Table of Contents

April 01, 2024; Volume 91, Issue 4
  • From the Editor

      • Corticosteroids: Giving and taking away

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 203-204;
        • DOI: https://doi.org/10.3949/ccjm.91b.04024
        • 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

        Li-wen Zhang, MD, Juan Wu, MD, PhD, Rong-hua Xu, MD and Tao Chen, MD, PhD
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 213-214;
        • DOI: https://doi.org/10.3949/ccjm.91a.23074
        • 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?

        Katherine E. Westbrook, DO and Ari Garber, MD, EdD, MS, EdM
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 215-216;
        • DOI: https://doi.org/10.3949/ccjm.91a.23057
        • 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?

        Simran Gupta, MD and Lisa M. Bebell, MD, MSc, FIDSA
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 217-219;
        • DOI: https://doi.org/10.3949/ccjm.91a.23082
        • 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?

        Gregory W. Rutecki, MD, Elias Bassil, MD, Georges N. Nakhoul, MD, MEd, Jonathan J. Taliercio, DO, FASN and Ali Mehdi, MD, MEd, FACP, FASN
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 221-227;
        • DOI: https://doi.org/10.3949/ccjm.91a.23052
        • 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

        Farah Ziyadeh, MD and Yael Mauer, MD, MPH
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 229-235;
        • DOI: https://doi.org/10.3949/ccjm.91a.22090
        • 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

        Tara K. Iyer, MD, MSCP, Alexa N. Fiffick, DO, MBS, MSCP and Pelin Batur, MD, FACP, MSCP
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 237-244;
        • DOI: https://doi.org/10.3949/ccjm.91a.23067
        • The authors provide an up-to-date overview of evidence-based nonhormone therapies available for management of vasomotor symptoms.

      • TOC Icon

        Glucocorticoid-induced adrenal insufficiency and glucocorticoid withdrawal syndrome: Two sides of the same coin

        Noura Nachawi, MD, Dingfeng Li, MD and M. Cecilia Lansang, MD, MPH
        • Cleveland Clinic Journal of Medicine April 2024, 91 (4) 245-255;
        • DOI: https://doi.org/10.3949/ccjm.91a.23039
        • This review highlights the differences between primary adrenal insufficiency, secondary adrenal insufficiency, including glucocorticoid-induced adrenal insufficiency, and glucocorticoid withdrawal syndrome.

  • Letters to the Editor