Latest Articles

  • Gastric intestinal metaplasia and gastric cancer prevention: Watchful waiting
    Shrouq Khazaaleh, MD, Mohammad Alomari, MD, Mamoon Ur Rashid, MD, Daniel Castaneda, MD and Fernando J. Castro, MD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 33-39; DOI: https://doi.org/10.3949/ccjm.91a.23015

    Malignancy develops in only a small minority of patients with gastric intestinal metaplasia. Recognition of clinical, endoscopic, and histologic features linked with cancer development is critical to identifying patients who require endoscopic surveillance.

  • Nonstatin therapy to reduce low-density lipoprotein cholesterol and improve cardiovascular outcomes
    Abhayjit Singh, MD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 53-63; DOI: https://doi.org/10.3949/ccjm.91a.23058

    Several new nonstatin medications have been approved in recent years, with robust data from clinical trials supporting their use in atherosclerotic disease.

  • Conjunctival petechiae in infective endocarditis
    Akinori Sekizawa, MD, Ayaka Nagano, MD, Kenichi Hashimoto, MD, PhD and Yosuke Ono, MD, PhD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 20-21; DOI: https://doi.org/10.3949/ccjm.91a.23041

    A 75-year-old-man presented with a 33-day history of intermittent nocturnal fevers of 39°C (102°F) and truncal rashes. The rashes appeared on the same day as the fever.

  • The drop of a pin: Accidental ingestion of a sharp foreign body
    Mina Rismani, MD, Adrian Pona, MD and Monia E. Werlang, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 737-742; DOI: https://doi.org/10.3949/ccjm.90a.23029

    If endoscopic retrieval fails, conservative management may be appropriate with daily abdominal radiography.

  • Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
    Elias Bassil, MD, George Thomas, MD, Jagmeet Dhingra, MD and Ali Mehdi, MD, MEd, FACP, FASN
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 725-727; DOI: https://doi.org/10.3949/ccjm.90a.23043

    The focus should be to achieve blood pressure control and facilitate adherence, regardless of the timing of the medications.

  • Stiff hands in a man with type 1 diabetes
    Rhea Ahuja, MD and Purn Pragya, MBBS
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 721-722; DOI: https://doi.org/10.3949/ccjm.90a.23046

    The patient had been on injectable insulin for the past 6 years, with frequent dose titrations because of poor control. A recent hemoglobin A1c was 7.2%.

  • Treatments for obstructive sleep apnea: CPAP and beyond
    Treatments for obstructive sleep apnea: CPAP and beyond
    Loutfi S. Aboussouan, MD, Aparna Bhat, MD, Todd Coy, DMD and Alan Kominsky, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 755-765; DOI: https://doi.org/10.3949/ccjm.90a.23032

    Options include behavioral interventions, oral appliances, nasal expiratory positive airway pressure, negative pressure interventions, and surgical procedures. Certain drugs are also promising.

  • Contemporary surgical and procedural management of benign prostatic hyperplasia
    Ayodeji E. Sotimehin, MD, Eiftu Haile, MD and Bradley C. Gill, MD, MS
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 745-753; DOI: https://doi.org/10.3949/ccjm.90a.23026

    The authors provide an overview of currently available and guideline-backed treatments.

  • Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 712-713; DOI: https://doi.org/10.3949/ccjm.90b.12023

    Why should a rheumatologist have special interest in this disorder? The answer lies in 2 major reasons patients are referred for a rheumatology consultation: fatigue and inflammation.

  • Oral lichen planus
    Sanjana Mathew, MBBS, Carol Lobo, MBBS, MD and Meryl Antony, MBBS, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 717-718; DOI: https://doi.org/10.3949/ccjm.90a.23048

    Risk factors include medications, dental materials, and viral infections such as hepatitis C.

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