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Endocrinology

General Rheumatology   

Questions discussed in this category

When starting stress dose steroids for patient with primary adrenal insufficiency, how do you decide whether to start hydrocortisone 100 mg every 8 hours versus 50 mg every 6 hours?
1 Answer available
Is it necessary to prescribe a steroid taper after two weeks of high-dose prednisone (60 mg daily)?
6 Answers available
Are SGLT2 inhibitors contraindicated in patients with osteoporosis and history of vertebral and hip fractures?
1 Answer available
How do you approach a patient with elevated bone specific ALP (>2X the normal limit), but no other evidence of Paget's disease?
Normal Vitamin D, bone scan showed osteoarthritis.
1 Answer available
Are there any concerns with live vaccine innoculation and patients who are on denosumab?
1 Answer available
What is your approach to management of hyperlipidemia in patients taking JAK inhibitors?
1 Answer available
What is the typical timeline for remission of autoimmune hypoglycemia?
1 Answer available
Can joint replacement surgery be performed in someone with active Paget’s disease elsewhere?
1 Answer available
What is your approach to tapering chronic steroids in patients who are at high risk of HPA suppression?
For example, patients who have been maintained on 5mg of prednisone for years without previous tapering attempts and the rheumatic disease is not acti...
1 Answer available
When tapering moderate to high doses of long term steroids do you routinely monitor for adrenal insufficiency?
Do you attempt to taper fully or maintain at a low dose?
2 Answers available
How do you diagnose and treat patients who develop uveitis while on bisphosphonate therapy for osteoporosis?
Are there specific features that suggest drug-induced uveitis versus de novo uveitis?
1 Answer available


Papers discussed in this category

Diabetes research and clinical practice, 1994 Jan
Insulin autoimmune syndrome (Hirata disease): clinical features and epidemiology in Japan.
Clinical endocrinology, 2020 Feb 26
Management of Insulin Autoimmune Hypoglycaemia: Single-centre experience from Western India with systematic review of world literature.
Journal of the Endocrine Society, 2022 Dec 02
Perioperative Evaluation and Management of Patients on Glucocorticoids.
Diagnostics (Basel, Switzerland), 2021 Apr 20
Glucocorticoid Withdrawal-An Overview on When and How to Diagnose Adrenal Insufficiency in Clinical Practice.
N Engl J Med,
Cardiovascular and Cancer Risk with Tofacitinib in Rheumatoid Arthritis.
Autoimmunity reviews, 2023 Dec 20
Implementation of regulatory guidance for JAK inhibitors use in patients with immune-mediated inflammatory diseases: An international appropriateness study.

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