PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.009
Elisa Leggeri, Athina Pangalu, Florence Vallelian
{"title":"[VEXAS syndrome - a chameleon of inflammatory syndromes].","authors":"Elisa Leggeri, Athina Pangalu, Florence Vallelian","doi":"10.23785/PRAXIS.2025.02.009","DOIUrl":"10.23785/PRAXIS.2025.02.009","url":null,"abstract":"<p><strong>Introduction: </strong>The VEXAS syndrome is a systemic autoinflammatory disease first described in 2020. It primarily affects older men and is caused by a somatic mutation in the UBA1 gene on the X chromosome, leading to dysfunction of the innate immune system. Symptoms include fever, weight loss, various hematological manifestations, and a broad spectrum of clinical symptoms, often including ocular manifestations. Diagnosis is based on the detection of the mutation. There is currently no standardized therapy, and mortality can be as high as 40 %.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785//PRAXIS.2025.02.004
Carolin Schäfer, Anne-Kathrin Brill, Marie-Angela Wulf, Markus Schmidt, Claudio L Bassetti
{"title":"[REM-Sleep-Behavior Disorder - More Than a Simple Parasomnia].","authors":"Carolin Schäfer, Anne-Kathrin Brill, Marie-Angela Wulf, Markus Schmidt, Claudio L Bassetti","doi":"10.23785//PRAXIS.2025.02.004","DOIUrl":"10.23785//PRAXIS.2025.02.004","url":null,"abstract":"<p><strong>Introduction: </strong>Rapid-Eye-Movement (REM) sleep is an essential part of sleep dominating the second half of the night. A disturbance of the phy-siological muscle hypotonia of REM sleep can lead to dream enactment: REM sleep behavior disorder (RBD). In the absence of a disease of the central nervous system or provoking factors such as sleep apnea, alcohol consumption or antidepressants, isolated RBD (iRBD) may be present. IRBD is an early stage of alpha-synucleinopathies such as Parkinson's disease, dementia with Lewy bodies and multisystem atrophy. Medical history and polysomnography are the most important diagnostic tools. Clonazepam and melatonin are symptomatic treatments used to prevent injury. New technologies enable long-term monitoring of disease progression in iRBD and thus guide the targeted use of future disease-modifying therapies.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.007
Dominik Imhoff, Rolf Sturzenegger, Philip Went, Georgios Pantazis
{"title":"[Two Different Courses of a Rare, Potentially Reversible Encephalopathy].","authors":"Dominik Imhoff, Rolf Sturzenegger, Philip Went, Georgios Pantazis","doi":"10.23785/PRAXIS.2025.02.007","DOIUrl":"10.23785/PRAXIS.2025.02.007","url":null,"abstract":"<p><strong>Introduction: </strong>Cerebral amyloid angiopathy-related inflammation (CAA-RI) is a rare form of cerebral amyloid angiopathy (CAA). This leads to amyloid deposits and inflammation in the vessel walls with cerebral microbleeds, white matter hyperintensities and edema. Major clinical manifestations vary and are non-specific. They include rapidly progressive dementia, headaches and epileptic seizures. MRI and histology are crucial for further diagnosis, although the definitive diagnosis can only be made in autopsy. Timely therapy, mainly with corticosteroids, is essential for successful healing.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"66-71"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.002
Thomas Rosemann, Andrea Rosemann
{"title":"[Statins are not associated with an increased risk of cataracts in patients at risk of cardiovascular disease].","authors":"Thomas Rosemann, Andrea Rosemann","doi":"10.23785/PRAXIS.2025.02.002","DOIUrl":"10.23785/PRAXIS.2025.02.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.010
Valentino Monaco, Michael Bodmer, Andrea Christina Frey
{"title":"[Brucellose as a travel souvenir].","authors":"Valentino Monaco, Michael Bodmer, Andrea Christina Frey","doi":"10.23785/PRAXIS.2025.02.010","DOIUrl":"10.23785/PRAXIS.2025.02.010","url":null,"abstract":"<p><strong>Introduction: </strong>Family with fever, asthenia, arthralgia and headache after travelling back from Kosovo. A precise exposure history led to the suspicion of an underlying zoonosis and allowed a diagnosis to be made. The treatment with doxycycline and gentamicin led to a restitutio ad integrum in all family members.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.003
Miklos Rohla, Emrush Rexhaj
