Medical Knowledge

Tipping Point Analysis – Assessing the Potential Impact of Missing Data

This JAMA Guide to Statistics and Methods explains tipping point analysis, which assesses how a range of hypothetical patterns in missing outcome data in a randomized clinical trial (RCT) would affect the study’s conclusions, and examines its use in an…

Adrenal Insufficiency in Adults – A Review

Importance  Adrenal insufficiency is a syndrome of cortisol deficiency and is categorized as primary, secondary, or glucocorticoid induced. Although primary and secondary adrenal insufficiency are rare, affecting less than 279 per 1 million individuals, glucocorticoid-induced adrenal insufficiency is common. Observations  Primary adrenal…

Foot Lesions and Perianal Lump in an Adult Woman

A 50-year-old woman presented to the dermatology department with a 10-year history of recurrent plaque outbreaks between her toes and a history of Bowen disease in the anus that had been treated with excision and skin grafting. What is your…

Asymptomatic Symmetrical Telangiectasia on Lower Extremities

A man in his 60s with a history of hypertension, hyperlipidemia, and coronary artery disease presented with symmetrical diffuse, reticulated telangiectatic macules covering the legs and forearms. Dermoscopy revealed prominent fine telangiectasias, which was blanchable on pressure. What is your…

Defining On-Treatment Remission in Plaque Psoriasis – A Consensus Statement From the National Psoriasis Foundation

Importance  Defining on-treatment remission in plaque psoriasis is important for benchmarking patient responses to therapies. This also helps to facilitate shared understanding, align treatment expectations, and enable more effective psoriasis management. Objective  To establish a consensus-based definition of on-treatment remission for plaque…

Occupational Heat-Related Illness

This JAMA Insights proposes solutions to help reduce the risk of heat-related illnesses among workers.