{"title":"Subacute Cutaneous Lupus Erythematosus in a Male Patient on Multiple Antiepileptics Unmasked by Melatonin.","authors":"Gerhard Eichhoff","doi":"10.1097/RHU.0000000000001087","DOIUrl":"https://doi.org/10.1097/RHU.0000000000001087","url":null,"abstract":"","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"e219-e220"},"PeriodicalIF":3.4,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000001087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37281320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Normal Pressure Hydrocephalus in Systemic Lupus Erythematosus: A Severe Case of Recurrent Cerebral Infarctions After Ventriculoperitoneal Shunt.","authors":"Noriko Sakaguchi, Yasuhiro Shimojima, Satoru Ushiyama, Takanori Ichikawa, Junji Ikeda, Ken-Ichi Ueno, Dai Kishida, Yoshiki Sekijima","doi":"10.1097/RHU.0000000000001101","DOIUrl":"https://doi.org/10.1097/RHU.0000000000001101","url":null,"abstract":"","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"e246-e248"},"PeriodicalIF":3.4,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000001101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37385638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathan Jeter, E George Wolf, Michael Richards, Erica Hill
{"title":"Successful Treatment of Anti-MDA5 Dermatomyositis Associated Cutaneous Digital Pulp Ulcerations With Hyperbaric Oxygen Therapy.","authors":"Jonathan Jeter, E George Wolf, Michael Richards, Erica Hill","doi":"10.1097/RHU.0000000000001114","DOIUrl":"https://doi.org/10.1097/RHU.0000000000001114","url":null,"abstract":"DESCRIPTION A 67-year-old male presented with an upper extremity eczematous dermatitis, isolated painful papules on his palmar and dorsal fingers, symmetric inflammatory polyarthritis, Raynaud's disease, and weight loss. He developed painful distal finger ulcerations with surrounding purpura involving the digital pulp (Fig. A and B). Laboratory evaluation revealed normal levels of creatinine kinase and aldolase and a positive melanoma differentiation-associated gene 5 (MDA5) antibody consistent with anti-MDA5 amyopathic dermatomyositis. High-resolution computed tomography of the chest revealed peripheral and peribronchial ground glass opacities and pulmonary function tests were normal. A malignancy workup was unremarkable. Treatment was initiated with prednisone, mycophenolate mofetil, and hydroxychloroquine. Raynaud's was treated with nifedipine initially, followed by sildenafil, bosentan, and topical nitroglycerin. IV Immunoglobulin was attempted but was complicated by a pulmonary embolism after his second treatment requiring discontinuation and anticoagulation with apixaban for 2 months. He continued to develop painful new ulcers and progression of digital ischemia, so hyperbaric oxygen therapy (HOT) was requested. He received 37 hyperbaric oxygen sessions delivered at 2.0 atmospheres absolute or 33 feet of seawater over the course of 54 days. At the end of his treatment course his pain had dramatically improved and the ulcerations were nearly healed (Fig. C and D). His hands remained lesion free at his 9-month follow-up. Anti-MDA5 dermatomyositis is a distinctive subtype associated with unique mucocutaneous features, a higher rate of amyopathic or hypomyopathic presentation, and interstitial lung disease (ILD). Painful cutaneous ulcerations involving the digital pulp or periungual regions develop inmore than 80%of patients. They are thought to be caused by an underlying vasculopathy, severe interface dermatitis, vasculitis, or some combination of these factors.","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"e266-e267"},"PeriodicalIF":3.4,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000001114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37454726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long-term Imaging Findings on Serial FDG PET/CT Scans in a Patient With Polymyositis.","authors":"Taro Horino, Tatsuki Matsumoto, Osamu Ichii, Yoshio Terada","doi":"10.1097/RHU.0000000000001047","DOIUrl":"https://doi.org/10.1097/RHU.0000000000001047","url":null,"abstract":"","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"e174-e175"},"PeriodicalIF":3.4,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000001047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40448433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kidney Biopsy From a Patient With Recurrent Scleroderma Renal Crisis During Pregnancy.","authors":"Weixia Guo, Nabeela Siddiqi, Surabhi A Khanna","doi":"10.1097/RHU.0000000000000990","DOIUrl":"https://doi.org/10.1097/RHU.0000000000000990","url":null,"abstract":"","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"e119-e120"},"PeriodicalIF":3.4,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000000990","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36919637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gout: Where Is the Weak Link?","authors":"Eliseo Pascual, Mariano Andres, Francisca Sivera","doi":"10.1097/RHU.0000000000001492","DOIUrl":"https://doi.org/10.1097/RHU.0000000000001492","url":null,"abstract":"<p><p>In the field of rheumatic and musculoskeletal diseases, no other condition has evolved so significantly since the mid-1950s as gout. In this period, the cause of gout has been firmly established; the close relationship with other conditions clarified; a rapid, unequivocal diagnostic test established; and agents effective in dissolving monosodium urate crystals and controlling inflammation made widely available. All these insights have ultimately led to deem gout as curable, an end point formerly considered out of reach. Unfortunately, diagnosis and management of gout in clinical practice have not paralleled the scientific advances and remain far from established quality standards. This paradox is the topic of the present review article, intending to increase the widespread interest of clinicians in gout.</p>","PeriodicalId":520664,"journal":{"name":"Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases","volume":" ","pages":"208-212"},"PeriodicalIF":3.4,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/RHU.0000000000001492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38177259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}