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Cleveland Clinic Journal of Medicine

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Current Issue

01 Jun 2023 (Vol. 90 Issue 6) Table of Contents
Cleveland Clinic Journal of Medicine: 90 (6)

Issue highlights

  • Deadly drug rashes: Early recognition and multidisciplinary care
  • Should urine antigen testing for Legionella pneumophila be ordered for all hospitalized patients with community-acquired pneumonia?
  • Celiac disease: Who should I test, and how?

Summaries from the ACP Internal Medicine Meeting 2023

Summaries from the AAN 2023 Annual Meeting

Featured Articles

  • Serial serum lipase testing after the initial diagnostic workup for inpatients with acute...
    June 01, 2023
  • Finger nodules: Tip of the gouty iceberg
    June 01, 2023
  • Eruption of erythema after dieting
    June 01, 2023
  • Chondrodermatitis nodularis helicis
    May 01, 2023
  • Aspirin in primary prevention of cardiovascular events: Key questions remain
    May 01, 2023
  • Endocrinopathies from checkpoint inhibitors: Incidence, outcomes, and management
    May 01, 2023
  • Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal...
    April 03, 2023
  • Chronic centralized pain syndromes: A rheumatologist’s perspective
    April 03, 2023
  • The cost of ‘free’: Advising patients about sponsored genetic testing
    March 01, 2023
  • What is the rationale for the laboratory workup for suspected pheochromocytomas and paragangliomas?
    March 01, 2023
  • Viruses change; we can, too
    March 01, 2023
  • The constellation of vitamin D, the acute-phase response, and inflammation
    February 01, 2023
  • Myasthenia gravis: An update for internists
    February 01, 2023
  • Update in cutaneous manifestations of COVID-19: Special populations
    January 03, 2023
  • Which patients hospitalized with alcohol withdrawal syndrome should receive high-dose parenteral...
    January 03, 2023
  • Some complexities of diabetes and the heart
    January 03, 2023

Latest Articles

  • You have access
    Serial serum lipase testing after the initial diagnostic workup for inpatients with acute pancreatitis: What is the evidence?
    CME article
    Samantha Jill Magier, MD, MEng, Thiruvengadam Muniraj, MD, FRCP and Naseema Merchant, MBBS, FCCP, FACP, FHM
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 341-343; DOI: https://doi.org/10.3949/ccjm.90a.22060

    Beyond the initial diagnostic workup, the results of serial testing may be misleading, with the potential for adverse effects on patient care and increases in healthcare spending.

  • You have access
    Deadly drug rashes: Early recognition and multidisciplinary care
    CME article
    Valerie Jaroenpuntaruk, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 373-381; DOI: https://doi.org/10.3949/ccjm.90a.22043

    An illustrated review of 4 severe drug rashes. Early recognition and prompt withdrawal of the causative agent are crucial.

  • You have access
    Celiac disease in the ‘nonclassic’ patient
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 327-328; DOI: https://doi.org/10.3949/ccjm.90b.06023

    Adherence to a strict gluten-free diet is not easy, and even strict adherence does not guarantee relief of all symptoms. We need to be as certain as possible that trying the diet makes sense—and that is the real challenge.

  • Measuring exhaled nitric oxide when diagnosing and managing asthma
    You have access
    Measuring exhaled nitric oxide when diagnosing and managing asthma
    Payal Sen, MD, Sumita B. Khatri, MD and Vickram Tejwani, MD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 363-370; DOI: https://doi.org/10.3949/ccjm.90a.22072

    The authors examine the role of this biomarker of airway inflammation and provide guidance for its appropriate use.

  • You have access
    Chondrodermatitis nodularis helicis
    Li-wen Zhang, MD, Juan Wu, MD, PhD and Tao Chen, MD, PhD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 333; DOI: https://doi.org/10.3949/ccjm.90c.06001
  • You have access
    In Reply: Chondrodermatitis nodularis helicis
    Maggie So, MD, FACP and Randall S. Edson, MD, MACP, FIDSA
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 333; DOI: https://doi.org/10.3949/ccjm.90c.06002
  • You have access
    Celiac disease: Who should I test, and how?
    Jason Nasser, MD, Claire Jansson-Knodell, MD and Alberto Rubio Tapia, MD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 349-352; DOI: https://doi.org/10.3949/ccjm.90a.22062

    First-degree relatives of patients with celiac disease and patients with dermatitis herpetiformis, type 1 diabetes mellitus, and autoimmune thyroid disease are among those for whom testing is advisable.

  • You have access
    Should urine antigen testing for Legionella pneumophila be ordered for all hospitalized patients with community-acquired pneumonia?
    Anna Cheek, MD, Ian Jackson, MD, Manasa Velagapudi, MBBS and Shraddha Narechania, MD, FCCP
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 345-347; DOI: https://doi.org/10.3949/ccjm.90a.22039

    Testing is recommended if the pneumonia is severe, if there has been recent travel, and if there is currently an outbreak of legionnaires disease.

  • You have access
    Finger nodules: Tip of the gouty iceberg
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 337-339; DOI: https://doi.org/10.3949/ccjm.90a.22103

    Recurrent, dramatic flares are the cardinal symptom of gouty disease, but some patients exhibit tophi on physical examination or imaging—without flares or pain.

  • You have access
    Guidelines for the management of trigeminal neuralgia
    Mun Seng Chong, MBBS, MD, FRCP, Anish Bahra, MBChB, MD, FRCP and Joanna M. Zakrzewska, BDS, MB BChir, MD, FDSRCS, FFDRCSI, FFPM RCA, FHEA
    Cleveland Clinic Journal of Medicine June 2023, 90 (6) 355-362; DOI: https://doi.org/10.3949/ccjm.90a.22052

    Care pathways for patients with trigeminal neuralgia vary widely. The most recent UK guidelines emphasize the need for evidence-based care plans for multidisciplinary management.

View more latest articles
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Guidelines for the management of trigeminal neuralgia
Measuring exhaled nitric oxide when diagnosing and managing asthma
Reincarnating autoimmunity: Immune-related adverse events as new diseases
What is the optimal approach to infiltration and extravasation of nonchemotherapy medications?
Cholesteatoma
Reproductive issues and multiple sclerosis: 20 questions
Central sensitization, chronic pain, and other symptoms: Better understanding, better management
Brodie abscess in an 87-year-old man
Mass under the lip
Fundic gland polyps: Should my patient stop taking PPIs?
Colovesical fistula in men with chronic urinary tract infection: A diagnostic challenge
Oral leukoplakia and oral cancer
A 50-year-old man presents with shortness of breath
Myasthenia gravis: Frequently asked questions
Central vision loss in a 44-year-old woman
Median rhomboid glossitis caused by tongue-brushing
Making best use of bone turnover markers to monitor oral bisphosphonate therapy

Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.

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