Neuroimmunology and the rheumatologist: Another core competency
Over the past 75 years, rheumatology has helped define modern clinical immunology. Yet for much of that history, the average practicing rheumatologist did not need an extensive working knowledge of immunologic mechanisms to care for patients.
We treated inflammatory arthritis with gold salts, penicillamine, nonsteroidal anti-inflammatory drugs and eventually methotrexate. Although remarkable advances in basic and translational immunology were occurring, they remained largely the domain of investigators.
That changed with the arrival of biologic therapies in the late 1990s. Suddenly, every