Meningeal rheumatoid nodules in a 55-year-old man presenting with chronic headaches and oculomotor nerve palsy: an uncommon extra-articular manifestation of rheumatoid arthritis
- H. AbdullahM. OmarA. JbeliJoseph Fanciullo
- 1 December 2019
Medicine
The case of a 55-year-old male patient with a history of RA presenting with a third nerve palsy and headache who was found to have rheumatoid nodules on biopsy is described.
Promoting scholarship in a community-based internal medicine residency
- Joseph FanciulloJennifer L HsuD. Stevens
- 4 July 2018
Medicine, Education
A structured program requiring independent study in conjunction with individualized mentoring of scholarship starting early in the first postgraduate year was successful in significantly increasing the scholarly activity of community-based internal medicine residents and faculty.
Delayed Diagnosis of West Nile Meningoencephalitis in a Patient Receiving Rituximab for Rheumatoid Arthritis
- Abdelmohaymin A AbdallaJoseph FanciulloH. Ateeli
- 1 October 2022
Medicine
A detailed report of false-negative WNV IgM in a patient receiving rituximab therapy for rheumatoid arthritis who was exposed to the virus during peak immunosuppression and strong clinical suspicion was confirmed with WNV PCR, illustrating the importance of such consideration with the recent incremental use of ritUXIMab therapy.
Gout: A Rapid Review of Presentation, Diagnosis and Management.
- Mashood BadshahI. NadeemI. AhmedTouba NaimJoseph Fanciullo
- 1 February 2024
Medicine
Although allopurinol is the first-line ULT agent, it does carry a risk of inducing severe cutaneous adverse reactions, especially in patients with chronic kidney disease and patients harboring the HLA-B*5801 allele.
Statin Associated Muscle Adverse Effects: From Presentation to Management.
- M. OberoiJoseph Fanciullo
- 1 June 2021
Medicine
The spectrum of statin associated muscle adverse effects for primary care physician including the clinical presentation, etiology, diagnostic workup, and appropriate management are described.
Polymyalgia Rheumatica and Giant Cell Arteritis: A Review Article.
- U. NwadibiaEric A. LarsonJoseph Fanciullo
- 1 March 2016
Medicine
Polymyalgia rheumatic (PMR) and giant cell arteritis (GCA) are two rheumatological conditions with significant overlap that typically affect the older white population and are considered to be on a disease continuum.
Point-Counterpoint: SLCO1B1 Genotyping for Statins.
- R. WilkeJoseph Fanciullo
- 1 March 2017
Medicine
A discussion of the genes that impact patient risk for myopathy on statins and the utility of CYP2C19 genotyping for patients taking clopidogrel is presented.
Point-Counterpoint: TPMT Genotyping for Azathioprine in Adult Medicine.
- C. JensenJoseph Fanciullo
- 1 April 2017
Medicine
Aspirin in Primary and Secondary Prevention of Cardiovascular Disease.
- S. GowdaMatthew BellMatthew JahrausJoseph Fanciullo
- 1 March 2020
Medicine
Results of three randomized, controlled trials: ARRIVE, ASCEND, ASPREE demonstrated modest to no benefit in preventing cardiovascular events and mortality with aspirin use for primary prevention.
Crowned Dens Syndrome: A Challenging Diagnosis in Older Adults Presenting With Acute Neck Pain
- T. NaimD. KhanM. AliJoseph Fanciullo
- 1 April 2023
Medicine
This case is presented of a 78-year-old female patient who presented with acute onset headache and neck pain and there is a high rate of relapse.
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