1/3. Why I would not recommend complementary or alternative therapies: a physician's perspective.The use of complementary or alternative therapies by patients with rheumatic diseases is widespread and under-reported by patient to physician. The most commonly used forms of therapy are herbal/nutrient supplements, chiropractic, homeopathy, and acupuncture. The use of these therapies for treatment of rheumatic disease is not substantiated by review of the available medical literature. Furthermore, these therapies are expensive and potentially toxic. Incorporation of these treatments into the therapeutic armamentarium of the rheumatologist cannot be recommended until they are shown to be effective, safe, and affordable.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/3. The dermatologist and workers' compensation. Theory and practice.workers' compensation law is poorly understood by many physicians, including dermatologists. The tenets of this law throughout the country are basic and fairly straight forward, and the most important of them are nearly the same for all of the states. By understanding how the law operates and what is required of physicians, helping patients with their work-related dermatoses can be a gratifying experience.- - - - - - - - - - ranking = 0.4keywords = physician (Clic here for more details about this article) |
3/3. Odontoid fracture and C1-C2 subluxation in psoriatic cervical spondyloarthropathy. A case report.STUDY DESIGN. Case presentation and review of pertinent literature. OBJECTIVES. To present an unusual case and alert other physicians to possible missed diagnoses. SUMMARY OF BACKGROUND DATA. An unusual case is presented of a young man with server psoriatic spondyloarthropathy and fusion of C2-C7 (Type II cervical psoriatic ankylosing disease) who fell at home, sustaining an unrecognized fracture of the odontoid process leading to subluxation of C1-C2 and the transitory tetraplegia. The patient presented with torticollis, and the fracture was unrecognized for a long period of time. methods. Case presentation. RESULTS. This patient became independent in all activities of daily living after surgery and rehabilitation despite persistence of torticollis. CONCLUSIONS. A patient who presents clinically with traumatic torticollis after minor trauma and who also has psoriasis and ankylosis of the cervical spine should be suspected of having a fracture-subluxation until definitely proven otherwise. In the present case, the late diagnosis delayed surgical stabilization.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |