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Photo courtesy of Hitomi Kobayshi, M.D., Ph.D.

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 (©UBMMedicaLLC). Photo by Irina Litvin, D.O

Photo Clinic: A case of pyoderma gangrenosum that failed antibiotics, steroids, other immunosuppressive agents, thalidomide and cyclosporine.

Photo courtesy of Irina Litvin, D.O.

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.

Clinical features of nail psoriasis

New research clarifies the presentation and treatment of nail psoriasis for rheumatologists, dermatologists and general practitioners.

Figure 1 ©Rajai Nammas

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.


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?

deep vein thrombosis

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?


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