Internal Medicine News articles from October 2007

Internal Medicine News archives from October 2007

Fight over cancer drug gets ugly.(News)
October 1, 2007... Controversy is a fact of life for pharmaceutical companies and the Food and Drug Administration, but the ongoing saga of an investigative immunotherapeutic agent for advanced prostate cancer has been unusually contentious. The struggle to...

Medicare's top 10 therapy classes in 2006.(VITAL SIGNS)(Statistical table)(Brief article)
October 1, 2007... Medicare's Top 10 Therapy Classes in 2006 Percentage of all Part D prescriptions Antihypertensives 25.0 Lipid regulators 7.4 Antidepressants 5.1 Diabetes, noninsulin 5.0...

Silent myocardial ischemia reversed in type 2 diabetes: outcome seen in 79% of affected patients.(News)(Clinical report)
October 1, 2007... SAN DIEGO -- Nearly 80% of patients with type 2 diabetes who had silent myocardial ischemia revealed by stress myocardial perfusion imaging had a reversal of exercise-induced myocardial perfusion abnormalities when they were retested 3 years...

Raloxifene wins approval for curbing breast Ca risk.(News)
October 1, 2007... Raloxifene, first approved for preventing postmenopausal osteoporosis in 1997, has been approved for two new indications: reducing the risk of invasive breast cancer in postmenopausal women with osteoporosis and in postmenopausal women at high...

Ounce of prevention can save lives.(News)
October 1, 2007... Increasing the use of aspirin, colorectal cancer screening, influenza immunizations, and a few other simple preventive measures would save more than 100,000 lives each year in the United States, according to a new study. The biggest...

Reclast.(NEW & APPROVED)
October 1, 2007... Reclast (zoledronic acid, Novartis Pharmaceuticals) A 5-mg formulation of the intravenous bisphosphonate approved for treating postmenopausal osteoporosis, the first osteoporosis treatment administered once a year. Approved earlier...

Is obesity contagious?(Guest editorial)
October 1, 2007... Recently, Lisa, a 27-year-old secretary, came to me for a thyroid check. Although her primary care physician told her she didn't have a thyroid problem, she insisted on seeing a specialist anyway. Her thyroid function tests were perfect:...

Can the course of low-risk thyroid cancer be accurately predicted?(POINT/COUNTERPOINT)
October 1, 2007... Scoring can predict the course of low-risk disease. Papillary thyroid cancers represent around 80% of all thyroid cancers seen in doctors' offices, and most present when they are small (a median 1.7 cm in diameter) and unlikely to have...

'Study' on errors has its own flaws.(LETTERS)(Letter to the editor)
October 1, 2007... It's hard to know where to begin in dissecting this "study" ("Diagnostic Errors by Internists Often Go Unrecognized," Aug. 15, 2007, p. 1). One hundred errors from five hospitals over 5 years? What was the total number of patients treated...

Errors due to obstacles, not training.(LETTERS)(Letter to the editor)
October 1, 2007... In the article about diagnostic error, I was surprised by the premise that error is related to physician training. I truly believe that given the appropriate amount of time for an office visit and interpretation of tests, most physicians in...

Roadblocks to diagnostic accuracy.(LETTERS)(Letter to the editor)
October 1, 2007... The main obstacles that prevent internists from recognizing diagnostic errors are twofold. First, the precipitous drop in the number of autopsies performed prevents us from identifying missed diagnoses. Secondly, the lack of adequate...

Consider benefits of statins.(LETTERS)(Letter to the editor)
October 1, 2007... Some of Dr. Barry Marged's statements regarding the use of statins by elderly patients are misguided ("Give Patients the Full Statin Picture," Letters, July 15, 2007, p. 11). His simple assessment of hyperlipidemia's contribution to...

Avoid waste of medical resources.(LETTERS)(Letter to the editor)
October 1, 2007... I support Dr. Barry Marged's contention that we are overtreating elderly patients with high cholesterol. Many of these patients are in nursing homes with dementia. Payment for their tests and cholesterol medications are generally made by...

Panel weighs ESA dosing, hemoglobin targets.(Nephrology)(erythropoiesis-stimulating agents)
October 1, 2007... GAITHERSBURG, MD. -- The majority of two Food and Drug Administration advisory panels voted at a Sept. 11 meeting against the agency's proposal to set a hemoglobin target of about 11 g/dL in chronic renal failure patients being treated with...

