September 23rd 2024
One in 9 primary care encounters involved a mental health condition, according to an analysis of over 350 million primary care visits.
Puzzling Rash in an Older Woman
December 12th 2006A 73-year-old woman presents with apainless, nonpruritic rash of recent onseton her right lower ankle. She has nofever, chills, nausea, vomiting, malaise,or other systemic complaints. Her medicalhistory includes fibromyalgia, osteoarthritis,stable angina, and anxiety;there is no history of connective tissuedisease.
ACR: Actemra Found Safe and Effective In Systemic Juvenile Idiopathic Arthritis
November 12th 2006WASHINGTON -- The novel agent Actemra (tocilizumab), an investigational humanized monoclonal antibody, is safe and effective in children with systemic juvenile idiopathic arthritis, a Japanese researcher said here.
Case In Point: What caused diffuse alveolar hemorrhage in a patient with gout?
Allopurinol, commonly used to treat patients with gout, has been known to cause hypersensitivity reactions. We report a case of drug-induced delayed multiorgan hypersensitivity syndrome secondary to allopurinol use. To the best of our knowledge, this is the first reported case of diffuse alveolar hemorrhage in a patient presenting with allopurinol-induced rash with eosinophilia and systemic symptoms.
Prehypertension: To Treat or Not To Treat?
September 1st 2006The term "prehypertension" was introduced in the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines to describe blood pressures (BPs) of 120/80 mm Hg to 139/89 mm Hg.1
Clinical Consultation: Smoking and rheumatoid arthritis
September 1st 2006n epidemiologic studies, cigarette smoking is strongly associated with the development of rheumatoid arthritis (RA), in particular seropositive RA. In 1987, Vessey and colleagues1 first reported an unexpectedly elevated risk of RA among women smokers in the Oxford Family Planning Association contraceptive study.