By James R. O'Dell, Josef S. Smolen (auth.), John H. Stone (eds.)
A Clinician's Pearls and Myths in Rheumatology is a wealthy assemblage of the scientific 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 illnesses while additionally aiming to debunk yes myths that experience stimulated the perform of many clinicians yet have confirmed false.
The pithy variety of writing guarantees that the reader completely enjoys delving into this trove of diagnostic and healing advice. furthermore, an abundance of illustrations, together with three hundred scientific images, 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 presents the corpus of present scientific knowledge in rheumatology.
Dr John H. Stone, MD MPH is scientific Director of Rheumatology at Massachusetts basic health facility, Boston, MA. He has pioneered loads of medical examine in rheumatology, fairly within the zone of systemic vasculitis.
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Additional info for A Clinician's Pearls and Myths in Rheumatology
Ann Rheum Dis 2003; 62:722–727 van der Heijde DM, van Riel PL, van Leeuwen MA, et al Prognostic factors for radiographic damage and physical disability in early rheumatoid arthritis. A prospective follow-up study of 147 patients. Br J Rheumatol 1992; 31(8):519–525 van der Helm-van Mil AH, le Cessie S, van Dongen H, et al A prediction rule for disease outcome in patients with recent-onset undifferentiated arthritis: How to guide individual treatment decisions. Arthritis Rheum 2007; 56:433 van Gaalen FA, Linn-Rasker SP, van Venrooij WJ, de Jong BA, Breedveld FC, Verweij CL, Toes RE, Huizinga TW.
The biggest problem that pulmonary rheumatoid nodules cause is the concern that they may actually represent a malignancy. Pearl: Two types of renal disease occur in RV: a PAN-like medium-vessel renal arteritis, and a pauci-immune glomerulonephritis. Both of these complications are rare. 2 Rheumatoid Vasculitis Comment: Both renal artery involvement similar to that which occurs in polyarteritis nodosa and glomerulonephritis that is reminiscent of microscopic polyangiitis, or Wegener’s granulomatosis are well described (Ball 1954; Johnson 1959; Harper et al.
Some reports claim benefits of this approach, others suggest no benefit or disease worsening while patients are on TNF inhibitors (Puechal et al. 2008). Decisions about the treatment of RV must be made on a case-by-case basis. However, high-dose glucocorticoids and cyclophosphamide are the standard of care for disseminated disease involving multiple organs. Pearl: A rise in the white blood cell count, thrombocytosis, and acute phase reactants may precede or accompany RV. Fig. 5 Palpable purpura occurring 4 months after the initiation of etanercept therapy for rheumatoid arthritis in a 61-year-old woman.
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