Tourette syndrome or PANDAS —a case report
This report presents a  case of TS reemergence against the background of immunological reaction or PANDAS with a late adolescent onset. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - September 21, 2020 Category: General Medicine Source Type: research

Personenbezogene Gesundheitsdaten in einer Pandemie – ethische und rechtliche Aspekte
ZusammenfassungIm Zusammenhang mit der COVID-19-Pandemie ist immer wieder das Argument zu h ören gewesen, Gesundheitsschutz müsse dem Datenschutz jedenfalls vorgehen. In dieser Pauschalität ist diese Aussage zwar plakativ, aber weder aus ethischer noch aus rechtlicher Sicht zutreffend. Eine Pandemie kann zwar durchaus einen Grund dafür liefern, vorübergehend auf Gesundheitsdaten zuzug reifen. Dabei ist aber zum einen darauf zu achten, dass dies nur in unbedingt notwendigem Ausmaß erfolgt und zum anderen, in welchem größeren Kontext diese Daten verwendet werden. Dieser Beitrag skizz...
Source: Wiener Medizinische Wochenschrift - September 21, 2020 Category: General Medicine Source Type: research

Retronychia —an uncommon cause of chronic proximal nail fold inflammation
We report on a  case series of seven patients seen from 2001 to 2020 (mean age 20 years). Xanthonychia was observed in all nails. Total nail avulsion was performed in eight nails. Complete remission was obtained in 100%. During follow-up for up to 24 months, no relapse occurred. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - September 21, 2020 Category: General Medicine Source Type: research

A global health perspective on SARS-CoV-2 —hazards, disaster and hope
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - September 14, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - August 21, 2020 Category: General Medicine Source Type: research

Gerard van Swieten, the Dutch personal physician of Empress Maria Theresia (1700 –1780)
SummaryBorn as orthodox catholic in 1700 in Leyden, Gerard van Swieten was orphaned as a child in 1712. He studied medicine under Herman Boerhaave in Leyden from 1720, recording the lectures of his mentor and publishing them after his death. Following his graduation in 1715, van Swieten practiced medicine and pharmacy in Leyden, giving private lectures to students in both fields. Van Swieten became known as a brilliant doctor, and it was expected that he might succeed to Boerhaave ’s position after his death in 1738; however, his catholic faith was an obstacle for the protestant State University. These very beliefs, ...
Source: Wiener Medizinische Wochenschrift - August 18, 2020 Category: General Medicine Source Type: research

General practitioners ’ challenges and strategies in dealing with Internet-related health anxieties—results of a qualitative study among primary care physicians in Germany
The objective of this study is to explore and describe general practitioners ’ experiences and attitudes towards cyberchondria patients as well as strategies to stabilize affected patients. Following a qualitative approach, oral personal semi-standardized interviews with general practitioners (N = 38) in Rhineland-Palatinate, Germany, were conducted in 2019. In the course of a content analysis, one can see that most interviewees see the emergence of Internet-related health anxieties as an increasing problem in everyday care. Affected patients not only show marked levels of doubt and n ervousness as...
Source: Wiener Medizinische Wochenschrift - August 7, 2020 Category: General Medicine Source Type: research

Meeting of the ESP Working Group History of Medicine and  Pathology
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - August 7, 2020 Category: General Medicine Source Type: research

Pr äoperative Risikoabklärung und Anästhesieaufklärung mittels Telefonvisite
ZusammenfassungGrundlagenDie pr äoperative Risikostratifizierung, Patientenoptimierung und Anästhesieaufklärung erfolgen zumeist in Präanästhesieambulanzen im direkten Arzt-Patient-Gespräch. Ziel dieser Arbeit ist die Beschreibung der präanästhesiologischen Telefonvisite als Ab- und Aufklärungsalternative für die klinisc he Praxis.MethodikNach Abkl ärung datenschutz- und medizinrechtlicher Aspekte wurden monozentrisch Erfahrungen mit der Durchführung von Telefonvisiten gesammelt.ErgebnisseAnf änglich wurden Schmerzpatienten vor Wirbelsäulenoperationen mi...
Source: Wiener Medizinische Wochenschrift - August 5, 2020 Category: General Medicine Source Type: research