{"title":"[Summary of the 2024 ESC-Guidelines for the management of elevated blood pressure and hypertension].","authors":"Miklos Rohla, Emrush Rexhaj","doi":"10.23785/PRAXIS.2025.02.003","DOIUrl":"10.23785/PRAXIS.2025.02.003","url":null,"abstract":"<p><strong>Introduction: </strong>This mini-review summarizes the new guideline recommendations of the European Society of Cardiology for the management of elevated blood pressure and hypertension - with particular focus on aspects relevant to daily clinical practice.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-02-01DOI: 10.23785/PRAXIS.2025.02.006
Ivana Heinimann, Philipp Busche, Éva Pozder, Gisela Etter, Cordula Gubler, Katia Boggian, Philip Tarr
{"title":"[Acute Diverticulitis - Treatment without Antibiotics?]","authors":"Ivana Heinimann, Philipp Busche, Éva Pozder, Gisela Etter, Cordula Gubler, Katia Boggian, Philip Tarr","doi":"10.23785/PRAXIS.2025.02.006","DOIUrl":"10.23785/PRAXIS.2025.02.006","url":null,"abstract":"<p><strong>Introduction: </strong>In patients with acute uncomplicated diverticulitis current guidelines recommend that antibiotics should not be used reflexively or routinely, but rather selectively: starting with Hinchey stage 1b, i.e. in the case of localized pericolic abscess. Antibiotic-free diverticulitis therapy is therefore generally possible up to Hinchey stage 1a. We recommend carefully evaluating the patient, taking exclusion criteria into account and re-examining the patient after 48-72 hours. Keywords: Diverticulitis, antibiotics, treatment without antibiotics, complications.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 2","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-01-01DOI: 10.23785/PRAXIS.2025.01.005
Miroslav Vána, Koray Fidan, Annalisa Berzigotti, Naomi F Lange
{"title":"[Non-alcoholic fatty liver: New name, but the challenge remains].","authors":"Miroslav Vána, Koray Fidan, Annalisa Berzigotti, Naomi F Lange","doi":"10.23785/PRAXIS.2025.01.005","DOIUrl":"10.23785/PRAXIS.2025.01.005","url":null,"abstract":"<p><strong>Introduction: </strong>Due to widespread diseases with increasing numbers of patients, such as metabolic syndrome, metabolic liver diseases are becoming the most common liver diseases of the future. The article explains key changes, including the nomenclature change from non-alcoholic fatty liver disease to metabolic dysfunction-associated steatotic liver disease.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"18-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-01-01DOI: 10.23785/PRAXIS.2025.01.008
Sebastian Hahn, Elena Heizmann, Anne-Christin Stöwhas, Silvia Ulrich, Maurice Roeder
{"title":"[Eosinophilic Lung Diseases: Time Pressure in the Maze of Differential Diagnoses].","authors":"Sebastian Hahn, Elena Heizmann, Anne-Christin Stöwhas, Silvia Ulrich, Maurice Roeder","doi":"10.23785/PRAXIS.2025.01.008","DOIUrl":"10.23785/PRAXIS.2025.01.008","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case with eosinophilic granulomatosis with polyangiitis (EGPA). We provide an overview of eosinophilic lung diseases and underline challenges in diagnosis and management of those diseases. Furthermore, we discuss the severity classification of EGPA and provide insight into the current treatment regimen.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"34-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PraxisPub Date : 2025-01-01DOI: 10.23785/PRAXIS.2025.01.006
Fabian Egli, Dominik Dill, Baharak Babouee Flury, Magdalena Filipowicz Sinnreich, Anne Meynard, Gisela Etter, Philipp Busche, Franca Baggi Menozzi, Adrian Egli, Philip Tarr
{"title":"[Helicobacter pylori].","authors":"Fabian Egli, Dominik Dill, Baharak Babouee Flury, Magdalena Filipowicz Sinnreich, Anne Meynard, Gisela Etter, Philipp Busche, Franca Baggi Menozzi, Adrian Egli, Philip Tarr","doi":"10.23785/PRAXIS.2025.01.006","DOIUrl":"10.23785/PRAXIS.2025.01.006","url":null,"abstract":"<p><strong>Introduction: </strong>The guidelines on Helicobacter pylori (HP) have changed considerably. HP should always be considered a persistent and not a transient infection. A positive HP test should always be treated in order to prevent complications such as gastric or duodenal ulcers and gastric carcinoma. The prevalence of HP has been decreasing for many years but remains high among immigrants from many countries. Because the antimicrobial resistance situation has deteriorated significantly, we always recommend resistance testing before first-line therapy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 1","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}