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Search results for: pain

The initial physical examination was significant for a nonblanching, papular rash along the palmar aspects of the hands and digits, periungual erythema, and edema and tenderness of the proximal and distal interphalangeal joints of the hands.

Case Report: A Patient with Clinically Amyotrophic Dermatomyositis & Associated ILD & RA Overlap

Vania Lin, MD, MPH, & Leah Krull, MD  |  May 15, 2020

Clinically amyotrophic dermatomyositis (CADM), a subset of dermatomyositis (DM), is a rare autoimmune disease characterized by typical DM cutaneous findings (e.g., heliotrope rash, Gottron papules, Gottron sign) without evidence of myositis.1 The incidence of DM and CADM is approximately 9.63 per 1 million people and 2.08 per 1 million people, respectively.2 The association with development…

Filed under:ConditionsRheumatoid Arthritis Tagged with:Clinically Amyotrophic Dermatomyositis (CADM)combination therapyinterstitial lung disease (ILD)

The Potential for Telemedicine to Supplement In-Person Care

Elizabeth Park, MD  |  May 15, 2020

Even before I started my rheuma­tology fellowship, I knew it would be a demanding career, diagnosing complex diseases with only a few management options in seriously ill patients. What I didn’t appreciate as much before is how badly we are needed across the country. According to the 2018 outcomes report from the National Resident Matching…

Filed under:Practice SupportTechnology Tagged with:Fellows-in-Trainingtelemedicinetelerheumatology

Unprecedented Cluster of Hyperinflammatory Shock in Kids in U.K., possibly Linked to COVID-19

Reuters Staff  |  May 14, 2020

NEW YORK (Reuters Health)—Cases of a rare hyperinflammatory syndrome believed to be linked to novel coronavirus continue to be reported around the world. During a 10-day period in mid-April, clinicians in London treated an “unprecedented” cluster of eight children with hyperinflammatory shock, who presented to Evelina London Children’s Hospital pediatric intensive care unit (ICU), triggering…

Filed under:ConditionsPediatric Conditions Tagged with:ChildrencoronavirusCOVID-19Kawasaki diseasePediatric

U.S. to Tell Doctors to Report Cases of COVID-19 Inflammatory Syndrome in Kids

Julie Steenhuysen  |  May 14, 2020

CHICAGO (Reuters)—On May 13, U.S. health officials said they will issue an alert telling doctors to report cases of a rare life-threatening inflammatory syndrome associated with COVID-19 in children to their state and local health departments. The alert from the U.S. Centers for Disease Control and Prevention (CDC) will be released on Wednesday or Thursday,…

Filed under:ConditionsPediatric Conditions Tagged with:ChildrencoronavirusCOVID-19Kawasaki diseasePediatric

Rheumatology in a COVID & Post-COVID World

Christopher Phillips, MD  |  May 11, 2020

Jane’s* hands and wrists had been swollen and painful for about eight weeks. Lab findings in the ambulatory consult that came to our office revealed a cyclic citrullinated peptide antibody count >250 u/mL. We all know where this story goes, including how important the early treatment window is. Our clinic reviews all consults and tries…

Filed under:Practice Support Tagged with:COVID-19Dr. Chris Phillipstelehealth

Adjusting Patient Care to Social Distancing: Q&A with Bryant Uy, MPH, PA-C

Carina Stanton  |  May 1, 2020

Working within a community experiencing a high number of confirmed COVID-19 cases is requiring a strategic approach to manage patient care…

Filed under:Practice SupportProfessional Topics Tagged with:coronavirusCOVID-19patient caretelemedicine

Mobilizing a Long-Term Telemedicine Solution: Q&A with Karen Ferguson

Carina Stanton  |  May 1, 2020

Looking beyond the COVID-19 pandemic, one practice has combined its telemedicine functionality with long-term workflow solutions, including telemedicine technology that integrates with its electronic health records system…

Filed under:Practice Support Tagged with:coronavirusCOVID-19electronic health records (EHRs)Practice Managementtelemedicine

Adapting Care for Pediatric Patients & Parents During the Pandemic: Q&A with Sangeeta Sule, MD, PhD

Susan Bernstein  |  May 1, 2020

Social distancing and telemedicine are creating unique challenges for pediatric rheumatologists to care for their patients—many of whom are 5 years old or younger. Sangeeta Sule, MD, PhD, discusses how her clinic is adapting…

Filed under:Conditions

Fear & Hope in the Era of the Modern Plague

Jose U. Scher, MD  |  April 29, 2020

This plague has affected each one of us, our families and friends, and abruptly, it has altered the way we relate to one another.

Filed under:OpinionSpeak Out Rheum Tagged with:COVID-19

3 U.S. Children with COVID-19 Have Rare Inflammatory Syndrome

Julie Steenhuysen  |  April 29, 2020

CHICAGO (Reuters)—Three U.S. children infected with the coronavirus are being treated for a rare inflammatory syndrome that appears similar to one that has raised concerns by doctors in Britain, Italy and Spain, a specialist treating the patients told Reuters. All three—who range in age from 6 months to 8 years—have undergone treatment at Columbia University…

Filed under:ConditionsPediatric Conditions Tagged with:coronavirusCOVID-19heartKawasaki diseasePediatric

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