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Internal Medicine News

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New thyroid cancer drug class making waves.(Endocrinology)
CHICAGO -- Nothing less than a revolution in the management of refractory thyroid cancer is close at hand in the form of oral small molecule tyrosine kinase inhibitors targeting the vascular . . .

Thyroidectomy best approach for micropapillary thyroid cancer.(Endocrinology)
CHICAGO -- Patients with multifocal micropapillary thyroid cancer who received less than a near-total thyroidectomy had a threefold higher recurrence rate in a National Thyroid Cancer Treatment . . .

Prevalence of thyroid disease associated with race and sex.(Endocrinology)(Survey)(Brief article)
CHICAGO -- The prevalence of thyroid cancer and other forms of thyroid disease in the United States is markedly greater among whites and females, according to preliminary data from the National . . .

Some drugs interfere with thyroxine absorption.(Endocrinology)
SAN FRANCISCO -- A few hours' buffer between taking thyroxine and other medications can help ensure optimal absorption of the thyroid hormone, according to several researchers. Many nutritional . . .

Thyroid mimetics promising for lipid lowering.(Endocrinology)
CHICAGO -- A new generation of oral selective thyroid hormone receptor agonists is showing promise for the treatment of dyslipidemia, obesity, and metabolic syndrome. For one of these agents, . . .

Steroid helps boost survival in IgA nephropathy.(Nephrology)(Immunoglobulin A)
PHILADELPHIA -- The addition of prednisone to an angiotensin-converting enzyme inhibitor was associated with improved renal survival in a long-term prospective study of patients with proteinuric . . .

Candesartan does not prevent microalbuminuria.(Nephrology)
PHILADELPHIA -- Nearly 5 years of treatment with the angiotensin type 1 receptor blocker candesartan did not provide statistical benefit in the prevention of microalbuminuria in patients with . . .

Factors predict remission with DMARD use.(Rheumatology)(Disease-modifying antirheumatic drug)(Brief article)
PARIS -- Factors that predict which rheumatoid arthritis patients will achieve and maintain remission after taking disease-modifying antirheumatic drugs include low body mass index, low . . .

Lupus clinical trials education resource.(Rheumatology)(www.lupus.org/clinicaltrials)(The Lupus Foundation of America's Center f
The Lupus Foundation of America's Center for Clinical Trials Education is a resource to learn about and join lupus clinical trials. The Center's Web site has extensive information about . . .

Smoking cessation reduces disease burden in RA.(Rheumatology)(rheumatoid arthritis)(Clinical report)
SAN FRANCISCO -- Preliminary research suggests that rheumatoid arthritis patients who quit smoking may experience fewer swollen and tender joints and improved C-reactive protein levels, among . . .

Patients with fibromyalgia respond to tailored psychotherapy.(Rheumatology)
PARIS -- Success rates for nonpharmacologic therapy in patients with fi bromyalgia are climbing to previously unattainable levels by tailoring psychotherapy in accord with patient characteristics. . . .

New antidepressant effective in fibromyalgia.(Rheumatology)
CHICAGO -- Milnacipran, the first in a new class of dual norepinephrine and serotonin reuptake inhibitors, significantly improved the multiple core symptoms of fibromyalgia regardless of severity . . .

NSAID response can be predicted at 2 weeks.(Rheumatology)(Nonsteroidal anti-inflammatory agents)(Brief article)
PARIS -- The overwhelming majority of osteoarthritis patients who will respond favorably to a given COX-2 selective NSAID will do so within the first 2 weeks, a pooled analysis of two . . .

TNF blockers don't increase cancer risk in patients with history of malignancy.(Rheumatology)(tumor necrosis factor)
SAN FRANCISCO -- Use of a tumor necrosis factor blocker docs not increase the risk of most cancers in patients with rheumatoid arthritis and a history of malignancy, judging from the findings of a . . .

Tai chi may be beneficial in knee osteoarthritis.(Rheumatology)
SAN FRANCISCO -- The gentle martial art tai chi significantly improved pain and physical function in a randomized, controlled trial in 40 patients with knee osteoarthritis. Participants were . . .

Collections of physician writers.(LETTERS)(Letter to the editor)
I read your article on Dr. Daniel C. Bryant with great interest ("Revering the Work of Physician Writers," Sept. 15, 2008, p. 42). My father, Benjamin Bernard Weinstein, M.D., established . . .

Uninsured buy luxuries, not health care.(LETTERS)(Letter to the editor)
I must respectfully disagree with Dr. Steffie Woolhandler and her opposition to consumer-directed health care ("Do High-Deductible Plans Coupled With HSAs Promote . . .

Pain relievers.(Opinion)(Cartoon)
"We don't have a treadmill, so the stress test here is waiting two hours to see a . . .

Fielding questions about Alzheimer's.
A diagnosis of Alzheimer's disease presents a stark reality for patients and their families. The words unleash a flood of questions. Patients may feel we are handing them a death sentence. And . . .

NIH consensus statement surveys hepatitis B care.(News)(National Institutes of Health)
A new National Institutes of Health consensus statement on the management of patients with hepatitis B offers only general recommendations and emphasizes that more research is needed . . .

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