Articles related to Rheumatology

This summary of a study from Johns Hopkins University says it might just matter how you take your pills – with special implications for bedridden or sedentary patients.

A 42-year-old woman with primary biliary cholangitis, presented with an increasing number of yellow skin lesions and generalized pruritis. She had plaques around both eyes, similar lesions on the palmar surfaces of the hands, nodules on the dorsal joints of the hands, and pale pink lesions on the left buttock as well as mild jaundice and scleral icterus. Walk through the differential and treatment options in this case withaccompanying editorial.

A 57-year-old woman is evaluated for a 4-month history of progressive exertionaldyspnea and occasional chest pain and palpitations. She has limited cutaneoussystemic sclerosis with Raynaud phenomenon and gastroesophageal refluxdisease. Click to see the physical and lab results and see if you can choose the bestnext step.

This case study describes an adult man with a history of diabetes and hypertension presenting with painful lesions on his arms and legs. The description covers the course of his workup for presumptive infectious dermatitis through differential diagnosis when the infectious disease workup revealed sterile lesions, to the final diagnosis of Sweet syndrome (acute febrile neutrophilic dermatosis).

Physicians commonly encounter patients with facial pigmented macules. In this patient, the diagnosis was Carney complex.

‘Bikini medicine’ (see the Boston Globe article) is an outdated, sexist idea that men and women should be cared for similarly — dubbed as such due to the mistaken belief that women’s health only differs in the parts of women that bikinis cover. A ridiculous notion, considering that cardiovascular disease, osteoporosis, and autoimmune diseases affect women differently than men. Last time we checked, the bikini doesn’t cover any of them.