{"title":"[Alcohol treatment for patients with alcohol-related liver disease].","authors":"Elise Jonasson Nielsen, Marie Andrup Poulsen, Mette Munk Lauridsen, Lea Ladegaard Grønkjær","doi":"10.61409/V12240915","DOIUrl":"10.61409/V12240915","url":null,"abstract":"<p><p>Alcohol is the primary cause of approximately 70-80% of liver diseases in Denmark. Stopping alcohol consumption before symptoms appear can prevent many liver diseases. Effective alcohol treatment is also cost-effective and can significantly improve liver function. This review suggests that healthcare professionals should identify and treat alcohol problems early, using both pharmacological and non-pharmacological therapies. Challenges include a lack of patient insight and the need for better-integrated treatment programmes.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333900","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}
{"title":"Har azathioprin stadig en plads i behandlingen af colitis ulcerosa?","authors":"Johan Burisch","doi":"10.61409/V03250228","DOIUrl":"10.61409/V03250228","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333915","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}
Sofie Døssing, Tanja Todberg, Søren Jacobsen, Henrik Christian Bidstrup Leffers
{"title":"[Drug-induced systemic lupus erythematosus].","authors":"Sofie Døssing, Tanja Todberg, Søren Jacobsen, Henrik Christian Bidstrup Leffers","doi":"10.61409/V10240784","DOIUrl":"10.61409/V10240784","url":null,"abstract":"<p><p>This case report describes a 63-year-old female patient with hypertension who developed drug-induced systemic lupus erythematosus (SLE) after hospitalization for syncope and severe hyponatraemia. Her complex medication regimen, including antihypertensives and proton pump-inhibitors, complicated the identification of a specific trigger. Positive anti-histone antibodies supported the diagnosis. Treatment with immunosuppressants and discontinuation of suspected drugs led to remission. This case highlights the importance of recognizing drug triggers in elderly patients with extensive medication use.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333914","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}
Camilla Foged, Kristina Thorsteinsson, Helene Mens, Marie Helleberg, Anne-Mette Lebech
{"title":"[Tularaemia is often underdiagnosed].","authors":"Camilla Foged, Kristina Thorsteinsson, Helene Mens, Marie Helleberg, Anne-Mette Lebech","doi":"10.61409/V11240809","DOIUrl":"https://doi.org/10.61409/V11240809","url":null,"abstract":"<p><p>Tularaemia caused by Francisella tularensis is a zoonosis, and we report two cases of tularaemia. The first patient presented with lymphadenopathy in the left groin, fever, and night sweats four weeks after a tick bite. The second patient presented with fever and a primary ulcer on the thigh and developed secondary pneumonia a few weeks after multiple mosquito bites. These cases illustrate classic manifestations often misinterpreted as other infections, and the importance of thorough medical history including recent exposures, especially in cases with infection of unknown origin.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267320","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}
Emil Dariush Lichscheidt, Karina Horsholt, Carsten Schade Larsen, Lotte Ebdrup
{"title":"[Tularaemia acquired in Denmark].","authors":"Emil Dariush Lichscheidt, Karina Horsholt, Carsten Schade Larsen, Lotte Ebdrup","doi":"10.61409/V12240921","DOIUrl":"https://doi.org/10.61409/V12240921","url":null,"abstract":"<p><p>Tularaemia is a rare infection caused by Francisella tularensis. We present three cases of ulceroglandular tularaemia. The patients were diagnosed within the same month and had possibly been exposed to the bacteria in Djursland, Denmark. All patients were treated with antibiotics for weeks. Two patients needed surgical revision of suppurative lymphadenitis before complete remission of their symptoms. Tularaemia should be considered if a patient presents with fever, ulcer and regional lymphadenopathy, especially if there is a history of tick or mosquito bites or direct contact with animals.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267319","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}
Christoffer Ellegård Christensen, Karina Horsholt, Huma Aftab, Emil Dariush Lichscheidt, Carsten Schade Larsen, Anne-Mette Lebech, Lotte Ebdrup, Marie Helleberg
