Clin Med
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β2 agonists are used as first-line treatment in acute asthma. However, they may paradoxically worsen respiratory failure through development of lactic acidosis
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Osteoarthritis represents a massive and rapidly increasing burden on our society and the NHS. Current treatments are limited in efficacy and have significant toxicities. A conference was organised in conjunction with the British Society of Rheumatology with the aim of updating frontline clinicians and researchers on the size and causes of this problem, with a focus on modern management.
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A 57-year-old man presented with a vasculitic leg rash, weight loss and evidence of blood and protein in the urine. He was initially thought to have Henoch-Schönlein purpura but was eventually diagnosed with bacterial endocarditis.