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Most elderly patients with subclinical hypothyroidism do not need to be treated. 大多数老年亚临床甲状腺功能减退患者不需要治疗。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01
{"title":"Most elderly patients with subclinical hypothyroidism do not need to be treated.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following article in the April 2025 issue contained an error: Xu R, Abate N, Ram N, Little K. Cleve Clin J Med 2025; 92(4):221-231. doi:10.3949/ccjm.92a.24098.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"623"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Painless sternoclavicular osteitis in fever of unknown origin: A clue to probable SAPHO syndrome. 不明原因发热的无痛性胸锁骨炎：可能是SAPHO综合征的线索。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.25110
Taisuke Kamiyoshikawa, Kensaku Shojima, Yoshihiro Wada, Hiromitsu Yamazaki, Yasuyuki Nagasawa, Ken Shinmura
{"title":"Painless sternoclavicular osteitis in fever of unknown origin: A clue to probable SAPHO syndrome.","authors":"Taisuke Kamiyoshikawa, Kensaku Shojima, Yoshihiro Wada, Hiromitsu Yamazaki, Yasuyuki Nagasawa, Ken Shinmura","doi":"10.3949/ccjm.93a.25110","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25110","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"578-580"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How should I evaluate allergic disease in patients with asthma? 如何评估哮喘患者的过敏性疾病？
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.25119
Alejandro Chapa-Rodriguez, Jennifer Tartaglia
{"title":"How should I evaluate allergic disease in patients with asthma?","authors":"Alejandro Chapa-Rodriguez, Jennifer Tartaglia","doi":"10.3949/ccjm.93a.25119","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25119","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"586-588"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A historical irony-quantitative measurement in critically ill patients is not a panacea. 具有历史讽刺意味的是，对危重病人进行定量测量并不是万灵药。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93b.10026
Brian F Mandell
{"title":"A historical irony-quantitative measurement in critically ill patients is not a panacea.","authors":"Brian F Mandell","doi":"10.3949/ccjm.93b.10026","DOIUrl":"https://doi.org/10.3949/ccjm.93b.10026","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"575-576"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peripheral artery disease: Putting the updated 2024 AHA/ACC guideline into practice. 外周动脉疾病：将更新的2024 AHA/ACC指南付诸实践
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.25101
Pavel Kibrik, Enrico Prajiante Bertolino, Sasan Partovi, G Jay Bishop, Aravinda Nanjundappa, Lee Kirksey
{"title":"Peripheral artery disease: Putting the updated 2024 AHA/ACC guideline into practice.","authors":"Pavel Kibrik, Enrico Prajiante Bertolino, Sasan Partovi, G Jay Bishop, Aravinda Nanjundappa, Lee Kirksey","doi":"10.3949/ccjm.93a.25101","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25101","url":null,"abstract":"<p><p>The 2024 American Heart Association and American College of Cardiology multisociety peripheral artery disease (PAD) guideline updates the 2016 guideline by clarifying clinical terminology, using trial evidence to guide pharmacotherapy, and addressing equity and access to care. This article summarizes the main clinical recommendations and how to implement them.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"603-615"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpreting EVERDAC: Deferring arterial cannulation in critically ill patients with shock. 解释EVERDAC：延迟休克危重患者动脉插管。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.25108
Adrienne K Ho
{"title":"Interpreting EVERDAC: Deferring arterial cannulation in critically ill patients with shock.","authors":"Adrienne K Ho","doi":"10.3949/ccjm.93a.25108","DOIUrl":"https://doi.org/10.3949/ccjm.93a.25108","url":null,"abstract":"<p><p>Patients admitted to the intensive care unit with shock do not automatically need to have an arterial catheter inserted immediately. This is the main take-away point from the Early Versus Deferred Arterial Catheterization in Critically Ill Patients With Acute Circulatory Failure (EVERDAC) trial, which found that slightly fewer patients died in a group randomly assigned to not have an arterial catheter inserted unless it was truly needed, compared with putting one in immediately. This result easily met the trial's predefined criterion for noninferiority of deferring arterial catheterization, and it challenges our standard practice.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"597-602"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shedding: An updated guide to a common cause of hair loss. 脱落：一个更新的指南，一个常见的脱发原因。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.26008
Wilma F Bergfeld, Daniela Mendez
{"title":"Shedding: An updated guide to a common cause of hair loss.","authors":"Wilma F Bergfeld, Daniela Mendez","doi":"10.3949/ccjm.93a.26008","DOIUrl":"https://doi.org/10.3949/ccjm.93a.26008","url":null,"abstract":"<p><p>Telogen effluvium is a common, nonscarring type of diffuse hair shedding that results from a temporary disruption of the normal hair growth cycle and is typically reversible, with gradual regrowth over time. It can be triggered by physiologic or emotional stressors such as illness, surgery, childbirth, nutritional deficiencies, medications, or systemic infection, though a cause cannot always be found. Diagnosis is primarily clinical, and management focuses on identifying potential triggers, educating and reassuring the patient, and offering supportive therapies when appropriate.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"616-622"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute vertigo in a 67-year-old woman: Peripheral or central? 67岁女性急性眩晕：外周性还是中枢性？
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.26035
David Kweku Aseda Donkor, Kapil Nayar, Jerma Adams
{"title":"Acute vertigo in a 67-year-old woman: Peripheral or central?","authors":"David Kweku Aseda Donkor, Kapil Nayar, Jerma Adams","doi":"10.3949/ccjm.93a.26035","DOIUrl":"https://doi.org/10.3949/ccjm.93a.26035","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"592-596"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How can I differentiate delirium from altered mental status in hospitalized older adults? 如何区分住院老年人谵妄和精神状态改变？
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.26025
Asim Kichloo, Calista Hemarga, Ivan Magallanes Marrufo, Sandra Davis
{"title":"How can I differentiate delirium from altered mental status in hospitalized older adults?","authors":"Asim Kichloo, Calista Hemarga, Ivan Magallanes Marrufo, Sandra Davis","doi":"10.3949/ccjm.93a.26025","DOIUrl":"https://doi.org/10.3949/ccjm.93a.26025","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"581-585"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immunoglobulin E: From horses to myeloma. 免疫球蛋白E：从马到骨髓瘤。
IF 5.2 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2026-10-01 Print Date: 2026-01-01 DOI: 10.3949/ccjm.93a.26078
Adam J Brown
{"title":"Immunoglobulin E: From horses to myeloma.","authors":"Adam J Brown","doi":"10.3949/ccjm.93a.26078","DOIUrl":"https://doi.org/10.3949/ccjm.93a.26078","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"93 10","pages":"589-591"},"PeriodicalIF":5.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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