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American Family Physician
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Cover 1992 2025

Articles


1955
COVER ARTICLE: CARING FOR COMMON SKIN CONDITIONS
Common Hyperpigmentation Disorders in Adults: Part I.
Diagnostic Approach, Café au Lait Macules, Diffuse Hyperpigmentation, Sun Exposure, and Phototoxic Reactions

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DANIEL L. STULBERG, M.D., NICOLE CLARK, M.D., and DANIEL TOVEY, M.D.
Common hyperpigmentation disorders include freckles and lentigines, café au lait macules, and phototoxic reactions to plants or medications. Diffuse hyperpigmentation may be caused by medication side effects or by systemic conditions such as Addison's disease, hemochromatosis, hyperthyroidism, and neurofibromatosis.
   

1963
CARING FOR COMMON SKIN CONDITIONS
Common Hyperpigmentation Disorders in Adults: Part II.
Melanoma, Seborrheic Keratoses, Acanthosis Nigricans, Melasma, Diabetic Dermopathy, Tinea Versicolor, and Postinflammatory Hyperpigmentation

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DANIEL L. STULBERG, M.D., NICOLE CLARK, M.D., and DANIEL TOVEY, M.D.
Localized hyperpigmentation disorders such as melasma, diabetic dermopathy, and postinflammatory hyperpigmentation are relatively benign but often concern patients. Acanthosis nigricans is associated with insulin resistance, and sudden onset of acanthosis nigricans or multiple seborrheic keratoses can be associated with underlying malignancy.
   

1971
PRACTICAL THERAPEUTICS
Common Problems in Patients Recovering from Chemical Dependency
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EDNA MARIE JONES, M.D., DOUG KNUTSON, M.D., and DANELL HAINES, PH.D.
When physicians are caring for patients who are recovering from chemical dependency, the treatment goal should be to avoid relapse. First-line therapy should be nonpharmacologic, but when medication is necessary, physicians should avoid prescribing drugs that have the potential for abuse or addiction.
   
1983 Breast Cyst Aspiration
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JAMEE H. LUCAS, M.D., and D. LINDSIE CONE, M.D.
Breast cyst aspiration is a simple, cost-effective, minimally invasive procedure. It is an appropriate first step in the care of women who present with a dominant breast mass suspected of being a cyst.
Patient information: "Breast Cyst Aspiration," p. 1989
   
1992 The 2001 Bethesda System Terminology
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BARBARA S. APGAR, M.D., M.S., LAUREN ZOSCHNICK, M.D., and THOMAS C. WRIGHT, JR., M.D.
The 2001 Bethesda System for reporting cervical or vaginal cytologic diagnoses provides revisions in statements of adequacy, general categorization, and interpretation/results.
   
2001 Primary Immunodeficiencies
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MEGAN A. COOPER, PH.D., THOMAS L. POMMERING, D.O., and KATALIN KORÁNYI, M.D.
Primary immunodeficiencies include a variety of disorders that render patients more susceptible to infections. Early recognition and diagnosis can alter the course of these disorders significantly.
Patient information: "Warning Signs of Primary Immunodeficiency," p. 2011
Editorial: "Primary Care and Primary Immunodeficiencies," p. 1919
   

Departments

1983 Inside AFP
1898 Definitions for Evidence Labels in AFP
1901 Newsletter
1905 Quantum Sufficit
1909 Clinical Quiz
1912 Letters to the Editor
1919 Editorials
1932 CME Calendar
1951 Diary from a Week in Practice
2015 STEPS
  • Desloratadine for Allergic Rhinitis
2019 U.S. Preventive Services Task Force: Recommendations and Rationale
  • Screening for High Blood Pressure
2025 Photo Quiz
2028 Patient Education Collection
STOMACH PAIN
2043 POEMs and Tips from Other Journals
  • Bed and Pillow Covers Ineffective for Asthma (POEM)
  • Role of Candesartan in the Treatment of Acute Stroke (POEM)
  • Aspirin Resistance in Patients with Cardiovascular Disease
  • Falls in the Elderly
  • Colorectal Cancer Screening Methods: A Review
  • ACE Inhibitors Effective in Preventing Heart Failure
  • Initiation of HAART in Patients with HIV
  • Blood Lead and Hypertension in Postmenopausal Women
  • Potential Positive Effects of Multivitamins and Minerals
  • Predicting Functional Decline in Elderly Adults
  • Surgery for Crohn's Disease Improves Quality of life
  • Azithromycin vs. Levofloxacin for Acute Chronic Bronchitis
  • Antibiotic Therapy After Acute Myocardial Infarction
  • Mediterranean Diet and Lower All-Cause Mortality (POEM)
  • Polyurethane Condoms Are Less Effective than Latex
  • Use of Iron in Nonanemic, Fatigued Women (POEM)
  • Some Thrombophilias Are Associated with Fetal Loss
  • Early Treatment of Vaginosis Improves Pregnancy Outcomes
  • Is It Time to Reconsider Use of ECT for Depression?
2052 Definition of POEMs
2081 Practice Guidelines
  • ACOG Releases Guidelines on Cervical Cytology Screening
2086 Clinical Briefs
2089 Change-of-Address Form
2091 Classified Information
  Information for Authors


Cover photographs copyright © 2003 Utah Valley Family Practice Residency Program, Provo; Skin Cancer Foundation, New York City; and Adam Goldstein, M.D., University of North Carolina at Chapel Hill School of Medicine
Copyright © 2003 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.



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