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Cleveland Clinic Journal of Medicine

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Table of Contents

August 01, 2025; Volume 92,Issue 8

From the Editor

  • You have access
    Newer diabetes drugs: Surprising shared benefits and unique side effects
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 457-458; DOI: https://doi.org/10.3949/ccjm.92b.08025

    The shared beneficial effects of the SGLT2 inhibitors and the GLP-1 receptor agonists, drugs with distinct mechanisms of action, may have an anti-inflammatory explanation.

The Clinical Picture

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    Refractory granuloma annulare
    Mery Deeb, MD and Hadeel Zainah, MD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 461; DOI: https://doi.org/10.3949/ccjm.92a.24043

    A 77-year-old woman presented with a rash characterized by orange-yellow papules coalescing into erythematous annular plaques on her hands, trunk, and legs.

1-Minute Consult

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    Does my patient need testing for PFAS ‘forever chemicals’?
    Philip Zuccaro, BS, Damaskini Valvi, MD, MPH, PhD and Vasilis Vasiliou, PhD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 463-465; DOI: https://doi.org/10.3949/ccjm.92a.24082

    Any patient has the right to undergo blood testing for PFAS, but the limitations of testing must be discussed with the patient.

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    Should I consider single-pill combination antihypertensive therapy for my patient with high blood pressure?
    Maximilian C. Volk, DO, Ahmad Safdar, MD and Luke J. Laffin, MD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 467-470; DOI: https://doi.org/10.3949/ccjm.92a.25002

    For many patients, starting treatment with a single-pill combination should be considered for the initial management of hypertension.

Editorial

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    Evolving paradigms in hypertension management: Fixed-dose single-pill combinations and future therapies
    George Thomas, MD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 471-474; DOI: https://doi.org/10.3949/ccjm.92a.25034

    Despite the availability of effective medications, blood pressure control rates have declined over the past decade, underscoring the need for improved treatment approaches.

Medical Grand Rounds

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    The overlooked and undertreated perils of premature ovarian insufficiency
    Samantha F. Butts, MD, MSCE
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 475-482; DOI: https://doi.org/10.3949/ccjm.92gr.25056

    Physicians should be alert to the possibility of undiagnosed premature ovarian insufficiency—loss of ovarian function before age 40—and know what to do if the condition is suspected.

Review

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    Glucagon-like peptide-1 receptor agonists and pancreatitis: A reconcilable divorce
    CME article
    Adi E. Mehta, MD, Laura D. Lomeli, BA and Kevin M. Pantalone, DO, ECNU
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 483-489; DOI: https://doi.org/10.3949/ccjm.92a.24113

    Early trials suggested a link between GLP-1 receptor agonists and pancreatitis, but recent large meta-analyses do not support a class-wide risk.

  • Cerebrovascular complications in infective endocarditis: Challenges and considerations in management
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    Cerebrovascular complications in infective endocarditis: Challenges and considerations in management
    Vikyath Satish, MD, Maisha Maliha, MD, Abhyuday Chauhan, MD, Nieves del Mar Morales-Gomez, MD, Safwan Gaznabi, MD, Daniel Lorenzatti, MD, Justin Johannesen, MD, Carlos A. Gongora, MD, Annalisa Filtz, MD, Mario J. Garcia, MD, Leandro Slipczuk, MD, PhD and Aldo L. Schenone, MD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 491-501; DOI: https://doi.org/10.3949/ccjm.92a.24087

    Although the cerebrovascular complications of infective endocarditis such as ischemic strokes and intracranial hemorrhages are common and serious, data remain scarce regarding how best to prevent, predict, and manage them.

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    Managing the side effects of sodium-glucose cotransporter-2 inhibitors
    Nandan Kodur, BS, Betemariam Sharew, BA, M. Cecilia Lansang, MD, MPH and W. H. Wilson Tang, MD
    Cleveland Clinic Journal of Medicine August 2025, 92 (8) 503-511; DOI: https://doi.org/10.3949/ccjm.92a.24071

    The authors review recent evidence on the side effects of sodium-glucose cotransporter-2 inhibitors and corresponding strategies for preventing and managing them.

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In this issue

Cleveland Clinic Journal of Medicine: 92 (8)
Cleveland Clinic Journal of Medicine
Vol. 92, Issue 8
1 Aug 2025
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)

Issue highlights

  • Glucagon-like peptide-1 receptor agonists and pancreatitis: A reconcilable divorce
  • Managing the side effects of sodium-glucose cotransporter-2 inhibitors
  • Should I consider single-pill combination antihypertensive therapy for my patient with high blood pressure?
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Sex-specific risk factors for stroke in women: Focus on the 2024 AHA/ASA guideline
FINEARTS-HF: Improving outcomes in heart failure with preserved or mildly reduced ejection fraction
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‘All that wheezes is not asthma’—a reminder that the physical examination
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Ogilvie syndrome (colonic pseudo-obstruction)
Alpha-1 antitrypsin deficiency: A persistently underrecognized condition
Westermark sign (focal oligemia) in pulmonary embolism

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