Rheumatology
Reviews
Cardiovascular complications of systemic sclerosis: What to look for
Pulmonary hypertension, atherosclerosis, heart failure, arrhythmias, pericardial disease, and valvular heart disease.
From the Editor
A few pearls can help prepare the mind
The caregiver with a prepared mind is more likely to experience the diagnostic epiphany.
Medical Grand Rounds
Myopathy for the general internist: Statins and much more
How to evaluate and manage muscle complaints in patients taking a statin, interpret creatine kinase test results, and recognize common as well as...
The Clinical Picture
Mediastinal granuloma due to histoplasmosis in a patient on infliximab
Immunosuppressive drugs can predispose to invasive fungal infection.
Reviews
Giant cell arteritis: An updated review of an old disease
Glucocorticoids, the mainstay of treatment, should be started as soon as the disease is suspected.
1-Minute Consult
Do patients on biologic drugs for rheumatic disease need PCP prophylaxis?
Consider it in those with granulomatosis with polyangiitis or pulmonary disease, or those on high-dose steroids.
Reviews
Laboratory tests in rheumatology: A rational approach
Negative results are not always reassuring, and false-positive results pose risks.
From the Editor
The tests that we order define us
In practice we balance the inputs from Watson, “Dr. Google,” our experience, and the specific data from the patient.
1-Minute Consult
Are anti-TNF drugs safe for pregnant women with inflammatory bowel disease?
Active IBD poses a greater risk than continuing drug therapy.
From the Editor
A physician’s response to observational studies of opioid prescribing
Not long ago, we were told we needed to do better at relieving pain.