June 2025

Peer Reviewed Feature Articles
Headache and migraine

Migraine in 2025: an update on management

Tamsin Hilliard, Jason C. Ray, Elspeth J. Hutton, Richard J. Stark

Lifestyle and pharmacological approaches can be used to treat migraine, a common and debilitating condition. Gepants are a newly available acute treatment, and onabotulinumtoxinA and calcitonin gene-related peptide monoclonal antibodies can be used for advanced preventive treatment.

Obstetrics and gynaecology

Endometriosis – unmasking the silent struggle

Georgia Hunt, Nyasha Gwata

Symptoms of endometriosis can be diverse and are often misunderstood or confused for other conditions. Management is multidisciplinary and aimed at alleviating pain, increasing fertility and improving quality of life.

Free Access
Free access
Immunology and allergy

Coeliac disease: diagnostics and therapies beyond the gluten-free diet

James Daveson

Coeliac disease is a systemic immune disorder with diverse extraintestinal symptoms across all ages. Australia is an important participant in the clinical trial landscape searching beyond the gluten-free diet for people with coeliac disease, which may finally be on the cusp of change.

Cardiovascular medicine

Cardio-oncology – the intersection between heart and cancer care

Richard Z. Lin, Wai Ping Alicia Chan

The emerging field of cardio-oncology has gained momentum due to increasing insights into how cancer and its treatments can adversely affect the cardiovascular system. It addresses the need to prevent, detect and manage cardiovascular complications in patients with cancer and cancer survivors.

Peer Reviewed Regular Series
Dermatology clinic

Persistent scaly plaques on the hands and feet

Alexandra Savage, Rebecca Bronwyn Saunderson

A 44-year-old man presents with scaly plaques on his hands and feet. He has suffered for more than two decades from the lesions, which have been resistant to previous treatments. What’s the diagnosis?

Immunisation update

Vaccinations in pregnancy – optimising maternal and infant protection

Luke Spence, Mark R. Armstrong, Paul M. Griffin

Maternal vaccination significantly reduces the risk of vaccine preventable diseases. Vaccination preconception, during pregnancy and while breastfeeding protects both the mother and the infant. There are many barriers to vaccine uptake and practical strategies including antenatal integration, clinician engagement and digital innovations are needed to improve immunisation rates in pregnant women.

Physician-authored summaries and commentary on the most important medical research, provided by the NEJM Group, a division of the Massachusetts Medical Society.

© Massachusetts Medical Society