Table of Contents

VOL 111 / NO 4 / APRIL 2002 / POSTGRADUATE MEDICINE

SYMPOSIUM ON ATYPICAL RHEUMATIC DISEASES

INTRODUCTION TO THE SYMPOSIUM
Stephen A. Paget, MD

INFLAMMATORY RHEUMATOLOGIC DISORDERS IN THE ELDERLY
Unusual presentations, altered outlooks
Comorbidity and immunosenescence are among the many factors to consider in evaluating the rheumatic older patient and in crafting appropriate, safe drug therapy.
Kristina B. Belostocki, MD, Stephen A. Paget, MD

ENDOCRINE ORIGINS OF RHEUMATIC DISEASE
Diagnostic clues to interrelated syndromes
Evaluation can pose a chicken-and-egg dilemma in patients with both musculoskeletal manifestations and signs of an endocrine disorder.
Michael D. Lockshin, MD

CANCER-ASSOCIATED NEUROMUSCULOSKELETAL SYNDROMES
Recognizing the rheumatic-neoplastic connection
Insights into inflammatory disorders that carry increased cancer risk as well as malignant diseases that may present with musculoskeletal signs.
Ronen Marmur, MD, PhD, Lawrence Kagen, MD

CLINICAL UPDATES

TENSION-TYPE, THE FORGOTTEN HEADACHE
How to recognize this common but undertreated condition
Patient education and a comprehensive treatment approach are highly successful in managing this misunderstood headache type.
Loretta Mueller, DO

CHRONIC KIDNEY DISEASE SERIES
CARDIOVASCULAR DISEASE AND THE KIDNEY
Tracking a killer in chronic kidney disease
Ignoring cardiovascular disease risk in patients with kidney disease can be a deadly oversight. Here's why--and what to do to identify it earlier.
Adeera Levin, MD, FRCPC, Lesley Stevens, MD, Peter A. McCullough, MD, MPH

KEEPING AN EYE ON CARDIOVASCULAR RISK
A practical, case-study approach to assessment in office practice
Patients not obviously at risk for coronary artery disease may nevertheless benefit from lipid-lowering therapy. How can you identify these patients quickly and economically?
David T. Nash, MD

WEB EXCLUSIVE

MUSCULOSKELETAL PAIN IN ADOLESCENTS
Diagnostic criteria are distinct from those in adults
Guidelines on how to recognize and treat "growing pains" before they undermine an adolescent's developing sense of self.
Caroline S. Kim, MD, MPH

CONTINUING FEATURES

EDITORIAL
Tolerating the intolerable
How do physicians thrive in an increasingly regulated profession?
Peter A. Setness, MD

PUZZLES IN PRACTICE
Return of the painful leg ulcers
Ysabel M. Bello, MD, Tania J. Phillips, MD

CURBSIDE CONSULTS
Elevated lipase level always means pancreatitis?
Who should be screened for TB?

PEARLS IN DERMATOLOGY
Black-dot tinea capitis
Patchy hair loss is common in pediatric patients
Robert T. Brodell, MD, Giorgio Vescera, MS IV

PATIENT NOTES
Chronic fatigue syndrome

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