BACKGROUND Gout and seronegative rheumatoid arthritis(SNRA)are two distinct inflammatory joint diseases whose co-occurrence is relatively infrequently reported.Limited information is available regarding the clinical m...BACKGROUND Gout and seronegative rheumatoid arthritis(SNRA)are two distinct inflammatory joint diseases whose co-occurrence is relatively infrequently reported.Limited information is available regarding the clinical management and prognosis of these combined diseases.CASE SUMMARY A 57-year-old woman with a 20-year history of joint swelling,tenderness,and morning stiffness who was negative for rheumatoid factor and had a normal uric acid level was diagnosed with SNRA.The initial regimen of methotrexate,leflunomide,and celecoxib alleviated her symptoms,except for those associated with the knee.After symptom recurrence after medication cessation,her regimen was updated to include iguratimod,methotrexate,methylprednisolone,and folic acid,but her knee issues persisted.Minimally invasive needle-knife scope therapy revealed proliferating pannus and needle-shaped crystals in the knee,indicating coexistent SNRA and atypical knee gout.After postarthroscopic surgery to remove the synovium and urate crystals,and following a tailored regimen of methotrexate,leflunomide,celecoxib,benzbromarone,and allopurinol,her knee symptoms were significantly alleviated with no recurrence observed over a period of more than one year,indicating successful management of both conditions.CONCLUSION This study reports the case of a patient concurrently afflicted with atypical gout of the knee and SNRA and underscores the significance of minimally invasive joint techniques as effective diagnostic and therapeutic tools in the field of rheumatology and immunology.展开更多
Herein,we develop cost-efficient superhigh-performance of engineering carbonaceous adsorbent from cigarette butts using combined wet-impregnated and re-dispersed method of KOH,which optimizes the implant approach of a...Herein,we develop cost-efficient superhigh-performance of engineering carbonaceous adsorbent from cigarette butts using combined wet-impregnated and re-dispersed method of KOH,which optimizes the implant approach of activator,breaking the restriction of selective capture of toluene using traditional activated carbon.The Brunauer-Emmett-Teller(BET)surface area and pore volume of targeted adsorbent can attain 3088 m^(2)·g^(-1) and 1.61 cm^(3)·g^(-1),respectively,by optimizing the temperaturedependent synthetic factor effect of the adsorbent.The adsorption capacity of resultant adsorbent for presenting volatile benzene and toluene shows a positive correlation with increasing carbonization temperature of carbon precursor.Besides,we demonstrated the unsmoked and smoked butts derived adsorbents afford feeble difference in saturated adsorbed capacity of volatile organic compounds(VOCs).The highest adsorption capacity of sample CF-800 for benzene and toluene in CF group is as high as 1268.1 and 1181.6 mg·g^(-1) respectively,slightly higher than that of sample UF-800,but far outperforming reported other adsorbents.The predicted adsorption selectivity of CF-800 and UF-800 for C_(7)H_(8)/H_(2)O(g)using the DIH(difference of isosteric heats)equation reach up to ca.3800 and 7500 respectively,indicating the weak adsorbability of water vapor on the developed adsorbent and greater superiority of the smoked butts derived adsorbents in selective capture of VOCs at low relative humidity in the competitive adsorption process for practical mixed VOCs.展开更多
High applied thermal-stability and superior structural property for activated carbon adsorbent are extremely promising,which also is the determining short slab in volatile organic compounds(VOCs)adsorption application...High applied thermal-stability and superior structural property for activated carbon adsorbent are extremely promising,which also is the determining short slab in volatile organic compounds(VOCs)adsorption applications.Herein,we develop the outstanding engineering carbon adsorbents from waste shaddock peel which affords greatly-enhanced thermal-stability and super structural property(S_(Lang)=4962.6 m2·g^(-1),Vmicro=1.67 cm^(3)·g^(-1)).Such character endows the obtained adsorbent with ultrahigh adsorption capture performance of VOCs specific to benzene(16.58 mmol·g^(-1))and toluene(15.50 mmol·g^(-1),far beyond traditional zeolite and activated carbon even MOFs materials.The structural expression characters were accurately correlated with excellent adsorption efficiency of VOCs by studying synthetic factor-controlling comparative samples.Ulteriorly,adsorption selectivity prediction at different relative humidity was demonstrated through DIH(difference of the isosteric heats),exceedingly highlighting great superiority(nearly sixfold)in selective adsorption of toluene compared to volatile benzene.Our findings provide the possibility for practical industrial application and fabrication of waste biomass-derived outstanding biochar adsorbent in the environmental treatment of threatening VOCs pollutants.展开更多
基金Supported by Natural Science Foundation of Guangdong Province,No.2023A1515011213。
文摘BACKGROUND Gout and seronegative rheumatoid arthritis(SNRA)are two distinct inflammatory joint diseases whose co-occurrence is relatively infrequently reported.Limited information is available regarding the clinical management and prognosis of these combined diseases.CASE SUMMARY A 57-year-old woman with a 20-year history of joint swelling,tenderness,and morning stiffness who was negative for rheumatoid factor and had a normal uric acid level was diagnosed with SNRA.The initial regimen of methotrexate,leflunomide,and celecoxib alleviated her symptoms,except for those associated with the knee.After symptom recurrence after medication cessation,her regimen was updated to include iguratimod,methotrexate,methylprednisolone,and folic acid,but her knee issues persisted.Minimally invasive needle-knife scope therapy revealed proliferating pannus and needle-shaped crystals in the knee,indicating coexistent SNRA and atypical knee gout.After postarthroscopic surgery to remove the synovium and urate crystals,and following a tailored regimen of methotrexate,leflunomide,celecoxib,benzbromarone,and allopurinol,her knee symptoms were significantly alleviated with no recurrence observed over a period of more than one year,indicating successful management of both conditions.CONCLUSION This study reports the case of a patient concurrently afflicted with atypical gout of the knee and SNRA and underscores the significance of minimally invasive joint techniques as effective diagnostic and therapeutic tools in the field of rheumatology and immunology.
