Clinical Medicine

Read e-book online A Clinician's Pearls and Myths in Rheumatology PDF

By James R. O'Dell, Josef S. Smolen (auth.), John H. Stone (eds.)

ISBN-10: 184800933X

ISBN-13: 9781848009332

A Clinician's Pearls and Myths in Rheumatology is a wealthy assemblage of the scientific knowledge of specialist rheumatologists from an entire variety of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ won from collective medical event in regards to the analysis or remedy of assorted illnesses when additionally aiming to debunk convinced myths that experience motivated the perform of many clinicians yet have confirmed false.

The pithy variety of writing guarantees that the reader completely enjoys delving into this trove of diagnostic and healing tips. furthermore, an abundance of illustrations, together with three hundred scientific pictures, considerably augments the reader’s figuring out of those ‘pearls’.

With contributions from 126 authors around the numerous subspecialties in rheumatology, and comprising a complete of greater than 1400 Pearls and Myths, this booklet really offers the corpus of present medical knowledge in rheumatology.

Dr John H. Stone, MD MPH is medical Director of Rheumatology at Massachusetts normal clinic, Boston, MA. He has pioneered loads of scientific learn in rheumatology, really within the sector of systemic vasculitis.

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Additional resources for A Clinician's Pearls and Myths in Rheumatology

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This statement flies in the face of the fact that the fevers of AOSD can occur at any time. The more important point is that repeated examinations and vigilance for observation of the rash may be required to detect the AOSD exanthema. The poor lighting of most hospital rooms and failure to examine the patient’s skin thoroughly probably both contribute to the elusiveness of the rash. Dermatographism, a common feature of AOSD, is non-specific. Myth: AOSD disease management is fairly straightforward and tends to follow the approach once used in RA.

As examples, an increased ESR is nearly universal; the platelet count can exceed one million per cubic millimeter. A significant leukocytosis is also very common. The negative predictive value of a serum ferritin level normal or only moderately elevated is probably quite high, but M. H. Weisman this has not been tested in a prospective study. Moreover, the incremental improvement in terms of diagnosis offered by an elevated serum ferritin level compared with measurements of other acute phase reactants is not clear.

Treatment of rheumatoid arthritis with methotrexate alone, sulfasalazine and hydroxychloroquine, or a combination of all three medications. N Engl J Med 1996; 334:1287–1291 O’Dell R. Is there a role for antibiotics in the treatment of patients with rheumatoid arthritis? Drugs 1999; 57:279–282 Ostendorf B, Scherer A, Specker C, et al Jaccoud’s arthropathy in systemic lupus erythematosus: Differentiation of deforming and erosive patterns by magnetic resonance imaging. Arthritis Rheum 2003; 48:157–165 Padyukov L, Silva C, Stolt P, et al A gene-environment interaction between smoking and shared epitope genes in HLA-DR provides a high risk of seropositive rheumatoid arthritis.

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A Clinician's Pearls and Myths in Rheumatology by James R. O'Dell, Josef S. Smolen (auth.), John H. Stone (eds.)


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