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					<title>Blood thinners (coumadin) and treatment of RA</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/blood-thinners-coumadin-and-treatment-of-ra-1169.html</link>
					<description><![CDATA[Hi Nancy, Great question !!&nbsp; Definitely nonsteroidal antiinflammatory drugs (NSAIDs) like ibuprofen and naproxen and all in that category are contraindicated because they will thin the blood further in someone on ......]]></description>
					<pubDate>Thu, 22 Oct 2009 08:37:24 -0500</pubDate>
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					<title>Cancer, psoriatic arthritis, and anti-TNF drugs (Enbrel, Humira, Remicade, etc)</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/psoriatic-arthritis-017/cancer-psoriatic-arthritis-and-anti-tnf-drugs-enbrel-hum-1165.html</link>
					<description><![CDATA[HI Virgil, Several hundreds of&nbsp;thousand of patients with various inflammatory types of arthritis have not taken one or more of the anti-TNF drugs (humira, enbrel, remicade).&nbsp; We feel fairly certain based ......]]></description>
					<pubDate>Thu, 22 Oct 2009 08:37:15 -0500</pubDate>
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					<title>Jaw pain and rheumatoid arthritis</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/clinical-020002/jaw-pain-and-rheumatoid-arthritis-1166.html</link>
					<description><![CDATA[HI Charity, The jaw joints can be affected in several types of inflammatory arthritis.&nbsp; This is not terribly unusual, though probably it&nbsp;is involved&nbsp;more frequently in children with RA than adults.&nbsp; Presumably, ......]]></description>
					<pubDate>Thu, 22 Oct 2009 08:37:07 -0500</pubDate>
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					<title>Humidity and osteoarthritic pain</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/ankylosing-spondylitis-as-001/humidity-and-osteoarthritic-pain-1167.html</link>
					<description><![CDATA[HI Roy, Many people complain of more joint pain when it is humid.&nbsp; No one understands exactly why, but folks with arthritis feel that they are barometers, able to sense when ......]]></description>
					<pubDate>Thu, 22 Oct 2009 08:36:58 -0500</pubDate>
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					<title>Dental work and remicade</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/dental-work-and-remicade-1168.html</link>
					<description><![CDATA[HI Helen, The TNF inhibitor class of drugs which includes Humira has been associated with an increased risk of some infections.&nbsp; They may predispose to infections in bone around the time ......]]></description>
					<pubDate>Thu, 22 Oct 2009 08:36:48 -0500</pubDate>
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				<item>
					<title>Gout and alcohol intake</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/gout-pseudogout-other-009/gout-and-alcohol-intake-1173.html</link>
					<description><![CDATA[Hi Ozzy, Excessive alcohol use is a definite risk factor for gout, especially beer.&nbsp; In fact, excessive alcohol use has many potential bad effects on the liver, heart, nerves, and other ......]]></description>
					<pubDate>Mon, 05 Oct 2009 05:24:15 -0500</pubDate>
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					<title>Edema and arthritis medications</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/edema-and-arthritis-medications-1172.html</link>
					<description><![CDATA[HI Mary, In general, the drugs that you list do not cause edema.&nbsp; The arthritis drugs that can cause edema are the non-steroidal antiinflammatory drugs (NSAIDs) like ibuprofen, naproxen, celecoxib, etc. ......]]></description>
					<pubDate>Mon, 05 Oct 2009 05:22:07 -0500</pubDate>
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					<title>prednisone use </title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/prednisone-use-1171.html</link>
					<description><![CDATA[We generally prefer patients NOT to be on prednisone as it takes it toll long-term on bone quality, risk of diabetes, risk of hypertension, weight gain, etc.&nbsp; The methotrexate dose of ......]]></description>
					<pubDate>Mon, 05 Oct 2009 05:20:22 -0500</pubDate>
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					<title>Pregnancy and the RF test</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/cause-020001/pregnancy-and-the-rf-test-1170.html</link>
					<description><![CDATA[HI Elizabeth, Pregnancy can affect many test results, but I am not aware of any reports that the RF (rheumatoid factor) test is increased or decreased in the presence of a ......]]></description>
					<pubDate>Mon, 05 Oct 2009 05:16:45 -0500</pubDate>
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					<title>What kind of specialist treats dermatomyositis?</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/myositis-011/what-kind-of-specialist-treats-dermatomyositis-430.html</link>
					<description><![CDATA[Dermatomyositis is managed by rheumatologists, but often help with diagnosis is provided by the neuromuscular clinic or dermatology. There is a specialty clinic for dermatomyositis at Johns Hopkins. More information can ......]]></description>
