European journal of internal medicine
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Eur. J. Intern. Med. · Oct 2024
Targets for deprescribing in patients with hypertension and reflex syncope.
We aimed to identify the target of deprescribing, i.e. the 24-hour SBP increase needed to achieve the greatest reduction of SBP drops. ⋯ In hypertensive patients with reflex syncope, an increase of 12 mmHg and an absolute value of 24-hour SBP of 134 mmHg appear to represent the optimal goals aimed to prevent SBP drops. Drugs withdrawal, rather than simply dose reduction, is mostly required to achieve the above target.
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Eur. J. Intern. Med. · Oct 2024
Red flags for clinical suspicion of eosinophilic granulomatosis with polyangiitis (EGPA).
Eosinophilic granulomatosis with polyangiitis (EGPA), is a rare ANCA-associated systemic vasculitis. Its overlapping features with other vasculitic or eosinophilic diseases, and the wide and heterogeneous range of clinical manifestations, often result in a delay to diagnosis. ⋯ The identification of a comprehensive set of red flags could be used to raise a suspicion of EGPA in patients with eosinophilia, providing clinicians with an evidence-based checklist tool that can be integrated into their practice.
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Eur. J. Intern. Med. · Oct 2024
LetterOropouche virus infection: What internal medicine physicians should know.
Not required for Clinical Insight.
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Eur. J. Intern. Med. · Oct 2024
Letter Case ReportsUnmasking eosinophilic granulomatosis with polyangiitis (EGPA).