Thyroiditis: The Big Three

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Thyroiditis: The Big Three
MEDS faculty member Dwight Deter discusses his "big three" causes of thyroiditis and how to treat each of them.

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MEDS faculty member Dwight Deter discusses his "big three" causes of thyroiditis and how to treat each of them.
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Thyroiditis: The Big Three
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Testosterone in the Aging Male

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Testosterone in the Aging Male
In the past 10 years, there has been a surge of interest in low testosterone in aging men. MEDS faculty member CJ Chun differentiates organic from nonorganic hypogonadism to help you determine whether replacement therapy is needed.

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In the past 10 years, there has been a surge of interest in low testosterone in aging men. MEDS faculty member CJ Chun differentiates organic from nonorganic hypogonadism to help you determine whether replacement therapy is needed.
In the past 10 years, there has been a surge of interest in low testosterone in aging men. MEDS faculty member CJ Chun differentiates organic from nonorganic hypogonadism to help you determine whether replacement therapy is needed.

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Screening for Microvascular Complications of Diabetes

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Screening for Microvascular Complications of Diabetes
What is the most common microvascular complication of diabetes in newly diagnosed patients? MEDS faculty member Lucia Novak provides the answer and walks you through how to properly screen your patients for the condition.

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What is the most common microvascular complication of diabetes in newly diagnosed patients? MEDS faculty member Lucia Novak provides the answer and walks you through how to properly screen your patients for the condition.
What is the most common microvascular complication of diabetes in newly diagnosed patients? MEDS faculty member Lucia Novak provides the answer and walks you through how to properly screen your patients for the condition.

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Acute Hypoglycemia

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Acute Hypoglycemia
What puts people at risk for hypoglycemia? Watch this video from MEDS co-chair Chris Sadler for tips on how to prevent this costly condition.

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Nonsurgical Alternatives for Skin Cancer Treatment: Report From the AAD Meeting

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Nonsurgical Alternatives for Skin Cancer Treatment: Report From the AAD Meeting

An important topic at the 2014 Summer AAD Meeting in Chicago, Illinois, was the nonsurgical treatment of skin cancers, including adjuvant therapy, topical creams, photodynamic therapy, and radiation for melanoma and nonmelanoma skin cancers. Dr. Anthony M. Rossi discusses the benefits of some of these nonsurgical treatment options for skin cancers and describes how he uses them in his practice. He also discusses how to determine which treatment option is best for each patient and emphasizes the importance of patient compliance and close follow-up.

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An important topic at the 2014 Summer AAD Meeting in Chicago, Illinois, was the nonsurgical treatment of skin cancers, including adjuvant therapy, topical creams, photodynamic therapy, and radiation for melanoma and nonmelanoma skin cancers. Dr. Anthony M. Rossi discusses the benefits of some of these nonsurgical treatment options for skin cancers and describes how he uses them in his practice. He also discusses how to determine which treatment option is best for each patient and emphasizes the importance of patient compliance and close follow-up.

An important topic at the 2014 Summer AAD Meeting in Chicago, Illinois, was the nonsurgical treatment of skin cancers, including adjuvant therapy, topical creams, photodynamic therapy, and radiation for melanoma and nonmelanoma skin cancers. Dr. Anthony M. Rossi discusses the benefits of some of these nonsurgical treatment options for skin cancers and describes how he uses them in his practice. He also discusses how to determine which treatment option is best for each patient and emphasizes the importance of patient compliance and close follow-up.

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VIDEO: JIA response predicted after start of therapy

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VIDEO: JIA response predicted after start of therapy

PARIS – Thanks to microarray analysis of gene expression in patients with juvenile idiopathic arthritis, response to treatment at 12 months can be predicted after just 4 months of therapy, based on a longitudinal analysis of whole blood samples from children participating in the TREAT study.

The prediction of active versus inactive disease could be made even more strongly when stratifying patients based on the presence of rheumatoid factor (RF), which is an "exciting" finding, study investigator Dr. James Jarvis said in a video interview at the annual European Congress of Rheumatology. "We’ve known for a long time that children with rheumatoid factor–positive disease are just harder to treat."

The National Institutes of Health–funded TREAT (Trial of Early Aggressive Drug Therapy in Juvenile Idiopathic Arthritis) study compared treatment with methotrexate alone against methotrexate plus etanercept for children with newly diagnosed juvenile idiopathic arthritis. The current analysis found that treatment in RF-positive patients led to changes in fewer genes than in RF-negative patients, and also changed the expression of different genes than in those with RF-negative disease. Dr. Jarvis is chief of allergy/immunology and rheumatology in the pediatrics department at the University at Buffalo, The State University of New York.

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PARIS – Thanks to microarray analysis of gene expression in patients with juvenile idiopathic arthritis, response to treatment at 12 months can be predicted after just 4 months of therapy, based on a longitudinal analysis of whole blood samples from children participating in the TREAT study.

The prediction of active versus inactive disease could be made even more strongly when stratifying patients based on the presence of rheumatoid factor (RF), which is an "exciting" finding, study investigator Dr. James Jarvis said in a video interview at the annual European Congress of Rheumatology. "We’ve known for a long time that children with rheumatoid factor–positive disease are just harder to treat."

