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The elderly man with hypertension and polyarticular tophaceous gout experiences intermittent dizziness, neck pain, and arm weakness. Which condition is responsible?

Eccentric and irregular pigmentation prompted a biopsy in this elderly woman with a history of basal cell carcinoma and melanoma. The surprising diagnosis was a heavily pigmented squamous cell carcinoma in situ.

Incarcerated rectal prolapse is uncommon and seen mainly in elderly female patients. If ischemia is present, perineal proctosigmoidectomy is the only remaining treatment option.

The FDA has approved canakinumab (Ilaris) for treatment of active systemic juvenile idiopathic arthritis) in patients aged 2 years and older. The drug is administered monthly by subcutaneous injection.

Preseptal cellulitis, myasthenia gravis, squamous cell carcinoma, atheromatous embolism, calciphylaxis are shown here.

The ACR's new list of probably unnecessary procedures set this emeritus rheumatologist wondering about another procedure that might be unwarranted: MRI for low back pain or sciatica in an older patient with no red flags. What does it accomplish beyond satisfying curiosity?

Sleep apnea in adults aged 65 years or older posed an increased risk for silent cerebral infarction and lacunar infarction.


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