Latest Articles

  • Does my adult patient need a measles vaccine?
    Kaitlyn R. Rivard, PharmD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 279-282; DOI: https://doi.org/10.3949/ccjm.92a.25038

    Possibly. Adults without acceptable presumptive evidence of immunity to measles should receive 1 dose of the measles-mumps-rubella vaccine, and 2 doses are recommended for adults in special situations.

  • Do I need to treat supine hypertension in my hospitalized patient?
    Katherine Sherman, MD and Robert Lichtenberg, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 285-289; DOI: https://doi.org/10.3949/ccjm.92a.24092

    Inpatients with an elevated supine blood pressure should be evaluated for orthostatic changes before treatment is considered.

  • In defense of the anion gap
    Michael Emmett, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 269; DOI: https://doi.org/10.3949/ccjm.92c.05001
  • The gift of lasting immunity
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 263-264; DOI: https://doi.org/10.3949/ccjm.92b.05025

    Measles vaccine–induced immunity, although not necessarily lifelong for all individuals, is quite durable.

  • Alpha-gal syndrome: Recognizing and managing a tick-bite–related meat allergy
    Zehra Naseem, MD, Aun Muhammad, MD, Arjun Chatterjee, MD and Alberto Rubio-Tapia, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 311-319; DOI: https://doi.org/10.3949/ccjm.92a.24072

    Alpha-gal syndrome is an emerging allergic condition in which immunoglobulin E–mediated symptoms are triggered a few hours after an affected person consumes mammalian meat.

  • Managing right ventricular failure in the setting of pulmonary embolism
    Managing right ventricular failure in the setting of pulmonary embolism
    Sharmeen Sorathia, MD, Anibelky Almanzar, MD, Abhishek Bhandiwad, MD and Phoo Pwint Nandar, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 301-309; DOI: https://doi.org/10.3949/ccjm.92a.24069

    The authors review current management strategies, including medical, percutaneous interventional, and surgical options, and discuss recent advances in the field.

  • The beat goes on: Highlights from the new American and European A-fib guidelines
    Sandra Howell, MBBS, MEd, MSc, MPhil, Alphonsus Liew, MBBS and Christopher Aldo Rinaldi, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 297-300; DOI: https://doi.org/10.3949/ccjm.92a.25030

    The authors discuss and compare the latest atrial fibrillation guidelines from American and European medical societies.

  • What diagnostic tests should be done after discovering clubbing in a patient without cardiopulmonary symptoms?
    Karthik Meiyappan Udayappan, MD and Christopher V. Anstine, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 273-276; DOI: https://doi.org/10.3949/ccjm.92a.24052

    Computed tomography of the patient’s chest is indicated based on the robust association between clubbing and intrathoracic malignancy.

  • Tinea incognito
    Soniya Shony, MBBS, Carol Lobo, MBBS, MD and Sowmya Kaimal, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 271-272; DOI: https://doi.org/10.3949/ccjm.92a.24099

    This atypical form of dermatophyte infection is caused by local immune suppression from systemic or topical corticosteroids.

  • New atrial fibrillation guideline: Modify risk, control rhythm, prevent progression
    CME article
    Laura A. Campbell, MD, Jessica P. Ammon, DO, Rachana Kombathula, MD, Naa’irah Muhammad, MD and Christopher D. Jackson, MD
    Cleveland Clinic Journal of Medicine May 2025, 92 (5) 291-296; DOI: https://doi.org/10.3949/ccjm.92a.24067

    Key updates in the new American guideline include recommendations for aggressive lifestyle and risk-factor modifications, annual assessment of thromboembolic risk, and early rhythm control.

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