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Digitoxin senkt bei Patienten mit chronischer Herz­insuffizienz die Sterblichkeits- und Hospitalisationsrate. 地黄毒素可降低慢性心力衰竭患者的死亡率和住院率。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.001
Johann Steurer
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引用次数: 0
[Fever and painful ulcers: A rare souvenir from a holiday at home]. [发烧和疼痛的溃疡：难得的在家度假纪念品]。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.008
Agnes Jucker, Ana Durovic, Carolin Hauschild, Jan Müller
{"title":"[Fever and painful ulcers: A rare souvenir from a holiday at home].","authors":"Agnes Jucker, Ana Durovic, Carolin Hauschild, Jan Müller","doi":"10.23785/PRAXIS.2025.11.008","DOIUrl":"10.23785/PRAXIS.2025.11.008","url":null,"abstract":"<p><strong>Introduction: </strong>This case describes a traveler returning from Sri Lanka with progressive ulcerative skin lesions and fever. The clinical picture indicates a bacterial skin infection, as can occur during stays in tropical regions. The case underscores the importance of early differential diagnosis and targeted antimicrobial therapy.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"406-408"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725680","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}
引用次数: 0
[Kidney care indicator set for measuring kidney care in primary care in Switzerland]. [用于衡量瑞士初级保健中肾脏护理的肾脏护理指标集]。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.003
Levy Jäger, Leander Muheim, Christian Häuptle, Michael Brändle, Harald Seeger, Thomas Rosemann
{"title":"[Kidney care indicator set for measuring kidney care in primary care in Switzerland].","authors":"Levy Jäger, Leander Muheim, Christian Häuptle, Michael Brändle, Harald Seeger, Thomas Rosemann","doi":"10.23785/PRAXIS.2025.11.003","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.11.003","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic kidney disease (CKD) is a significant but often underdiagnosed and undertreated condition. Based on the recommendations of the Swiss Society of Nephrology (SSN) and Kidney Disease: Improving Global Outcomes (KDIGO), an evidence-based set of 12 indicators was developed to map the quality of care for at-risk groups and those affected by CKD with regard to processes and target achievement related to kidney health. This set of indicators was tested on a large dataset of routine primary care data, revealing highly heterogeneous results, with some high compliance rates ranging from a median of 86.8 % for non-prescription of NSAID to 18.3 % for eGFR and albuminuria assessment in patients with arterial hypertension. Overall, it was shown that the present set of indicators represents a pragmatic, evidence-based and easily applicable template to depict the quality of kidney care of patients at risk or affected by CKD.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"381-387"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725713","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}
引用次数: 0
[Diagnosis and management of chronic hand eczema in practice]. 慢性手部湿疹的诊断与治疗
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.004
Ismail Döner, Antonio Cozzio, Sebastian Tschernitz
{"title":"[Diagnosis and management of chronic hand eczema in practice].","authors":"Ismail Döner, Antonio Cozzio, Sebastian Tschernitz","doi":"10.23785/PRAXIS.2025.11.004","DOIUrl":"10.23785/PRAXIS.2025.11.004","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic hand eczema is a common inflammatory skin disease that significantly impairs quality of life and affects approximately 10 % of the population. Common causes include occupational exposure to chemicals or wet work (irritant or allergic contact dermatitis) as well as endogenous factors such as atopic diathesis. Diagnosis is based on medical history, clinical examination, and, if necessary, further testing (e. g., patch testing). Treatment involves a holistic approach consisting of avoidance of triggers, intensive skin care and the application of topical corticosteroids, calcineurin inhibitors, or newer treatments such as topical JAK inhibitors. In severe cases, systemic therapies may be necessary. Early diagnosis and treatment are essential to prevent chronicity, improve patients' quality of life, and maintain their ability to work.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"388-392"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725687","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}
引用次数: 0
[The night has many faces: When schistocytes step out of line]. [黑夜有许多面孔：当分裂细胞越界时]。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.006
Sharon Appert, Cyrill Rütsche, Ilias Stagakis, Christian Kuhn
{"title":"[The night has many faces: When schistocytes step out of line].","authors":"Sharon Appert, Cyrill Rütsche, Ilias Stagakis, Christian Kuhn","doi":"10.23785/PRAXIS.2025.11.006","DOIUrl":"10.23785/PRAXIS.2025.11.006","url":null,"abstract":"<p><strong>Introduction: </strong>We present a case study of a patient with paroxysmal nocturnal haemoglobinuria (PNH) which first presented clinically as a haemolytic crisis, potentially triggered by a SARS-CoV-2 infection. This case highlights the diagnostic challenges involved in distinguishing between PNH and thrombotic microangiopathy (TMA), particularly in emergency situations. Administering eculizumab early on, as it is effective in treating both diseases, was crucial in stabilising the patient before a definitive diagnosis could be confirmed.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"397-400"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725775","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}
