Table of Contents
From the Editor
- A tale of scale: Corticosteroids and pustular psoriasis
Guidelines and textbooks have recommended caution when using and withdrawing corticosteroids in patients with psoriasis, yet strong evidence that defines this association is hard to come by.
The Clinical Picture
- Steroid use triggers severe psoriatic reaction
After tapering prednisone, the patient developed a circular plaque bordered with pustules superimposed on erythematous skin.
1-Minute Consult
- Is there a role for chronic suppressive therapy in herpes simplex virus infection?
Yes, in patients with recurrent oral and genital HSV-2 infection and oral HSV-1 infection.
Symptoms to Diagnosis
- Multiple metabolic renal manifestations of a systemic disease
A 39-year-old woman who presented with 5 days of generalized weakness and right-upper-quadrant abdominal pain was found to have an acid-base disorder, prompting evaluation for the underlying cause.
Review
- Medical management of benign prostatic hyperplasia
The goal is to maximize quality of life and minimize “bothersome” symptoms. Choices about medical therapy are guided by indication, effectiveness, side effects, as well as patient preference.
Symptoms to Diagnosis
- Hematologic complications after kidney and pancreas transplant in a patient with chronic myeloid leukemia
This case highlights the complex interplay linking autoimmunity, solid-organ transplant, myeloid neoplasm, and Evans syndrome.
Commentary
Artificial intelligence is developing rapidly, but caution is needed when interpreting results from studies in clinical settings involving general-purpose platforms like ChatGPT.