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 physicianThe 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.