Rheumatology

 
Dirty Hands
February 17, 2016

The 60-year-old black woman has a history of joint pain, muscle weakness, and Raynaud phenomenon. Why the “dirty hands”?

Thumbs Up or Down on Shoulder Pain?
February 09, 2016

The patient’s reach with his thumb helps distinguish between frozen shoulder and osteoarthritis. How high is enough to tell?

Musculoskeletal Hits Top 10 in Primary Care Visits
June 23, 2015

For key facts and figures about musculoskeletal disorders, perhaps a surprise as the fourth leading diagnostic category in primary care, see the pages that follow.

A Rash of Tender Patches
April 16, 2015

Can you identify the most common symptoms of Löfgren syndrome ?

Gout Comorbidities and Costs Climb
March 18, 2015

Once a disease of kings, gout affects an increasing number of “commoners”-and the physical and economic toll is high.

Pigment Changes and Muscle Weakness
March 11, 2015

What condition is represented by inflammatory muscle disease, interstitial lung disease, Raynaud phenomenon, arthritis, and cutaneous manifestations, and in what rheumatologic diseases might you see it?

Hip Pain
February 11, 2015

Oral etidronate, IV pamidronate, and then zoledronate caused bone markers to normalize in this 80-year-old woman-temporarily. What’s going on? Answer this and questions on 3 other topics in this week’s quiz.

Two Signs of Dermatomyositis
January 14, 2015

The “shawl sign” and the heliotrope rash: two skin signs that are pathognomonic of dermatomyositis. Here: a close-up look.

Focus on Females: A Photo Essay on Women’s Disorders
August 19, 2014

Polycystic ovary syndrome, “dermatoses of pregnancy,” systemic sclerosis, subacute cutaneous lupus erythematosus, gallbladder agenesis, sarcoidosis-a close look at medical problems seen frequently in women.

Myopathy Followed by Rash in a Young Boy: Classic Signs?
July 11, 2014

A 5-year-old boy had pain and weakness in his legs and had trouble climbing stairs. He had a dramatic rise in CPK followed by erythematous papules on the hands, as shown, and a rash around the eyelids. Which diagnosis is most likely?