Journal of Clinical Rheumatology
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- Ovid from 2001, LWW, Proquest, and CSA
Thrombotic vasculopathy in a patient with initially undetected breast cancer.
Upper-extremity digital ischemia in granulomatosis with polyangiitis.
We report a case of granulomatosis with polyangiitis (GPA) in a 48-year-old man that was complicated by upper-extremity digital ischemia. Our patient initially presented with acute kidney injury, nasal and sinus symptoms, and bilateral lower-extremity swelling. He was diagnosed with GPA based on cli...
A report of the autonomic symptom profile in patients with fibromyalgia.
Kimura disease complicated with bowel infarction and multiple arterial thromboses in the extremities.
We report a case of KD complicated with bowel infarction and multiple arterial thromboses in the upper and lower extremities. The patient underwent bowel resection and was successfully treated with corticosteroid and anticoagulation....
Ultrasound assessment of subcutaneous compressibility: a potential adjunctive diagnostic tool in eosinophilic fasciitis.
Eosinophilic fasciitis (EF) is an autoimmune, fibrotic disorder described initially with scleroderma-like skin changes where deep soft tissue sampling that includes fascia is frequently felt to be necessary to confirm the diagnosis. The objective of this study was to distinguish forearm involvement...
Tuberous sclerosis and fulminant lupus in a young woman.
We report a case of a young woman with tuberous sclerosis who developed fulminant SLE, with lower extremity edema, massive proteinuria, and class IV lupus glomerulonephritis. She died despite treatment with high-dose steroids, plasmapheresis, and cyclophosphamide. Although there are no prior reports...
Diffuse alveolar hemorrhage and Libman-Sacks endocarditis as a manifestation of possible primary antiphospholipid syndrome.
We present a 30-year-old man with probable primary APS (with no history of thromboses) presenting with diffuse alveolar hemorrhage, an uncommon presentation. He was also found to have severe mitral valve regurgitation and during valve replacement surgery had cardiac vegetations compatible with a pre...
Mechanistic aspects of inflammation and clinical management of inflammation in acute gouty arthritis.
We discuss the molecular mechanisms by which monosodium urate crystals induce acute inflammation and examine the mechanisms of action (MOAs) of traditional anti-inflammatory drugs (e.g., nonsteroidal anti-inflammatory drugs, colchicine, and glucocorticoids) and biologic agents (e.g., the IL-1β antag...
Abatacept use after failure of multiple biologic agents in patients with severe rheumatoid arthritis.
Wait times for rheumatology consultation: is rheumatoid arthritis prioritized?
We used descriptive statistics, bivariate analysis, and logistic regression in the analysis. For all scenarios combined, 34% were given an appointment with a rheumatologist within 3 months of referral, 32% waited longer than 3 months, and 34% were told that the rheumatologist was not accepting new r...