Articles

---

1795 Celiac Disease

R. JOHN PRESUTTI, DO; JOHN R. CANGEMI, MD; HARVEY D. CASSIDY, MD; and DAVID A. HILL, DO

Patients with persistent gastrointestinal symptoms such as diarrhea, abdominal pain, and bloating should be evaluated for celiac disease. Immunoglobulin A tissue transglutaminase antibody testing is recommended, with confirmatory small bowel biopsy in most patients. Adherence to a gluten-free diet may eliminate symptoms within a few months.

Patient information: "Celiac Disease: What You Should Know," p. 1809

1815 Differential Diagnosis of the Swollen Red Eyelid

ART PAPIER, MD; DAVID J. TUTTLE, MD; and TARA J. MAHAR, MD

The differential diagnosis of eyelid erythema and edema is broad, ranging from benign, self-limiting dermatoses to malignant tumors and vision-threatening infections. A definitive diagnosis usually can be made on physical examination of the eyelid and a careful evaluation of symptoms and exposures.

1827 Prevention and Treatment of Sexually Transmitted Diseases: An Update

MICHELE VAN VRANKEN, MD

The Centers for Disease Control and Prevention has published revised guidelines for the prevention and treatment of sexually transmitted diseases. Updates include the recommendation to use azithromycin as a first-line treatment of Chlamydia trachomatis infection in pregnant women and no longer recommending quinolones for the management of Neisseria gonorrhoeae infection.

Patient information: "Sexually Transmitted Diseases-Prevention and Treatment for You and Your Partner," p. 1833

1837 Minimizing Adverse Drug Events in Older Patients

CUNG B. PHAM, MD, and ROBERT L. DICKMAN, MD

Adverse drug events are a common, but often preventable, occurrence in older patients. Use of a multidisciplinary approach and avoidance of prescribing new medications to counteract adverse drug reactions are key.

Editorial: "Prescribing for Older Adults: Finding the Balance," p. 1768

Departments

---

Keeping Up to Date

1857 STEPS

• Telithromycin (Ketek) for Treatment of Community-Acquired Pneumonia

1859 Tips from Other Journals

1874 Practice Guidelines

• ACCP Updates Guidelines for the Treatment of PAH

• CDC Evaluates the Effect of Revised Guidelines on the Prevention of Group B Streptococci Disease

• CDC Reports a Decrease in the Incidence of Breast Cancer

---

Answering Clinical Questions

1763 CME Quiz

1848 Point-of-Care Guides

• Screening Instrument for Post-Traumatic Stress Disorder

1853 Photo Quiz

---

Commentary

1750 Inside AFP

1766 Letters to the Editor

• Drug Dosing in Older Patients with Chronic Kidney Disease

1768 Editorials

• Prescribing for Older Adults: Finding the Balance

---

Medicine and Society

1751 Newsletter

1757 Close-ups

Patient Information

1809 Celiac Disease

1833 Prevention of STDs

---

Reader Services

1760 Strength-of-Recommendation Taxonomy in AFP

    CME Center

1788 Change-of-Address Form

1791 Evidence-Based Medicine Glossary

1881 Classified Information

This article exemplifies the AAFP 2007 Annual Clinical Focus on management of chronic illness.

This article is included as part of this issue's continuing medical education (CME) activity. See CME Quiz, p. 1763.

---

Copyright © 2007 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.