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Mandell BF. New CCJM faces and features. Cleve Clin J Med 2024; 91:263. [PMID: 38692698 DOI: 10.3949/ccjm.91b.05024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2024]
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Mandell BF. Corticosteroids: Giving and taking away. Cleve Clin J Med 2024; 91:203-204. [PMID: 38561207 DOI: 10.3949/ccjm.91b.04024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
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Mandell BF. A tale of scale: Corticosteroids and pustular psoriasis. Cleve Clin J Med 2024; 91:140-141. [PMID: 38429001 DOI: 10.3949/ccjm.91b.03024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2024]
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Mandell BF. Dealing with the "T" (testosterone). Cleve Clin J Med 2024; 91:78-79. [PMID: 38307603 DOI: 10.3949/ccjm.91b.02024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2024]
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Mandell BF. It's a new year, looking back and looking forward. Cleve Clin J Med 2024; 91:15-16. [PMID: 38167400 DOI: 10.3949/ccjm.91b.01024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
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Mandell BF. Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea. Cleve Clin J Med 2023; 90:712-713. [PMID: 38040438 DOI: 10.3949/ccjm.90b.12023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2023]
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Mandell BF. Anchors away. Cleve Clin J Med 2023; 90:652-653. [PMID: 37914197 DOI: 10.3949/ccjm.90b.11023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
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Mandell BF. Born again: The many lives of metformin. Cleve Clin J Med 2023; 90:523-524. [PMID: 37657830 DOI: 10.3949/ccjm.90b.09023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/03/2023]
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Mandell BF. To prophylax or not to prophylax for endocarditis: Still a question. Cleve Clin J Med 2023; 90:455-456. [PMID: 37527876 DOI: 10.3949/ccjm.90b.08023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
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Mandell BF. Unexplained pathology is not always autoimmune. Cleve Clin J Med 2023; 90:395-396. [PMID: 37400157 DOI: 10.3949/ccjm.90b.07023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/05/2023]
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Mandell BF. Celiac disease in the 'nonclassic' patient. Cleve Clin J Med 2023; 90:327-328. [PMID: 37263661 DOI: 10.3949/ccjm.90b.06023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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Mandell BF. Finger nodules: Tip of the gouty iceberg. Cleve Clin J Med 2023; 90:337-339. [PMID: 37263662 DOI: 10.3949/ccjm.90a.22103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Brian F Mandell
- Department of Rheumatologic and Immunologic Disease, and Chairman, Department of Academic Medicine, Education Institute, Cleveland Clinic, Cleveland, OH; Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH; Editor in Chief, Cleveland Clinic Journal of Medicine
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Mandell BF. Aspirin in primary prevention of cardiovascular events: Key questions remain. Cleve Clin J Med 2023; 90:270-271. [PMID: 37127336 DOI: 10.3949/ccjm.90b.05023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
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Mandell BF. Chronic centralized pain syndromes: A rheumatologist's perspective. Cleve Clin J Med 2023; 90:201-202. [PMID: 37011957 DOI: 10.3949/ccjm.90b.04023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
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Mandell BF. Viruses change; we can, too. Cleve Clin J Med 2023; 90:135-136. [PMID: 36858612 DOI: 10.3949/ccjm.90b.03023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
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Oliviero F, Mandell BF. Synovial fluid analysis: Relevance for daily clinical practice. Best Pract Res Clin Rheumatol 2023; 37:101848. [PMID: 37429800 DOI: 10.1016/j.berh.2023.101848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 06/19/2023] [Indexed: 07/12/2023]
Abstract
Synovial fluid analysis can provide a prompt and definite diagnosis of crystal-induced arthritis, the most common acute inflammatory arthritis and a cause of chronic arthritis that may mimic rheumatoid, psoriatic, or peripheral spondyloarthritis. In many patients the diagnosis of gout or calcium pyrophosphate arthritis cannot be made with certainty without synovial fluid analysis. Additional information from fluid analysis can assist the clinician in honing the differential diagnosis of non-crystalline arthritis.
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Affiliation(s)
- Francesca Oliviero
- Rheumatology Unit, Department of Medicine - DIMED, University of Padova, Padova, Italy.
| | - Brian F Mandell
- Department Rheumatologic and Immunologic Diseases, Chairman Department of Academic Medicine. Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland Clinic, Cleveland, Ohio, USA.
