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.
Myocardial Inflammation in Rheumatoid Arthritis
Heart disease in rheumatoid arthritis is well known, but whether it's present in RA patients with no known heart disease or risk factors is not as well known.
Pyoderma Gangrenosum Fails Initial Treatment Plans
Photo Clinic: A case of pyoderma gangrenosum that failed antibiotics, steroids, other immunosuppressive agents, thalidomide and cyclosporine.
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.
Beyond the "Oil Drop Sign" in Nail Psoriasis
New research clarifies the presentation and treatment of nail psoriasis for rheumatologists, dermatologists and general practitioners.
An Unusual Presentation of Ankylosing Spondylitis Involving the Symphysis Pubis in a Young Female
Ankylosing spondylitis involving the symphysis pubis is a rare and very unusual manifestation in male and females. Herein, we present a case of a 43-year-old female with ankylosing spondylitis involving the symphysis pubis.
58-Year-Old Woman With Lesions on Her Ear
A dermatologist has referred a patient who presented with a nodule on the edge of her ear. Can you guess the unusual diagnosis that led to the referral?
Young Lupus Patient With Worsening Leg Pain
This 14-year-old girl not only has lupus; she has also been diagnosed with arthritis, a vasculitic rash, and myositis. Can you guess what's actually going on here?
11-Year-Old Girl With Swollen Knees
Swelling and stiffness in both knees kept this preadolescent girl from the usual running and jumping. Xrays were normal. What do you make of the MRI images?