Table of Contents

August 01, 2021; Volume 88,Issue 8

From the Editor

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Autoimmune brain disease: Think before testing
Brian F. Mandell, MD, PhD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 420-421; DOI: https://doi.org/10.3949/ccjm.88b.08021

Immune serologic tests are not specific for any defined clinical diagnosis and thus should not be used to drive therapeutic decisions.

The Clinical Picture

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Pseudopathologic vertebral body enhancement
Yi Pan, MD, Peixin Tan, MD, Songxi Xie, MD, Jiewen Chen, MMed and Yi-Long Wu, MD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 424-425; DOI: https://doi.org/10.3949/ccjm.88a.20150

Contrast-enhanced computed tomography revealed sclerotic enhancement of the T1 vertebral body and the vertebral bodies from C2 to T2.
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Shedding light on subungual digital mucous cysts
Taylor Bullock, BS, Daniel Michalik, MD, Rashmi Unwala, MD and John Anthony, MD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 426-427; DOI: https://doi.org/10.3949/ccjm.88a.20125

Transillumination is a quick and easy way to diagnose digital mucous cysts and rule out other subungual masses.
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Eruptive seborrheic keratosis: A perilous clue
Akanksha Kaushik, MD, Soufila KT, MD, Manju Daroach, MD, Divya Aggarwal, MD, Pulkit Rastogi, MD, DM and Muthu Sendhil Kumaran, MD, DNB

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 428-430; DOI: https://doi.org/10.3949/ccjm.88a.20124

An abrupt increase in seborrheic keratoses in patients with an underlying malignancy is called the Leser-Trélat sign.

1-Minute Consult

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Can I place a peripherally inserted central catheter in my patient with chronic kidney disease?
Nora Hilda Hernandez Garcilazo, MD, Mohamed Hassanein, MD, Tushar J. Vachharajani, MD and Evamaria Anvari, MD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 431-433; DOI: https://doi.org/10.3949/ccjm.88a.20173

Future need for permanent dialysis access is an important consideration.
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How do you effectively evaluate the elderly for alcohol use disorder?
Moronkeji Fagbemi, MD, FASAM

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 434-439; DOI: https://doi.org/10.3949/ccjm.88a.20123

A brief review of clues to an underrecognized and underdiagnosed problem with physical as well as emotional and social consequences.

Current Drug Therapy

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Antiobesity drug therapy: An individualized and comprehensive approach
Yael Mauer, MD, MPH, Marcie Parker, PharmD, BCACP and Sangeeta R. Kashyap, MD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 440-448; DOI: https://doi.org/10.3949/ccjm.88a.20080

As part of a comprehensive plan, these drugs can provide lasting obesity control and additional health benefits, including decreased cardiovascular risk.

Review

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The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
Asad Khan, MD, Erik H. Van Iterson, PhD and Luke J. Laffin, MD

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 449-458; DOI: https://doi.org/10.3949/ccjm.88a.20098

What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?
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Antibody-mediated autoimmune encephalitis: A practical approach
Justin R. Abbatemarco, MD, Chen Yan, MD, Amy Kunchok, MBBS and Alexander Rae-Grant, MD, FAAN, FRCPC

Cleveland Clinic Journal of Medicine August 2021, 88 (8) 459-471; DOI: https://doi.org/10.3949/ccjm.88a.20122

Symptoms may include subacute, progressive neuropsychiatric symptoms with associated cognitive dysfunction, movement disorders, and autoimmune seizures.