The National Institutes of Health–funded TREAT (Trial of Early Aggressive Drug Therapy in Juvenile Idiopathic Arthritis) study compared treatment with methotrexate alone against methotrexate plus etanercept for children with newly diagnosed juvenile idiopathic arthritis. The current analysis found that treatment in RF-positive patients led to changes in fewer genes than in RF-negative patients, and also changed the expression of different genes than in those with RF-negative disease. Dr. Jarvis is chief of allergy/immunology and rheumatology in the pediatrics department at the University at Buffalo, The State University of New York.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

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PARIS – Thanks to microarray analysis of gene expression in patients with juvenile idiopathic arthritis, response to treatment at 12 months can be predicted after just 4 months of therapy, based on a longitudinal analysis of whole blood samples from children participating in the TREAT study.

The prediction of active versus inactive disease could be made even more strongly when stratifying patients based on the presence of rheumatoid factor (RF), which is an "exciting" finding, study investigator Dr. James Jarvis said in a video interview at the annual European Congress of Rheumatology. "We’ve known for a long time that children with rheumatoid factor–positive disease are just harder to treat."

The National Institutes of Health–funded TREAT (Trial of Early Aggressive Drug Therapy in Juvenile Idiopathic Arthritis) study compared treatment with methotrexate alone against methotrexate plus etanercept for children with newly diagnosed juvenile idiopathic arthritis. The current analysis found that treatment in RF-positive patients led to changes in fewer genes than in RF-negative patients, and also changed the expression of different genes than in those with RF-negative disease. Dr. Jarvis is chief of allergy/immunology and rheumatology in the pediatrics department at the University at Buffalo, The State University of New York.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

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AT THE EULAR CONGRESS 2014

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Vaginal morcellation by hand using advanced instrumentation

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Vaginal morcellation by hand using advanced instrumentation

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Read Dr. Kho's Surgical Technique article, "Transforming vaginal hysterectomy: 7 solutions to the most daunting challenges" (August 2014)

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VIDEO: Stress and inflammatory skin diseases – Does the science prove a link?

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VIDEO: Stress and inflammatory skin diseases – Does the science prove a link?

CHICAGO – The data are still being developed, but evidence of a direct link between stress and inflammatory skin conditions continues to mount.

The research is especially compelling for psoriasis; experimental data suggest that stress triggers the nerves to release elevated levels of neuropeptides and neurotransmitters, which in turn affect the nervous system.

Dr. Richard Granstein, chairman of the dermatology department at Weill Cornell Medical College in New York, gave an exclusive interview to Frontline Medical News in which he described studies of how calming the nerves clearly interrupts psoriatic and other inflammatory skin conditions. Dr. Granstein discussed the implications of this new, and still controversial, line of research, and what this means for clinicians: Should they prescribe stress management programs to their patients with these skin conditions?

Dr. Granstein disclosed he has financial relationships with Velius and Clinique.

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CHICAGO – The data are still being developed, but evidence of a direct link between stress and inflammatory skin conditions continues to mount.

The research is especially compelling for psoriasis; experimental data suggest that stress triggers the nerves to release elevated levels of neuropeptides and neurotransmitters, which in turn affect the nervous system.

Dr. Richard Granstein, chairman of the dermatology department at Weill Cornell Medical College in New York, gave an exclusive interview to Frontline Medical News in which he described studies of how calming the nerves clearly interrupts psoriatic and other inflammatory skin conditions. Dr. Granstein discussed the implications of this new, and still controversial, line of research, and what this means for clinicians: Should they prescribe stress management programs to their patients with these skin conditions?

Dr. Granstein disclosed he has financial relationships with Velius and Clinique.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

[email protected]

On Twitter @whitneymcknight

CHICAGO – The data are still being developed, but evidence of a direct link between stress and inflammatory skin conditions continues to mount.

The research is especially compelling for psoriasis; experimental data suggest that stress triggers the nerves to release elevated levels of neuropeptides and neurotransmitters, which in turn affect the nervous system.

Dr. Richard Granstein, chairman of the dermatology department at Weill Cornell Medical College in New York, gave an exclusive interview to Frontline Medical News in which he described studies of how calming the nerves clearly interrupts psoriatic and other inflammatory skin conditions. Dr. Granstein discussed the implications of this new, and still controversial, line of research, and what this means for clinicians: Should they prescribe stress management programs to their patients with these skin conditions?

Dr. Granstein disclosed he has financial relationships with Velius and Clinique.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

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On Twitter @whitneymcknight

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EXPERT ANALYSIS FROM THE AAD SUMMER ACADEMY 2014

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Free, Powerful Tools for CKD Management

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Free, Powerful Tools for CKD Management
MEDS faculty member Kim Zuber discusses free tools available at the disposal of practitioners to help educate patients and slow the progression of kidney disease.

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MEDS faculty member Kim Zuber discusses free tools available at the disposal of practitioners to help educate patients and slow the progression of kidney disease.
MEDS faculty member Kim Zuber discusses free tools available at the disposal of practitioners to help educate patients and slow the progression of kidney disease.

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Preconception Concerns: Diabetes and Pregnancy

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Preconception Concerns: Diabetes and Pregnancy
MEDS faculty member Lucia Novak discusses the importance of counseling diabetic patients on pregnancy and family planning—even if you will not be managing the patient during her pregnancy.

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MEDS faculty member Lucia Novak discusses the importance of counseling diabetic patients on pregnancy and family planning—even if you will not be managing the patient during her pregnancy.
MEDS faculty member Lucia Novak discusses the importance of counseling diabetic patients on pregnancy and family planning—even if you will not be managing the patient during her pregnancy.

The video associated with this article is no longer available on this site. Please view all of our videos on the MDedge YouTube channel

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Preconception Concerns: Diabetes and Pregnancy
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