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Cleveland Clinic Journal of Medicine

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Current Issue

01 Feb 2023 (Vol. 90 Issue 2) Table of Contents
Cleveland Clinic Journal of Medicine: 90 (2)

Issue highlights

  • What are the treatment options for myasthenia gravis if first-line agents fail?
  • Vitamin D: A metabolic bone disease perspective
  • Resistant hypertension: A stepwise approach

Reports from Kidney Week 2022 Annual Meeting.

Summaries from ACR Convergence 2022 Meeting

Featured Articles

  • The constellation of vitamin D, the acute-phase response, and inflammation
    February 01, 2023
  • Myasthenia gravis: An update for internists
    February 01, 2023
  • Update in cutaneous manifestations of COVID-19: Special populations
    January 03, 2023
  • Which patients hospitalized with alcohol withdrawal syndrome should receive high-dose parenteral...
    January 03, 2023
  • Some complexities of diabetes and the heart
    January 03, 2023
  • Test ordering: Balancing the good for the many with the good for the one
    December 01, 2022
  • Laboratory stewardship should be a priority in every hospital
    December 01, 2022
  • Should ‘daily labs’ be a quality priority in hospital medicine?
    December 01, 2022
  • On the horizon: Extracorporeal carbon dioxide removal
    December 01, 2022
  • Reducing the risk of breast cancer
    November 01, 2022
  • Another vaccine article? Yes, but a different vaccine
    November 01, 2022
  • Benign paroxysmal positional vertigo: Effective diagnosis and treatment
    November 01, 2022
  • A 65-year-old man with melena and a blood disorder
    October 03, 2022
  • Mucormycosis presenting as dental pain
    October 03, 2022
  • Decongesting heart failure with diuretics: Easier to prescribe than to fully understand
    October 03, 2022

Latest Articles

  • Resistant hypertension: A stepwise approach
    You have access
    Resistant hypertension: A stepwise approach
    CME article
    Jordana Yahr, DO, George Thomas, MD, Juan Calle, MD and Jonathan J. Taliercio, DO
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 115-125; DOI: https://doi.org/10.3949/ccjm.90a.22046

    The authors review the definition and prevalence of resistant hypertension and its diagnostic workup and management, including lifestyle modifications, drugs, and experimental therapies.

  • You have access
    Vitamin D: A metabolic bone disease perspective
    Bruce Long, MD, FACR, BS Pharm
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 91-92; DOI: https://doi.org/10.3949/ccjm.90a.22086

    When checking levels, clinicians should keep in mind that vitamin D levels fluctuate by season and time of day, and that different laboratories may use different assays that yield different results.

  • You have access
    What are the treatment options for myasthenia gravis if first-line agents fail?
    Christopher Zust, MD and John A. Morren, MD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 81-84; DOI: https://doi.org/10.3949/ccjm.90a.22022

    From 5% to 20% of patients may have a suboptimal response or prohibitive adverse effects over a period of a few weeks to 3 months.

  • You have access
    The constellation of vitamin D, the acute-phase response, and inflammation
    Maria J. Antonelli, MD, Irving Kushner, MD and Murray Epstein, MD, FASN, FACP
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 85-89; DOI: https://doi.org/10.3949/ccjm.90a.22048

    An astronomic increase in vitamin D testing and supplementation is happening in the absence of an evidence-based rationale.

  • You have access
    Oral leukoplakia and oral cancer
    Takeshi Onda, DDS, PhD, Kamichika Hayashi, DDS, PhD, Akira Katakura, DDS, PhD and Masayuki Takano, DDS, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 79-80; DOI: https://doi.org/10.3949/ccjm.90a.22044

    A 53-year-old male who had smoked for 36 years was referred by his dentist for worsening vitiligo diagnosed as leukoplakia 3 years earlier.

  • You have access
    Myasthenia gravis: An update for internists
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 72-73; DOI: https://doi.org/10.3949/ccjm.90b.02023

    Recognizing the spectrum of the disease in patients’ complaints enhances our clinical reasoning skills when faced with the extremely commonly expressed symptom of “fatigue.”

  • You have access
    Myasthenia gravis: Frequently asked questions
    John A. Morren, MD and Yuebing Li, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 103-113; DOI: https://doi.org/10.3949/ccjm.90a.22017

    Who is at risk? Which tests should be ordered? How does the disease course affect management decisions? What instructions should you give patients? And other questions.

  • You have access
    Our Peer-Reviewers For 2022
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 78;
  • You have access
    A 50-year-old man presents with shortness of breath
    Kaylee Watson, MD, David Wolinsky, MD, Mauricio Velez, MD and David Snipelisky, MD, FACC
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 95-101; DOI: https://doi.org/10.3949/ccjm.90a.22021

    Red flags included low voltage, normal sinus rhythm, and Q waves on electrocardiography, a history of carpal tunnel syndrome, and evidence of renal dysfunction.

  • You have access
    Some complexities of diabetes and the heart
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 13-14; DOI: https://doi.org/10.3949/ccjm.90b.01023

    Patients with diabetes are at greater risk of coronary artery disease than their peers without diabetes. That’s straight and simple. But there the simplicity ends.

View more latest articles
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Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy
Asymptomatic granules on the buccal mucosa
Does my patient need to be screened or treated for a urinary tract infection?
Ignore e-cigarettes at your patient’s peril
Spontaneous oral hematoma diagnosed as angina bullosa hemorrhagica
Hypophosphatemia in a patient with an eating disorder
Scaly plaques in a malnourished patient
Confusion in a 22-year-old woman, and diagnostic uncertainty
How do we maximize diuresis in acute decompensated heart failure?

Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.

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