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

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 professional rheumatologists from an entire variety of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ received from collective medical adventure concerning the prognosis or therapy of assorted ailments while additionally aiming to debunk convinced 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 suggestions. moreover, an abundance of illustrations, together with three hundred scientific photos, considerably augments the reader’s knowing 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 clinic, Boston, MA. He has pioneered loads of medical examine in rheumatology, relatively within the sector of systemic vasculitis.

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

Example text

Very low-dose prednisolone in early rheumatoid arthritis retards radiographic progression over two years: A multicenter, double-blind, placebo-controlled trial. Arthritis Rheum 2005; 52:3371–3380 Yelin E, Trupin L, Wong B, Rush S. The impact of functional status and change in functional status on mortality over 18 years among persons with rheumatoid arthritis. J Rheumatol 2002; 29(9):1851–1857 Young NS, Brown KE. Parvovirus B19. N Engl J Med 2004; 350: 586–597 2 Rheumatoid Vasculitis John H. Stone and Eric L.

Myth: AOSD disease management is fairly straightforward and tends to follow the approach once used in RA. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be attempted first, followed by disease-modifying antirheumatic drugs (DMARDs), and then anti-TNF agents. There is no role for systemic glucocorticoids. Reality: Unfortunately, these statements contain not one but several myths. First, the management of AOSD patients is anything but straightforward. Patients seldom have a complete, sustained response to NSAIDs alone.

John Stone) unfortunately means that the patient now needs intensive therapy – glucocorticoids and possibly cyclophosphamide – more than ever. In addition to RA duration, other risk factors for RV include the presence of other extraarticular manifestations of RA, especially rheumatoid nodulosis, scleritis, amyloidosis, and the presence of rheumatoid factor and antiCCP antibody (Turesson et al. 2003; Turesson and Matteson 2008;Van Gaalen et al. 2004). There appears to be a genetic predisposition toward developing RV, as HLA-DRB1 shared epitope J.

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