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Rheumatic Heart Disease I: Introduction01:23

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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Integrative Rheumatology: A Paradigm Shift for Human and Planetary Health.

Neha S Shah1

  • 1Division of Immunology and Rheumatology, Department of Medicine, Stanford University, 300 Pasteur Drive Suite H305, Stanford, CA 94305, USA.

Rheumatic Diseases Clinics of North America
|November 20, 2025
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Summary

Integrative rheumatology merges conventional and complementary therapies for rheumatic diseases, focusing on holistic patient care. Despite challenges, this approach promises improved health outcomes and environmental consciousness.

Keywords:
Complementary medicineHuman healthIntegrative rheumatologyPlanetary health

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Area of Science:

  • Rheumatology
  • Integrative Medicine
  • Public Health

Background:

  • Rheumatic diseases require comprehensive management beyond conventional treatments.
  • Systemic, psychological, and environmental factors significantly impact rheumatic conditions.
  • Current healthcare models may not fully address the holistic needs of patients with rheumatic diseases.

Purpose of the Study:

  • To introduce and define the emerging field of integrative rheumatology.
  • To explore the potential benefits and challenges of integrating complementary therapies into rheumatology care.
  • To advocate for a patient-centered and environmentally conscious healthcare paradigm.

Main Methods:

  • Literature review synthesizing evidence on integrative approaches in rheumatology.
  • Analysis of systemic, psychological, and environmental factors in rheumatic disease management.
  • Discussion of challenges including skepticism, regulatory and funding gaps, and provider training.

Main Results:

  • Integrative rheumatology combines evidence-based conventional and complementary therapies.
  • Potential benefits include improved patient outcomes, cost-effectiveness, and promotion of planetary health.
  • Significant challenges impede widespread adoption and access to these therapies.

Conclusions:

  • Integrative rheumatology offers a promising patient-centered model for managing rheumatic diseases.
  • Addressing challenges is crucial for realizing the full potential of this holistic approach.
  • This field advocates for equitable access to sustainable therapies and environmentally conscious healthcare.