A woman in her 20s presented with a 9-year history of skin-colored papules with a background of hyperpigmentation on her left cheek. Before presentation, treatment with desonide and ammonium lactate was unsuccessful. What is your diagnosis?
A patient with a bioprosthetic aortic valve implanted 6 years prior to presentation had fevers, malaise, and weight loss. Coxiella burnetii titers, erythrocyte sedimentation rate, and levels of C-reactive protein and rheumatoid factor were elevated; transesophageal echocardiography showed a thickened…
Importance Hidradenitis suppurativa (HS) is a chronic inflammatory condition characterized by painful nodules and abscesses that have a significant impact on quality of life. In addition to other psychological comorbidities, patients with HS often face body image issues and emotional distress…
Importance Randomized clinical trials (RCTs), the gold standard of medical evidence, remain relatively rare in surgery. In part, this is the result of challenges that are unique to surgical trials, including surgeon concerns about lack of equipoise, slow recruitment, difficulty standardizing…
This JAMA Insights discusses the most effective management strategies for tricuspid regurgitation, including medications and surgical interventions.
Importance Stage I squamous cell carcinoma (SCC) of the glottic larynx carries a favorable prognosis after treatment with endoscopic surgery or radiation therapy (RT). In addition to tumor control, goals of therapy include preservation of voice quality, swallow function, and breathing….
Access to health care is a key structural determinant of health, with lack of health insurance as a main barrier. In the United States, nearly half of children rely on Medicaid or the Children’s Health Insurance Program for health insurance….
Screening for structural drivers or determinants of health (SDoH), as mandated by recent federal regulations, raises ethical questions about screening processes and tools. Early childhood adversity and trauma, which can influence a person’s health throughout their lifespan and contribute to…
Structural determinants of health (SDoH) screening is key to good pediatric care, but fear of life-altering consequences can prevent adults from disclosing information, while time constraints disincentivize clinicians from addressing some awkward but important SDoH topics relevant to good care…
Unmet social and structural needs negatively influence children’s health outcomes. Even in pediatric health systems in the United States that have implemented social needs screening programs, little guidance exists about best practices for how clinical teams should respond to children’s…
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