基金This work was financially supported by the National Natural Science Foundation of China(51672114,21908085,21806077)Natural Science Foundation of Jiangsu Province(BK20190961)+2 种基金Foundation from Marine Equipment and Technology Institute for Jiangsu University of Science and Technology(HZ20190004)Postdoctoral Research Foundation of Jiangsu Province(2020Z291)High-tech Ship Research Project of the Ministry of Industry and Information Technology(No.[2017]614).
文摘Herein,we develop cost-efficient superhigh-performance of engineering carbonaceous adsorbent from cigarette butts using combined wet-impregnated and re-dispersed method of KOH,which optimizes the implant approach of activator,breaking the restriction of selective capture of toluene using traditional activated carbon.The Brunauer-Emmett-Teller(BET)surface area and pore volume of targeted adsorbent can attain 3088 m^(2)·g^(-1) and 1.61 cm^(3)·g^(-1),respectively,by optimizing the temperaturedependent synthetic factor effect of the adsorbent.The adsorption capacity of resultant adsorbent for presenting volatile benzene and toluene shows a positive correlation with increasing carbonization temperature of carbon precursor.Besides,we demonstrated the unsmoked and smoked butts derived adsorbents afford feeble difference in saturated adsorbed capacity of volatile organic compounds(VOCs).The highest adsorption capacity of sample CF-800 for benzene and toluene in CF group is as high as 1268.1 and 1181.6 mg·g^(-1) respectively,slightly higher than that of sample UF-800,but far outperforming reported other adsorbents.The predicted adsorption selectivity of CF-800 and UF-800 for C_(7)H_(8)/H_(2)O(g)using the DIH(difference of isosteric heats)equation reach up to ca.3800 and 7500 respectively,indicating the weak adsorbability of water vapor on the developed adsorbent and greater superiority of the smoked butts derived adsorbents in selective capture of VOCs at low relative humidity in the competitive adsorption process for practical mixed VOCs.
基金financially supported by National Natural Science Foundation of China (21908085)Natural Science Foundation of Jiangsu Province, China (BK20190961)+2 种基金Postdoctoral Research Foundation of Jiangsu Province (2020Z291)Foundation from Marine Equipment and Technology Institute for Jiangsu University of Science and Technology, China (HZ20190004)High-tech Ship Research Project of the Ministry of Industry and Information Technology, China (No. [2017] 614)
文摘High applied thermal-stability and superior structural property for activated carbon adsorbent are extremely promising,which also is the determining short slab in volatile organic compounds(VOCs)adsorption applications.Herein,we develop the outstanding engineering carbon adsorbents from waste shaddock peel which affords greatly-enhanced thermal-stability and super structural property(S_(Lang)=4962.6 m2·g^(-1),Vmicro=1.67 cm^(3)·g^(-1)).Such character endows the obtained adsorbent with ultrahigh adsorption capture performance of VOCs specific to benzene(16.58 mmol·g^(-1))and toluene(15.50 mmol·g^(-1),far beyond traditional zeolite and activated carbon even MOFs materials.The structural expression characters were accurately correlated with excellent adsorption efficiency of VOCs by studying synthetic factor-controlling comparative samples.Ulteriorly,adsorption selectivity prediction at different relative humidity was demonstrated through DIH(difference of the isosteric heats),exceedingly highlighting great superiority(nearly sixfold)in selective adsorption of toluene compared to volatile benzene.Our findings provide the possibility for practical industrial application and fabrication of waste biomass-derived outstanding biochar adsorbent in the environmental treatment of threatening VOCs pollutants.
