Browse Review Article
- Review ArticleVOL. 387 No. 9, Sep 01, 2022
Chronic Urticaria
N Engl J Med 2022; 387:824-831Chronic urticaria differs from acute urticaria in characteristics and treatments. The chronic form is spontaneous or inducible, with the latter elicited by cold, heat, pressure, or other precipitants.
- Review ArticleAug 31, 2022
Franklin H. Epstein Lecture: Covid-19 Vaccines — Immunity, Variants, Boosters
10.1056/NEJMra2206573The protective effects of vaccination and prior infection on severe Covid-19 are reviewed, with proposed directions for future research, including mucosal immunity and intermittent vaccine boost strategies.
- Review ArticleVOL. 387 No. 8, Aug 25, 2022
Lesions of the Ovary and Fallopian Tube
N Engl J Med 2022; 387:727-736Lesions of the ovary and fallopian tube are common and may be acute or chronic. Diagnostic assessment is designed to distinguish benign from malignant causes. Referral to a gynecologic oncologist is often necessary.
- Review ArticleVOL. 387 No. 7, Aug 18, 2022
Neuromyelitis Optica Spectrum Disorder
N Engl J Med 2022; 387:631-639Formerly known as Devic’s disease, this relapsing, demyelinating disorder of the central nervous system encompasses six syndromes and is associated with aquaporin-4 autoantibodies. Effective treatment prevents relapses.
- Review ArticleVOL. 387 No. 6, Aug 11, 2022
Bronchiectasis — A Clinical Review
N Engl J Med 2022; 387:533-545This article reviews the presentation, diagnosis, and treatment of bronchiectasis, a syndrome of abnormal airways that results in chronic cough, sputum production, and respiratory impairment.
- Review ArticleVOL. 387 No. 5, Aug 04, 2022
Spina Bifida
N Engl J Med 2022; 387:444-450Spina bifida, a congenital disorder of the spinal cord, leads to medical and neurologic complications. Modern surgical techniques and comprehensive medical care have greatly improved outcomes.
- Review ArticleVOL. 387 No. 3, Jul 21, 2022
Obesity in Pregnancy
N Engl J Med 2022; 387:248-259The authors review the many adverse effects of obesity on pregnancy, including hypertension, diabetes, insulin resistance, subfertility, miscarriage, and congenital abnormalities.
- Review ArticleVOL. 387 No. 2, Jul 14, 2022
Breakthrough Hemolysis in PNH with Proximal or Terminal Complement Inhibition
N Engl J Med 2022; 387:160-166Inhibitors of proximal and terminal complement cascades can often control red-cell hemolysis associated with paroxysmal nocturnal hemoglobinuria, but some patients have breakthrough hemolysis.
- Review ArticleVOL. 387 No. 1, Jul 07, 2022
The Vaccine-Hesitant Moment
N Engl J Med 2022; 387:58-65The proliferation of vaccine misinformation and its use for political purposes are placing a large number of people at risk in the Covid-19 pandemic and allowing the pandemic to continue.
- Review ArticleVOL. 386 No. 26, Jun 30, 2022
Mantle-Cell Lymphoma
N Engl J Med 2022; 386:2495-2506Accounting for 5 to 7% of all lymphomas, mantle-cell lymphoma has historically been associated with a poor outcome, but survival is improving. The epidemiology, pathology, pathophysiology, diagnosis, and treatment of mantle-cell lymphoma are described.
- Review ArticleVOL. 386 No. 25, Jun 23, 2022
Philadelphia Chromosome–Positive Acute Lymphoblastic Leukemia
N Engl J Med 2022; 386:2399-2411Until recently, Ph-positive ALL was very aggressive and difficult to treat. Current frontline therapy, based on tyrosine kinase inhibitors, glucocorticoids, and blinatumomab, has increased survival, with high-level clearance of measurable tumor cells.
- Review ArticleVOL. 386 No. 24, Jun 16, 2022
Climate Change, Fossil-Fuel Pollution, and Children’s Health
N Engl J Med 2022; 386:2303-2314Climate change and air pollution, largely caused by the burning of fossil fuels, pose serious harms to children’s health. Children from communities of color and low-income communities are disproportionately harmed.
- Review ArticleVOL. 386 No. 23, Jun 09, 2022
Diagnosis and Treatment of Frostbite
N Engl J Med 2022; 386:2213-2220Cold injury is a combination of direct cellular damage from freezing and cellular ischemia from vasospasm and small-vessel thrombosis. The severity is related to the degree to which frozen tissues are reperfused on thawing.
- Review ArticleVOL. 386 No. 22, Jun 02, 2022
Uses of GFR and Albuminuria Level in Acute and Chronic Kidney Disease
N Engl J Med 2022; 386:2120-2128Testing for kidney disease is routine in clinical practice. This review focuses on advances in clinical evaluation of the glomerular filtration rate and albuminuria and their use in detecting acute and chronic kidney disease, designing trials of disease progression, and predicting risk in clinical practice.
- Review ArticleVOL. 386 No. 21, May 26, 2022
Gliflozins in the Management of Cardiovascular Disease
N Engl J Med 2022; 386:2024-2034Gliflozins — sodium–glucose cotransporter 2 inhibitors — lower blood glucose and glycated hemoglobin in patients with type 2 diabetes without causing hypoglycemia. The agents also improve cardiac function in patients who have heart failure with or without type 2 diabetes and improve renal function, with few adverse effects.
- Review ArticleVOL. 386 No. 20, May 19, 2022
Brain Tumors in Children
N Engl J Med 2022; 386:1922-1931Childhood brain tumors were previously classified by histologic appearance and location. A new classification includes genetic changes, which have prognostic significance and may lead to therapeutic targets. This review focuses on pediatric gliomas, ependymomas, and medulloblastomas.
- Review ArticleVOL. 386 No. 19, May 12, 2022
Preeclampsia
N Engl J Med 2022; 386:1817-1832Preeclampsia complicates 2 to 4% of all pregnancies and accounts for about 46,000 maternal deaths and 500,000 fetal or newborn deaths each year. Antihypertensive agents and magnesium sulfate can help control the systemic manifestations of preeclampsia, which is usually resolved by delivery of the placenta.
- Review ArticleVOL. 386 No. 17, Apr 28, 2022
Understanding Vaccine Safety and the Roles of the FDA and the CDC
N Engl J Med 2022; 386:1638-1645Development and public acceptance of vaccines are crucial for disease control. This review covers the process of evaluating vaccines for safety and efficacy, authorization pathways, and factors that advisory bodies consider when establishing vaccine recommendations.
- Review ArticleVOL. 386 No. 16, Apr 21, 2022
Increasing Incidence of Early-Onset Colorectal Cancer
N Engl J Med 2022; 386:1547-1558Early-onset disease (at <50 years of age) accounts for 10% of colorectal cancer cases, and the incidence is increasing, particularly in high-income countries. Patients often present with advanced disease in the left colon. One in six patients has deficient DNA mismatch repair. Screening is now recommended to begin at 45...
- Review ArticleVOL. 386 No. 14, Apr 07, 2022
Laboratory Diagnosis of Creutzfeldt–Jakob Disease
N Engl J Med 2022; 386:1345-1350The diagnosis of Creutzfeldt–Jakob disease has advanced from detection of characteristic EEG and MRI features to include the detection in CSF of 14-3-3 protein and, with the use of RT-QuIC assays, of abnormally folded prion protein, with close to 100% sensitivity and specificity.