Atypical vascular proliferations of the neck
SummaryAtypical vascular proliferations (AVP) are a  late complication after radiotherapy. Most cases have been reported in female breast cancer patients on the chest wall. These lesions are mostly of the lymphatic type. Herein, we report a blood vascular-type AVP in a male on the neck 60 years after radiotherapy for a benign hemangioma, which m akes this case exceptional. We removed the whole chronic radiodermatitis surgically. Histopathology excluded vascular malignancies but confirmed AVP. We discuss the differential diagnoses and treatment. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - August 5, 2020 Category: General Medicine Source Type: research

Confluent abscesses in autochthonous back muscles after spinal injections
We present the case of a 59-year-old woman admitted to the emergency department with confluent abscess formations of autochthonous back muscles and staphylococcal sepsis caused by injection therapy performed by a general practitioner for LBP. The findings of this case report emphasize a careful selection of patients for this type of treatment and a multidisciplinary approach to treatment of LBP. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - August 3, 2020 Category: General Medicine Source Type: research

Premature rupture of the membranes at 16  weeks: report of a successful outcome of pregnancy and review of the literature
We report the case of a pregnant woman presenting at 16 weeks gestation with ruptured membranes. The course of pregnancy was further comp licated by complete placenta previa. Expectant management was undertaken, with term delivery and successful outcome of pregnancy. Expectant management is a reasonable approach in properly selected patients. Better understanding of the mechanisms of spontaneous membrane resealing is needed in order to improve poor outcomes. More published data and evidence are necessary to standardize treatment options for this rare condition. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 22, 2020 Category: General Medicine Source Type: research

Comment on “No evidence of occult HBV infection in population born after mass vaccination”
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 20, 2020 Category: General Medicine Source Type: research

Persistent aseptic meningitis in a  child—think patch
ConclusionIt is important to take into consideration this rare clinical entity in children and adults after dura reconstruction using allogenic graft (bovine) material in order to avoid the unnecessary use of antibiotics and antiviral drugs. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 10, 2020 Category: General Medicine Source Type: research

Morgagni and Boerhaave in 1719
SummaryThe European academic network in 18th century Europe and the interaction between two eminent 18th century scientists is illustrated by a  recently recovered letter from 25.IX.1719 by Giovanni Battista Morgagni (1682–1771). It appears from this letter that Morgagni was interested in the latest edition of Boerhaave’sInstitutiones Medicae exactly in the same year that Boerhaave tried in vain to persuade him to transfer from the University of Padua to the University of Leiden. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 10, 2020 Category: General Medicine Source Type: research

Vaginal melanosis
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 10, 2020 Category: General Medicine Source Type: research

From natural philosophy to modern medical science: a  short survey of Central European pathology
SummaryThe evolution of thought and thinking made possible the remarkable development in medicine. Starting with the period of Enlightenment that flourished between the years 1740 –1830, a new creative spirit entered science, during which ‘reason’ itself was emphasised. This so-called ‘age of rationalism’ triggered innovation and produced a scientific revolution. The novel idea of interpreting nature by means of reason gave a new perspective on natural phenomena. Su ch a radically new mental climate sowed ideas that led to a fundamental transformation not only of thought, but also of ways of t...
Source: Wiener Medizinische Wochenschrift - July 8, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - July 8, 2020 Category: General Medicine Source Type: research

Die Schilddr üse im Alter
ZusammenfassungGesunde ältere Menschen weisen Änderungen im Schilddrüsenhormonmetabolismus auf, die möglicherweise sogar aktiv zur Langlebigkeit beitragen können. Dies gilt es, auch bei der Behandlung von – prinzipiell ebenso wie bei Jüngeren auftretenden – Schilddrüsenerkrankungen zu berücksichtigen. Besonder heiten ergeben sich auch durch Komorbiditäten, insbesondere im kardiovaskulären Bereich, sodass etwa hyperthyreote Stoffwechsellagen schlechter toleriert werden als bei Herzgesunden. Benigne Knotenstrumen nehmen im Alter an Häufigkeit zu und sollen be...
Source: Wiener Medizinische Wochenschrift - June 22, 2020 Category: General Medicine Source Type: research