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Mandell BF. Myasthenia gravis: An update for internists. Cleve Clin J Med 2023; 90:72-73. [PMID: 36724915 DOI: 10.3949/ccjm.90b.02023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Mandell BF. Our Peer-Reviewers For 2022. Cleve Clin J Med 2023; 90:78. [PMID: 36724913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Mandell BF. Some complexities of diabetes and the heart. Cleve Clin J Med 2023; 90:13-14. [PMID: 36596603 DOI: 10.3949/ccjm.90b.01023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Mandell BF. Test ordering: Balancing the good for the many with the good for the one. Cleve Clin J Med 2022; 89:672-673. [PMID: 36455970 DOI: 10.3949/ccjm.89b.12022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
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Mandell BF. Another vaccine article? Yes, but a different vaccine. Cleve Clin J Med 2022; 89:607-608. [PMID: 36319048 DOI: 10.3949/ccjm.89b.11022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
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Mandell BF. The Sixth Row on the Left: A Reflection on Medicine Grand Rounds. Am J Med 2022; 135:1286-1287. [PMID: 35901913 DOI: 10.1016/j.amjmed.2022.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Accepted: 06/25/2022] [Indexed: 11/15/2022]
Affiliation(s)
- Brian F Mandell
- Professor and Chairman of Academic Medicine, Cleveland Clinic, Cleveland, Ohio; Editor in Chief, Cleveland Clinic Journal of Medicine.
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Mandell BF. Decongesting heart failure with diuretics: Easier to prescribe than to fully understand. Cleve Clin J Med 2022; 89:545-546. [DOI: 10.3949/ccjm.89b.10022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. Balancing the myths of corticosteroid therapy. Cleve Clin J Med 2022; 89:480-481. [PMID: 37907445 DOI: 10.3949/ccjm.89b.09022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. Circulating lipids are not all bad: An LDL mimic that may be only skin deep. Cleve Clin J Med 2022; 89:422-423. [PMID: 35914932 DOI: 10.3949/ccjm.89b.08022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Yaseen K, Mandell BF. ANCA Associated Vasculitis (AAV): A Review for Internists. Postgrad Med 2022; 135:3-13. [PMID: 35831990 DOI: 10.1080/00325481.2022.2102368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV) compromise a rare group of necrotizing small to medium vessel vasculitides that constitute three distinct disorders: granulomatosis with polyangiitis (GPA) (formerly known as Wegener's granulomatosis), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA) (formerly known as Churg-Strauss syndrome).AAV is characterized by the usual presence of circulating autoantibodies to the neutrophil proteins leukocyte proteinase 3 (PR3-ANCA) or myeloperoxidase (MPO-ANCA). These antibodies can activate neutrophils and the complement system resulting in vessel wall inflammation and damage.The clinical presentation of AAV varies from non-severe (non-life threatening) to severe often with potentially life-threatening multi-organ involvement. Early recognition and diagnosis are crucial. In the past two decades, advances in understanding the pathophysiology of AAV have led to development of new treatments and resulted in significant improvement in general outcomes and survival rates.This narrative review will focus on GPA and MPA. We will highlight clinical manifestations, diagnosis, disease monitoring, and treatment strategies in patients with AAV.
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Affiliation(s)
- Kinanah Yaseen
- Department of Rheumatic and Immunologic Diseases, Cleveland Clinic, 9500 Euclid Avenue/A50 Cleveland, Ohio 44195, USA
| | - Brian F Mandell
- Department of Rheumatic and Immunologic Diseases, Cleveland Clinic, 9500 Euclid Avenue/A50 Cleveland, Ohio 44195, USA
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Mangione S, Mandell BF, Post SG. The Reply. Am J Med 2022; 135:e224. [PMID: 35504736 DOI: 10.1016/j.amjmed.2022.02.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 02/04/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Salvatore Mangione
- Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Penn.
