Table of Contents
June 01, 2012; Volume 79, Issue 6-
From the Editor
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Fire, skin, and fat: Inflammation, psoriasis, and cardiovascular disease
Brian F. Mandell, MD, PhD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 376;
- DOI: https://doi.org/10.3949/ccjm.79b.12006
The connection between psoriasis and atherosclerosis is not well understood, but we should be vigilant about cardiovascular risk factors in these patients.
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Commentary
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The apples and oranges of cost-effectiveness
Vinay Prasad, MD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 377-379;
- DOI: https://doi.org/10.3949/ccjm.79a.11087
Cost-effectiveness analysis, our best tool for comparing apples and oranges, is itself a lot like apples and oranges.
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The Clinical Picture
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Anemia, leukocytosis, abdominal pain, flushing, and bone and skin lesions
Iván Álvarez-Twose, MD, Sergio Vañó-Galván, MD, PhD, Laura Sanchez-Muñoz, MD, PhD, Soledad Fernandez-Zapardiel, MD and Luis Escribano, MD, PhD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 384-386;
- DOI: https://doi.org/10.3949/ccjm.79a.10137
Physical examination revealed hepatosplenomegaly and an erythematous, maculopapular, confluent rash on the trunk. What is the most likely diagnosis?
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Superior vena cava syndrome
Khaldoon Shaheen, MD and M. Chadi Alraies, MD, FACP- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 410-412;
- DOI: https://doi.org/10.3949/ccjm.79a.11106
A 60-year-old man developed superior vena cava syndrome due to thrombosis of a central venous catheter used for dialysis.
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A skin lesion after cardiac catheterization
Salvador Arias-Santiago, MD, Phd, Jose Aneiros-Fernández, MD, Victor Carriel, Phd, Jacinto Orgaz-Molina, MD, Miguel GonzÁlez-Andrades, MD, Phd, Agustín Buendía-Eisman, MD, PhD and Miguel Alaminos, MD, PhD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 424-426;
- DOI: https://doi.org/10.3949/ccjm.79a.10108
Two days after coronary angiography, the patient developed pain, cyanosis, and lesions on the sole of his foot. What is the most likely diagnosis?
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Medical Grand Rounds
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Acute community-acquired bacterial meningitis in adults: An evidence-based review
Adarsh Bhimraj, MD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 393-400;
- DOI: https://doi.org/10.3949/ccjm.79gr.12003
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?
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Im Board Review
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Sudden hypoxia during knee surgery
Ursula A. Galway, MD and David Gugliotti, MD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 401-409;
- DOI: https://doi.org/10.3949/ccjm.79a.09129
Fat embolism syndrome is an unpredictable condition with varied presentation.
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Review
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Psoriasis: Evolving treatment for a complex disease
Jennifer Villaseñor-Park, MD, PhD, David Wheeler, BS and Lisa Grandinetti, MD, FAAD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 413-423;
- DOI: https://doi.org/10.3949/ccjm.79a.11133
Although topical steroids and phototherapy are mainstays of treatment, biologic agents give new hope to patients with severe disease.
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UV protection and sunscreens: What to tell patients
Paul C. Jou, MD, MS, Ron J. Feldman, MD, PhD and Kenneth J. Tomecki, MD- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 427-436;
- DOI: https://doi.org/10.3949/ccjm.79a.11110
Some measures are straightforward, but sunscreens have been a source of confusion in their labeling and SPF ratings.
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Patient Information
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How to avoid damaging ultraviolet light
- Cleveland Clinic Journal of Medicine June 2012, 79 (6) 437;
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