Table of Contents

March 01, 2026; Volume 93, Issue 3
  • From the Editor

      • Getting stuck on a name: An example of an eponymous syndrome

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 131-132;
        • DOI: https://doi.org/10.3949/ccjm.93b.03026
        • Debate continues about whether we should continue to use eponymous diagnostic nomenclature or shift entirely to an anatomic or pathophysiologic descriptive terminology.

  • The Clinical Picture

      • ‘Boxing glove’ hands in a patient initially diagnosed with RS3PE syndrome

        Hirokazu Takai, MD and Seiko Takai, MD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 135-137;
        • DOI: https://doi.org/10.3949/ccjm.93a.25059
        • The patient had edema that limited finger flexion, impairing daily tasks such as putting on socks.

      • Ogilvie syndrome (colonic pseudo-obstruction)

        Mohamed Adam Ali, MBBS, BSc, Zahra Al-Badry and Fatima M. H. Ali, MBBS, MRCPCH
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 145-146;
        • DOI: https://doi.org/10.3949/ccjm.93a.21118
        • Two days after the patient underwent surgery to repair a left femur fracture, his abdomen became markedly distended, but without pain.

      • Westermark sign (focal oligemia) in pulmonary embolism

        Yusuke Namba, MD, PhD and Yusuke Kawai, MD, PhD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 149-150;
        • DOI: https://doi.org/10.3949/ccjm.93a.25051
        • The patient’s chest radiograph showed a focal area of reduced blood flow in the middle and upper zones of the right lung.

  • Commentary

      • Alpha-1 antitrypsin deficiency: A persistently underrecognized condition

        James K. Stoller, MD, MS
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 153-157;
        • DOI: https://doi.org/10.3949/ccjm.93a.25103
        • Detecting alpha-1 antitrypsin deficiency early is imperative because diagnostic delay is associated with harm, including worsened clinical status and impaired survival.

  • Symptoms to Diagnosis

      • A 24-year-old man with severe hemolytic anemia and variable Coombs test results

        Sindu Iska, MD, María Herrán, MD, You Li, MD, Maria Teresa Bejarano, MD, Chakra P. Chaulagain, MD and Chieh-Lin Fu, MD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 159-168;
        • DOI: https://doi.org/10.3949/ccjm.93a.25079
        • The patient was admitted to the hospital because of dark urine, jaundice, fatigue, and confusion.

  • Guidelines to Practice

      • Optimizing bowel preparation for colonoscopy: Updated consensus recommendations

        CME Image
        Hussam Kawas, MD and Claire Beveridge, MD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 169-175;
        • DOI: https://doi.org/10.3949/ccjm.93a.25086
        • Key updates in the 2025 guideline include simplifying dietary restrictions to low-residue foods for a single day before colonoscopy, preferring 2-L over 4-L preparation regimens, and universally recommending split-dose administration.

  • Review

      • TOC Icon

        Polycystic ovary syndrome: An update on diagnosis and management

        Nayoung Sung, MD, MSCP, Jawaria Amir, MD, Ula Abed Alwahab, MD and Tommaso Falcone, MD
        • Cleveland Clinic Journal of Medicine March 2026, 93 (3) 176-183;
        • DOI: https://doi.org/10.3949/ccjm.93a.25090
        • Because this syndrome affects health throughout the lifespan, long-term management is essential, not only to control symptoms but also to prevent associated metabolic conditions.