| | - Brian F Mandell
- Department of Rheumatology and Immunologic Diseases, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio; Editor-in-Chief, Cleveland Clinic Journal of Medicine, Cleveland, Ohio
| | - Stephen G Post
- Center for Medical Humanities, Compassionate Care & Bioethics, Stony Brook University School of Medicine, Stony Brook, NY
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Mandell BF. Nontuberculous mycobacterial musculoskeletal infections: Recognizable, when suspected. Cleve Clin J Med 2022; 89:355-356. [PMID: 35777836 DOI: 10.3949/ccjm.89b.07022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. A clinical trial and another clinical practice bites the dust, or should there not be an appendix? Cleve Clin J Med 2022; 89:288-289. [PMID: 35649570 DOI: 10.3949/ccjm.89b.06022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. There should be more GOLD in the EMR. Cleve Clin J Med 2022; 89:232-233. [PMID: 35500925 DOI: 10.3949/ccjm.89b.05022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. It Takes Oysters to Generate Pearls. Rheum Dis Clin North Am 2022; 48:xiii-xiv. [PMID: 35400381 DOI: 10.1016/j.rdc.2022.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Brian F Mandell
- Department Rheumatologic and, Immunologic Diseases, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland Clinic, 9500 Euclid Avenue A50, Cleveland, OH 44195, USA.
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Mandell BF. Rheumatology Pearls for the Primary Care Physician. Rheum Dis Clin North Am 2022. [DOI: 10.1016/s0889-857x(22)00019-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
Gout is the most common inflammatory arthritis in the United States. Gouty arthritis is associated with significant morbidity and mortality and is the result of chronic hyperuricemia. Gout is effectively managed and potentially cured by decreasing the overall urate burden with serum urate-lowering therapy. When serum urate is maintained at less than 6.0 mg/dL, urate deposition is resolved, and gout can be cured. Unfortunately, because of less than optimal physician monitoring and dose escalation, many patients do not achieve these urate levels.
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Affiliation(s)
- Sarah F Keller
- Department of Rheumatic & Immunologic Diseases, The Cleveland Clinic, 9500 Euclid Avenue A50, Cleveland, OH 44915, USA.
| | - Brian F Mandell
- Department of Rheumatic & Immunologic Diseases, The Cleveland Clinic, 9500 Euclid Avenue A50, Cleveland, OH 44915, USA
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Mandell BF. Treating anemia: It's not just the EPO. Cleve Clin J Med 2022; 89:174-175. [PMID: 35365553 DOI: 10.3949/ccjm.89b.04022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. Potential systemic benefits of shocking or blocking nerves. Cleve Clin J Med 2022; 89:119-120. [PMID: 35232822 DOI: 10.3949/ccjm.89b.03022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. Anaphylaxis: Expanding our perspective. Cleve Clin J Med 2022; 89:65. [PMID: 35105691 DOI: 10.3949/ccjm.89b.02022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Zickuhr L, Mandell BF. Rheumatology Education Needs a Splash of Color. J Rheumatol 2022; 49:343-345. [PMID: 35034005 DOI: 10.3899/jrheum.211233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Health disparities in the delivery and outcomes of clinical care exist across the spectrum of patients with rheumatic diseases. In a retrospective analysis of the Corrona registry, patients with rheumatoid arthritis identifying as racial or ethnic minorities achieved lower rates of remission or low disease activity scores and reported poorer functional status compared to White patients.1.
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Affiliation(s)
- Lisa Zickuhr
- L. Zickuhr, MD, MHPE, Assistant Professor of Medicine, Washington University School of Medicine, Division of Rheumatology, St. Louis, Missouri; B.F. Mandell, MD, PhD, Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of Rheumatologic and Immunologic Diseases, Cleveland, Ohio, USA. LZ declares consulting for Lilly and funding from the Rheumatology Research Foundation (CSE2122), both unrelated to this work. BFM declares no disclosures relevant to this article. Address correspondence to Dr. B.F. Mandell, Cleveland Clinic Foundation, Rheumatic and Immunologic Disease, 9500 Euclid Ave A50, Cleveland, OH 44022, USA.
| | - Brian F Mandell
- L. Zickuhr, MD, MHPE, Assistant Professor of Medicine, Washington University School of Medicine, Division of Rheumatology, St. Louis, Missouri; B.F. Mandell, MD, PhD, Professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Department of Rheumatologic and Immunologic Diseases, Cleveland, Ohio, USA. LZ declares consulting for Lilly and funding from the Rheumatology Research Foundation (CSE2122), both unrelated to this work. BFM declares no disclosures relevant to this article. Address correspondence to Dr. B.F. Mandell, Cleveland Clinic Foundation, Rheumatic and Immunologic Disease, 9500 Euclid Ave A50, Cleveland, OH 44022, USA.
