Hematology
- Treating anemia: It’s not just the EPO
Long-term effects of treatment with the new oral inhibitors of prolyl hydroxylase will need to be carefully monitored, as prolyl hydroxylase is a key structural component of diverse proteins.
- Anemia of chronic kidney disease: Will new agents deliver on their promise?
A review of the pathophysiology of anemia of chronic kidney disease, major clinical trials, and novel therapies.
- Microangiopathic hemolytic anemia in a female patient with systemic lupus erythematosus
Evaluation of a patient presenting with worsening swelling of the lips and legs, decreased oral intake, intermittent pleuritic chest pain, and exertional dyspnea.
- Recurrent anemia in a patient with chronic lymphocytic leukemia
New episodes of anemia do not automatically imply disease progression, and each should be evaluated completely.
- A painful mass in the jaw
The patient presented with a painful mass in the left side of her jaw, headache, lockjaw, painful swallowing, night sweats, and unintentional weight loss.
- Sometimes the look is worth the walk
We do not routinely look at blood smears today. The need for expediency and efficiency limit the time spent on activities with a low yield for influencing care. And yet, for some conditions in some patients, going back to the basics can be clinically rewarding, and even memorable.
- Cardiac considerations in liver transplantation
Today’s transplant patients are older and more likely to have cardiac comorbidities, and effects of advanced liver disease on the circulatory system pose challenges in perioperative management.
- Megaloblastic anemia due to severe vitamin B12 deficiency
The 75-year-old patient presenting with altered mental status and pancytopenia had a history of peptic ulcer disease and subtotal gastrectomy.
- Updated guidelines for immune thrombocytopenic purpura: Expanded management options
The aim is to help practitioners decide on inpatient vs outpatient management, thresholds for initiating treatment, and options for second-line treatment in adults.
- Gastrointestinal varicella-zoster virus infection
Esophagogastroduodenoscopy showed small, shallow ulcers and erosions surrounded by red haloes, spread diffusely throughout the stomach and duodenum.