This content is machine translated Chronic insomnia in adults: Guideline recommendations CBT-i as first choice – pharmacotherapy as secondary intervention Sleep disorders are often associated with pronounced daytime sleepiness, difficulty concentrating and increased feelings of stress. Diagnosis is generally based on the clinical history; if necessary, an actigraphy or polysomnigraphy...…
View Post 4 min This content is machine translated CHD: Management after revascularization Individualization of antithrombotic therapy Coronary heart disease (CHD) is one of the most common heart diseases worldwide and is currently grouped into two syndromes: acute coronary syndrome (ACS) and chronic coronary syndrome (CCS). Following...…
View Post 5 min This content is machine translated Acute heart failure Diuretic therapy for decongestion – what are the “unmet needs”? Acute heart failure is a life-threatening condition. According to current guideline recommendations of the European Society of Cardiology (ESC), drug therapy after acute decompensation should be implemented while the patient...…
View Post 6 min This content is machine translated Actinic keratosis Guideline with updated treatment recommendations Whether a decision is made to treat actinic keratoses or simply observe the lesions initially depends on various factors. The assessment of how high the risk of progression to cutaneous…
View Post 5 min This content is machine translated Lichen sclerosus Topical corticosteroids still the first choice Anogenital itching and clinical features such as redness, white skin changes and fissures are possible indications of lichen sclerosus. In 2023, an update of the European Dermatology Forum guideline on…
View Post 5 min This content is machine translated Therapy and management of progressive pulmonary fibrosis (PPF) Often more questions than answers in the end Some patients with interstitial lung disease (ILD) have a fibrotic phenotype. Some of these patients respond – at least in the short term – to therapy. In some cases, however,…
View Post 10 min This content is machine translated Hand eczema: Guideline 2023 Therapy depends on the severity The new edition of the guideline “Diagnosis, prevention and treatment of hand eczema”, which was published this year under the auspices of the German Dermatological Society, focuses in particular on…
View Post 5 min This content is machine translated Update EULAR treatment recommendations Carefully consider the use of JAK inhibitors The goal of rheumatoid arthritis (RA) therapy today is clinical remission. The earlier the disease is detected, the better the chances of achieving this goal. For the road ahead, EULAR…
View Post 5 min This content is machine translated Non-alcoholic fatty liver disease (NAFLD) What does the current guideline say? Non-alcoholic fatty liver disease is the most common liver disease worldwide. The German S2k guideline, updated in 2022, recommends screening patients at risk. The proposed screening algorithm includes fibrosis assessment…
View Post 3 min This content is machine translated Osteoporosis treatment according to needs What’s new? The American College of Physicians (ACP) published an updated 2023 guideline on drug therapy for patients with reduced bone density or osteoporosis. An extensive secondary analysis published last year has…
View Post 5 min This content is machine translated Specialist guideline asthma New recommendations for the everyday life of specialists The national S3 care guideline on bronchial asthma in Germany was updated in 2020. This guideline also has acceptance in Switzerland and has a very high level of evidence, but…