This isolated white lesion was innocuously present for many years before it began to bother him, and the man has no other informative symptoms to report. What do you make of it?

Internists gain some guidance on identifying systemic lupus erythematosus (SLE) and why they should work with rheumatologists. Meanwhile, two UK studies outline paths to successful gout treatment and lower mortality rates after hip replacement surgery. Finally, the use of imaging, including ultrasound, are refined for diagnosing sarcoidosis.

A study of Caucasians and Polynesians in both the US and New Zealand explains why sugary drinks worsen gout.

Becoming familiar with recent developments in managing “the king of diseases and the disease of kings” may help.

Researchers have nailed the reason why several herbal nostrums for arthritis and gout cause malignancy, including hepatocellular cancer previously attributed to hepatitis C. Also in the non-rheumatology journals this week: News about comorbidities of psoriasis and antibody profiles for morphea.

The elderly man with hypertension and polyarticular tophaceous gout experiences intermittent dizziness, neck pain, and arm weakness. Which condition is responsible?

An 82-year-old man with hypertension and gout developed periods of dizziness, neck pain, and arm weakness. Could the gout be responsible?


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