{"title":"[Management of emergencies in rheumatology].","authors":"Philine Ritter, Stefan M Weiner","doi":"10.1007/s00063-026-01439-0","DOIUrl":null,"url":null,"abstract":"<p><p>Emergencies in rheumatology can present with a wide range of symptoms and findings, often requiring rapid diagnostics and treatment to prevent permanent damage or avert life-threatening conditions. This article aims to provide an overview of important differential diagnoses that should be considered in rheumatologic and/or immunosuppressed patients presenting in an emergency setting. It covers conditions such as septic arthritis, giant cell arteritis, acute adrenal insufficiency, the differential diagnosis of respiratory symptoms and acute kidney injury, macrophage activation syndrome, and catastrophic antiphospholipid syndrome. In this article, the clinical presentation, diagnostic approach, and acute management of these conditions are discussed and explained.</p>","PeriodicalId":49019,"journal":{"name":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","volume":" ","pages":"404-415"},"PeriodicalIF":1.6000,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medizinische Klinik-Intensivmedizin Und Notfallmedizin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00063-026-01439-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Emergencies in rheumatology can present with a wide range of symptoms and findings, often requiring rapid diagnostics and treatment to prevent permanent damage or avert life-threatening conditions. This article aims to provide an overview of important differential diagnoses that should be considered in rheumatologic and/or immunosuppressed patients presenting in an emergency setting. It covers conditions such as septic arthritis, giant cell arteritis, acute adrenal insufficiency, the differential diagnosis of respiratory symptoms and acute kidney injury, macrophage activation syndrome, and catastrophic antiphospholipid syndrome. In this article, the clinical presentation, diagnostic approach, and acute management of these conditions are discussed and explained.
期刊介绍:
Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine.
Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.