Chronic kidney disease requires aggressive, integrated care.(Nephrology)
October 1, 2007... CHICAGO -- Spironolactone and statins added to ACE inhibitors and angiotensin II receptor blockers further reduces proteinuria and the rate of chronic kidney disease progression, a study has found. Prior research by the same investigators...

Frequent nocturnal hemodialysis effective for CVD risk reduction.(Nephrology)(Cardiovascular diseases)
October 1, 2007... Frequent nocturnal hemodialysis reduces left ventricular mass and decreases blood pressure and the need for antihypertensives, compared with conventional thrice-weekly hemodialysis, reported Dr. Bruce F. Culleton of the University of Calgary,...

Etanercept improves lipids in spondylitis.(Rheumatology)
October 1, 2007... BARCELONA -- Six months of treatment with the tumor necrosis factor blocking agent etanercept resulted in favorable changes in the lipid profile of patients with ankylosing spondylitis, Dr. Izhar van Eijk reported at the annual European...

Adalimumab has clinical benefits in spinal fusion.(Rheumatology)
October 1, 2007... BARCELONA -- The first trial of a biologic drug in ankylosing spondylitis that included patients with end-stage fusion of the spine found clinical benefits persisting for up to 2 years in this subgroup. Patients with total spinal ankylosis,...

Abatacept partially disrupts vaccine response.(Rheumatology)
October 1, 2007... BARCELONA -- The first study to evaluate the response to pneumococcal vaccination in patients with rheumatoid arthritis receiving abatacept found that modulation of T-cell costimulation by this agent did not completely inhibit the humoral...

MRI can improve rheumatoid arthritis care.(Rheumatology)(Magnetic resonance imaging)
October 1, 2007... Supplementing standard x-rays with extremity MRI for the in-office diagnosis and monitoring of patients with rheumatoid arthritis could significantly improve the quality of care, according to Dr. Norman B. Gaylis, a rheumatologist in Aventura,...

Number of adults with arthritis expected to grow by 2030.(DATA WATCH)(Brief article)
October 1, 2007... Number of Adults With Arthritis Expected to Grow by 2030 (in millions of people) Note: Based on estimated prevalence data on physician-diagnosed arthritis in adults aged 18 years or older. Source: National Center of Chronic Disease...

Tocilizumab improves outcomes in moderate to severe RA.(Rheumatology)
October 1, 2007... BARCELONA -- In a multicenter double-blind study, treatment with the interleukin-6 signaling blocker tocilizumab not only significantly reduced disease activity among patients with rheumatoid arthritis but also improved physical function,...

'Anemia of inflammation' explains iron issues in RA.(Rheumatology)
October 1, 2007... BALTIMORE -- A new understanding of the "anemia of inflammation" may help point the way to new treatments in the future, but in the meantime it illustrates why iron supplementation doesn't raise hemoglobin levels in patients with rheumatoid...

Certain RA patients benefit from combo therapy.(Rheumatology)(Rheumatoid arthritis)(Clinical report)
October 1, 2007... BARCELONA -- Treatment of early rheumatoid arthritis with a combination of disease-modifying antirheumatic drugs slows radiographic progression faster in patients without antibodies against cyclic citrullinated peptide than in those with them,...

Antiresorptives found to reduce fracture risk.(Endocrinology)(Brief article)
October 1, 2007... MONTREAL -- Antiresorptive drugs help reduce the risk of low-trauma, non-vertebral fractures among women over 50 being treated in a real world setting, according to a Canadian case-control study presented at the annual meeting of the...

Men's vertebral fractures often undiagnosed.(Endocrinology)(Brief article)(Clinical report)
October 1, 2007... MONTREAL -- Don't forget your male patients when considering the effects of osteoporosis on the spine, according to the results of an Australian study presented at the annual meeting of the International Bone and Mineral Society. The...

Inpatient insulin protocols aid glycemic control.(Endocrinology)
October 1, 2007... DALLAS -- Implementation of standardized subcutaneous insulin order sets and an insulin management algorithm across nearly all services in a 400-bed hospital resuited in significantly improved glycemic control, Dr. Gregory A. Maynard reported...

Over time, bariatric surgery appears to reduce health costs.(Endocrinology)
October 1, 2007... SAN DIEGO -- Over time, the health care costs for patients who undergo bariatric surgery appear to be lower than those for patients who undergo medical treatment for the condition, results from a small pilot study demonstrated. The study...

