Rheumatology
- The algorithm less traveled
At Bellevue, the RPR was a routine test; at the University of Pennsylvania not so much—it all depends on context.
- What you can do for your fibromyalgia patient
Fibromyalgia is a defi ned syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
- Understanding the tests we order: Comments and an invitation
Some new laboratory tests go through a life cycle, first being used by subspecialists and then by physicians everywhere.
- Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
This sign is seen in about 30% of patients with antisynthetase syndrome.
- Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
- Abdominal pain and bloody diarrhea in a 32-year-old woman
The patient also has numerous painful ulcerations on her skin and in her mouth.
- When cold-induced vasospasm is the tip of the iceberg
For a minority of patients, Raynaud phenomenon may be the presenting sign of a systemic disorder.
- Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
- A rose by any other name is still a rose—but why a rose?
Christopher Columbus returned from the New World with a chronic illness, now believed to have been reactive arthritis.
- Erythematous patches with keratotic annular borders on the glans penis
Reactive arthritis was diagnosed on the basis of urethritis, ocular symptoms, circinate balanitis, and sacroiliitis.