Lyme Arthritis and Clinical Judgment

Lyme arthritis in Spain

These results support and extend the observations of Gharavi et al.' They provide further evidence that antidsDNA and anticardiolipin antibodies are to some extent discrete populations in the patients with principally IgGl and IgG3 anticardiolipin binding-that is, the principal subclasses of IgG anti-dsDNA, showed no DNA binding. These results also emphasise the heterogeneity of anticardiolipin...

Clinical Judgment

of Medicine and other periodicals over the past decade. Dr. Feinstein's aim is nothing less than to induce doctors to think in new ways. He hopes that one result of his proposed revolution in clinical thinking will restore to clinical medicine the status it has lost owing to the explosive growth of molecular biology. He traces at length the growth and change of clinical investigation in this co...

Clinical judgment in rheumatoid arthritis. II. Judging 'current disease activity' in clinical practice.

Two rheumatologists made judgments about 'current disease activity' in real patients and 'paper patients' with rheumatoid arthritis. Analysis of each set of judgments provides a model of judgment policy which contains only 3 clinical variables but explains over 94% of the variance in judgments. The judgment policy models differ markedly from each other and from the clinicians' own perceptions o...

Pulling the trigger on lyme arthritis.

The infectious disorders now collectively known as Lyme disease (Lyme borreliosis) began their long ascent to notoriety as a little noticed outbreak of oligoarthritis in Southeastern Connecticut during the mid 1970s [1, 2]. Local physicians mistakenly diagnosed many of these cases, mostly occurring in children, as juvenile rheumatoid arthritis. Two suspicious mothers called the “autoimmune” epi...

Synovial Fluid in Patients with Lyme Arthritis