New England Journal of Medicine




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Xylazine — Medical and Public Health Imperatives

Rahul Gupta, M.D., M.P.H., M.B.A., David R. Holtgrave, Ph.D., and Michael A. Ashburn, M.D., M.P.H., M.B.A.

doi : 10.1056/NEJMp2303120

Vol. 388 No. 24

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A Slow-Moving Disaster — The Jackson Water Crisis and the Health Effects of Racism

Richard M. Mizelle, Jr., Ph.D.

doi : 10.1056/NEJMp2212978

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Testing for Fentanyl — Urgent Need for Practice-Relevant and Public Health Research

Nora D. Volkow, M.D., Robert M. Califf, M.D., Marta Sokolowska, Ph.D., Lawrence A. Tabak, D.D.S., Ph.D., and Wilson M. Compton, M.D., M.P.E.

doi : 10.1056/NEJMp2302857

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Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma

Peter J. Hutchinson, Ph.D., F.R.C.S. (SN), Hadie Adams, M.D., Midhun Mohan, M.R.E.S., M.R.C.S., Bhagavatula I. Devi, M.Ch., Christopher Uff, Ph.D., F.R.C.S. (SN), Shumaila Hasan, M.R.C.S., Harry Mee, M.R.C.P., Mark H. Wilson, Ph.D., F.R.C.S. (SN), Deepak K. Gupta, M.Ch., Ph.D., Diederik Bulters, F.R.C.S. (SN), Ardalan Zolnourian, M.R.C.S., Catherine J. McMahon, Ph.D., F.R.C.S. (SN),

doi : 10.1056/NEJMoa2214172

Traumatic acute subdural hematomas frequently warrant surgical evacuation by means of a craniotomy (bone flap replaced) or decompressive craniectomy (bone flap not replaced). Craniectomy may prevent intracranial hypertension, but whether it is associated with better outcomes is unclear.

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Dexamethasone versus Surgery for Chronic Subdural Hematoma

Ishita P. Miah, M.D., Ph.D., Dana C. Holl, M.D., Ph.D., Jurre Blaauw, M.D., Hester F. Lingsma, Ph.D., Heleen M. den Hertog, M.D., Ph.D., Bram Jacobs, M.D., Ph.D., Nyika D. Kruyt, M.D., Ph.D., Joukje van der Naalt, M.D., Ph.D., Suzanne Polinder, Ph.D., Rob J.M. Groen, M.D., Ph.D., Kuan H. Kho, M.D., Fop van Kooten, M.D., Ph.D., Clemens M.F. Dirven, M.D., Ph.D., Wilco C. Peul, M.D., Ph.D., Korné Jellema, M.D., Ph.D., Ruben Dammers, M.D., Ph.D., and Niels A. van der Gaag, M.D., Ph.D. for the DECSA Collaborators*

doi : 10.1056/NEJMoa2216767

The role of glucocorticoids without surgical evacuation in the treatment of chronic subdural hematoma is unclear.

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Variant STAT4 and Response to Ruxolitinib in an Autoinflammatory Syndrome

Hratch Baghdassarian, B.S., Sarah A. Blackstone, B.S., Owen S. Clay, M.D., Ph.D., Rachael Philips, Ph.D., Brynja Matthiasardottir, M.Sc., Michele Nehrebecky, N.P., Vivian K. Hua, B.S., Rachael McVicar, B.S., Yang Liu, Ph.D., Suzanne M. Tucker, M.D., Davide Randazzo, Ph.D., Natalie Deuitch, M.S., Sofia Rosenzweig, B.S., Adam Mark, M.S., Roman Sasik, Ph.D., Kathleen M. Fisch, Ph.D., Pallavi Pimpale Chavan, M.D., Elif Eren, Ph.D., Norman R. Watts, Ph.D., Chi A. Ma, Ph.D., Massimo Gadina, Ph.D., Daniella M. Schwartz, M.D., Anwesha Sanyal, Ph.D., Giffin Werner, B.S., David R. Murdock, M.D., Nobuyuki Horita, M.D., Ph.D., Shimul Chowdhury, Ph.D., David Dimmock, M.D., Kristen Jepsen, Ph.D., Elaine F. Remmers, Ph.D., Raphaela Goldbach-Mansky, M.D., M.H.S., William A. Gahl, M.D., Ph.D., John J. O’Shea, M.D., Joshua D. Milner, M.D., Nathan E. Lewis, Ph.D., Johanna Chang, M.D., Daniel L. Kastner, M.D., Ph.D., Kathryn Torok, M.D., Hirotsugu Oda, M.D., Ph.D., Christopher D. Putnam, Ph.D., and Lori Broderick, M.D., Ph.D.

