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 medical knowledge of specialist rheumatologists from an entire diversity of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ won from collective medical event in regards to the prognosis or therapy of assorted ailments while additionally aiming to debunk definite myths that experience stimulated the perform of many clinicians yet have confirmed false.

The pithy form of writing guarantees that the reader completely enjoys delving into this trove of diagnostic and healing counsel. furthermore, an abundance of illustrations, together with three hundred scientific images, considerably augments the reader’s knowing of those ‘pearls’.

With contributions from 126 authors around the a variety of subspecialties in rheumatology, and comprising a complete of greater than 1400 Pearls and Myths, this ebook really presents the corpus of present scientific knowledge in rheumatology.

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

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

Example text

Myth: Diagnosing vasculitic neuropathy in RA often means recognizing fire through a lot of smoke. This is true even in the interpretation of histopathology. Reality: Sural nerve biopsies sometimes show active arteritis, particularly if the patient has been treated intensively before the procedure. However, the finding of a proliferative endarteritis of the epineurium reflects the healed stage of a previous acute arteritis (Conn et al. 1972). Clinicopathologic correlation is essential in such cases.

1973). In the decades since those original descriptions, a fuller picture of the disease has emerged. AOSD patients can present with dramatic liver function abnormalities. As a result, various forms of hepatitis must be considered and excluded. A reactive hemophagocytic syndrome must also be considered. Pleural effusions and even interstitial lung disease have been observed, as well. Pericarditis is evident in some patients. In a disease for which there exists no single diagnostic test, one must always keep an open mind about other etiologies.

However, ulcer expansion and chronicity are influenced much more by other factors, including concomitant immunodeficiency, arterial insufficiency, trauma, and dependent edema (Turesson 2004; Puechal et al. 2008). Chronic glucocorticoid use and smoking also promote development of these chronic ulcers. Approximately 30% of patients with Felty’s syndrome (neutropenia, splenomegaly, and RA) develop skin ulcers. The development of leg ulcers should trigger a thorough evaluation for the possibility of RV including, if appropriate, a skin biopsy.

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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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