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Rheumatology

First Clinical Practice Guidelines for Sjögren’s Syndrome

The Sjögren's Syndrome Foundation has released the first clinical practice guidelines for the disease, which includes recommendations on the management of fatigue, inflammatory musculoskeletal pain, and use of biologic agents.
Endocrinology Metabolism

Rheumatoid Arthritis and Osteoporosis

Are You Sure the Patient Has Rheumatoid Arthritis? Revised American Rheumatology Association Criteria for the Classification of Rheumatoid Arthritis (RA): For classification purposes, a patient is said to have RA if he or she has satisfied at least 4 of the following 7 criteria. Criteria 1 through 4 must have been present for at least…
Hospital Medicine

Adult juvenile rheumatoid arthritis (Still's disease)

I. What every physician needs to know. This inflammatory disorder characterized by daily high fevers, arthritis, and an evanescent rash in children was originally described in 1896 by George Still. Since then, it has been known by various other names in adults: Adult-onset Still’s disease (AOSD) Adult juvenile rheumatoid arthritis (adult JRA) – in the…
Hospital Infection Control

Laboratory safety

How does laboratory safety impact infection control? While laboratory safety is primarily intended to prevent morbidity due to infections in laboratory workers, laboratory-associated infections (LAIs) may furthermore impact public health, as it was shown in one of the cases with laboratory-acquired SARS, leading to secondary cases in the community, at a time the pandemic had…
Dermatology

Interstitial Granulomatous Dermatitis (Interstitial granulomatous dermatitis with arthritis, Ackerman's syndrome, Ackerman's dermatitis

Are You Confident of the Diagnosis? What should you be alert for in the patient’s history? Interstitial granulomatous dermatitis (IGD) encompasses a heterogeneous group of skin eruption. It was initially described as cutaneous lesions that are more commonly seen in patients with rheumatoid arthritis and other autoimmune diseases. Later on, a variety of drug therapies…
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