Aug 1, 2018 Issue
Rheumatologic Tests: A Primer for Family Physicians [Article]

Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and in some cases, to monitor disease activity and predict flares. However, many serologic tests are nonspecific, and further testing may be necessary. Physicians should order these tests only when patients have a high pretest probability of a specific connective tissue disorder.

Apr 1, 2018 Issue
Rheumatoid Arthritis: Common Questions About Diagnosis and Management [Article]

Early diagnosis and treatment of rheumatoid arthritis are associated with better outcomes for patients. Methotrexate is the disease-modifying antirheumatic drug of choice, although other nonbiologic and biologic agents are available. Patients should be screened for chronic infections before beginning treatment for rheumatoid arthritis.

Nov 15, 2017 Issue
Spondyloarthritis: NICE Releases Guidelines on Diagnosis and Treatment [Practice Guidelines]

Spondyloarthritis comprises inflammatory disorders that have some overlapping characteristics. The National Institute for Health and Care Excellence (NICE) released a guideline on diagnosing and treating spondyloarthritis.

Sep 1, 2016 Issue
Nontender Elbow Nodules [Photo Quiz]

A woman presented with long-standing pain and stiffness in multiple joints. She had tenderness of metacarpophalangeal joints and nodules over the extensor surfaces of her elbows.

Aug 15, 2016 Issue
Joint Pain and Fatigue: It Could Be Anything [Close-ups]

Diagnosed with lupus, a physician reflects on the shift from usual aches and pains to fatigue that puts life on hold.

Feb 15, 2016 Issue
A Resolving Rash on the Breast [Photo Quiz]

A woman presented with a rash that began as a large plaque affecting one-fourgh of her breast then decreased to a small plaque affecting only the nipple.

Jul 1, 2015 Issue
Differential Diagnosis of Polyarticular Arthritis [Article]

Many conditions can cause joint pain. Diagnosis requires distinguishing between inflammatory and noninflammatory arthritis, as well as recognizing nonarticular conditions. Learn the common symptoms and signs of the possible etiologies of joint pain.

Mar 15, 2015 Issue
Diagnosis and Management of Kawasaki Disease [Article]

Learn the diagnostic criteria for identifying Kawasaki disease, the most prominent cause of acquired coronary artery disease in childhood. Transthoracic echocardiography is needed to detect coronary aneurysms. Intravenous immunoglobulin and aspirin are the cornerstones of treatment.

Nov 15, 2013 Issue
Recognition and Management of Polymyalgia Rheumatica and Giant Cell Arteritis [Article]

Polymyalgia rheumatica affects proximal muscles and joints, causing disability in older adults. Giant cell arteritis affects medium and large arteries and can result in blindness. These conditions overlap significantly, often occurring together. Despite the similarities, each has distinct symptoms, ...

Dec 1, 2011 Issue
Diagnosis and Management of Rheumatoid Arthritis [Article]

Rheumatoid arthritis is the most commonly diagnosed systemic inflammatory arthritis. Women, smokers, and those with a family history of the disease are most often affected. Criteria for diagnosis include having at least one joint with definite swelling that is not explained by another disease. The l...

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