Table of Contents

August 01, 2003; Volume 70,Issue 8

From the Editor

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Our friend and art director Bob Demarest leaves the CCJM
John D. Clough, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 663;

It is with sadness, modified by appreciation, that I report that a long-time friend of the Journal has decided to part company with us and pursue other opportunities.

Editorial

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The case for clinical trials of noninvasive coronary imaging tests
Robert Detrano, MD, PhD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 664-665;

IVUS, CT, and MRI show promise, but new tests, like new therapies, must undergo clinical trials.
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Tonsillectomy in adults: A paucity of data
Sherif B. Mossad, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 669;

We need to differentiate recurrent viral pharyngitis from streptococcal tonsillitis before recommending surgery.

Review

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Acne vulgaris: One treatment does not fit all
Sharon J. Longshore, RPH, MD and Kimberly Hollandsworth, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 670-680;

With a variety of topical and oral agents available, the choice of therapy can range from simple and straightforward to intense and complex.
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Update on contraception: Benefits and risks of the new formulations
Pelin Batur, MD, Julie Elder, DO and Mark Mayer, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 681-695;

We review the new options, with emphasis on the Yasmin pill, the Lunelle injection, the Ortho Evra patch, the NuvaRing, the Mirena IUD, and emergency contraceptive kits.

Patient Information

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New contraceptives for women
Cleveland Clinic Journal of Medicine August 2003, 70 (8) 697;

1-Minute Consult

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When does an adult need a tonsillectomy?
Neil Bhattacharyya, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 698-701;

Tonsillectomy may improve quality of life, but hard data are lacking.
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Is there a role for metformin or acarbose as a weight-loss agent in the absence of diabetes?
Elias S. Siraj, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 702-704;

The evidence so far indicates that neither drug can be recommended for this indication in this situation.

Review

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Hair loss: Diagnosis and management
Fabiane Mulinari-Brenner, MD and Wilma F. Bergfeld, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 705-712;

Alopecia is distressing, and we should not underestimate its importance, either as a cosmetic problem or as a sign of a potentially serious underlying condition.
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Coronary imaging: Angiography shows the stenosis, but IVUS, CT, and MRI show the plaque
Paul Schoenhagen, MD, Richard D. White, MD, Steven E. Nissen, MD and E. Murat Tuzcu, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 713-719;

New imaging tests can reveal information about coronary artery disease that traditional angiography cannot.
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Treat high blood pressure sooner: Tougher, simpler JNC 7 guidelines
Donald G. Vidt, MD and Raymond A. Borazanian, BS

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 721-728;

In 2003, a blood pressure of 120/80 isn’t normal anymore—it’s prehypertensive.

Im Board Review

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A 77-year-old man with septic shock
James K. Stoller, MD, Raed H. Abdelhadi, MD and Curtis M. Rimmerman, MD

Cleveland Clinic Journal of Medicine August 2003, 70 (8) 729-734;

A homeless man is poorly responsive, hypotensive, and febrile—and has a new heart murmur. What is the cause?