Allergy/Immunology
- Oral hyperpigmentation with weakness and salt-craving
The patient’s primary care physician had attributed the hyperpigmentation on the lower lip and inner cheek to pen ink.
- Does my patient need an allergy evaluation for penicillin allergy?
In patients with reported penicillin allergy, obtaining a detailed allergy history directly from the patient is the essential first step.
- Anaphylaxis: Highlights from the practice parameter update
The update addresses diagnostic criteria, treatment options, prevention of recurrences, and patient education on avoiding triggers and using self-injectable epinephrine.
- Anaphylaxis: Expanding our perspective
Anaphylaxis is not always the extreme scenario we learned about in medical school. There is a range of far milder allergic infusion reactions that are nonetheless anaphylaxis.
- A perspective on discussing COVID-19 vaccines: Efficacy and adverse effects
Physicians should be vigilant and open-minded regarding possible adverse reactions to the vaccines, and should take time to discuss the demonstrated efficacy of vaccines with patients.
- COVID-19 vaccine-induced cellulitis and myositis
The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.
- Updated guidelines for immune thrombocytopenic purpura: Expanded management options
The aim is to help practitioners decide on inpatient vs outpatient management, thresholds for initiating treatment, and options for second-line treatment in adults.
- Antibody-mediated autoimmune encephalitis: A practical approach
Symptoms may include subacute, progressive neuropsychiatric symptoms with associated cognitive dysfunction, movement disorders, and autoimmune seizures.
- Heightening awareness of blistering disorders
The spectrum of associated disorders ranges from annoying to life-threatening.
- New bullous lesions in a 72-year-old woman
Her history included psoriasis, chronic lower-extremity edema, and hypertension.