Schmerz最新文献_第10页

[Tumor-associated pain]. [肿瘤相关疼痛]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-11 DOI: 10.1007/s00482-023-00782-x

Stefan Wirz, Jens Keßler, Hannes Hofbauer

引用次数: 0

[Vasculitides]. [血管肽]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2023-10-12 DOI: 10.1007/s00482-023-00760-3

Thomas Rauen, Kristian Vogt, Stefan Krämer

{"title":"[Vasculitides].","authors":"Thomas Rauen, Kristian Vogt, Stefan Krämer","doi":"10.1007/s00482-023-00760-3","DOIUrl":"10.1007/s00482-023-00760-3","url":null,"abstract":"In everyday clinical practice, immunologically mediated systemic vasculitides are among the rare diseases, meaning that basic knowledge of major symptoms and indicative laboratory findings is crucial for the inclusion of these complex clinical entities in differential diagnostic considerations. For many years, systemic vasculitides have been classified according to the primarily affected vessel size, distinguishing large, medium-sized, and small vessels. Pain is very often one of the main complaints of these diseases, be it, for example, the temporally accentuated headache in giant cell arteritis, the early morning myalgias in the shoulder and hip girdle in polymyalgia rheumatica, or the mononeuritis multiplex in eosinophilic granulomatosis with polyangiitis. General symptoms such as fever, weight loss, and night sweats are often accompanied by greatly increased parameters of inflammation. In addition, organ-specific symptoms and/or laboratory abnormalities may provide crucial information. These include ENT symptoms, pulmonary or skin manifestations, as well as signs of renal involvement, such as peripheral edema, rise in blood pressure, hematuria, proteinuria, or a rapid loss of kidney function. If there is reasonable suspicion of disease, patients should be transferred to specialized centers with an interdisciplinary team. In most cases, an immunosuppressive therapy regimen is required, although in recent years the path towards avoiding high glucocorticoid doses with many side effects has been paved by the use of novel therapies.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"28-32"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41211390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der Österreichischen Schmerzgesellschaft. 奥地利疼痛学会通讯。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 DOI: 10.1007/s00482-024-00792-3

引用次数: 0

[Neural therapy in Switzerland]. [瑞士的神经疗法］

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-03 DOI: 10.1007/s00482-023-00780-z

Bettina Kneip

引用次数: 0

[Diagnosis and treatment of Dunbar syndrome]. [邓巴综合症的诊断与治疗]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2023-11-21 DOI: 10.1007/s00482-023-00766-x

Anna Woestemeier, Alexander Semaan, Jörg C Kalff, Philipp Lingohr

引用次数: 0

Mitteilungen der SPS. 来自 SPS 的通信。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 DOI: 10.1007/s00482-024-00794-1

引用次数: 0

[Short paths to diagnosis with artificial intelligence: systematic literature review on diagnostic decision support systems]. [人工智能诊断的捷径：关于诊断决策支持系统的系统文献综述]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI: 10.1007/s00482-023-00777-8

Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke

{"title":"[Short paths to diagnosis with artificial intelligence: systematic literature review on diagnostic decision support systems].","authors":"Julia Sellin, Jean Tori Pantel, Natalie Börsch, Rupert Conrad, Martin Mücke","doi":"10.1007/s00482-023-00777-8","DOIUrl":"10.1007/s00482-023-00777-8","url":null,"abstract":"Background: Rare diseases are often recognized late. Their diagnosis is particularly challenging due to the diversity, complexity and heterogeneity of clinical symptoms. Computer-aided diagnostic aids, often referred to as diagnostic decision support systems (DDSS), are promising tools for shortening the time to diagnosis. Despite initial positive evaluations, DDSS are not yet widely used, partly due to a lack of integration with existing clinical or practice information systems.Objective: This article provides an insight into currently existing diagnostic support systems that function without access to electronic patient records and only require information that is easily obtainable.Materials and methods: A systematic literature search identified eight articles on DDSS that can assist in the diagnosis of rare diseases with no need for access to electronic patient records or other information systems in practices and hospitals. The main advantages and disadvantages of the identified rare disease diagnostic support systems were extracted and summarized.Results: Symptom checkers and DDSS based on portrait photos and pain drawings already exist. The degree of maturity of these applications varies.Conclusion: DDSS currently still face a number of challenges, such as concerns about data protection and accuracy, and acceptance and awareness continue to be rather low. On the other hand, there is great potential for faster diagnosis, especially for rare diseases, which are easily overlooked due to their large number and the low awareness of them. The use of DDSS should therefore be carefully considered by doctors on a case-by-case basis.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"19-27"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139074975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Neuropathic pain as a symptom in autonomic neuropathies and other rare diseases : Small fiber neuropathy: its recognition, diagnosis, and treatment]. [作为自律神经病和其他罕见疾病症状的神经性疼痛：小纤维神经病：其识别、诊断和治疗]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2024-01-10 DOI: 10.1007/s00482-023-00783-w

Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier

{"title":"[Neuropathic pain as a symptom in autonomic neuropathies and other rare diseases : Small fiber neuropathy: its recognition, diagnosis, and treatment].","authors":"Fiona Fischer, Maike F Dohrn, Romina Kapfenberger, Denver Igharo, Diana Seeber, Elena de Moya Rubio, Kalliopi Pitarokoili, Natalie Börsch, Martin Mücke, Roman Rolke, Jörg B Schulz, Andrea Maier","doi":"10.1007/s00482-023-00783-w","DOIUrl":"10.1007/s00482-023-00783-w","url":null,"abstract":"Background: Neuropathic pain is difficult to diagnose and treat. Small fiber neuropathy (SFN) flies under the radar of nerve conduction studies.Objectives: The importance of a structured patient history and physical examination in the context of neuropathic pain is emphasized. Describing SFN as an important cause, the authors consider rare but partially treatable differential diagnoses. They conclude that autonomic symptoms are frequently associated, often presenting with diverse symptoms.Methods: A selective literature research to present SFN symptoms as well as differential diagnostic and therapeutic steps in the context of SFN and rare diseases focusing on the autonomic nervous system.Results: Neuropathic pain significantly reduces quality of life. To shorten the time until diagnosis and to initiate therapy, the authors recommend a structured patient history including sensory plus and minus symptoms and non-specific autonomic signs. If the initial search for the cause is not successful, rare causes such as treatable transthyretin (ATTR) amyloidosis and Fabry's disease or autoimmune causes should be considered, particularly in the case of progressive and/or autonomic symptoms.Conclusion: The diagnosis and therapy of rare SFN requires interdisciplinary collaboration and, in many cases, a referral to specialized centers to achieve the best patient care.","PeriodicalId":21572,"journal":{"name":"Schmerz","volume":" ","pages":"33-40"},"PeriodicalIF":1.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der SPS. 来自 SPS 的通信。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 DOI: 10.1007/s00482-024-00791-4

引用次数: 0

[Evidence-based CRPS treatment: currently still wishful thinking]. [基于证据的 CRPS 治疗：目前仍是一厢情愿]。

IF 1 4区医学

Schmerz Pub Date : 2024-02-01 Epub Date: 2023-12-06 DOI: 10.1007/s00482-023-00773-y

T Gabriel, P Klose

引用次数: 0