Table of Contents

September 01, 2026; Volume 93, Issue 9
  • From the Editor

      • Gluten-related disease—more than a gut punch

        Brian F. Mandell, MD, PhD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 503-504;
        • DOI: https://doi.org/10.3949/ccjm.93b.09026
        • Patients with celiac disease or other gluten-sensitivity disorders have a documented increase in objective findings of systemic autoimmune disease and autoantibodies.

  • The Clinical Picture

      • Lemierre syndrome (septic thrombophlebitis of the internal jugular vein)

        Daichi Yomogida, MD, Shinjiro Horikawa, MD, PhD and Yoshinao Koshida, MD, PhD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 510-511;
        • DOI: https://doi.org/10.3949/ccjm.93a.26012
        • The patient presented with fever and left chest pain more than 2 weeks after experiencing common cold symptoms.

      • A painful ulcerative lesion on the lip

        Reuben J. Arasaratnam, MD, MPH, Lenka Stankova, MD, Joseph L. Milburn, MD, Bradford T. Barker, MD, Megan B. Wachsmann, MD and Donald F. Storey, MD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 512-514;
        • DOI: https://doi.org/10.3949/ccjm.93a.26033
        • In addition to progressive ulceration of the right lower lip, the patient had a 1-year history of reduced appetite and a 20-pound weight loss.

  • Commentary

  • Editorial

  • 1-Minute Consult

  • Symptoms to Diagnosis

      • TOC Icon

        Fatigue and dyspnea in a 71-year-old man with a pulmonary nodule

        Suprita Degala, MBBS, Hamritha Tamilvel, MBBS, Jana Berro, MD, Atul C. Mehta, MD and Grant Senyei, MD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 533-539;
        • DOI: https://doi.org/10.3949/ccjm.93a.26011
        • Chest computed tomography showed a solid pulmonary nodule in the right lower lobe that was absent on imaging 1 year earlier.

  • Review

      • Actinic keratosis: A clinician’s guide to diagnosis and treatment

        CME Image
        Taylor A. Bullock, MD, Michael Christopher, MD and Edward V. Maytin, MD, PhD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 541-549;
        • DOI: https://doi.org/10.3949/ccjm.93a.26005
        • Early recognition and effective treatment are key to preventing these premalignant lesions from progressing to invasive squamous cell carcinoma.

      • MASLD and MASH: Steatotic liver disease joins the deadly quartet

        Risheng Xu, DO, Nicola Abate, MD, Rise Stribling, MD and Richard Su, PhD
        • Cleveland Clinic Journal of Medicine September 2026, 93 (9) 551-559;
        • DOI: https://doi.org/10.3949/ccjm.93a.25117
        • Like obesity, dyslipidemia, hypertension, and type 2 diabetes mellitus, metabolic dysfunction–associated steatotic liver disease is ubiquitous; however, awareness of it remains low.

  • Letter to the Editor