Standardized assays for free thyroxine sought.(Endocrinology)
October 1, 2007... The need to measure free thyroxine levels has diminished in the past 2 decades, but it's still a frequently ordered test and may be an important one for some patient populations, especially pregnant women. But there's no consensus on how...

Assays for hyperandrogenism lack reliability.(Endocrinology)
October 1, 2007... TORONTO -- Finding the right test to screen for hyperandrogenism in hirsute women can be difficult because of a lack of reliability among affordable assays, Dr. Robert L. Rosenfield said at the annual meeting of the Androgen Excess Society. ...

'Road maps' chart use of new diabetes drugs.(Endocrinology)
October 1, 2007... The availability of new agents for the treatment of type 2 diabetes, as well as new indications for existing agents, has broadened the therapeutic landscape for the disease considerably, but without a map, the region can be difficult to...

Multiplayer online games can be helpful, hurtful.(Psychiatry)
October 1, 2007... SAN FRANCISCO -- More patients than ever who seek mental health care are living at least part of their time in fantasy worlds--and they're not alone there. Millions of people around the world play online games that immerse them in a...

National Drug use survey reveals some ups and downs.(Psychiatry)(Survey)
October 1, 2007... WASHINGTON -- There's good and bad news from the 2006 National Survey on Drug Use and Health: Overall drug use among adolescents has declined since 2002, but prescription drug misuse among young adults has skyrocketed. In the federally...

OCs may compound low androgen in anorexia.(Psychiatry)(oral contraceptives )
October 1, 2007... TORONTO -- Although physicians commonly prescribe oral contraceptives for women with anorexia nervosa, new research presented at the annual meeting of the Endocrine Society suggests that androgen levels are already low in these women and are...

MRI screening for breast Ca: who is high risk? It's a challenge to find access to high-quality MRI centers and radiologists with expertise in breast MRI.(Women's Health)(Magnetic resonance imaging)(Breast cancer)
October 1, 2007... A 32-year-old woman had a normal clinical breast examination. Under usual circumstances, she wouldn't get a mammogram for another 8 years, when she turned 40 years old. But this was no normal patient. The all-important family history...

Vulvovaginal plastic surgery gains popularity.(Women's Health)
October 1, 2007... CHICAGO -- A patient wants her hymen reattached as a 30-year wedding anniversary present to her husband. Would you support her request? Would your answer change if the patient was a 20-year-old woman seeking the same procedure because...

Cesarean section boosts VTE risk nearly ninefold.(Women's Health)(venous thromboembolism)(Brief article)
October 1, 2007... OTTAWA -- Women whose infants were delivered by cesarean section had a nearly ninefold higher risk of developing a postpartum venous thromboembolism, compared with women who had a vaginal delivery, based on a review of more than 80,000...

OSA linked to gestational diabetes risk.(Women's Health)(obstructive sleep apnea)
October 1, 2007... SAN FRANCISCO -- Pregnant women who have obstructive sleep apnea have a 2.3-fold increased risk of gestational diabetes and a 4.2-fold increased risk of pregnancy-induced hypertension, compared with women without the sleep disorder, according...

Pharmacogenetics and personalized medicine.(GENETICS IN YOUR PRACTICE)
October 1, 2007... The FDA recently updated the labeling for warfarin to include pharmacogenetic information. This column reviews some examples of the clinical relevance of pharmacogenetics to personalized medicine. Pharmacogenetics Together with...

Homocysteine-lowering therapy: doubts persist.(Cardiovascular Medicine)
October 1, 2007... VIENNA -- Homocysteine lowering with B vitamins and folate didn't reduce mortality or cardiovascular events in the large randomized Western Norway B-vitamin Intervention Trial (WENBIT), Dr. Marta Ebbing reported at the annual congress of the...

Asymptomatic PAD linked with high mortality.(Cardiovascular Medicine)(peripheral arterial disease )
October 1, 2007... VIENNA -- Asymptomatic peripheral arterial disease diagnosed through routine screening in the offices of primary care physicians carries a high, 5-year mortality similar to that of symptomatic peripheral arterial disease, Dr. Curt Diehm...

