Approach to the Patient with Raynaud Phenomenon
Approach to the Patient with Raynaud Phenomenon Sensitivity of the fingertips and toes to cold is a common symptom, reported in up to 10% of adults. In 3% to 5%,…
Management of Paget Disease
Management of Paget Disease David M. Slovik Paget disease of bone, or osteitis deformans, is a focal disorder characterized by excessive resorption and rapid, disorganized formation of new bone leading…
Approach to the Patient with Polymyalgia Rheumatica or Giant Cell (Temporal) Arteritis
Approach to the Patient with Polymyalgia Rheumatica or Giant Cell (Temporal) Arteritis Polymyalgia rheumatica (PMR) and giant cell arteritis (GCA) are believed to be manifestations of the same immunologic disease…
Approach to the Patient with Lyme Disease
Approach to the Patient with Lyme Disease Lyme disease is a treatable multisystem illness caused by infection with the tick-borne spirochete Borrelia burgdorferi. The condition has become the most common…
Approach to the Patient with Fibromyalgia
Approach to the Patient with Fibromyalgia Patients with diffuse, chronic musculoskeletal pain but no evidence of arthritis or myositis account for a large number of office visits. Some of them…
Management of Gout
Management of Gout Gout is among the most common causes of acute monoarticular arthritis. Estimates of prevalence in the United States are as high at 4% of the adult population….
Management of Osteoarthritis
Management of Osteoarthritis Osteoarthritis (OA), the most prevalent form of arthropathy, causes symptomatic discomfort in 10% to 20% of persons older than the age of 65 years and accounts for…
Management of Rheumatoid Arthritis
Management of Rheumatoid Arthritis Rheumatoid arthritis (RA) affects an estimated 0.6% of adults in the United States. The annual incidence of new cases ranges from 0.5 per 1,000 to 3…
Approach to the Patient with Asymptomatic Hyperuricemia
Approach to the Patient with Asymptomatic Hyperuricemia Hyperuricemia is defined physiologically as the level above which the serum is fully saturated with uric acid (i.e., serum uric acid concentration >6.8…
Approach to Common Problems of the Foot and Ankle
Approach to Common Problems of the Foot and Ankle Richard J. de Asla Ann H. Johnson John Kwon Christopher P. Chiodo Primary physicians are often consulted for advice and help…