In memoriam Professor Em. Jan G.  van den Tweel (1942–2020)
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - June 19, 2020 Category: General Medicine Source Type: research

Carl Freiherr von Rokitansky ’s Manual and Rudolf Virchow’s criticism: The controversial subject of Rokitansky’s doctrine of crases and dyscrases and the groundwork for modern humoral pathology
SummaryFor Rokitansky, pathological anatomy was not only a  descriptive but also an explanatory science. Since the changes in the solidis (morphological conditions) did not always adequately explain the cause of death, Rokitansky considered that the answers to his research questions were to be found in a combination of solidar pathology and humoral pathol ogy. Many reviewers claim that Rokitansky had fallen back into the “old” humoral pathology. However, Rokitansky’s approach to humoral pathology also included the analysis of blood, blood plasma, blood serum, secretions, excretions, lymph and ex...
Source: Wiener Medizinische Wochenschrift - June 5, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - May 29, 2020 Category: General Medicine Source Type: research

Exchanges and interactions between Padua and Vienna medical schools in the XIX  century
SummaryIt is well known that Padua Medical School, Italy, played a  fundamental role in shaping modern medicine. Its golden age lasted from the late XV to the late XVIII century, thanks in particular to its extraordinary anatomical school. One of the last fundamental achievements of the Padua Medical School was the founding of the anatomo-clinical method and organ pathology by Giovanni Battista Morgagni, Professor of Theoretical Medicine in Padua from 1711 and 1715 and of Anatomy from 1715 to his death. This method, which dramatically changed the course of medical diagnosis and therapy, was immediately developed by th...
Source: Wiener Medizinische Wochenschrift - May 26, 2020 Category: General Medicine Source Type: research

Erythrasma in athletes and football players
ConclusionIt was found that the incidence of erythrasma is high in men actively involved in sports. The results obtained are explained by the presence of many factors predisposing for the development of this disease in the athletes. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - May 26, 2020 Category: General Medicine Source Type: research

In memory of Professor Dr. B éla Szende (1936–2019)
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - May 26, 2020 Category: General Medicine Source Type: research

Addendum to: Mutual influences in the development of pathology and medicine in Austria and Turkey
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - May 26, 2020 Category: General Medicine Source Type: research

Adolf Lorenz und sein Mentor Eduard Albert
ZusammenfassungAm Ende des 19.  Jahrhunderts ermöglichte die Reichshauptstadt der k.k. Donaumonarchie, Wien, die Begegnung zweier bedeutender Persönlichkeiten der Medizingeschichte: des Chirurgen Eduard Albert (1841–1900) und dessen Schüler Adolf Lorenz (1854–1946). Beide Männer wiesen vergleichbare Züge auf: Sie stammt en aus bescheidenen Verhältnissen, waren außergewöhnlich begabt und sehnten sich nach einer Karriere in der medizinischen Königsdisziplin – der Chirurgie. Beide erreichten in ihren Disziplinen die höchsten Ziele, aber das Spektrum ihr...
Source: Wiener Medizinische Wochenschrift - May 20, 2020 Category: General Medicine Source Type: research

Preputial melanoma
ConclusionThe prognosis for penile melanoma patients is currently poor, probably because of delays in diagnosis. Histopathologic evaluation after excision should be standard to prevent possible severe consequences such as penectomy and partial penile amputation. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - May 7, 2020 Category: General Medicine Source Type: research

