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Case Report: Dermato-Neuro Syndrome Recurrence after a Viral Infection

Case Report: Dermato-Neuro Syndrome Recurrence after a Viral Infection

Fazila Aseem, MD, MPH, Alexander D. Jeffs, MD, Enid Y. Sun, MD, MPH, Randaline R. Barnett, MD, Courtney Blodgett, AG-ACNP, Winnie Lau, MD, Casey Olm-Shipman, MD, MS, Matthew F. Sharrock, MD, Rhonda Cadena, MD, Yueh. Z. Lee, MD, PhD, Alfredo C. Rivadeneira, MD, & Clio A. Rubinos, MD, MS  |  July 13, 2022

Scleromyxedema is a primary cutaneous mucinosis characterized by a diffuse and generalized papular skin eruption of mucinous deposits throughout the upper dermis. In addition to dermatologic manifestations, scleromyxedema may involve the cardiopulmonary, gastrointestinal, renal and nervous systems. Dermato-neuro syndrome (DNS) is a rare, severe neurologic complication of scleromyxedema.1,2 The pathogenesis of DNS is unknown, but…

Filed under:ConditionsSystemic Sclerosis Tagged with:case reportCOVID-19Dermato-Neuro SyndromeFellowsScleromyxedema

Case Report: Sweet Syndrome as an Initial Presentation of Crohn’s Disease

Ryan Guerrettaz, MD, Angelo Ciliberti, MD, Rochella Ostrowski, MD, Elise Wolff, DO, Nadia Qureshi, MD, & Ramzan Shahid, MD  |  July 13, 2022

Acute febrile neutrophilic dermatosis, or Sweet syndrome, is an inflammatory disease that classically presents with fever, leukocytosis and tender, erythematous plaques characterized by neutrophilic infiltrates on biopsy. Sweet syndrome has been reported in association with several autoimmune diseases, including inflammatory bowel disease, systemic lupus erythematous, rheumatoid arthritis and sarcoidosis.1 Here, we discuss a case of…

Filed under:Conditions Tagged with:case reportCrohn's diseaseFellowsFellows ForumSweet's syndrome

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Rheumatologists Share Lessons Learned in the Wake of Hurricane Ida

Susan Bernstein  |  July 13, 2022

Hurricane Ida intensified in the last two weeks of August 2021, battering the Cayman Islands and Cuba before hitting the Louisiana coast as a Category 4 storm just before Labor Day weekend.1 At landfall, Ida blasted southern Louisiana with maximum sustained winds of 150 knots, then turned in a north-northwestern direction to hit the New…

Filed under:EMRsFacilityPractice Support Tagged with:Disaster preparationNatural disaster

ACR Image Competition 2021 Results, Part 5

Hala Fadhil Hasan, MBChB; Featured Image from Middle East & North Africa  |  July 13, 2022

Rheumatic Diseases of Childhood: Juvenile Dermatomyositis with Calcinosis Cutis These images depict a 14-year-old boy with a two-year history of proximal muscle weakness affecting both upper and lower limbs, and a skin rash affecting his face. He was diagnosed with juvenile dermatomyositis and developed calcinosis over both legs with skin infection and ulceration. Plain X-ray…

Filed under:ConditionsProfessional Topics Tagged with:biasdiagnostic imagingDiversityhealthcare disparitiesImage CompetitionRacism

How to Tell Your Professional Story

Janet L. Poole, PhD, OTR/L, & Daniel F. Battafarano, DO, MACP, MACR  |  July 13, 2022

All of us have a professional story to share. We have come from various backgrounds that make us different and allow us to link unique contributions from our professional journey. Some of us dedicate our careers to academics, many serve in private practice, and others have a combination of career experiences. Unfortunately, many of our…

Filed under:Career DevelopmentInterprofessional PerspectiveProfessional Topics Tagged with:resume

Challenges in Reproductive Health in Rheumatic Disease

Keri Losavio & Julie Nusbaum, MD  |  July 11, 2022

In light of new challenges to individuals’ reproductive rights and the known challenges of clinical management of rheumatic disease patients during pregnancy, we review the current state of reproductive rheumatology and the management of patients with rheumatic disease during pregnancy.

Filed under:ConditionsDrug UpdatesMeeting ReportsRheumatoid ArthritisSystemic Lupus Erythematosus Tagged with:Access to Reproductive Health Care Task Forcedisease managementLegalMethotrexatepregnancyreproductive healthReproductive Health in Rheumatic Disease Symposium

Tips from a Joint Surgeon on What the Rheumatologist Needs to Know

Samantha C. Shapiro, MD  |  June 18, 2022

Hip and knee replacements—despite advancement in treatments for rheumatic diseases, some patients will still need to undergo these surgeries. Here are insights into the considerations, costs and complications of total joint arthroplasty.

Filed under:ConditionsEducation & TrainingMeeting ReportsOther ACR meetings Tagged with:ACR Education Exchangehip arthroplastyJoint Surgeryknee arthroplastytotal joint arthroplasty

Without Fear: Psychological Safety for Learners & Patients

Jason Liebowitz, MD, FACR  |  June 18, 2022

Constructing a safe space for reporting errors is important & enables medical trainees to grow, making them better learners and scholars, and faculty members and patients to express their concerns. During a session at the 2022 ACR Education Exchange, Karina Torralba, MD, MACM, RhMSUS, provided insights into how to manage the barriers to fostering such a workplace culture.

Filed under:ConditionsEducation & TrainingMeeting ReportsOther ACR meetings Tagged with:ACR Education Exchangeeducation and trainingFellowsFellows-in-TrainingPractice ManagementpsychologicalSafety

Tips from a Cardiothoracic Radiologist: Interstitial Lung Disease & Radiology for the Rheumatologist

Samantha C. Shapiro, MD  |  June 17, 2022

Due to its array of radiographic patterns, interstitial lung disease can be challenging to diagnose and treat. Adam Guttentag, MD, a cardiothoracic radiologist, shared tips for ordering and interpreting chest computed tomography.

Filed under:ConditionsMeeting ReportsOther ACR meetings Tagged with:ACR Education Exchangecomputed tomographyconnective tissue diseaseCT scanCTD-ILDILDinterstitial lung disease (ILD)lungsRadiologistVasculitis

PsA Trial Design Can Improve Patient Safety, Outcomes

Vanessa Caceres  |  June 15, 2022

For best safety and efficacy outcomes, trials in psoriatic arthritis should use active comparators and stricter remission criteria, with outcome measures that are important to patients.

Filed under:ConditionsMeeting ReportsPsoriatic Arthritis Tagged with:ACR-FDA Summitclinical trialsPsoriatic Arthritisstudy design

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