引用次数: 0
Sekundärprophylaxe der KHK: Clopidogrel ist ASS überlegen. KHK二级预防：氯吡格雷优于ASA。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.002
Andrea Rosemann, Thomas Rosemann
{"title":"Sekundärprophylaxe der KHK: Clopidogrel ist ASS überlegen.","authors":"Andrea Rosemann, Thomas Rosemann","doi":"10.23785/PRAXIS.2025.11.002","DOIUrl":"10.23785/PRAXIS.2025.11.002","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"380"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725702","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}
引用次数: 0
[Abdominal pain: It still can be a zebra]. [腹痛：也可能是斑马]。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.005
Koni Alessandro Strotz-Giampà, Katharina Seoko Brändle, Veronika Ballova, André Euler, Maria Wertli, Tudor Cosma
{"title":"[Abdominal pain: It still can be a zebra].","authors":"Koni Alessandro Strotz-Giampà, Katharina Seoko Brändle, Veronika Ballova, André Euler, Maria Wertli, Tudor Cosma","doi":"10.23785/PRAXIS.2025.11.005","DOIUrl":"10.23785/PRAXIS.2025.11.005","url":null,"abstract":"<p><strong>Introduction: </strong>We describe the case of a 51-year-old patient with acute lower abdominal pain, in whom CT imaging revealed thrombosis of the superior mesenteric vein. Due to nephrotic proteinuria, elevated free lambda light chains, and echocardiographic findings consistent with cardiac amyloidosis, a bone marrow biopsy was performed. Collectively, the findings established a diagnosis of multiple myeloma with AL amyloidosis and subsequent nephrotic syndrome as the primary cause of the splanchnic thrombosis.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"393-396"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725647","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}
引用次数: 0
[Being biased]. (有偏见)。
Praxis Pub Date : 2025-11-01 DOI: 10.23785/PRAXIS.2025.11.007
Laura Grossrieder, Benjamin Preiswerk, Alexander Turk, Lauri Röllin
{"title":"[Being biased].","authors":"Laura Grossrieder, Benjamin Preiswerk, Alexander Turk, Lauri Röllin","doi":"10.23785/PRAXIS.2025.11.007","DOIUrl":"10.23785/PRAXIS.2025.11.007","url":null,"abstract":"<p><strong>Introduction: </strong>Thyroid storm is an acute, life-threatening exacerbation of hyperthyroidism. It is crucial that patients receive immediate intensive medical care. In this case, we were initially misled by the patient's drug history, the paramedics' report and our own experience. It is important not to let yourself be biased by a history of drug abuse. Had the diagnosis in this patient been missed for longer, the outcome could have been fatal.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 11","pages":"401-405"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725602","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}
引用次数: 0
[Hidden paths: rare etiology of renal pelvicalyceal dilatation]. 【隐匿路径：肾盂肾盂扩张的罕见病因】。
Praxis Pub Date : 2025-10-01 DOI: 10.23785/PRAXIS.2025.10.005
Maxence Reynard, Jennifer Blarer, Sandro Lütolf
{"title":"[Hidden paths: rare etiology of renal pelvicalyceal dilatation].","authors":"Maxence Reynard, Jennifer Blarer, Sandro Lütolf","doi":"10.23785/PRAXIS.2025.10.005","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.10.005","url":null,"abstract":"<p><strong>Introduction: </strong>This case describes an 80-year-old patient with long-lasting urinary symptoms that did not respond to treatment with alpha-blockers. A detailed examination ultimately revealed a rare combination of a prostate syndrome and an ectopically draining ureter into the prostate, leading to ectasia of the cranial part of the renal pelvicalyceal system on the right side - an unusual diagnosis, especially at this age. This case demonstrates how seemingly benign Lower Urinary Tract Symptoms (LUTS) can sometimes conceal a complex pathology that requires specialized diagnostics. After successful transurethral resection of the prostate (TUR-P), significant improvement of the symptoms was achieved. Additionally, the renal pelvicalyceal system was no longer ectatic.</p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 10","pages":"364-367"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725662","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}
引用次数: 0
Reduzieren Kompressionsstrümpfe die Wahrscheinlichkeit von vasovagalen Synkopen? 压缩袜能降低血管切除术的几率吗？
Praxis Pub Date : 2025-10-01 DOI: 10.23785/PRAXIS.2025.10.009
Johann Steurer
{"title":"Reduzieren Kompressionsstrümpfe die Wahrscheinlichkeit von vasovagalen Synkopen?","authors":"Johann Steurer","doi":"10.23785/PRAXIS.2025.10.009","DOIUrl":"https://doi.org/10.23785/PRAXIS.2025.10.009","url":null,"abstract":"<p><strong>Introduction: </strong></p>","PeriodicalId":20494,"journal":{"name":"Praxis","volume":"114 10","pages":"376-378"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145725641","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}
引用次数: 0
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