July 05, 2007 Archives - Page 7 of 7 - Clinical Advisor

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Statins may reduce prostate cancer risk

Statins lower prostate-specific antigen (PSA) levels and appear to reduce the risk of prostate cancer itself, according to data from two trials presented at the American Urological Association meeting in Anaheim, Calif., in May. A team of urologists at Duke University studied 1,214 men (mean age 60 years) prescribed a statin between 1990 and 2006…

A pair of pigment disorders

CASE #1 A 60-year-old man hospitalized for pericarditis likely related to systemic lupus erythematosus (SLE) was brought to the dermatology clinic for examination of a large white macule interspersed with brown follicular macules. The border of the white macule was smooth. A Wood’s lamp examination showed that the white area was depigmented, while the brown…

Red weeping nodule on the hand of a young farmer

A 20-year-old agricultural worker requested evaluation of a 3-cm reddish weeping nodule with an ulcerative center. The lesion had first appeared on his hand more than two weeks earlier. The patient noted minimal tenderness of the area but had no other symptoms or constitutional complaints. He had applied bacitracin/polymyxin (Polysporin) ointment, with no success. One…

Maculopapular rash on face, trunk, and extremities

A 45-year-old febrile woman came to the emergency department (ED) with a two-day history of hand and facial swelling (Figure 1) and a three-day history of rash (Figure 2). Laboratory findings included leukocytosis, eosinophilia (29%), and an elevated alkaline phosphatase. The patient’s thyroid-stimulating hormone (TSH) was high, and her thyroxine was low. Four weeks before…

Jaundice from an unexpected source

As a man’s liver enzymes steadily worsen, attention turns to a “safe” drug he had been taking for weeks. A 58 year-old Caucasian man was referred to the gastroenterology/ hepatology department for a one-week history of jaundice and abnormal liver enzymes. For the past three weeks, he had been plagued with fatigue and reported sleeping…

Illegal immigrants deserve care

My work at the county health department and as a volunteer at a local soup kitchen exposes me to a wide variety of people, some of whom happen to be illegal immigrants. One day, a woman brought her 72-year-old Spanish-speaking father to the health-check clinic I provide in a corner of the soup kitchen. Juan…

Green tea

It is no exaggeration to say that entire cultures and empires have been formed on the basis of tea. The growth, processing, shipping, and sale of tea play a huge role in the histories of such countries as China, India, and Britain. Today, the bulk of the world’s green tea is grown throughout Asia and…

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