Case Study: Devic’s Disease and Sjogren’s Syndrome
In this case study, Dr. Litvin presents a complicated case of neuromyelitis optica (Devic’s disease), a rare inflammatory autoimmune CNS disease affecting the spinal cord and optic nerves.
Case Study: Scleroderma sin Scleroderma
A patient with uncontrolled hypertension, long-term Raynaud’s phenomenon, altered mental status, facial droop, dysarthria, diplopia and renal crisis.
Case Study: Chikungunya and Lupus, an Ill-Fated Diagnosis
Diagnosed with systemic lupus erythematosus and chikungunya, a woman embarks on a cross-continent trip for treatment and diagnosis at a city hospital.
ACR 2016 Opening Talk: Healthcare via Smartphone
How the “The Internet of Healthy Things” is improving healthcare delivery.
Pyoderma Gangrenosum Fails Initial Treatment Plans
Photo Clinic: A case of pyoderma gangrenosum that failed antibiotics, steroids, other immunosuppressive agents, thalidomide and cyclosporine.
A Weeping Wound with Ragged Edges and a Putrid Odor
Case Study: A female patient presents with a case of pyoderma gangrenosum that fails multiple standard treatments.
Pain as the Sixth Vital Sign
Doctors, remember that pain is subjective and may not fall easily into a grading system, writes Dr. Irina Litvin, a rheumatology fellow at SUNY Downstate in Brooklyn, N.Y.
Laced Cannabis Concerns follow Rise in Marijuana Use
Marijuana use is up as is concern over laced cannabis. Dr. Litvin shares her account of a patient self-medicating with a non-medical grade marijuana leading to negative outcomes.
Too Late for Methotrexate
Aggressive treatment early in rheumatoid arthritis is the accepted practice today. In this slideshow, Dr. Litvin reminds us of patients diagnosed in the pre-biologics era.
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