The second article in this 2-part continuing medical education series reviews the following malignant causes of flushing: mastocytosis, medullary thyroid carcinoma, pheochromocytoma, carcinoid tumors, gastroenteropancreatic neuroendocrine tumors, bronchogenic carcinoma, vasointestinal polypeptide secreting tumors, and renal cell carcinoma. The information provided will allow physicians to better distinguish patients who have worrisome presentations that require a more thorough investigation. Appropriate diagnostic workup and treatment options for these malignancies are reviewed.
Psoriatic arthritis is commonly encountered in psoriasis patients. Its presentation varies and has several subtypes. Psoriatic arthritis should be differentiated from other forms of arthritis. The clinician must differentiate between the other potential various arthropathies that may be seen in patients with psoriasis. After the diagnosis is made, treatment can be tailored to the individual and his or her co-morbidities. There are several therapeutic options, ranging from nonsteroidal anti-inflammatory drugs to biologic drugs. In order to provide optimal care for the patient, the clinician should become versed in various diagnostic and therapeutic modalities of psoriatic arthritis.
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