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Progress in the rheumatic diseases since the year 2000—the dawn of biologic therapies for immune-mediated conditions—has been astonishing. As Current Diagnosis and Treatment: Rheumatology now enters its third edition, we are both invigorated and delighted by the necessity of updating and often changing radically nearly every chapter. In addition, we have been compelled to add new chapters that capture emerging currents in the field.

Among the new chapters in the third edition are those addressing IgG4-related disease, Whipple disease, and Paget disease. In acknowledgment of the growing attention to the lung in rheumatic diseases, we have added chapters on interstitial lung disease and pulmonary hypertension. As a nod to the increasing utility of imaging in the practice of rheumatology, we have added thorough chapters on both musculoskeletal magnetic resonance imaging (MRI) and ultrasound.

We have supplemented existing chapters with new sections when appropriate. To the chapter previously entitled Polymyositis & Dermatomyositis has been added “Immune-Mediated Necrotizing Myopathy,” in recognition of new clinical entities in this area (particularly statin-induced myopathy). Similarly, “Scleroderma Mimickers” has been added to the chapter on scleroderma.

A hallmark of previous editions of Current Diagnosis & Treatment: Rheumatology has been the collaboration with authors from other specialties and subspecialties whose expertise is essential to practicing rheumatology well. In the past, we have engaged experts from otolaryngology, ophthalmology, orthopedics, and endocrinology to write critical chapters. These are reprised in the third edition, sometimes under different titles (and/or new authors), eg, Immune-Mediated Inner Ear Disease, Inflammatory Diseases of the Eye for Rheumatologists, Osteonecrosis, and Glucocorticoid-Induced Osteoporosis. In this edition, we continue this tradition with Neurology for the Rheumatologist. In further acknowledgment of the need to collaborate effectively with other specialties, we commissioned a chapter on Perioperative Management of the Patient with Rheumatic Disease.

This third edition is illustrated much more thoroughly than its predecessors with a substantial full-color insert as well as outstanding, integrated clinical and radiologic images. As an example, the extensive images shown and described in the chapter on Musculoskeletal MRI serve as an excellent complement to the clinical chapters on rheumatoid arthritis, psoriatic and reactive arthritis, ankylosing spondylitis, osteonecrosis, and gout. This edition has 60 color figures that demonstrate major teaching points.

We have made these changes while bearing in mind the principal target of this book: the practicing clinician. The book is a guide to the diagnosis and management of the complete range of rheumatologic problems encountered in clinical medicine, from common musculoskeletal complaints to complex, multiorgan system inflammatory diseases. Practical chapters on the evaluation of common musculoskeletal symptoms are accompanied by concise, authoritative reviews of multiorgan system disorders, supplemented by unique chapters on clinical topics of special interest.

We anticipate that the third edition of Current Diagnosis & Treatment: Rheumatology will have a broad readership among clinicians:

• Rheumatologists will find the book to be a quick, reliable, and up-to-date reference.
• The book will prove to be invaluable for those studying for board certification or recertification in rheumatology.
• Primary care physicians will appreciate the book's problem-oriented approach to musculoskeletal symptoms and its emphasis on the clinical features, laboratory findings, differential diagnosis, and treatment of specific rheumatic diseases.
• Fellows, house officers, and medical students will appreciate this engaging introduction to clinical rheumatology.

We hope that this book will engage and guide you in the study of the rheumatic diseases.

John B. Imboden, MD
David B. Hellmann, MD, MACP
John H. Stone, MD, MPH

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