Rheumatology
- A tale of scale: Corticosteroids and pustular psoriasis
Guidelines and textbooks have recommended caution when using and withdrawing corticosteroids in patients with psoriasis, yet strong evidence that defines this association is hard to come by.
- Steroid use triggers severe psoriatic reaction
After tapering prednisone, the patient developed a circular plaque bordered with pustules superimposed on erythematous skin.
- Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
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.
- Stiff hands in a man with type 1 diabetes
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%.
- Anchors away
Before you read this, I recommend that you read the interesting article in this issue by Prakash et al, part of our Symptoms to Diagnosis series.
- Elevated aminotransferases in a 62-year-old woman
Her medical history included gastroesophageal reflux disease and Sjögren syndrome. She had recently returned from travel to Malaysia.
- vOka vaccine-associated disseminated varicella zoster
The patient had received the live attenuated vaccine 1 month before presentation. He had no history of varicella infection.
- Unexplained pathology is not always autoimmune
Our success in understanding well-defined autoimmune diseases may make us too willing to attribute yet-unexplained conditions to autoimmunity simply because they share symptoms.
- Autoimmunity and postural orthostatic tachycardia syndrome: Implications in diagnosis and management
A review of the presentation and diagnostic evaluation, including atypical features that may suggest an alternative diagnosis requiring a more extensive evaluation.