{"title":"[Tularaemia].","authors":"Christoffer Ellegård Christensen, Karina Horsholt, Huma Aftab, Emil Dariush Lichscheidt, Carsten Schade Larsen, Anne-Mette Lebech, Lotte Ebdrup, Marie Helleberg","doi":"10.61409/V11240819","DOIUrl":"https://doi.org/10.61409/V11240819","url":null,"abstract":"<p><p>Tularaemia is a rare, zoonotic, vector-borne bacterial infection caused by Francisella tularensis, a Gram-negative coccobacillus. Rodents serve as hosts and reservoirs. A significant rise in incidence has been noticed, yet public awareness remains low, as argued in this review. Tick-borne infection is the most common route of transmission in Denmark and usually presents with a necrotic wound and regional adenopathy. Infections can be prolonged and severe. Tularaemia is often mistaken for other infections due to its multifaceted clinical manifestations. Appropriate therapy is ciprofloxacin, alternatively doxycycline.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267321","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}
Marwah Jasim Hussein Hussein, Malene Lundsgaard, Mia Gebauer Madsen, Lars Lund
{"title":"[Renal tumours].","authors":"Marwah Jasim Hussein Hussein, Malene Lundsgaard, Mia Gebauer Madsen, Lars Lund","doi":"10.61409/V11240800","DOIUrl":"https://doi.org/10.61409/V11240800","url":null,"abstract":"<p><p>This review finds that renal tumours are a frequent finding on imaging examinations of the abdomen. The majority are simple benign cysts. Complex cysts must be Bosniak classified and monitored or treated according to the classification. A diagnostic biopsy is recommended for solid tumours between 2 and 4 cm, if clinically relevant. Hereditary predisposition syndromes with an increased risk of kidney tumours are rare, but as they lead to an increased risk of kidney cancer, it is important to get the diagnosis to take the best care of the patient in relation to optimal treatment and follow-up.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267318","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}
{"title":"Erhvervet blaschkoid dermatitis – en teledermatologisk case.","authors":"Jakob Torp Madsen, Christian Tørring","doi":"10.61409/V72097","DOIUrl":"https://doi.org/10.61409/V72097","url":null,"abstract":"","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267322","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}
Simon Hjerrild, Rasmus Holm, Sune Puggaard Vogt Straszek
{"title":"[Assessment of ADHD in adults].","authors":"Simon Hjerrild, Rasmus Holm, Sune Puggaard Vogt Straszek","doi":"10.61409/V12240886","DOIUrl":"https://doi.org/10.61409/V12240886","url":null,"abstract":"<p><p>Attention deficit hyperactivity disorder (ADHD) is increasingly diagnosed in adults. The diagnostic process is complex, emphasising the need for specialised assessments due to the disorder's intricate symptomatology and frequent comorbidities. This review presents an outline for a structured diagnostic process, as is the importance of considering comorbid conditions, as they can obscure ADHD symptoms. It is central to adhere to updated clinical guidelines to enhance diagnostic accuracy and treatment efficacy for adults with ADHD.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064840","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}
{"title":"[Pharmacological treatment of ADHD in children and adults].","authors":"Per Hove Thomsen, Tine Houmann, Pelle Lau Ishøy","doi":"10.61409/V10240755","DOIUrl":"https://doi.org/10.61409/V10240755","url":null,"abstract":"<p><p>Medication is an essential component of the comprehensive treatment of ADHD in both children and adults. This review finds that both stimulant (first-line drugs) and non-stimulant medications have shown strong evidence in managing the core symptoms of ADHD. The initiation of pharmacological treatment should be conducted by a physician or specialist familiar with ADHD. Follow-up care may be managed by the primary care physician, and the Danish Health Authority recommends biannual check-ups. Pharmacological treatment for ADHD should always be combined with psychosocial interventions.</p>","PeriodicalId":23428,"journal":{"name":"Ugeskrift for laeger","volume":"187 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983405","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}
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