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Symmetrical Ankle Swelling in a 76-Year-Old Patient
Can rheumatoid arthritis present as a symmetrical
arthritis involving only the ankles?
Medscape Family Medicine/Primary Care, December 2002
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Interpreting High Synovial Uric Acid Levels
In a patient with recurrent attacks of acute arthritis of the
knee, joint aspiration shows inflammatory change with
no crystal but a very high synovial uric acid level. Is this
a gouty attack?
Medscape Rheumatology, December 2002
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Methotrexate for RA With Leukopenia
How would you treat a case of rheumatoid arthritis
(suspected Felty's syndrome) with methotrexate if the
patient already has leukopenia?
Medscape Rheumatology, December 2002
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Could Anakinra Cause Sarcoidosis?
A 55-year-old white woman with rheumatoid arthritis for
more than 10 years developed typical cutaneous
sarcoidosis and erythema nodosum after being treated
with anakinra.
Medscape Rheumatology, December 2002
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RA Treatment for a Patient With Inactive HCV
What is the appropriate treatment for a patient with rheumatoid arthritis (RA) and inactive hepatitis C?
Medscape Rheumatology, October 2002
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Acceptable ESR in Giant-Cell Arteritis?
Is it important to normalize the ESR completely without ongoing symptoms?
Medscape Rheumatology, October 2002
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Role of Mycophenolate Mofetil in Lupus Nephritis?
Is the drug superior or equal in effectiveness to cyclophosphamide?
Medscape Rheumatology, September 2002
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Positive ANA, dsDNA, and ANCA in Malignancies
Has the presence of positive ANA been investigated in malignancies and if so, what does the literature say?
Medscape Rheumatology, August 2002
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Treatment of Systemic Onset Juvenile Rheumatoid Arthritis
Should IVIG or MTX be the next step for a 6-year-old boy with JRA who has failed to respond to first-line treatments?
Medscape Rheumatology, August 2002
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Prevention and Treatment of Osteoporosis in Long-term Glucocorticoid Users
What are the treatment guidelines to prevent or treat
osteoporosis in women on long-term oral
glucocorticoids?
Medscape Family Medicine/Primary Care, August 2002
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Fever of Unknown Origin
A 35-year-old woman with a 3-year history of polyarthritis was admitted to the hospital with complaints of fever.
Medscape Rheumatology, August 2002
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Further Evaluation of Unspecified Rheumatic Syndrome
Recommendations for further diagnostic tests/evaluations for a patient who has had a rheumatic syndrome for 2 years
Medscape Rheumatology, July 2002
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Difficult Diagnosis in a Patient With Painful Subcutaneous Nodules
Patient is a 46-year-old white female with a several-month history of lower-extremity rashes.
Medscape Rheumatology, June 2002
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Current Treatment Recommendations for Acute and Chronic Gout
The latest preventive and dietary recommendations are included.
Medscape Rheumatology, May 2002
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Differential Diagnosis of Myositis
I have a patient with myositis and panniculitis. What is the possible differential diagnosis?
Medscape Rheumatology, March 2002
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Infections in a Woman With Adult-Onset Still's Disease
Pancytopenia and hepatitis C virus positivity have developed, and recurrent bacterial and viral infections are an issue.
Medscape Rheumatology, February 2002
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Gouty Arthritis Treatment Complicating Anticoagulation
A 55-year-old woman with gouty arthritis is receiving anticoagulant therapy (nicoumalone 2 mg daily) because of mitral valve replacement. Her serum uric acid level was 11 mg/dL. After remission she took allopurinol 150 mg daily but it interfered with her international normalized ratio (INR).
Medscape Rheumatology, January 2002
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An Active Man With Rheumatoid Arthritis
A colleague has a 63-year-old male patient with moderate rheumatoid arthritis (RA). The patient is positive for rheumatoid factor, erythrocyte sedimentation rate is 34 mm/hr, and hand and knee x-rays are negative. He has been taking methotrexate 7.5 mg/week and methylprednisolone 5 mg/day since January 2001.
Medscape Rheumatology, October 2001
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Respiratory Failure in Dermatomyositis
I have a female patient with recently diagnosed Jo-1 antibody-positive dermatomyositis (skin rash, creatine phosphokinase [CPK] >3000 U/L, nail bed capillary changes). Shortly after starting prednisone (40-60 mg/d) she developed rapidly progressive respiratory failure with bibasilar infiltrates.
Medscape Rheumatology, October 2001
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Treatment of Erythema Nodosum
Do you know of any case report(s) on the treatment of erythema nodosum (EN) with methotrexate, infliximab, and ibuprofen?
Medscape Rheumatology, August 2001
