This week, an international research team led by Xavier Rodó published a fascinating study in PNAS suggesting that Kawasaki disease is caused by an agent transported by wind from farms in Northeast China. This agent, possibly a fungal toxin, would be responsible for triggering an exuberant immune response in children, causing the typical manifestation of the disease: fevers, rash, conjunctivitis, “strawberry tongue,” enlarged lymph nodes, and swelling of the extremities. Untreated, Kawasaki disease can cause aneurysms of the coronary arteries, premature heart disease, and even death. Continue reading Kawasaki Disease And The End Of Rheumatology As We Know It
I was honored to be invited to appear on an episode of Stanford’s Medicine X Live titled “Doctors who skip social media risk alienating their patients: myth or reality?”
Take a look at the video, and let me know what you think!
On Tuesday, I challenged readers to figure out the cause of a girl’s jaw swelling and pain. Over 130 people read the story, and seven people submitted their responses on this website. You can read the original case here. Read below for the complete case, in addition to comments about the correct diagnosis. Continue reading Jaw swelling and pain: a biography of CRMO
Can you solve the mystery of a girl with unexplained episodes of jaw swelling and pain? In this series, I will present the case of a patient I recently saw in clinic. I will provide details of her history, physical exam, and medical tests. Your job is to think like a doctor and answer the two questions below. Continue reading Mystery case: jaw swelling and pain
This is the second post in the series “A doctor’s prescription for social media.” The first post can be found here.
As an experiment, I immersed myself in social media for the past three months. Within this short period of time, I reaped tangible benefits. In addition, social media has changed the way that I think about and practice medicine. Continue reading A Doctor’s Prescription for Social Media – Part 2