More than half of adults 65 years and older have at least 3 chronic conditions, such as heart disease, diabetes mellitus, arthritis, high blood pressure, and Alzheimer disease, according to the American Geriatrics Society.

Joint deformity is far from the only concern in rheumatoid arthritis. The condition is associated with a variety of comorbidities and adverse events related to the medications used to prevent or treat symptoms, as these photos attest.

Gout guidelines recently approved by the American College of Rheumatology have a 2-part focus. They offer patients information on effective methods for preventing gout attacks, and they provide physicians with recommended therapies for long-term disease management.

The ACG Annual Scientific Meeting provides an overview of recent advances in the diagnosis and treatment of various GI disorders, ranging from ulcerative colitis to fructose intolerance in children. ConsultantLive has captured the highlights of the meeting with reports on key presentations.

October 11th is National Depression Screening Day. But how do you screen, diagnose, and treat effectively given the time constraints of busy office practice?

Here: a concise summary of dosing recommendations for the array of pharmacologic options now available to treat gout.

Arthritis & Osteoporosis Center (A&OC) located in Seaford, Delaware is seeking a second partner for full-time 100% clinical rheumatology practice. A&OC is a busy well established practice with an in-house infusion center. Compensation package includes salary, production incentive and comprehensive benefits. Please address inquiries to Infusion@arthritisde.com phone: 302-628-8300

Hyperglycemia uncontrolled by oral antidiabetes agents alone can be complicated by drug-induced weight gain. GLP-1 agonists and DPP-4 inhibitors offer alternatives.

The Risk Evaluation and Mitigation Strategy program for extended-release and long-acting opioids may not mitigate illegitimate prescribing.

Gout is associated with a 57% increased risk of ESRD, independent of hypertension and diabetes, according to new research.

Note that some lesions occur within the outer ear, quite typical for the diagnosis of discoid lupus.

Skills quiz: Psoriasis; Molluscum; Lhermitte-Duclos; Gout

Should you be testing everyone for HIV? Guidelines disagree, for now, and there are many challenges to doing so. Here is some guidance to overcoming barriers to HIV testing in primary care.

Elevated serum uric acid level is pathognomonic for gout. Untreated gout may lead to tophi, nephropathy, and uric acid nephrolithiasis.

Although survivors of HIV infection urgently need care from primary care providers, the best evidence shows that primary care cannot fill that need adequately at present, and may be less able to do so in the future.

Most cases of “pink eye” are caused by infectious, or occasionally allergic, conjunctivitis. Occasionally, however, a rare and more serious condition-such as a corneal ulcer or iritis-may masquerade as conjunctivitis, as in this patient.

Look closely at this image. Does this look like conjunctivitis. . . or something else?

For two HIV-positive patients, treatments with bone marrow transplants for cancer have achieved eradication of the virus from their blood cells. Learn in this podcast what this portends for the future.

The location (pretibial surface) of this ulcer, its visibly rolled undermined border, and severe pain are all typical of pyoderma gangrenosum, which is typically associated with inflammatory bowel disease, rheumatoid arthritis, and hematologic malignancies.