Although initially given as replacement therapy for patients with primary and secondary immunodeficiency states, intravenous immunoglobulin (IVIg) has proven to be effective in the treatment of various autoimmune and inflammatory disorders. This success has led to a dramatic increase in the use of IVIg, with its use as an antiinflammatory agent now vastly surpassing its use in the treatment of immunodeficiencies. Even so, the basis for the antiinflammatory activity of IVIg remains unclear.
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Susac’s Syndrome: Confusion, Expressive Aphasia, Gait Instability
A 49-year-old man presented to the hospital with confusion, dysarthria, expressive aphasia, and progressive gait instability.
Dermatology Case Answer
A 64-year-old man with history of type-II diabetes (well controlled on sitagliptin/metformin), hypertension, and dyslipidemia presents with complaints of an increasingly painful left lower-extremity lesion present for two to three months.
Coding Corner: February’s Coding Challenge
A 62-year-old male patient returns to the office for a followup visit for his gout.
A Short History of Rheumatoid Arthritis Therapeutics
Or, why I chose to become a rheumatologist
A Walk in the Windy City
A final column full of many thanks and a few parting thoughts
Coding Corner Question
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Skilled nursing facility patients
Drug Updates
Information on new approvals and medication safety
Coding Corner Question
October’s Coding Challenge Medically Unlikely Edits (MUE)
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