Rheumatology
From the Editor
The algorithm less traveled
At Bellevue, the RPR was a routine test; at the University of Pennsylvania, not so much—it all depends on context.
Medical Grand Rounds
What you can do for your fibromyalgia patient
Fibromyalgia is a defined syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
From the Editor
Understanding the tests we order: Comments and an invitation
Some new laboratory tests go through a life cycle, first being used by subspecialists and then by physicians everywhere.
The Clinical Picture
Hyperkeratotic fissured plaques on both hands: Mechanic’s hands
This sign is seen in about 30% of patients with antisynthetase syndrome.
The Clinical Picture
Primary livedo reticularis of the abdomen
Livedo reticularis can be the manifestation of a wide range of conditions—or not.
IM Board Review
Abdominal pain and bloody diarrhea in a 32-year-old woman
The patient also has numerous painful ulcerations on her skin and in her mouth.
The Clinical Picture
Sarcoidosis mimicking lytic osseous metastases
Sarcoidosis involves the lung in more than 90% of cases; skeletal involvement has been reported in 1% to 14%.
From the Editor
When cold-induced vasospasm is the tip of the iceberg
For a minority of patients, Raynaud phenomenon may be the presenting sign of a systemic disorder.
IM Board Review
Weight loss, fatigue, and renal failure
A 37-year-old man has gradually lost 100 lb over the past 2 years, with progressive fatigue and malaise.
The Clinical Picture
A lump on the hip
The patient had fallen on his hip while playing basketball about 2 weeks earlier.
