Skip to main content
Internal Medicine Rheumatology

Rheumatology

Lumbar sympathetic block to treat CRPS in a toddler

After non-invasive measures failed, a lumbar sympathetic block performed with extreme caution alleviated complex regional pain syndrome in this 18-month-old.

Read more

Editor's Choice

Managing gout and metabolic syndrome

Gout is associated with metabolic syndrome and its related comorbid conditions. Find out more about the clinical challenge that is managing both conditions in the same patient.

Self-guided digital behavioral therapy for fibromyalgia

A 12-week self-guided digital acceptance and commitment therapy program is safe and effective for adults with fibromyalgia, improving associated symptoms including fatigue and sleep disturbance.

How diet can reduce CV risk in patients with autoimmune disease

Cardiovascular diseases are more prevalent in individuals with autoimmune diseases than in the general population. Is systemic inflammation the driver? Can nutritional interventions reduce the risk of CV complications in these individuals? 

Emergencies in inflammatory rheumatic diseases

Inflammatory rheumatic diseases are chronic disorders, but they can manifest as severe and life-threatening emergencies. Discover the critical situations that can occur and how to improve outcomes.

Our tailored content service will keep you up to date…

Receive newsletters curated for the busy specialist by our expert editorial team

Case Studies

Lumbar sympathetic block to treat CRPS in a toddler

After non-invasive measures failed, a lumbar sympathetic block performed with extreme caution alleviated complex regional pain syndrome in this 18-month-old.

Misdiagnosis of pulmonary artery sarcoma

A pulmonary arterial sarcoma was mistaken as pulmonary vasculitis due to similarities between the diagnoses. This case highlights some cardinal features of the malignancy that are not seen in vasculitis.

A challenging diagnosis of lung cancer

Although uncommon, lung cancer in patients with granulomatosis with polyangiitis can be difficult to diagnose due to similarities in imaging findings.

Current Reviews

Drug-Induced Hypouricemia

Hypouricemia is defined as a serum uric acid concentration of ≤ 2.0 mg/dL or 119 μmol/L. Hypouricemia may occur secondarily to a number of underlying conditions, including severe hepatocellular disease, neoplasia, defective renal tubular …

Heart Failure in Rheumatoid Arthritis: Clinical Implications

Rheumatoid arthritis (RA) is one of the most frequent systemic autoimmune diseases, characterized by chronic inflammation of the joints. It affects approximately 1% of the global population, being three times more frequent in women than in men.

Onset of leukocytoclastic vasculitis following covid-19 vaccination: case based comprehensive review

With the global introduction and widespread administration of COVID-19 vaccines, there have been emerging reports of associated vasculitis, including leukocytoclastic cutaneous vasculitis (LCV). In this paper, we present a case of a 68-year-old …

The observation that older men suffer from hip fracture at DXA T-scores higher than older women and a proposal of a new low BMD category, osteofrailia, for predicting fracture risk in older men

The clinical significance of osteoporosis lies in the occurrence of fragility fractures (FFx), and the most relevant fracture site is the hip. The T-score is defined as follows: (BMDpatient–BMDyoung adult mean)/SDyoung adult population, where BMD …

Further Reading

Dynamic change of lymphocytes associated with short-term prognosis in anti-MDA5-positive dermatomyositis with interstitial lung disease: a multicenter retrospective study

Lymphopenia is a unique manifestation of anti-MDA5 positive dermatomyositis with interstitial lung disease (MDA5 + DM-ILD). This study aimed to investigate the relationship between dynamic changes in peripheral lymphocytes and short-term prognosis …

Suboptimal osteoporosis care in hospitalized patients: a retrospective analysis of vertebral compression fractures detected on computed tomography

Vertebral compression fractures (VCFs) are the most common osteoporotic fractures. Only 1/3 of patients with VCFs are clinically diagnosed. In our institution, the Fracture Liaison Service (FLS) was launched in 2017 to improve osteoporosis …

Chest wall muscle area, ventilatory efficiency and exercise capacity in systemic sclerosis

To investigate the potential contribution of chest wall muscle area (CWMA) to the ventilatory efficiency and exercise capacity in patients with Systemic Sclerosis (SSc) without interstitial lung disease (ILD). Forty-four consecutive SSc patients …

Challenging diagnosis: unveiling extensive multisystemic sarcoidosis with musculoskeletal involvement through a clinically ambiguous soft tissue mass in the palm

We report about a 33-year-old man who was referred for assessment of a progressively enlarging mass of the palmar hand muscles, serving as the initial indication of extensive multisystemic sarcoidosis with musculoskeletal involvement. The case …