Table of Contents
From the Editor
- Fire, skin, and fat: Inflammation, psoriasis, and cardiovascular disease
The connection between psoriasis and atherosclerosis is not well understood, but we should be vigilant about cardiovascular risk factors in these patients.
The Clinical Picture
- Anemia, leukocytosis, abdominal pain, flushing, and bone and skin lesions
Physical examination revealed hepatosplenomegaly and an erythematous, maculopapular, confluent rash on the trunk. What is the most likely diagnosis?
- Superior vena cava syndrome
A 60-year-old man developed superior vena cava syndrome due to thrombosis of a central venous catheter used for dialysis.
- A skin lesion after cardiac catheterization
Two days after coronary angiography, the patient developed pain, cyanosis, and lesions on the sole of his foot. What is the most likely diagnosis?
Medical Grand Rounds
- Acute community-acquired bacterial meningitis in adults: An evidence-based review
Can we rule it out based on the history and physical examination? Is lumbar puncture needed, and should computed tomography of the head be done first? Which drugs should we start empirically?
Im Board Review
- Sudden hypoxia during knee surgery
Fat embolism syndrome is an unpredictable condition with varied presentation.
Review
- Psoriasis: Evolving treatment for a complex disease
Although topical steroids and phototherapy are mainstays of treatment, biologic agents give new hope to patients with severe disease.
UV protection and sunscreens: What to tell patientsSome measures are straightforward, but sunscreens have been a source of confusion in their labeling and SPF ratings.
Commentary
Cost-effectiveness analysis, our best tool for comparing apples and oranges, is itself a lot like apples and oranges.