Previously healthy patient and referred by dermatology due t | Figure 1

Previously healthy patient and referred by dermatology due to the absence of improvements with corticosteroid treatment. Referred for immunological evaluation. Metabolic syndrome associated with emotional stress and sedentary lifestyle. Non-smoker and non-alcohol. Deny use of poly-drugs. Deny personal atopy.

Why you should join Figure 1

• Share your knowledge with our global community of healthcare professionals
• Get help from experts in your field
• Learn from our library of real-world cases and quizzes

Key Points

• Adults with rheumatoid arthritis (RA) have an ∼1.5 times higher risk of cardiovascular disease (CVD) even with no traditional CVD risk factors, and incidence rates increase substantially with number of CVD risk factors.
• Low-density lipoprotein (LDL) or high-density lipoprotein (HDL) particles or apolipoproteins (apoB or apoA1) may be more reliable CVD risk factors than cholesterol (total, LDL-cholesterol, or HDL-cholesterol) concentrations because of chronic inflammation.
• In RA, current CVD risk factors likely underestimate the extent of subclinical atherosclerosis.
• Inflammation may directly cause myocardial injury and heart failure.
• Disease activity is a strong risk factor for CVD and mortality and a key target for CVD risk reduction.

Just interesting blood I've came across so far.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

70 yo WF with 20y hx HTN lost 21 lbs on a semaglutide but still BMI over 30, shows drop in BP when standing, stabilizing at 102-116 systolic, 65-75 diastolic. Discontinued all HTN meds x 30 days and no episodes of HTN. Could a small weight loss like this cause a drop to normal BP? Has anyone heard of a side effect of lowering BP?