Thrombolysis for DVT tied to sevenfold rise in mortality.(Cardiovascular Medicine)(deep vein thrombosis)
October 1, 2007... BALTIMORE -- Patients increasingly undergo thrombolysis for deep vein thrombosis, but this treatment significantly boosted the risk of major bleeding and death, according to representative data collected in 1998-2003 from across the United...

Aggressive revascularization in ACS fails women.(Cardiovascular Medicine)(acute coronary syndrome)
October 1, 2007... VIENNA -- Women with non-ST-elevation acute coronary syndrome don't show the same clear benefit as men do in response to a routine invasive management strategy, Dr. Eva Swahn reported at the annual congress of the European Society of...

Survey shows growth in adolescent vaccination.(Infectious Diseases)(Survey)
October 1, 2007... Recent recommendations in coverage for adolescents aged 13-17 years have not yet reached the same levels of success as achieved in children aged 19-35 months, according to results from the most recent National Immunization Survey. ...

Undetectable HIV doesn't preclude transmission.(Infectious Diseases)(human immunodefeciency virus)
October 1, 2007... BOSTON -- Women on highly active antiretroviral therapy for human immunodeficiency virus whose plasma viral load is below detectable levels may continue to shed the virus intermittently in the genital tract, Dr. Susan Cu-Uvin said at the annual...

MRSA showing no mercy in skin infections.(Infectious Diseases)(Methicillin-resistant Staphylococcus aureus )
October 1, 2007... NEW YORK -- Methicillin-resistant Staphylococcus aureus is now the most common cause of serious skin and soft-tissue infections in many communities throughout the United States, Dr. Mark Lebwohl said at the American Academy of Dermatology's...

Endoluminal tactics may cut bariatric morbidity.(Gastroenterology)
October 1, 2007... Emerging endoluminal techniques and devices intended for weight loss therapy may reduce the risk of morbidity and mortality associated with current bariatric surgery approaches, according to the research findings of Dr. Philip Schauer and his...

Laparoscopic bypass offers advantages.(Gastroenterology)
October 1, 2007... SAN DIEGO -- Obese patients who underwent laparoscopic gastric bypass surgery had significantly lower rates of bleeding and venous thromboembolic events than those who had open gastric bypass surgery, results from a review of 1,128 patients...

Statins may reduce hepatocellular carcinoma risk.(Gastroenterology)
October 1, 2007... WASHINGTON -- The use of statins may reduce the risk of hepatocellular carcinoma by half, according to the results of a case-control study of more than 6,500 U.S. veterans. "Statin use may be associated with a 40%-50% risk reduction of...

Diverticulitis.(THE EFFECTIVE PHYSICIAN)(Clinical report)
October 1, 2007... The American Society of Colon and Rectal Surgeons has published an updated, evidence-based, clinical practice guideline for the care of patients with sigmoid diverticulitis. The guideline was based on literature published since the society's...

Risk factors traced for postpolypectomy bleeding.(Gastroenterology)(Clinical report)
October 1, 2007... WASHINGTON -- Large polyp size and the use of anticoagulants raised the risk of delayed postpolypectomy hemorrhage, but aspirin and a history of hypertension did not, according to a study presented at the annual Digestive Disease Week. The...

WHI results still confusing.(POLICY & PRACTICE)(Women's Health Initiative )(Survey)(Brief article)
October 1, 2007... Just 18% of physicians said they have "no confusion at all" about the results of the Women's Health Initiative study, according to an online survey of more than 400 physicians conducted on behalf of the Hormone Foundation. Also, only 15% said...

Aventis settles pricing fraud case.(POLICY & PRACTICE)(Brief article)
October 1, 2007... Drugmaker Sanofi-Aventis has agreed to pay more than $190 million to settle allegations of fraudulent drug pricing and marketing against Aventis Pharmaceuticals, one of its predecessor companies. According to the U.S. Department of Justice,...

Insurance premium increase slows.(POLICY & PRACTICE)(Survey)(Brief article)
October 1, 2007... Employer sponsored health insurance premiums rose on average 6.1% in 2007, reflecting a continuing slowdown in premium increases. The 2007 premium increase is the smallest hike since 1999, according to an employer survey by the Kaiser Family...

ACS seeks to improve access.(POLICY & PRACTICE)(American Cancer Society )(Brief article)
October 1, 2007... The American Cancer Society has launched a national campaign aimed at making access to health care for all Americans part of the national discussion and the number one priority of the next president. While the group is not advocating a specific...

