Table of Contents
From the Editor
- Small fibers, large impact
The wide interest in small fi ber neuropathy may reflect our current apparent epidemic of chronic pain.
The Clinical Picture
- When stroke runs in the family
CADASIL—cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy—is due to a mutation in NOTCH3.
Smart Testing
- How long should we follow simple ovarian cysts with pelvic ultrasonography?
Before menopause, most simple cysts smaller than 5 cm resolve in 2 to 3 menstrual cycles and need no further intervention.
The Clinical Picture
- Pancreatitis: The great masquerader?
Pancreatitis, panniculitis, and polyarthritis syndrome mimics rheumatologic disease, often presenting without abdominal pain.
Review
- Genitourinary syndrome of menopause in breast cancer survivors: Treatments are available
Options include locally applied estrogens, DHEA, and estrogen receptor agonists/antagonists.
Review
- Bicuspid aortic valve: Basics and beyond
What further testing does this 34-year-old patient need? Can he play sports? Does his newborn son need evaluation?
Editorial
- Transcatheter aortic valve replacement for bicuspid aortic valve stenosis
Surgery remains the standard of care, but transcatheter aortic valve replacement is an emerging, viable option for some.
Review
- Ablation of atrial fibrillation: Facts for the referring physician
The procedure has evolved to become a safe and effective treatment for atrial fi brillation.
- Office approach to small fiber neuropathy
A practical approach for identifying an underlying cause is to fi rst screen for common ones.
Departments
- Hypertrophic cardiomyopathy (May 2018)
Readers comment on hypertrophic cardiomyopathy (May 2018) and on hypoparathyroidism (March 2018).
- Postsurgical hypoparathyroidism is not primary hypoparathyroidism (March 2018)
Readers comment on hypertrophic cardiomyopathy (May 2018) and on hypoparathyroidism (March 2018).
- Liver enzymes, August 2018
Agganis B, Lee D, Sepe T. Liver enzymes: No trivial elevations, even if asymptomatic. Cleve Clin J Med 2018; 85(8):612–617. doi:10.3949/ccjm.85a.17103
Commentary
Under the new defi nition (≥ 130/80 mm Hg), 46% of US adults have hypertension.