Rheumatology
Reviews
Beyond depression: Other uses for tricyclic antidepressants
The pharmacology of these drugs, their potential uses in conditions other than depression, and safety considerations.
From the Editor
Off-label and oft-prescribed
When prescribing drugs for uses beyond their FDA indications, we need to explain their anticipated side effects and benefits.
Reviews
Appropriate laboratory testing in Lyme disease
Testing for Lyme disease is challenging and if done incorrectly can lead to unnecessary treatment.
From the Editor
A link between A-fib and sleep apnea is no surprise, but why?
The two conditions commonly coexist, and treating the sleep apnea results in better rhythm-directed outcomes in the A-fib.
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.