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Mandell BF. Sometimes the look is worth the walk. Cleve Clin J Med 2022; 89:4-5. [PMID: 34983794 DOI: 10.3949/ccjm.89b.01022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Affiliation(s)
- Salvatore Mangione
- Associate Professor of Medicine, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Penn.
| | - Brian F Mandell
- Professor and Chairman of Academic Medicine, Department of Rheumatology and Immunologic Diseases, Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland, Ohio; Editor-in-Chief, Cleveland Clinic Journal of Medicine, Cleveland, Ohio
| | - Stephen G Post
- Division Head, Medicine in Society, Director, Center for Medical Humanities, Compassionate Care & Bioethics, Stony Brook University School of Medicine, New York, NY
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Mandell BF. SGLT-2 inhibitors are potential game-changers (for more than diabetes). Cleve Clin J Med 2021; 88:588-589. [PMID: 34728481 DOI: 10.3949/ccjm.88b.11021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. We have a greater understanding of 'cardiac syndrome X,' but questions remain. Cleve Clin J Med 2021; 88:532-533. [PMID: 34598914 DOI: 10.3949/ccjm.88b.10021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. The initial viral infection may be only part of the story. Cleve Clin J Med 2021; 88:476-477. [PMID: 34470748 DOI: 10.3949/ccjm.88b.09021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF, Fields TR, Edwards NL, Yeo AE, Lipsky PE. Post-hoc analysis of pegloticase pivotal trials in chronic refractory gout: relationship between fluctuations in plasma urate levels and acute flares. Clin Exp Rheumatol 2021; 39:1085-1092. [DOI: 10.55563/clinexprheumatol/b7jjnb] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 09/28/2020] [Indexed: 11/13/2022]
Affiliation(s)
- Brian F. Mandell
- Department of Rheumatologic and Immunologic Disease, Cleveland Clinic, Cleveland, OH, USA
| | - Theodore R. Fields
- Division of Rheumatology, Hospital for Special Surgery, New York, NY, USA
| | - N. Lawrence Edwards
- Department of Medicine, Division of Rheumatology, Immunology and Allergy, University of Florida, Gainesville, FL, USA
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Mandell BF. Autoimmune brain disease: Think before testing. Cleve Clin J Med 2021; 88:420-421. [PMID: 34341022 DOI: 10.3949/ccjm.88b.08021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. 'Guidelines to Practice' series: Asthma in adults. Cleve Clin J Med 2021; 88:365. [PMID: 34210707 DOI: 10.3949/ccjm.88b.07021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Abstract
Gout is a disease in which the metabolic condition hyperuricemia leads to the formation of monosodium urate crystals, which provoke acute and chronic inflammatory responses through activation of the innate immune system. Recent advances in our knowledge of gout pathogenesis have emphasized the role of the kidneys in urate handling, the evolutionary loss of uricase as a necessary precondition for hyperuricemia, and the central role of IL-1ß in the pathogenesis of gouty inflammation. These, and other advances, have shaped our current strategies for managing gout. Here, we review the most current, evidence-based gout management approaches, including treating acute flares, addressing gout through the long-term regulation of serum urate, and prophylaxis against gouty flares during urate lowering.
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Affiliation(s)
- Michael H Pillinger
- The Division of Rheumatology, New York University School of Medicine, 550 First Avenue, New York, NY 10016, United States; The Section of Rheumatology, New York Harbor Health Care System, New York Campus of the U.S. Department of Veterans Affairs, New York, NY, United States.
| | - Brian F Mandell
- Rheumatic and Immunologic Diseases, The Cleveland Clinic, Cleveland, OH, United States
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Mandell BF. Heightening awareness of blistering disorders. Cleve Clin J Med 2021; 88:308-309. [PMID: 34078612 DOI: 10.3949/ccjm.88b.06021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Mandell BF. COVID-19: An unwelcome guest that won't leave. Cleve Clin J Med 2021; 88:254-255. [PMID: 33941593 DOI: 10.3949/ccjm.88b.05021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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