Table of Contents
From the Editor
- Corticosteroids: Giving and taking away
Two articles this month highlight opposite ends of the treatment spectrum, one on introducing adjunctive corticosteroids when treating Pneumocystis pneumonia, and the other on syndromes associated with glucocorticoid withdrawal.
The Clinical Picture
- Acquired reactive perforating collagenosis in a patient with diabetes
A 47-year-old woman presented with a 2-month history of pruritic eruptions on the left ankle and a complaint of thirst and polyuria for the past year.
1-Minute Consult
- Microscopic colitis: What is it, and what are the treatment options?
Budesonide, first-line therapy for this inflammatory disorder characterized by chronic diarrhea, improves symptoms and quality of life.
- When should I give corticosteroids to my patient with Pneumocystis pneumonia?
Patients with HIV infection who are hypoxemic should receive corticosteroids. Evidence for patients without HIV infection is limited.
Symptoms to Diagnosis
- Severe hyponatremia: Are you monitoring the urine output?
A 52-year-old woman presented with confusion and a 1-month history of drastically increased alcohol intake and mild nausea and anorexia, resulting in a 15-lb weight loss.
Review
- Management of lower-extremity venous thromboembolism: An updated review
A review of the 2021 updated guidelines of the American College of Chest Physicians including risk factors, supportive management, choice of anticoagulation therapy, and treatment considerations.
- Nonhormone therapies for vasomotor symptom management
The authors provide an up-to-date overview of evidence-based nonhormone therapies available for management of vasomotor symptoms.
Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coinThis review highlights the differences between primary adrenal insufficiency, secondary adrenal insufficiency, including glucocorticoid-induced adrenal insufficiency, and glucocorticoid withdrawal syndrome.
