injectable.</span></p>
<p><span style="color: #000000;"> According to reports on Medscape (see link below),  the head to head comparison of injectable -vs- intravenous formulations showed nearly identical results.  Areas assessed included  patient improvement, site reactions, and risks of infection. Studies were conducted with a test group of 1,457 patients over a six month period. Dosages were given once a week by injection or once a month by infusion.</span></p>
<pre><a title="Abatacept Equally Effective, Safe SubQ or IV" href="http://www.medscape.com/viewarticle/744399" target="_blank">http://www.medscape.com/viewarticle/744399</a></pre>
<p><span style="color: #000000;">All of the patients studied  were RA patients and all were taking methotrexate with Orencia.  Hopefully, patients with other autoimmune diseases (such as psoriatic arthritis) would have similar results with either formulation.</span></p>
<p><strong><span style="color: #0000ff;"> S</span><span style="color: #0000ff;">o….</span></strong></p>
<ul>
<li><strong><span style="color: #0000ff;">If you are on Orencia by infusion, will you switch to a self injectable?</span></strong></li>
</ul>
<ul>
<li><strong><span style="color: #0000ff;">If you are on another biologic treatment via infusion would you ask your doctor about Orencia because it is an injectable?</span></strong></li>
</ul>
<ul>
<li><strong><span style="color: #0000ff;">Why or why not?</span></strong></li>
</ul>
<p style="text-align: center;"><em><span style="color: #000000;"><strong>Please share your comments.</strong></span></em></p>
<p><strong><span style="color: #008000;"><a href="http://arthritisguru.com/injections-vs-infusions/self-injection-thigh" rel="attachment wp-att-512"><span style="color: #008000;"><img class="aligncenter size-full wp-image-512" title="self injection thigh" src="http://arthritisguru.com/wp-content/uploads/2011/08/self-injection-thigh.jpg" alt="" width="231" height="200" /></span></a></span></strong></p>
<p><strong></strong><br />
<span style="color: #000000;"><strong> Coming soon: <em></em></strong></span></p>
<p><span style="color: #0000cc;"><strong><em>Does Orencia’s  success in having two formulations increase the likelihood that other biologics will do the same?</em></strong></span></p>
<pre></pre>
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		<title>Learning about Medscape.com</title>
		<link>http://arthritisguru.com/learning-about-medscape-com</link>
		<comments>http://arthritisguru.com/learning-about-medscape-com#comments</comments>
		<pubDate>Tue, 07 Jun 2011 21:27:42 +0000</pubDate>
		<dc:creator>LaRita</dc:creator>
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		<guid isPermaLink="false">http://arthritisguru.com/?p=58</guid>
		<description><![CDATA[In many of my blogs I am likely to cite Medscape.com as my source.  Medscape is a site for medical professionals to receive information about the latest research.  You may be familiar with WebMD which is a site for patient information, and is part of the same group. There will always be a link to [...]]]></description>
			<content:encoded><![CDATA[<p>In many of my blogs I am likely to cite Medscape.com as my source.  Medscape is a site for medical professionals to receive information about the latest research.  You may be familiar with WebMD which is a site for patient information, and is part of the same group.</p>
<p>There will always be a link to the article when I am writing about something I have read. When the link is Medscape, you will need a password to open the link.  You can create a Medscape account for free, and I encourage you to do so.  Some blogs may give you sufficient info to go on with your day, while other blogs may inspire you to read more at Medscape.  So consider going to www.medscape.com now and signing up!</p>
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