Bill seeks MD gift disclosure.(POLICY & PRACTICE)(Brief article)
October 1, 2007... Legislation in the Senate would require quarterly disclosure of gifts, honoraria, travel, and other payments to physicians by pharmaceutical, medical device, and biotechnology manufacturers. S. 2029 was introduced by Sen. Chuck Grassley...

Mass. considers retail clinic rules.(POLICY & PRACTICE)(Brief article)
October 1, 2007... Massachusetts' Public Health Council is considering rules that would limit the scope of retail medical clinics in the state. The proposal is in response to a request by CVS Corp. to open 20-30 of its MinuteClinics in the Boston area beginning...

Readers find ways to advance patient care.(REINVENTING YOUR PRACTICE)
October 1, 2007... In the second round of our "Reinventing Your Practice" contest, we invited readers earlier this year to share ideas that they've used to improve patient care by making their practices more clinically effective, patient friendly, and efficient....

Cutting wait times for patients is a nice touch.(REINVENTING YOUR PRACTICE)
October 1, 2007... The idea seems simple enough, but the improvement in waiting times for lab tests for the patients of Dr. S. Germain Cassiere has been dramatic. As in many medical offices, his patients for many years had signed in on a sheet of paper to...

Handwritten notes can enhance lab reports.(REINVENTING YOUR PRACTICE)
October 1, 2007... Dr. Janet Armstrong has always had a love-hate relationship with laboratory reports. Reviewing them is a chore. But she also considers them to be incredibly important to good patient care. So, realizing their importance, Dr. Armstrong sends...

Self-referral rule marks return to earlier policy.(Practice Trends)
October 1, 2007... In issuing the third phase of the final regulations implementing the physician self-referral rule, also known as the Stark law, the Center for Medicare and Medicaid Services has returned to a stance it held in the first phase. The Stark...

EMR helps target smokers when hospitalized.(Practice Trends)(electronic medical record )(Brief article)
October 1, 2007... WASHNGTON -- Adding a smoking cessation component to electronic medical record systems improves the likelihood that hospitalized individuals with a history of smoking will receive cessation counseling, according to study results presented at a...

World wide med: global perspectives on medical practice.(Practice Trends)(Interview)
October 1, 2007... DR. BOYD SHOOK, who started going to Nicaragua to provide medical care in 1993, now spends time there two to four times each year. He practices in Bethany, Okla., during the rest of the year. Dr. Shook recently supervised the completion of...

Epidemiology for dummies.(INDICATIONS)(Brief article)
October 1, 2007... Virtual viruses in online worlds such as "Second Life" and "World of Warcraft" should be studied by real-world scientists for clues about how viral epidemics spread, researchers wrote in the Lancet Infectious Diseases Journal. They called a...

News flash: girlie men don't get girls.(INDICATIONS)(Brief article)
October 1, 2007... In a study, "masculine"-looking men with features such as square jaws, small eyes, and big noses were classified by women as being less warm and less faithful on the basis of their faces alone, compared with their more "feminine" counterparts,...

Party like a rock star, then die.(INDICATIONS)(Brief article)
October 1, 2007... A recent study in the Journal of Epidemiology and Community Health, "Elvis to Eminem: Quantifying the Price of Fame Through Early Mortality of European and North American Rock and Pop Stars," has determined that singers and musicians in those...

Paul Newman's lasting legacy.(INDICATIONS)(Brief article)
October 1, 2007... The New York Times recently reported on the curious case of a nonsmoking furniture salesman from Colorado. His persistent shortness of breath and overweight status led physicians to diagnose hypersensitivity pneumonitis, a condition usually...

CT not advised for lung Ca screening.(Pulmonary Medicine)(computed tomography)(cancer)
October 15, 2007... In a controversial move, the American College of Chest Physicians has formally recommended against the use of low-dose helical CT scanning for general lung cancer screening, even in high-risk populations, except in the context of clinical...

The majority of drugs dispensed in 2006 were generic.(VITAL SIGNS)(Statistical table)(Brief article)
October 15, 2007... The Majority of Drugs Dispensed in 2006 Were Generic Generic 58.0% Brands with no generic alternatives 17.4% More expensive brands with generic alternatives 11.1% Brands with...

Combined insulin regimens often become necessary: clinical trial shows need for dual therapy.(News)
October 15, 2007... AMSTERDAM -- Most patients with type 2 diabetes who fail to achieve adequate glucose control with oral agents are likely to need combination insulin therapy in the long run, Dr. Rury R. Holman said at the annual meeting of the European...

