Allergy/Immunology
- A link between A-fib and sleep apnea is no surprise, but why?
The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.
- Appropriate laboratory testing in Lyme disease
Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.
- A few pearls can help prepare the mind
The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.
- Vulvar and gluteal manifestations of Crohn disease
Crohn disease is associated with extraintestinal manifestations in up to 45% of patients.
- Myopathy for the general internist: Statins and much more
How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as potentially dangerous myopathies.
- Cardiovascular complications of systemic sclerosis: What to look for
Pulmonary arterial hypertension, atherosclerosis, heart failure, arrhythmias, pericardial disease, and valvular heart disease.
- Clinical trials: More to learn than the results
The details of the GIACTA trial challenge and reaffirm some of our clinical impressions about giant cell arteritis.
- Giant cell arteritis: An updated review of an old disease
Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.
- Subclinical hypothyroidism February 2019
The article: Azim S, Nasr C. Subclinical hypothyroidism: When to treat. Cleve Clin J Med 2019; 86(2):101–110. doi:10.3949/ccjm.86a.17053 contained an error.
- Pyoderma gangrenosum mistaken for diabetic ulcer
A man with type 2 diabetes, hypertension, anemia, and ulcerative colitis presented with an ulcer on his leg.