Dermatologic Look-Alikes
Pink papules on the fingers
Two patients with pink-purple hand papules—but only one shows interface dermatitis and lymphocytic infiltrate.
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Clinical Challenge
Painful red spot and fever in an infant
The child and her twin tested positive
for influenza B infection one week earlier. The child's pulse, respirations, and blood pressure were within normal limits.
Features
A comprehensive look at kidney stones
Some risk factors are unavoidable, but adjusting your patient's diet and addressing comorbidities can prevent excruciating episodes.
Dermatologic Look-Alikes
Widespread Erythematous Rash
In Case 1, a 24-year-old man presents to his primary care physician with complaints of new-onset sore throat and fatigue. In Case 2, a 50-year-old man presents to an urgent care clinic complaining of a fast-developing pruritic rash after being stung by a wasp.
ClinicianPOV
IL-23 Inhibitors to Improve Quality of Life in Patients With Psoriasis
The management of psoriasis revolves around injectable biologics that target T helper 17 cells-derived proinflammatory cytokines responsible for the pathogenesis of the disease. IL-23 inhibitors are injected every 8 to 12 weeks, allowing patients to have a better quality of life. Dr Joel M. Gelfand, the director of the Psoriasis and Phototherapy Treatment Center at the University of Pennsylvania Perelman School of Medicine in Philadelphia, discusses how IL-23 inhibitors filled a gap in care for patients with psoriasis.
Features
Successfully treating problem drinking
Thanks to the availability of effective medications, managing patients with alcohol dependence has become a realistic goal for primary-care clinicians. An estimated 5% of patients encountered in primary care are alcohol-dependent.1 Traditionally, clinicians have referred these patients to specialists, but with the advent of effective medications to aid recovery, office-based primary care has become a…
Features
Successfully treating problem drinking
Thanks to the availability of effective medications, managing patients with alcohol dependence has become a realistic goal for primary-care clinicians.
Features
Don’t overlook the resurgence of rubella
The current infectious-disease focus is on ebola and enterovirus D68, but an old foe, rubella, is once again demanding attention.
Features
Beach medicine pearls (and seashell lacerations)
Fun at the beach exposes children and adults to a number of hazards—some avoidable, such as sunburn, and some less so.
Features
Early diagnosis of malignant melanoma
Surveillance on the part of primary-care clinicians is critical to the
timely identification of cancerous lesions in at-risk individuals.
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