Gardasil: cross-protection extends potential benefit.(News)
October 15, 2007... CHICAGO -- The quadrivalent human papillomavirus vaccine, Gardasil, offers cross-protection against cancer-causing HPV types that are not included in the vaccine, according to data reported in a late-breaking poster at the annual Interscience...

New international guidelines focus on postprandial glucose.(News)
October 15, 2007... AMSTERDAM -- Control of postmeal glucose values should be a focus of management for all patients with diabetes, according to new evidence-based guidelines from the International Diabetes Federation. Released at a press briefing during the...

Lanreotide okayed for long-term acromegaly Tx.(News)
October 15, 2007... A sustained-release formulation of the somatostatin analogue lanreotide has been approved by the Food and Drug Administration for the long-term treatment of acromegaly patients who have had an inadequate response to or cannot be treated with...

Law strengthens FDA's authority and funding.(News)
October 15, 2007... President Bush has signed into law legislation that reauthorizes the Food and Drug Administration's collection of fees from drug and device makers to review their products and gives it new safety monitoring and enforcement powers. The new...

Follow-on biologics not addressed in FDA reauthorization.(News)
October 15, 2007... A pathway for approval of generic biologic agents was not included in legislation to reauthorize funding for the Food and Drug Administration, enacted last month. Rep. Frank Pallone, D-N.J., the legislation's cosponsor, vowed to seek other...

Assume diabetics have neuropathy.(LETTERS)(Letter to the editor)
October 15, 2007... The article regarding the inaccuracy of monofilament testing provides another opportunity to reassess the value of screening diabetics for neuropathy ("Monofilaments Called Inaccurate for Assessing Neuropathy," Aug. 15, 2007, p. 9). I...

Internists 'backed into a corner'.(LETTERS)(Letter to the editor)
October 15, 2007... I felt compelled to write after reading the comments of Dr. Laura M. Otter ("Reimbursement System Is Unfair") and Dr. Stanley A. Shanies ("'Pay for Performance' Anxiety") (Letters, Sept. 1, 2007, pp. 10 and 11). Taking into consideration...

This doctor missed his calling.(LETTERS)(Letter to the editor)
October 15, 2007... I, too, had the comedy bug during the late 1980s, while I was between internal medicine and dermatology residencies ("The Doctor Will Laugh With You Now," The Rest of Your Life, July 15, 2007, p. 51). I was debugged, however, when one...

Should organ donation after cardiac death be promoted and adopted more widely?(POINT/COUNTERPOINT)
October 15, 2007... It's an ethical and necessary practice. Despite all we have done to increase the number of available organs, over 6,000 people die every year in the United States while on organ waiting lists. If donation after cardiac death (DCD) were...

Diabetes spans the globe.(ADVISER'S VIEWPOINT)
October 15, 2007... On the surface, it would seem to be an exciting time to be involved in managing diabetes. After all, in the last 5 years, we have seen numerous new medications--new and better insulins, incretin mimetics, incretin enhancers, thiazolidinediones,...

Photodynamic therapy for skin Ca earns points.(Dermatology)(cancer)
October 15, 2007... AMSTERDAM -- Topical photodynamic therapy has advanced far enough that it ranks alongside other first-line therapies for actinic keratoses, Bowen disease, superficial basal cell carcinoma, and thin nodular basal cell carcinoma, according to...

Options in stage IV melanoma still inadequate.(Dermatology)
October 15, 2007... AMSTERDAM -- Here's just how little progress has occurred in the systemic treatment of metastatic melanoma over the last 3 decades: Today the best therapeutic option for patients with advanced melanoma is to enroll them in a clinical trial of...

Anticancer agents can cause severe skin toxicity.(Dermatology)
October 15, 2007... CORONADO, CALIF. -- The side effects associated with epidermal growth factor receptor inhibitors can be so awful that several cancer patients have told Dr. Jonathan Cotliar that they would rather die than continue taking them. "That's...

UV exposure, gender not tied to rosacea risk.(Dermatology)(Ultraviolet )
October 15, 2007... ZURICH -- New insights into the nature of rosacea have emerged from the first large epidemiologic study conducted since precise definitions with clearly defined diagnostic criteria were issued for this common skin disorder. "In contrast to...