doi : 10.1056/NEJMoa2202318

Disabling pansclerotic morphea (DPM) is a rare systemic inflammatory disorder, characterized by poor wound healing, fibrosis, cytopenias, hypogammaglobulinemia, and squamous-cell carcinoma. The cause is unknown, and mortality is high.

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Rare Antagonistic Leptin Variants and Severe, Early-Onset Obesity

Jan-Bernd Funcke, Ph.D., Barbara Moepps, Ph.D., Julian Roos, Ph.D., Julia von Schnurbein, M.D., Kenneth Verstraete, Ph.D., Elke Fröhlich-Reiterer, M.D., Katja Kohlsdorf, M.D., Adriana Nunziata, Ph.D., Stephanie Brandt, Ph.D., Alexandra Tsirigotaki, Ph.D., Ann Dansercoer, M.S., Elisabeth Suppan, M.D., Basma Haris, M.D., Klaus-Michael Debatin, M.D., Savvas N. Savvides, Ph.D., I. Sadaf Farooqi, M.D., Ph.D., Khalid Hussain, M.D., Peter Gierschik, M.D., Pamela Fischer-Posovszky, Ph.D., and Martin Wabitsch, M.D., Ph.D.

doi : 10.1056/NEJMoa2204041

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Squamous-Cell Carcinoma of the Skin

Ashley Wysong, M.D.

doi : 10.1056/NEJMra2206348

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Xylazine-Associated Skin Injury

Jessica O’Neil, M.D., and Stephen Kovach, M.D.

doi : 10.1056/NEJMicm2303601

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Patella Alta

Yoshitaka Ishiguro, M.D., and Akira Kuriyama, M.D., M.P.H., Ph.D.

doi : 10.1056/NEJMicm2213003

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Case 18-2023: A 19-Year-Old Woman with Dyspnea and Tachypnea

Cory A. Perugino, D.O., Eric M. Isselbacher, M.D., Vinit Baliyan, M.D., M.B., B.S., Sebastian H. Unizony, M.D., and Rex N. Smith, M.D., Ph.D.

doi : 10.1056/NEJMcpc2300894

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Traumatic Acute Subdural Hematoma — Should the Bone Flap Be Removed or Replaced?

Shankar Gopinath, M.D.

doi : 10.1056/NEJMe2302936

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Varieties of Chronic Subdural Hematoma and Glucocorticoid Treatment

Ossama Al-Mefty, M.D.

doi : 10.1056/NEJMe2304797

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Antagonizing the Leptin Receptor in Obesity

Clifford J. Rosen, M.D.

doi : 10.1056/NEJMe2301915

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Audio Interview: Dr. Fauci on Infectious Disease Challenges

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., Anthony S. Fauci, M.D., and Stephen Morrissey, Ph.D.

doi : 10.1056/NEJMe2307011

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Dystrophin Immunity after Gene Therapy for Duchenne’s Muscular Dystrophy

doi : 10.1056/NEJMc2212912

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Treatment Strategy for Rifampin-Susceptible Tuberculosis

doi : 10.1056/NEJMc2304776

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Lebrikizumab for Moderate-to-Severe Atopic Dermatitis

doi : 10.1056/NEJMc2304782

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Empagliflozin in Patients with Chronic Kidney Disease

doi : 10.1056/NEJMc2301923

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GD2-CART01 for Relapsed or Refractory High-Risk Neuroblastoma

doi : 10.1056/NEJMc2305296

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