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RSS The New England Journal of Medicine | Primary Care/Hospitalist/Clinical Practice
  • Incarceration and Social Death — Restoring Humanity in the Clinical Encounter January 21, 2021
    Mr. S. a 28-year-old Black man, arrived at our emergency department (ED) by ambulance after exhibiting altered mental status and agitation in jail. While in solitary confinement for 4 days, he repeatedly and unsuccessfully sought the attention of the medical staff. He was brought to the ED after…
  • Pelvic Splenosis January 21, 2021
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  • Vaccinating Children against Covid-19 — The Lessons of Measles January 20, 2021
    Imagine a highly contagious virus circulating in the community. Many infected children have fever and some general misery but recover without incident. Rarely, devastating complications occur, leading to hospitalization, severe illness, and occasional deaths. Susceptible adults fare worse, with…
  • Who Goes First? Government Leaders and Prioritization of SARS-CoV-2 Vaccines January 20, 2021
    The vice president, Senate majority leader, House speaker, surgeon general, and members of Congress were among the first people vaccinated against Covid-19 in the United States. The president-elect, incoming first lady, vice president-elect, and her husband were also vaccinated in the first phase.…
  • Beyond Tuskegee — Vaccine Distrust and Everyday Racism January 20, 2021
    J. Marion Sims. Henrietta Lacks. The Tuskegee Syphilis Study. With two authorized SARS-CoV-2 vaccines now available, particular concerns have emerged regarding whether Black communities will choose to be vaccinated. In a pandemic that has disproportionately burdened Black Americans, experts have…
RSS The New England Journal of Medicine Rheumatology
  • Osteoarthritis of the Knee January 7, 2021
    Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. Stage. A 60-year-old…
  • Microvascular Injury in the Brains of Patients with Covid-19 December 30, 2020
    To the Editor: We conducted postmortem high-resolution magnetic resonance imaging (magnetic resonance microscopy) of the brains of patients with coronavirus disease 2019 (Covid-19) (median age, 50 years) and histopathological examination that focused on microvascular changes in the olfactory bulb…
  • Case 39-2020: A 29-Month-Old Boy with Seizure and Hypocalcemia December 17, 2020
    Presentation of Case. Dr. Neil D. Fernandes: A 29-month-old boy was transferred to this hospital because of a seizure and hypocalcemia. Approximately 2 months before the current evaluation, the patient had a febrile seizure associated with an acute viral illness. After the seizure, his mother…
  • Covid-19–Associated Myopathy Caused by Type I Interferonopathy December 10, 2020
    To the Editor: The syndrome of Covid-19 infection includes myalgias and elevated creatine kinase levels in at least a third of patients. Whether the elevation in creatine kinase level is caused by viral infection of muscle, toxic effects of cytokines, or another mechanism is unclear. There are few…

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