Rheumatology pearls for the primary care physician, An Issue of Rheumatic Disease Clinics of North America

1st Edition, Volume 48-2 - April 14, 2022
Editor: Brian F. Mandell
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 9 1 9 - 5
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 3 9 2 0 - 1

In this issue of Rheumatic Disease Clinics, guest editor Brian F. Mandell brings his considerable expertise to the topic of Rheumatology pearls for the primary care… Read more

Rheumatology pearls for the primary care physician, An Issue of Rheumatic Disease Clinics of North America

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In this issue of Rheumatic Disease Clinics, guest editor Brian F. Mandell brings his considerable expertise to the topic of Rheumatology pearls for the primary care physician.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Vaccinations in Patients with Rheumatic Disease: Consider Disease and Therapy
Key points
Introduction
General principles and recommendations
Effect of immunosuppression on vaccine efficacy
Effect of vaccines on rheumatic disease activity
Summary
Clinics care points
Rheumatic Complications of Immune Checkpoint Inhibitors
Key points
Introduction
Immune checkpoint inhibitors in patients with preexisting autoimmune disease
Approach to the patient with musculoskeletal complaints after immune checkpoint inhibitors
Treatment overview
Summary
Clinics care points
Managing Cardiovascular Risk in Patients with Rheumatic Disease
Key points
Introduction
Discussion
Summary
Clinics care points
Statin-Associated Myalgias and Muscle Injury—Recognizing and Managing Both While Still Lowering the Low-Density Lipoprotein
Key points
Introduction
The spectrum of statin-related muscle side effects
Statin-associated muscle symptoms
Statin-associated myotoxicity
Statin-associated autoimmune myopathy
Summary
Clinics care points
Perioperative Management of Rheumatic Disease and Therapies
Key points
Introduction
Preoperative considerations
Perioperative management of rheumatic therapies
Summary
Clinics care points
Fibromyalgia: Recognition and Management in the Primary Care Office
Key points
Introduction
Prevalence of fibromyalgia syndrome and gender distribution
Diagnostic criteria for fibromyalgia
When should fibromyalgia syndrome be suspected in clinic?
Common medical and psychiatric comorbidities in fibromyalgia syndrome
Is laboratory testing necessary in fibromyalgia syndrome?
Evaluation and treatment of the patient with fibromyalgia syndrome
Clinics care points
Management and Cure of Gouty Arthritis
Key points
Introduction
Gout diagnosis
Noninvasive diagnosis by clinical algorithm
Noninvasive diagnosis by imaging
Therapeutic options: treatment of acute flares
Treatment of hyperuricemia: asymptomatic hyperuricemia to advanced gout
Attaining cure of gouty arthritis: rationale for treat-to-target therapy with urate-lowering therapy
Considerations in patients with asymptomatic hyperuricemia and chronic kidney disease
Considerations in gout patients with cardiovascular disease
Agent selection and initiation of urate-lowering therapy
Anti-inflammatory prophylaxis
When to consider aggressive urate-lowering therapy
Disclosure
Update on the Treatment of Giant Cell Arteritis and Polymyalgia Rheumatica
Key points
Giant cell arteritis
Polymyalgia rheumatica
Clinics care points
Suspecting and Diagnosing the Patient with Spondyloarthritis and What to Expect from Therapy
Key points
Introduction
Spondyloarthritis background and history
Treatment
Clinics care points
Pregnancy and Management in Women with Rheumatoid Arthritis, Systemic Lupus Erythematosus, and Obstetric Antiphospholipid Syndrome
Key points
Rheumatoid arthritis and pregnancy
Systemic lupus erythematosus and pregnancy
Obstetric antiphospholipid syndrome
Management of rheumatoid arthritis and systemic lupus erythematosus during pregnancy
Medications during pregnancy and lactation
Medications that are Contraindicated in Pregnancy
Summary
Clinics care points
Rheumatoid Arthritis: Early Diagnosis and Treatment
Key points
Early rheumatoid arthritis
Onset of rheumatoid arthritis
Diagnostic investigations
Cinching the diagnosis of rheumatoid arthritis
Differential diagnosis: other considerations
not rheumatoid arthritis!
Rules for referral
Treatment choices in early rheumatoid arthritis
Consequences of delayed intervention
Clinics care points
Management of Knee Osteoarthritis: What Internists Need to Know
Key points
Definition
Clinical presentation
Approach to therapy
Nonpharmacological approaches to osteoarthritis
Pharmacologic approach to osteoarthritis
Topical therapies
Oral therapies
Intra-articular therapies
Biologic therapies
Popular and heavily marketed unconventional strategies
Attempts at disease modification
Summary
Clinics care points
Antinuclear Antibody Testing for the Diagnosis of Systemic Lupus Erythematosus
Key points
Introduction
The clinical usefulness of antinuclear antibody testing
Antinuclear antibody staining patterns
Testing for antibodies directed against specific autoantigens
How is systemic lupus erythematosus diagnosed?
When is it appropriate to order an antinuclear antibody test?
Summary
Clinics care points

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Rheumatology pearls for the primary care physician, An Issue of Rheumatic Disease Clinics of North America

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Brian F. Mandell