Diseases & Conditions Archive

Research we're watching

If you have an arthritis-related condition called Heberden's nodes, you may be at higher risk for arthritis-related knee problems, according to a study published online January 9 by Arthritis & Rheumatology.

Heberden's nodes develop when cartilage in the fingers wears away, causing the bones to rub against one another. This prompts new bone to form, creating bony nodules in the knuckles closest to the fingertips.

There are many types of yoga. One of the most popular forms practiced in the United States is known as hatha yoga, a style that focuses on maintaining specific poses. What sets yoga apart from most other exercise programs is that it places as great an emphasis on mental fitness as on physical fitness, what's known as the mind-body connection.

Studies suggest that yoga has benefits for people with Chronic Fatigue Syndrome (CFS), arthritis, fibromyalgia, migraines, low back pain, and many other types of chronic pain conditions. It can also improve mood, which can be helpful to people with CFS who are depressed.

Ask the doctor

Q. My teenaged granddaughter was diagnosed with mono. Is that just a kids' virus or can older people get it?

A. We need to distinguish between the illness, mononucleosis (mono), and the virus that most often is the cause of the illness, Epstein-Barr virus (EBV). Most human beings become infected with EBV early in life, typically in their teenage years. Once we are infected, the virus remains in our bodies for the rest of our lives. It lies "asleep" inside some of our cells, periodically "reawakening" to multiply and go on to infect other cells, and then it settles down again.

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For some people, it's tough to prevent flare-ups of rosacea, the reddened and sometimes bumpy skin that shows up on the cheeks, nose, and other areas of the face. Caffeine, heat and sun exposure, and a long list of foods (everything from spicy foods to yogurt) have been thought to trigger rosacea or make it worse. But a study published online Oct. 17, 2018, by JAMA Dermatology not only pokes a hole in the idea that caffeine is to blame, it also suggests that one major caffeine source — coffee — might even reduce the risk of rosacea. Researchers analyzed health and diet survey responses gathered every four years from nearly 83,000 women (most of whom were white) from 1991 to 2005. It turns out that women who drank four or more cups of caffeinated coffee per day were 23% less likely to report a diagnosis of rosacea during the study period, compared with women who drank less than one cup per month. Increased caffeine intake from tea, soda, and chocolate had no impact on the likelihood of developing rosacea. The study was only observational and can't prove cause and effect. But coffee has also been linked to many other health benefits, including lower blood pressure, a slower rate of weight gain with age, and reduced risks for developing type 2 diabetes or dying from cardiovascular disease or neurological diseases.

Direct-to-consumer tests may help predict risks to your future health. But are they worth the cost and trouble?

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Direct-to-consumer (DTC) genetic test kits are a popular way to identify a person's ancestral history, but the technology may also reveal whether someone is at risk for specific diseases and conditions, like Alzheimer's disease, heart disease, and even cancer.

"More and more people want to explore their own medical data, and a DTC genetic test is one way to begin to understand some aspects of your future health," says Dr. Robert Green, a medical geneticist at the Harvard-affiliated Brigham and Women's Hospital and director of the Genomes2People Research Program. "Yet it is important to realize that DTC testing is not the same as genetic testing in a medical context, and is not a comprehensive examination of your DNA."

Ask the doctors

Q. I heard that there is a new medication that you can take for the flu. Is this a vaccine?

A. In October 2018, for the first time in 20 years, the FDA approved a new medication to treat the flu. Baloxavir marboxil, sold as Xofluza, is not a vaccine, but rather an antiviral drug that can help your body fight off influenza more quickly. Antivirals work by stopping viruses from reproducing, lessening both the severity of your symptoms and their duration. Xofluza joins two antiviral drugs commonly prescribed for flu, oseltamivir (Tamiflu) and zanamivir inhaler (Relenza). (A third flu drug — peramivir, trade name Rapivab — is administered as an intravenous infusion.)