{"title":"[Evidence-based management of acute-phase reaction following zoledronic acid].","authors":"Nils Schulz, Philipp Klemm","doi":"10.1007/s00393-026-01827-z","DOIUrl":"10.1007/s00393-026-01827-z","url":null,"abstract":"","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"476-478"},"PeriodicalIF":1.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875759","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}
{"title":"Pediatric neurosarcoidosis with cavernous sinus involvement and internal carotid artery stenosis.","authors":"Aybuke Alisan, Seyda Besen, Rabia Miray Kisla Ekinci, Aysun Uguz, Ummuhan Cay, Oya Baydar, Ozlem Alkan, Ilknur Erol","doi":"10.1007/s00393-026-01857-7","DOIUrl":"https://doi.org/10.1007/s00393-026-01857-7","url":null,"abstract":"<p><p>Sarcoidosis is a rare multisystemic disease characterized by noncaseating granulomas. Pediatric-onset adult-type sarcoidosis is extremely rare, and neurological involvement is scarce in this population. Herein, we report on a 14-year-old girl presenting with headache, weight loss, lateral gaze palsy, and a long-lasting history of unilateral hilar lymphadenopathy. Erythroid sedimentation rate (42 mm/h) and C‑reactive protein (61 mg/L) were both elevated. Cerebrospinal fluid pressure was elevated (36 cm/H<sub>2</sub>O), and pseudotumor cerebri was suspected. Brain magnetic resonance imaging (MRI) showed an extra-axial dural-based lesion, extending along the right tentorium to the cavernous sinus, Meckel's cave, the dura of the middle cranial fossa, and the prepontine cistern. Given the substantial life-threatening risks associated with intracranial biopsy, tissue sampling was obtained from the right hilar lymph node. The biopsy revealed noncaseating granulomatous lymphadenitis. After excluding other diagnoses, including immunoglobulin G4-related disease, Wegener's disease, tuberculosis, lymphoma, or lymphohistiocytosis, we eventually established the diagnosis of sarcoidosis. The patient received systemic steroids and subcutaneous methotrexate treatment in the first line. Three months later, due to absence of lesion regression in MRI and the life-threatening potential of the lesion, we initiated intravenous monthly infliximab. Radiological remission was achieved with three doses of monthly infliximab. Systemic steroids were tapered to 4 mg/day thereafter, and infliximab was continued bimonthly after six doses of monthly treatment. Systemic steroids were discontinued at the ninth month of treatment. The patient is symptom free and had no treatment side effects during follow-up.</p>","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608048","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}
{"title":"Erratum zu: Prävention der rheumatoiden Arthritis. Von der Primärprävention zur medikamentösen Interzeption.","authors":"Jürgen Rech","doi":"10.1007/s00393-026-01856-8","DOIUrl":"10.1007/s00393-026-01856-8","url":null,"abstract":"","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550602","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}
{"title":"[This is how I treat IgG4-related disease].","authors":"Felix Müller","doi":"10.1007/s00393-026-01845-x","DOIUrl":"https://doi.org/10.1007/s00393-026-01845-x","url":null,"abstract":"","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431056","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}
{"title":"Nachruf auf Dr. Frank Demtröder : *21.10.1957 †26.05.2026.","authors":"Matthias Schneider, Dieter Wiek","doi":"10.1007/s00393-026-01850-0","DOIUrl":"https://doi.org/10.1007/s00393-026-01850-0","url":null,"abstract":"","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148398048","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}
{"title":"[Not measurable but immeasurably important : Fever-The leading symptom of ancient medical theory].","authors":"Werner Golder, Waltraud Golder","doi":"10.1007/s00393-026-01843-z","DOIUrl":"https://doi.org/10.1007/s00393-026-01843-z","url":null,"abstract":"<p><p>Fever was the main symptom of nontraumatic diseases in antiquity. Increased body temperature was detected by the physician through palpation of the skin and the pulse. Hippocrates of Cos described fever in several books and numerous case studies. The great physician paid more attention to the duration and temporal distribution of the fever than to its intensity. Among the accompanying symptoms, somnolence, coma and delirium were particularly feared. More than half a millennium later, Galen of Pergamum extensively documented the fever theory of antiquity once again. The choice of conservative treatment was influenced by the patient's general condition and the frequency of fever recurrence. If it failed, phlebotomy was available as a last resort. Retrospective diagnostics have identified malaria as the principal cause of fever epidemics in antiquity. The ancient physicians often described the threat to humans from wind and water but did not recognize or at least consider the causal connection between the swarms of mosquitoes rising from the swamps and the widespread fever.</p>","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264974","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}
