Latest Articles

  • Mass under the lip
    Sagar Khanna, BDS, DDS
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 145-146; DOI: https://doi.org/10.3949/ccjm.90a.22053

    The mass had grown slowly over several weeks while the patient was in rehabilitation after a stroke.

  • Update on current contraceptive options: A case-based discussion of efficacy, eligibility, and use
    Update on current contraceptive options: A case-based discussion of efficacy, eligibility, and use
    Alexa Nicole Fiffick, DO, MBS, NCMP, Tara K. Iyer, MD, NCMP, Tiffany Cochran, MD, MA, NCMP and Pelin Batur, MD, FACP, NCMP
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 181-190; DOI: https://doi.org/10.3949/ccjm.90a.22075

    Rates of unintended pregnancy are high in the United States. Clinicians need to be well-informed about the full spectrum of contraceptive options to improve reproductive autonomy.

  • Viruses change; we can, too
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 135-136; DOI: https://doi.org/10.3949/ccjm.90b.03023

    As we learn more about the mpox (formerly monkeypox) virus, Sossai et al in this issue of the Journal discuss how our understanding of its link to variola has led to therapeutic and prophylactic vaccination options.

  • Smallpox and monkeypox: Looking back and looking ahead
    Paolo Sossai, MD, PhD, Domenico Staiti, MD, Massimiliano Cannas, MD and Piero Grima, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 141-144; DOI: https://doi.org/10.3949/ccjm.90a.22067

    Two vaccines have been developed for mpox prevention, but clarity is needed on when and how to use them.

  • The cost of ‘free’: Advising patients about sponsored genetic testing
    Stephanie Allison Larson, PhD, HEC-C, Joseph Liu, MS, David Flannery, MD, Marsha Michie, PhD and Paul J. Ford, PhD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 161-164; DOI: https://doi.org/10.3949/ccjm.90a.22010

    A breakdown of benefits and drawbacks of sponsored genetic testing that clinicians can use to help patients make informed decisions.

  • What is the rationale for the laboratory workup for suspected pheochromocytomas and paragangliomas?
    Hiba Z. Hashmi, MD, Muhammad Arslan Arif Maan, MD and Laura LaFave, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 150-153; DOI: https://doi.org/10.3949/ccjm.90a.20197

    The decision to test is best guided by clinical suspicion. Test results should be interpreted with careful consideration of how the samples were collected.

  • To repeat or not to repeat? Measuring bone mineral density during anti-resorptive therapy or a drug holiday
    Tayyab S. Khan, MD, Partha Sinha, MD, PhD and Harold Rosen, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 173-180; DOI: https://doi.org/10.3949/ccjm.90a.22071

    The authors present evidence for and against monitoring bone mineral density in these patients, arguing against a one-size-fits-all approach.

  • Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
    Risheng Xu, DO, Austin Vaughan, DO, Mitchell Fagan, DO, Dylan P. Schumacher, MD, Verra Wekullo, MD and Bruce Gehrke, MD
    Cleveland Clinic Journal of Medicine March 2023, 90 (3) 165-171; DOI: https://doi.org/10.3949/ccjm.90a.21060

    Most cases are in older men with diverticular disease, Crohn disease, cancer, or iatrogenic injury. Suspect it especially in these patients with UTI symptoms refractory to conventional treatments.

  • What are the treatment options for myasthenia gravis if first-line agents fail?
    Christopher Zust, MD and John A. Morren, MD
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 81-84; DOI: https://doi.org/10.3949/ccjm.90a.22022

    From 5% to 20% of patients may have a suboptimal response or prohibitive adverse effects over a period of a few weeks to 3 months.

  • The constellation of vitamin D, the acute-phase response, and inflammation
    Maria J. Antonelli, MD, Irving Kushner, MD and Murray Epstein, MD, FASN, FACP
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 85-89; DOI: https://doi.org/10.3949/ccjm.90a.22048

    An astronomic increase in vitamin D testing and supplementation is happening in the absence of an evidence-based rationale.

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