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Volume 21 Issue 11, November 2025

Inspired by the Editorial on p641.

Cover design: Steven Hall

Editorial

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Comment

  • Both rheumatology and the publishing environment have seen tremendous changes over the past two decades. Here, the first Editor in-Chief reflects on the challenges faced by this journal and what it has taken to remain at the forefront of the field.

    • Peter E. Lipsky
    Comment
  • The future of rheumatology research will be defined by the growing era of personalized and stratified medicine, with a focus on establishing drug-free remission. In the face of substantial global upheaval, now is the time to ensure no patient group is left behind by prioritizing research equity and inclusion.

    • Elizabeth C. Rosser
    • Lucy R. Wedderburn
    Comment
  • In the past two decades the field of hand osteoarthritis (OA) has moved from resignation to action. Despite progress, such as the recognition of the phenotypic heterogeneity of hand OA (including inflammation- and/or metabolic syndrome-associated hand OA) and the standardization of imaging and treatment outcomes, challenges remain in achieving truly disease-modifying therapies.

    • Francis Berenbaum
    • Emmanuel Maheu
    Comment
  • The collective priorities of the rheumatology field represent the lived experience, and therefore diversity of its members. The ‘mould’ of rheumatology, that is, its culture, structures and expectations, was not created for or by women, but women have slowly changed this mould to make space for diverse perspectives.

    • Ashira D. Blazer
    • Grace C. Wright
    Comment
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Research Highlights

  • Although DADA2 is typically described as an autosomal recessive disease, it can also present in individuals who are heterozygous for specific ADA2 variants.

    • Holly Webster
    Research Highlight
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Viewpoint

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Reviews

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Perspectives

  • This Perspective article discusses the stratification of patients with knee osteoarthritis (OA) in the context of current guidelines, biomarkers and emerging and future developments of targeted treatment. The authors aim to highlight how these novel developments can enhance the stratification of patients with knee OA to improve patient outcomes.

    • Nicholas R. Fuggle
    • Roland Chapurlat
    • Nicholas C. Harvey
    Perspective
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