Rheumatology

  • Gout and African Americans: Reducing disparities

    Bharat Kumar, MD and Petar Lenert, MD, PhD
    • Cleveland Clinic Journal of Medicine September 2016, 83 (9) 665-673;
    • DOI: https://doi.org/10.3949/ccjm.83a.15133

    • African Americans are more likely to suffer from gout and are less likely to receive optimal treatment for it.

  • Geographic tongue

    Ceena Neena Jacob, MD, Teny Mathew John, MD, DNB and R. Jayaprakash, MD
    • Cleveland Clinic Journal of Medicine August 2016, 83 (8) 565-566;
    • DOI: https://doi.org/10.3949/ccjm.83a.14011

    • Although striking, the lesion is benign and self-limiting and rarely warrants further investigation.

  • The fifth vital sign: A complex story of politics and patient care

    Brian F. Mandell, MD, PhD
    • Cleveland Clinic Journal of Medicine June 2016, 83 (6) 400-401;
    • DOI: https://doi.org/10.3949/ccjm.83b.06016

    • Times have changed, and the diffi culties and complexities of trying to help patients with ongoing pain have increased.

  • Multiple linear subcutaneous nodules

    Gitesh U. Sawatkar, MD, Dipankar De, MD, Uma Nahar Saikia, MD and Sanjeev Handa, MD, FRCP (EDIN)
    • Cleveland Clinic Journal of Medicine June 2016, 83 (6) 414-416;
    • DOI: https://doi.org/10.3949/ccjm.83a.15058

    • A 34-year-old woman has an asymptomatic swelling on her foot that has been slowly growing for 15 years.

  • Allergen-specific IgE serologic assays define sensitization, not disease (January 2016)

    Robert G. Hamilton, PhD, DABMLI, FAAAA
    • Cleveland Clinic Journal of Medicine May 2016, 83 (5) 326-327;
    • DOI: https://doi.org/10.3949/ccjm.83c.05001

    • A reader comments on serum IgE testing for allergy (January 2016).

  • Cocaine-induced ecchymotic rash

    Naveen K. Voore, MD
    • Cleveland Clinic Journal of Medicine April 2016, 83 (4) 252-253;
    • DOI: https://doi.org/10.3949/ccjm.83a.15125

    • Levamisole-adulterated cocaine can induce an ANCA-associated vasculitic rash within hours or days.

  • Prescribing opioids in primary care: Safely starting, monitoring, and stopping

    Daniel G. Tobin, MD, FACP, Rebecca Andrews, MD, FACP and William C. Becker, MD
    • Cleveland Clinic Journal of Medicine March 2016, 83 (3) 207-215;
    • DOI: https://doi.org/10.3949/ccjm.83a.15034

    • Prescription drug abuse has reached epidemic proportions. Some patients benefi t from opioids, but many suffer harm.

  • Bony bumps in the mouth

    Soumya Chatterjee, MD, MS, FRCP
    • Cleveland Clinic Journal of Medicine January 2016, 83 (1) 17-18;
    • DOI: https://doi.org/10.3949/ccjm.83a.15033

    • Torus palatinus and torus mandibularis are benign bony overgrowths arising from cortical bone.

  • Approach to asymptomatic creatine kinase elevation

    Siamak Moghadam-Kia, MD, Chester V. Oddis, MD and Rohit Aggarwal, MD, MS
    • Cleveland Clinic Journal of Medicine January 2016, 83 (1) 37-42;
    • DOI: https://doi.org/10.3949/ccjm.83a.14120

    • Standard cutoffs may be too low. First, repeat the test after 7 days without exercise.

  • The simple lab test is sometimes more complex than we think, if we think about it at all

    Brian F. Mandell, MD, PhD
    • Cleveland Clinic Journal of Medicine January 2016, 83 (1) 13-14;
    • DOI: https://doi.org/10.3949/ccjm.83b.01016

    • Before ordering more tests because of an abnormal laboratory result (eg, elevated creatine kinase), think about its biology.

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