Table of Contents
From the Editor
- Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
Why should a rheumatologist have special interest in this disorder? The answer lies in 2 major reasons patients are referred for a rheumatology consultation: fatigue and inflammation.
The Clinical Picture
- Oral lichen planus
Risk factors include medications, dental materials, and viral infections such as hepatitis C.
- Stiff hands in a man with type 1 diabetes
The patient had been on injectable insulin for the past 6 years, with frequent dose titrations because of poor control. A recent hemoglobin A1c was 7.2%.
1-Minute Consult
- Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
The focus should be to achieve blood pressure control and facilitate adherence, regardless of the timing of the medications.
Symptoms to Diagnosis
- The drop of a pin: Accidental ingestion of a sharp foreign body
If endoscopic retrieval fails, conservative management may be appropriate with daily abdominal radiography.
Review
- Contemporary surgical and procedural management of benign prostatic hyperplasia
The authors provide an overview of currently available and guideline-backed treatments.
Treatments for obstructive sleep apnea: CPAP and beyondOptions include behavioral interventions, oral appliances, nasal expiratory positive airway pressure, negative pressure interventions, and surgical procedures. Certain drugs are also promising.
Commentary
The author answers questions patients may have about the currently available influenza, COVID-19, and respiratory syncytial virus vaccines.