By James R. O'Dell, Josef S. Smolen (auth.), John H. Stone (eds.)
A Clinician's Pearls and Myths in Rheumatology is a wealthy assemblage of the medical knowledge of specialist rheumatologists from an entire variety of specialties and nationalities. It examines the nuggets of knowledge, or ‘pearls’ received from collective medical adventure in regards to the prognosis or remedy of assorted ailments while additionally aiming to debunk yes myths that experience encouraged the perform of many clinicians yet have confirmed false.
The pithy sort of writing guarantees that the reader completely enjoys delving into this trove of diagnostic and healing advice. furthermore, an abundance of illustrations, together with three hundred scientific images, considerably augments the reader’s knowing of those ‘pearls’.
With contributions from 126 authors around the a number of subspecialties in rheumatology, and comprising a complete of greater than 1400 Pearls and Myths, this publication really presents the corpus of present medical knowledge in rheumatology.
Dr John H. Stone, MD MPH is medical Director of Rheumatology at Massachusetts common clinic, Boston, MA. He has pioneered loads of scientific study in rheumatology, relatively within the region of systemic vasculitis.
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Other common features are leukocytosis, thrombocytosis, elevations of the serum hepatic aminotransferase concentrations, splenomegaly, and serositis. Pharyngitis is often the initial symptom. Pearl: Still’s disease should not be regarded as a category of “juvenile rheumatoid arthritis”. Comment: AOSD strongly resembles the pediatric condition known as “Still’s disease”. Bywaters wrote that Still’s disease was often referred to as “juvenile rheumatoid arthritis” (JRA), a name that (he believed) prejudged the issue of the disorder’s appropriate classification (Bywaters 1971).
Bywaters questioned whether Still’s disease was really related directly to the JRA/RA disease spectrum, or whether it comprised an entirely separate condition. Bywaters strongly favored the hypothesis that AOSD and Still’s disease formed a spectrum of disease that is separate from that of RA and JRA (JRA is now termed juvenile idiopathic arthritis (Chap. 4). Pearl: Bywaters anticipated the relationship between AOSD and the group of conditions now termed “autoinflammatory syndromes” (Chapter 5).
2) (Voskuyl et al. 1996). b Myth: Nailfold infarcts in RA are a harbinger of serious vasculitis and should trigger an intensification of treatment. Reality: Bywaters’ lesions are cutaneous infarctions that occur around the nailbeds in patients with RA (Bywaters 1949, 1957) (Fig. 3a and b). These lesions do not imply the need for intensive immunosuppression. Although such lesions do tend to occur in patients with seropositive RA, they do not correlate with systemic vasculitis in other organs (Watts et al.