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Search results for: Primary care

Lupus or Not? Machine Learning May Help Diagnose Lupus Early

Lara C. Pullen, PhD  |  May 19, 2021

Can machine learning aid clinicians in diagnosing systemic lupus erythematosus? Adamichou et al. designed an algorithm that uses classical features of lupus to simulate medical reasoning and identify lupus early in the disease process. They were able to validate the algorithm, which demonstrated high sensitivity, specificity and accuracy.

Filed under:ConditionsSystemic Lupus Erythematosus Tagged with:DiagnosisLupusmachine learningsystemic lupus erythematosus (SLE)

Case Report: A Rare But Severe Complication of Dermatomyositis

Akrithi Udupa, MD, Paul McIntosh, MD, Thomas J. Cummings, MD, & Lisa Criscione-Schreiber, MD, Med  |  May 13, 2021

Dermatomyositis is an uncommon autoimmune condition involving skeletal muscle characterized by subacute onset of progressive weakness, intramuscular inflammatory infiltrates and the presence of myositis-specific autoantibodies.1 Immune-mediated myopathies may exert some pathogenic effects on the muscle tissue by targeting the microvasculature.1 Capillary inflammation, fragility and loss may contribute to heightened bleeding events in these patients. Here,…

Filed under:ConditionsMyositis Tagged with:case reportdermatomyositis (DM)hemorrhagic dermatomyositis

Drazen Zigic / shutterstock.com

Tips for Talking to Your Patients About Sex

Iris Zink, RN, ANP, RN-BC  |  May 13, 2021

Have you ever asked a patient, “How’s your sex life?” If your answer is “No,” you’re not alone. The Centers for Disease Control and Prevention (CDC) finds healthcare providers don’t talk about sex with their patients for a variety of reasons: They feel uncomfortable discussing sex and sexuality with patients; They believe discussing sex will…

Filed under:Patient Perspective Tagged with:physician-patient communicationsexsexual health

Case Report: Rapidly Progressive Interstitial Lung Disease in a 6-Year-Old

Anusha Vuppala, MD, & Sarwat Umer, MD  |  April 17, 2021

Clinically amyopathic dermatomyositis (CADM), a rare subset of dermatomyositis (DM), is an autoimmune disease characterized by cutaneous findings of typical DM without evidence of myositis. Childhood presentation of CADM is rare, and not many studies describe the epidemiology of juvenile CADM.1,2 Although lung disease is rare among patients with juvenile DM, a few reports have…

Filed under:ConditionsMyositis Tagged with:Clinically Amyotrophic Dermatomyositis (CADM)dermatomyositisinterstitial lung disease (ILD)juvenile dermatomyositisPediatric Rheumatology

A Lack of Pediatric Providers Can Have Long-Term Consequences

Kimberly Retzlaff  |  April 17, 2021

As with rheumatology care in general, the current demand for pediatric rheumatologists is greater than the supply of providers available. That imbalance is expected to increase significantly by 2030 unless action is taken, according to a new workforce study published in Arthritis Care & Research.1 The lack of pediatric providers is a serious problem that…

Filed under:Practice SupportProfessional TopicsWorkforce Tagged with:Pediatric RheumatologyResearch ReviewWorkforceworkforce shortage

Adventures in Vaccinating

Philip Seo, MD, MHS  |  April 17, 2021

I’m a believer in blue light. I’ve spent years lecturing my insomniac patients, buzzed on prednisone, on the importance of good sleep hygiene. In my own home, I try to practice what I preach. When I’m ready for bed, I leave my laptop and phone on my nightstand, and concentrate on relaxing. If I can’t…

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:COVID-19vaccination

Pediatric Rheumatology Workforce Challenges in the Dakotas

Kimberly Retzlaff  |  March 17, 2021

Pediatric rheumatologists are few and far between in rural America. Financial incentives, such as loan repayment, may help draw more providers to the subspecialty and the underserved regions of the U.S.

Filed under:ProfilesWorkforce Tagged with:pediatric loan repaymentPediatric Rheumatology

Case Report: A Patient with Submandibular Swelling

Julia A. Ford, MD, Robert Padera, MD, PhD, & Lindsey A. MacFarlane, MD, MPH  |  March 15, 2021

We report on a 77-year-old patient who was diagnosed with giant cell arteritis (GCA) on histopathology of the submandibular gland and eventually went on to develop classic signs and symptoms of GCA. This observation highlights neck swelling as a rare initial presentation of GCA. Case Presentation A 77-year-old previously healthy man presented to his primary…

Filed under:ConditionsVasculitis Tagged with:case reportGiant Cell Arteritissubmandibular swelling

Pressmaster / shutterstock.com

What Happens When Patients Have Access to Their Clinician’s Notes?

Ruth Jessen Hickman, MD  |  February 18, 2021

Navigating the healthcare system and its processes can seem overwhelming to patients. If patients understand why their clinician recommended something, know how and when to take medications, and why they shouldn’t skip a dose—or 10—they may not feel so out of control. Sharing examination notes with patients can be helpful to many patients who struggle…

Filed under:EMRsPatient PerspectivePractice Support Tagged with:Medical RecordsOpenNotes

Rosalind Ramsey-Goldman, MD, DrPH, Becomes Next Chair of the Collaborative Initiatives Special Committee

Mary Beth Nierengarten  |  February 5, 2021

At the helm of the Collaborative Initiatives Special Committee (COIN), Rosalind Ramsey-Goldman, MD, DrPH, will oversee projects to tackle disparities within rheumatologic care, improve the inclusiveness of ACR initiatives, advance professional development in rheumatology topics and more.

Filed under:American College of RheumatologyProfiles Tagged with:Collaborative Initiatives Special Committee (COIN)Rosalind Ramsey-GoldmanThe Lupus Initiative

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