{"title":"Moderne Wissensvermittlung in der Rheumatologie.","authors":"Gerd R Burmester, Martin Krusche","doi":"10.1007/s00393-026-01825-1","DOIUrl":"https://doi.org/10.1007/s00393-026-01825-1","url":null,"abstract":"","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":"85 5","pages":"343-345"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151742","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}
Rabia Miray Kisla Ekinci, Ummuhan Cay, Deniz Kor, Hasan Ali Telefon, Faruk Ekinci, Ozden Ozgur Horoz, Dincer Yildizdas
{"title":"Lung-only involvement in STING-associated vasculopathy with onset in infancy: a diagnostic pitfall in the absence of cutaneous vasculitis.","authors":"Rabia Miray Kisla Ekinci, Ummuhan Cay, Deniz Kor, Hasan Ali Telefon, Faruk Ekinci, Ozden Ozgur Horoz, Dincer Yildizdas","doi":"10.1007/s00393-025-01768-z","DOIUrl":"10.1007/s00393-025-01768-z","url":null,"abstract":"<p><strong>Background: </strong>STING-associated vasculopathy with onset in infancy (SAVI) is a rare monogenic autoinflammatory disorder. It is characterized by excessive interferon activity due to gain-of-function mutations in the STING1 gene, resulting in skin lesions and lung involvement. Some patients may also present with interstitial lung disease (ILD) only. While treatment with JAK inhibitors like baricitinib has shown some promise, long-term success is limited.</p><p><strong>Case presentation: </strong>We report on a 10-month-old male suffering from respiratory distress since birth. He demonstrated failure to thrive and progressive ILD. The patient lacked skin lesions, arthritis, hepatosplenomegaly, lymphadenopathy, and any clues indicating vasculitis. Erythroid sedimentation rate was normal, and C‑reactive protein (CRP) was slightly elevated. However, CRP became elevated to 115 mg/L during the course of disease. Despite antibiotics and steroids, his condition deteriorated. Chest imaging revealed features suggestive of ILD, prompting further investigation. Whole-exome sequencing confirmed a heterozygotic c.461A > G (p.Asn154Ser) variant in the STING1 gene, thereby diagnosing the patient with SAVI. Despite treatment with baricitinib and tocilizumab, his condition worsened, and he ultimately passed away.</p><p><strong>Conclusion: </strong>This case highlights that SAVI should be considered in the differential diagnosis of ILD, even without typical skin lesions.</p>","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"390-394"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913137","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}
{"title":"Combination therapy with mycophenolate mofetil, nintedanib, and tocilizumab in a patient with progressive systemic sclerosis-associated interstitial lung disease : A case report and a literature review.","authors":"Liangyu Chen, Xiaoxuan Li, Donghui Huang, Peisheng Chen, Pan Xu, Huihui Chen, Xiao Zhang","doi":"10.1007/s00393-026-01776-7","DOIUrl":"10.1007/s00393-026-01776-7","url":null,"abstract":"<p><p>Systemic sclerosis (SSc) is a rare autoimmune disease distinguished by fibrosis in the skin and internal organs. Interstitial lung disease (ILD) is a common manifestation of SSc and a major cause of death. Progressive SSc-ILD is a worsening form of SSc-ILD, indicating further development of the disease and a poor prognosis. Although significant progress has been made in the treatment of SSc-ILD in recent years, many issues and challenges remain, especially for progressive SSc-ILD. This paper aims to present a case of combination therapy using mycophenolate mofetil (MMF), nintedanib, and tocilizumab in a patient with progressive SSc-ILD. It is hoped that this case report will provide a reference for clinical practice and promote further studies.</p>","PeriodicalId":23834,"journal":{"name":"Zeitschrift fur Rheumatologie","volume":" ","pages":"395-402"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356892","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}