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

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 a complete variety of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ won from collective scientific event concerning the analysis or remedy of varied ailments while additionally aiming to debunk yes myths that experience inspired 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 information. additionally, an abundance of illustrations, together with three hundred scientific photos, considerably augments the reader’s figuring out of those ‘pearls’.

With contributions from 126 authors around the a number of subspecialties in rheumatology, and comprising a complete of greater than 1400 Pearls and Myths, this e-book actually offers the corpus of present medical knowledge in rheumatology.

Dr John H. Stone, MD MPH is scientific Director of Rheumatology at Massachusetts basic medical institution, Boston, MA. He has pioneered loads of medical study in rheumatology, quite within the zone of systemic vasculitis.

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

Example text

Pearl: RV overlaps substantially with polyarteritis nodosa and tends to affect the same types of organs. Comment: Parallels between RV and polyarteritis nodosa have been recognized for more than half a century (Ball 1954). Both disorders tend to involve medium-sized arteries and to affect the skin, peripheral nerves, gastrointestinal tract, heart, and other organs. RV is somewhat less likely to cause microaneurysms than is polyarteritis nodosa, but microaneurysms complicating the vasculitis of rheumatoid disease have certainly been described (Achkar 1995; Pagnoux et al.

Myth: RV is high on the differential diagnosis when a patient with RA has a myocardial infarction. Figs. 3 Bywaters’ Lesions. (a) Seventy-four-year-old woman with osteoarthritis and RA for 15 years treated with methotrexate and prednisone (5 mg daily). The patient developed recurrent periungual and terminal digit infarctions over an 8-month period. These healed without intervention. No active synovitis was present at the time the infarctions developed (Figures courtesy of Dr. Eric Matteson). (b) Bywaters’ lesions in another patient with RA (Figure courtesy of Dr.

1999). Following the occurrence of a corneal melt, patients often lose all useful vision in the eye. Both necrotizing scleritis and PUK require urgent therapy with high doses of immunosuppressive medications, generally both high-dose glucocorticoids and cyclophosphamide. Myth: The finding of rheumatoid nodules in the lungs usually coincides with RV. Fig. 7 (a–c) Diffuse, nodular, and necrotizing scleritis in patients with rheumatoid arthritis (Figures courtesy of Dr. John Stone) and ocular tenderness, but also visual blurring.

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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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