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Official Journal of the American College of Rheumatology
ARHP PRESIDENTIAL ADDRESS
A Celebration of Rheumatology Health Professionals: We Make a Difference
Basia Belza 111
EDITORIALS
How Should We Interpret the Lower Lip Biopsy Finding in Patients Investigated for Sjogren's Syndrome?
Rolf Manthorpe 114
Steroid Hormones in Lupus Pregnancy: In Control?
Robert W. McMurray 116
ORIGINAL ARTICLES
Dermatomyositis
Decreased Aerobic Capacity in Children With Juvenile Dermatomyositis
Jeanne E. Hicks, Bart Drinkard, Ronald M. Summers, and Lisa G. Rider 118
Health Outcomes
Health Outcomes Assessment in Community Pharmacy Practices: A Feasibility Project
Jane T. Osterhaus, Seema D. Dedhiya, Michael E. Ernst, Matthew Osterhaus, Shilpa S. Mehta, and Raymond J. Townsend 124
Medical Economics
The Iatrogenic Costs of NSAID Therapy: A Population Study
Miriam C. J. M. Sturkenboom, Ferdinando Romano, Giorgio Simon, Maria L. Correa-Leite, Marco Villa, Alfredo Nicolosi, Giulio Borgnolo, Gabriele Bianchi-Porro, and Salvatore Mannino 132
Osteoarthritis
Declines in Strength and Balance in Older Adults With Chronic Knee Pain: A 30-Month Longitudinal, Observational Study
Stephen P. Messier, Julie L. Glasser, Walter H. Ettinger, Jr., Timothy E. Craven, and Michael E. Miller 141
Pain Measurement
Descriptions of Joint Pain by American Indians: Comparison of Inflammatory and Noninflammatory Arthritis
B. Josea Kramer, Judith O. Harker, and Andrew L. Wong 149
Rheumatoid Arthritis
Value of Laboratory Tests in Early Prediction of Rheumatoid Arthritis
Alain Saraux, Jean M. Berthelot, Gerard Chales, Catherine Le Henaff, Jean Y. Mary, Jean B. Thorel, Sylvie Hoang, Maryvonne Dueymes, Jerome Allain, Valerie Devauchelle, Dominique Baron, Paul Le Goff, and Pierre Youinou 155
Erythroblast Iron Metabolism and Serum Soluble Transferrin Receptor Values in the Anemia of Rheumatoid Arthritis
Edward J. Fitzsimons, Tracey Houston, Robin Munro, Roger D. Sturrock, Anthony B. J. Speekenbrink, and Jeremy H. Brock 166
The Prevalence and Impact of Managed Care for Persons With Rheumatoid Arthritis in 1994 and 1999
Edward Yelin, Laura Trupin, and Patricia Katz 172
Laboratory Testing in Rheumatoid Arthritis Patients Taking Disease-Modifying Antirheumatic Drugs: Clinical Evaluation and Cost Analysis
Daniel Aletaha and Josef S. Smolen 181
Sjogren's Syndrome
Risk Factors for Positive Minor Salivary Gland Biopsy Findings in Sjogren's Syndrome and Dry Mouth Patients
Michael T. Brennan, Vidya Sankar, Rose Anne Leakan, David Kleiner, Jane C. Atkinson, William E. Wilkinson, Bruce J. Baum, and Stanley R. Pillemer 189
Systemic Lupus Erythematosus
Patients' Perceptions of the Effects of Systemic Lupus Erythematosus on Health, Function, Income, and Interpersonal Relationships: A Comparison With Wegener's Granulomatosis
Maarten M. Boomsma, Marc Bijl, Coen A. Stegeman, Cees G. M. Kallenberg, Gary S. Hoffman, and Jan Willem Cohen Tervaert 196
Steroid Hormones and Disease Activity During Pregnancy in Systemic Lupus Erythematosus
Andrea Doria, Maurizio Cutolo, Anna Ghirardello, Sandra Zampieri, Francesca Vescovi, Alberto Sulli, Massimo Giusti, Antonio Piccoli, Pasquale Grella, and Pier Franca Gambari 202
CASE REPORT
Retroperitoneal Fibrosis: An Extraarticular Manifestation of Ankylosing Spondylitis
Claire M. A. LeBlanc, Robert D. Inman, Peter Dent, Charles Smith, Paul Babyn, and Ronald M. Laxer 210
SPECIAL ARTICLE
How to Report Radiographic Data in Randomized Clinical Trials in Rheumatoid Arthritis: Guidelines From a Roundtable Discussion
Desiree van der Heijde, Lee Simon, Josef Smolen, Vibeke Strand, John Sharp, Maarten Boers, Ferdinand Breedveld, Michael Weisman, Michael Weinblatt, Rolf Rau, and Peter Lipsky 215
UPDATE
Update: Treatment of Systemic Lupus Erythematosus
Donato Alarcon-Segovia 219
TRAINEE ROUNDS
Acquired C1 Esterase Inhibitor Deficiency in Two Patients Presenting With a Lupus-Like Syndrome and Anticardiolipin Antibodies
Maria-Louise Barilla-LaBarca, Daniela Gioffre, Andrea Zanichelli, Marco Cicardi, and John P. Atkinson 223
BOOK REVIEW
Clinical Care in the Rheumatic Diseases, 2nd Edition
Maura Daly Iversen 227
ANNOUNCEMENTS 13A
Cover Illustration: Adaptive devices are essential to patients with rheumatic diseases. Using longer-lever arms or putting handles on small items allows tasks to be done with less effort. The extended handle on the kitchen faucet, the key holder, and the rubber door knob extension are all examples of this principle. Such techniques also avoid deforming stresses on small joints, an important joint protection principle.
Reprinted from the AHPA Arthritis Teaching Slide Collection Second Edition now known as the ARHP Assessment and Management of the Rheumatic Diseases: The Teaching Slide Collection for Clinicians and Educators. Copyright 1997. Used by permission of the American College of Rheumatology.




