ITEMS IN AFP WITH KEYWORD:
For symptomatic varicose veins at least 3 mm in diameter with evidence of saphenous vein reflux, laser ablation is the preferred initial therapy.
A patient presented with a nontender, symmetrical petechial and purpuric rash from the soles to the lower abdomen.
The pathophysiology of varicose veins involves a genetic predisposition, incompetent valves, weakened vascular walls, and increased intravenous pressure. Established risk factors include family history of venous disease, female sex, older age, chronically increased intra-abdominal pressure, deep venous thrombosis, and arteriovenous shunting. Current guidelines recommend endovenous thermal ablation as first-line therapy for nonpregnant patients, followed by endovenous sclerotherapy and surgery. Conservative measures are recommended for patients who are not candidates for endovenous or surgical management, do not desire intervention, or are pregnant.
In an extremely high-risk group of patients with known vascular disease, taking evolocumab instead of placebo in addition to standard statin therapy for slightly more than two years will prevent one myocardial infarction (MI) for every 83 persons treated and prevent one stroke for every 250 persons treated.
What are the effects of treatments for venous leg ulcers? What are the effects of various interventions for venous leg ulcers?
Jan 15, 2017 Issue
Giant Cell Arteritis: Biopsy After Corticosteroid Initiation [FPIN's Clinical Inquiries]
Corticosteroid therapy in patients with suspected giant cell arteritis should not degrade the accuracy of temporal artery biopsy if the biopsy is performed within four weeks of corticosteroid initiation. Temporal artery biopsy can be performed up to four weeks after starting high-dose corticosteroid therapy.
Mar 15, 2016 Issue
American Academy of Pediatrics Releases Report on Infantile Hemangiomas [Practice Guidelines]
The American Academy of Pediatrics has published a report to provide an update on diagnosing and managing infantile hemangiomas.
A woman with systemic lupus erythematosus had pain in her hands and discoloration on the tips of her fingers and toes when exposed to cold.