Tag Archives: Rheumatology

Acute Calcific Tendinitis of the Longus Colli Muscle

A 47-year-old healthy woman presented with sudden-onset, severe neck pain and stiffness associated with odynophagia, dysphagia, and low-grade fever (37.8°C). She described it as severe neck pain extending into the deep neck and radiating upward to the occiput and vertex of the head. She also complained of difficulty in opening her jaw and swallowing due […]

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Tophaceous Gout of Lumbar Spine with Fever Mimicking Infection

A 56-year-old man was admitted with complaints of low back pain and fever lasting for about 2 months. He had a 10-year history of intermittent gouty arthritis in his feet, which was being treated with colchicine, with the most recent attack occurring 12 months before. Assessment On physical examination, his body temperature was 38.5°C. His […]

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Bone Density Testing Is the Best Way to Monitor Osteoporosis Treatment

Bone mineral density assessment by dual-energy X-ray absorptiometry is the most widely available and best validated clinical tool to diagnose osteoporosis, assess fracture risk, and monitor the skeletal effects of medications that reduce fracture risk.1 However, dual-energy X-ray absorptiometry testing remains underused with osteoporosis undertreated. This treatment gap has reached crisis proportions,2 with recent disturbing evidence that […]

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Sudden Hip Pain in a Young Woman

Here we present a case history of a 29-year-old woman who was admitted to the Department of Orthopedics due to severe pain in the left hip occurring after minimal trauma. Surprisingly, radiography demonstrated the presence of a pathological fracture of the left femoral neck. However, this was not the only abnormality visible on the radiograms. […]

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Osteoporosis in the Women’s Health Initiative: Another Treatment Gap?

Osteoporotic fractures are associated with high morbidity, mortality, and cost. Methods We performed a post hoc analysis of the Women’s Health Initiative (WHI) clinical trials data to assess osteoporosis treatment and identify participant characteristics associated with utilization of osteoporosis medication(s) after new diagnoses of osteoporosis or fracture. Information from visits prior to and immediately subsequent […]

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