rheumatoid arthritis and chemotherapy
Health newsCan you bring anticancer drugs to rheumatoid arthritis? Patients with rheumatoid arthritis and autoimmunity face a high risk for cancer, but now researchers have found that the reverse can also be true. Many people with rheumatoid arthritis (RA) have been told to be at increased risk of cancer due to illness and treatments, such as biological and immunosuppressants, who suffer. But what these patients, and perhaps even their doctors, did not know until recently is that cancer medications can also cause the RA. There has been a well-known link between . Typically, there has been a risk that RA patients face a high risk of cancer, but not otherwise. A recent study published in the recommendations that oncologists should now monitor cancer patients who are undergoing immunotherapy treatments because these therapies can put patients at greater risk to develop the RA. Many RA patients and others with chronic autoimmune diseases have a hematologist or oncologist in their doctor's "tack of tools". But, a rheumatologist is not necessarily a doctor with whom a cancer patient would work. Oncologists should be aware of this new potential for cancer patients who have been treated with a class of drugs called inmunitary checkpoint inhibitors (ICI), according to the authors of the study. The team of 13 researchers followed 13 patients who received ICIs and developed immune-related adverse events (IRAEs). The average age of study participants was 58 years, and their types of cancer included skin cancer, lung cancer and renal cell carcinoma. Nine of these patients developed inflammatory arthritis that was diagnosed by images or synovial joint fluid tests. Four of the patients developed Sjogren syndrome, which is also a rheumatic disease. All cancer patients who developed rheumatic and other autoimmune conditions were only in ICI for a short time, and developed their IRAE in nine months or less after treatment. The researchers said that the brief twist highlights how fast the immune and rheumatological manifestations took place. Patients who developed symptoms were subjected to corticosteroids, a common treatment for RA. Some also received metotrexate or biologic as an antitumor necrosis factor (anti-TNF), which are also common therapies for the RA. In the full version of the published report, the authors of the study concluded that, "Recognizing the potential of ICI to cause IRAEs that resemble more classical autoimmune diseases will be increasingly important for rheumatologists as more patients are referred to for evaluation and management, and oncologists who must recognize these toxicities to refer." The team also noted the need for a careful base assessment and to follow these patients by rheumatologists. The researchers also stated in a press release on the published study, that a coordinated and cooperative effort among rheumatologists is not only crucial, but can become the new normality, saying that such a relationship will "be instrumental in understanding the spectrum of rheumatological IRAEs and its treatment." Oncologists will need to be alert in the investigation of symptoms reported by patients and the results of blood tests to decide when to refer a cancer patient to a rheumatologist. Related Stories Read This Next Word Series
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