A 44-year-old man is evaluated for a 2-year history of joint pain in the wrists, hands, knees, ankles, and feet. He also has a 12-year-history of plaque psoriasis. There are large erythematous plaques with an overlying silvery scale on the elbows, knees, sacrum, and scalp. The wrists are swollen and warm bilaterally, and there is bilateral synovitis of the metacarpophalangeal joints. There are effusions on both knees. The appearance of the toes is shown. The patient refuses to begin therapy with tumor necrosis factor ##alpha; inhibitors because of concern about possible side effects. What is the most appropriate treatment for this patient?.
1 Nov 2010
Gastrointestinal symptoms are common in patients who are prescribed methotrexate for rheumatoid and psoriatic arthritis, in some cases even before they start taking the drug, according to a new study.
7 Jan 2014
The Governance Committee of the American College of Physicians places in nomination candidates for College governance.
1 Nov 2017
ACP leadership has developed a new vision for the future of American health care in order to achieve universal coverage and improve access, reduce costs, improve the dysfunctional payment system, and reduce administrative burdens and excessive complexity.
1 Apr 2020
Enthusiasts argue that point-of-care ultrasonography extends the scope of the physical exam far beyond what can be auscultated through a stethoscope. Detractors worry about overdiagnosis and a loss of medical skills that have intrinsic value. Both sides seek balance when considering how to use this new technology.
1 May 2014
Experience gained during residency training alongside so many other specialists and a role as care coordinators makes internal medicine specialists become uniquely qualified to serve as the conductor of this patient care orchestra.
1 Nov 2019
“The Pause” allows physicians a chance to reflect upon a diagnosis or how to communicate with patients, as well as reset their mindset throughout the day.
1 May 2019
Patan Hospital of Nepal, a tertiary-level referral center that treats nearly 320,000 outpatients and 20,000 inpatients each year, began an internal medicine residency program last year.
1 Apr 2018
A partnership allows staff at Brigham and Women's Hospital in Boston to collaborate with physicians who serve Navajo Nation, a medically underserved population in New Mexico.
1 Mar 2012
Several medical organizations released lists of tests or procedures that might be overused in clinical practice, as part of the Choosing Wisely initiative of the American Board of Internal Medicine Foundation.
26 Feb 2013