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Disrupted sleep, plus nightmares could be linked to autoimmune diseases, experts say

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Disrupted sleep, plus nightmares could be linked to autoimmune diseases, experts say

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Those who experience vivid nightmares and odd hallucinations might have an underlying autoimmune disease, a new study suggests.

An international research team led by scientists at the University of Cambridge and King’s College London explored the potential link between nightmares and hallucinations and systemic autoimmune rheumatic diseases. 

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The study, published in March in the journal eClinicalMedicine, included 676 people with lupus and 400 people from the medical field, as well as interviews with 69 people living with systemic autoimmune rheumatic diseases, SWNS reported. 

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Those with autoimmune diseases were asked about the timing of their neurological and mental health symptoms, such as disrupted sleep, hallucinations, depression and loss of balance. 

Of the 29 symptoms listed, the participants were asked to rank such symptoms in the order in which they occurred relative to their disease flare-ups.

The study looked at not only the issues surrounding sleep, but also when the issues for participants began. (iStock)

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The study found that three in five people experienced “vivid” and “distressing” nightmares that involved being trapped, attacked or falling — resulting in disrupted sleep.

One-third of those immune-compromised participants said they noticed the trend over a year before their lupus onset. 

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Lupus is defined as “a disease that occurs when your body’s immune system attacks your own tissues and organs,” according to the Mayo Clinic. 

One in four participants stated that they noticed hallucinations — although 85% said they didn’t experience the symptoms until the disease onset or later. 

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The study linked patients with an autoimmune disease, such as lupus, to disrupted sleep — including nightmares.  (iStock)

Three in five people with lupus and one in three with other rheumatology-related conditions said they noticed an uptick in sleep disruptions just before their hallucinations would begin, according to SWNS. 

The lead author of the study, Dr. Melanie Sloan of the University of Cambridge, noted in the study that in many cases, patients and doctors will not discuss mental health or neurological symptoms in relation to these diseases.

Three in five people with lupus noticed an uptick in sleep disruptions just before their hallucinations began.

“It’s important that clinicians talk to their patients about these types of symptoms and spend time writing down each patient’s individual progression of symptoms,” she said. 

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Misdiagnosis was also mentioned in the study, as some participants said lupus and other autoimmune diseases were overlooked at first, SWNS reported. 

For example, a participant from Scotland was diagnosed with borderline personality disorder at age 18 before being diagnosed with lupus at 19.

The study found that three in five people experienced disrupted sleep with “vivid” and “distressing” nightmares that involved being trapped, attacked or falling.  (iStock)

“It was all very close together,” the participant said — noting that it was just a six-month period between “when my borderline personality disorder got under control and my lupus got under control,” SWNS said. 

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Dr. Raj Dasgupta, a California-based chief medical adviser for Sleepopolis, was not involved in the study but shared reaction to the findings with Fox News Digital. 

Dasgupta, who is quadruple-board certified in pulmonary, sleep, internal and critical care medicine, said the study supports the perspective that a “high prevalence of neuropsychiatric symptoms, such as headaches, mood and fatigue” are commonly linked to patients with systemic lupus erythematosus (SLE). 

Dr. Raj Dasgupta said that sleep issues among patients with SLE need to be discussed in order for people to achieve a better quality of life.  (Sleepoplis)

SLE is a “chronic disease that can affect any organ, including the nervous system,” Dasgupta noted.

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“This study also supports the fact that patients with SLE are subject to complications of its treatment, including steroid-related psychosis,” he added.

Misdiagnosis was also mentioned in the study. 

Sleep issues are common in people with SLE, said Dasgupta, with over half of patients experiencing restlessness, poor sleep quality and difficulty falling asleep. 

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“These issues can be caused by pain, medication effects and the disease’s impact on the brain,” he said. 

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Fox News Digital reached out to the eClinicalMedicine journal for further information. 

Sleepoplis consists of a team of writers, product reviewers and sleep experts who provide reviews and sleep health content, per the company’s website. 

For more Health articles, visit foxnews.com/health

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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