					<pubDate>Thu, 30 Jul 2009 15:11:02 -0500</pubDate>
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					<title>Osteoarthritis and elliptical exercise machines</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-013003/osteoarthritis-and-elliptical-exercise-machines-1164.html</link>
					<description><![CDATA[HI Linda, I can\'t answer specifically for you, but in general elliptical machines are good for folks with knee arthritis since the knee is held fairly stable during the rotations.&nbsp; Also, ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:33:17 -0500</pubDate>
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					<title>lupus</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/systemic-lupus-erythematosus-sle-022/lupus-1163.html</link>
					<description><![CDATA[Why on earth would you not tell your doctors about these conditions?&nbsp; In order for a physician to take proper care of you, all medical information should be divulged.&nbsp; Of course, ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:29:36 -0500</pubDate>
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					<title>TNF inhibitors and lupus</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/tnf-inhibitors-and-lupus-1162.html</link>
					<description><![CDATA[HI Cheryl, Good question.&nbsp; In general, the TNF inhibitors (Enbrel, Remicade and Humira) have indeed been associated with development of lupus like syndromes, mainly manifested by rashes and some other mild ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:28:00 -0500</pubDate>
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					<title>RA and surgery</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/ra-and-surgery-1161.html</link>
					<description><![CDATA[Hi Anna, There is no specific contraindication to having breast implant surgery, or any other surgery, while on treatment for RA.&nbsp; However, some medications should be stopped prior to surgery, and ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:25:43 -0500</pubDate>
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					<title>methotrexate and side effects</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/methotrexate-and-side-effects-1160.html</link>
					<description><![CDATA[Dear Becky, Some people think injectable MTX actually causes fewer side effects.&nbsp; It can vary from individual to individual.&nbsp;...]]></description>
					<pubDate>Tue, 16 Jun 2009 11:22:47 -0500</pubDate>
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					<title>NSAIDs and surgery</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/ankylosing-spondylitis-as-001/nsaids-and-surgery-1159.html</link>
					<description><![CDATA[Diclofenac is a member of the family of nonsteroidal antiinflammatory drugs (NSAIDs).&nbsp; One of the effects of these drugs is to reduce normal clotting, so the risk during surgery is that ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:21:41 -0500</pubDate>
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				</item>
				<item>
					<title>Rheumatoid Factor</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/clinical-020002/rheumatoid-factor-1158.html</link>
					<description><![CDATA[H Sarah, this is an extremely high rheumatoid factor.&nbsp; Usually, a rheumatoid factor that high is associated with either rheumatoid arthritis or Sjogren\'s syndrome.&nbsp; However, a lab test by itself does ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:19:38 -0500</pubDate>
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					<title>Gout and OTC drugs</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/gout-pseudogout-other-009/gout-and-otc-drugs-1157.html</link>
					<description><![CDATA[Dear Danny, Yes, over the counter nonsteroidal antiinflammatory medications like naproxen (Alleve) or ibuprofen (Motrin, Nuprin) can reduce the inflammation of gout quite effectively if the dose is high enough.&nbsp; Patients ......]]></description>
					<pubDate>Tue, 16 Jun 2009 11:17:36 -0500</pubDate>
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					<title>TNF inhibitors and shingles</title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/tnf-inhibitors-and-shingles-1156.html</link>
					<description><![CDATA[Yes, Enbrel and Imuran do increase your chances of infection such as shingles (Herpes zoster) and urinary tract infections.&nbsp;&nbsp;But these infections &nbsp;might also occur&nbsp;without these medications.&nbsp; Other medications to treat RA ......]]></description>
					<pubDate>Sat, 13 Jun 2009 12:07:48 -0500</pubDate>
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					<title>Switching TNF inhibitors </title>
					<link>http://www.hopkins-arthritis.org/ask-the-expert/treatment-020003/switching-tnf-inhibitors-1155.html</link>
					<description><![CDATA[There is not a lot of good&nbsp;controlled information from studies on the effectiveness of switching from one TNF inhibitor to another versus trying a drug with a different mechanism of action ......]]></description>
					<pubDate>Sat, 13 Jun 2009 11:50:53 -0500</pubDate>
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