Moderne Schilddr üsenchirurgie – das endokrin-chirurgische Verständnis des Operateurs und seine Verantwortung für Resektionsausmaß und Komplikationsrate
ZusammenfassungDie hohe Qualit ät der Schilddrüsenchirurgie impliziert ein endokrin-chirurgisches Verständnis des Operateurs mit dem Ziel einer bestmöglichen Ergebnisqualität. Das beinhaltet ein befundadäquates Resektionsausmaß und eine möglichst niedrige Komplikationsrate. Der Chirurg sollte frühzeitig in die Operations indikation eingebunden sein und auch selbst die Diagnostik, speziell den Schilddrüsen- und Halslymphknotenultraschall, sowie die Interpretation der Schnittbild- und nuklearmedizinischen Verfahren beherrschen. Im Besonderen sollte er über zeitgemä...
Source: Wiener Medizinische Wochenschrift - April 27, 2020 Category: General Medicine Source Type: research

Genderaspekte im Gesundheitsverhalten, bei Krankheitsbew ältigung und sozialer Unterstützung
ZusammenfassungIn der vorliegenden Arbeit wurden soziale Unterst ützung bei Krankheit, Gesundheitsverhalten und Krankheitsbewältigung im Hinblick auf ihre Zusammenhänge und Genderunterschiede untersucht. Ziel der Arbeit war zum einen herauszufinden, ob sich in Bezug auf soziale Unterstützung bei Krankheit ein Genderunterschied zeigt. Zum anderen sollten die Z usammenhänge zwischen sozialer Unterstützung, Gesundheitsverhalten und Krankheitsbewältigung unter dem Genderaspekt sichtbar gemacht werden. Der Aspekt der sozialen Unterstützung wurde aus PatientInnen- und ExpertInnensicht erho...
Source: Wiener Medizinische Wochenschrift - April 16, 2020 Category: General Medicine Source Type: research

No evidence of occult HBV infection in population born after mass vaccination
SummaryDespite access to efficient hepatitis  B virus (HBV) vaccine and universal immunization schedules, HBV infection remains a global health concern. HBV infection has decreased by this program. Nevertheless, breakthrough infections occur due to generation of occult HBV infection (OBI) and surface gene mutants in the immunized population. We aimed to determine the presence of OBI in a population born after initiation of nationwide HBV vaccination in Tehran, Iran. A HBV mass vaccination schedule was launched in Iran in 1993. For this study, we enrolled 1120 cases younger than 24 years. ELISA was applied to...
Source: Wiener Medizinische Wochenschrift - April 9, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - April 8, 2020 Category: General Medicine Source Type: research

Osteoporosis and other musculoskeletal disorders —treatment is challenging!
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - March 20, 2020 Category: General Medicine Source Type: research

Reflectance confocal microscopic findings in a  case of huge dermatofibrosarcoma protuberans
We described the dermoscopic and reflectance confocal microscopic findings of 12  × 15 cm sized tumoral lesion of 45-year-old man. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - March 13, 2020 Category: General Medicine Source Type: research

Mutual influences in the development of pathology and medicine in Austria and Turkey
SummaryThe Imperial Medical School (Mektebi Tibbiye ‑i Şahane), established in Istanbul in 1839 as the first medical school, in the Western sense, took the Josephinum Military Medical Academy in Vienna as an example, and this led to a  period of flourishing in terms of Austrian–Turkish medical relationships. Dr. Karl Ambros Bernard, Dr. Jacob Anton Neuer and pharmacist Jacob Hoffmann came to Istanbul in 1938 with the support of Prince Metternich, the Prime Minister of the Austro-Hungarian Empire at the time, and the recommenda tion of the private physician of the prince, a famous ophthalmologist at the U...
Source: Wiener Medizinische Wochenschrift - March 12, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - March 12, 2020 Category: General Medicine Source Type: research

New developments in the management of achondroplasia
SummaryAchondroplasia is the most common form of disproportionate short stature. A  dominantly inheritedFGFR3 mutation permanently activates the fibroblast growth factor receptor  3 (FGFR3) and its downstream mitogen-activated protein kinase (MAPK) signalling pathway. This inhibits chondrocyte differentiation and puts a break on growth plate function, in addition to causing serious medical complications such as foramen magnum and spinal stenosis and upper airway narrowing. A great deal has been learned about complications and consequences of FGFR3 activation and management guidance is evolving aimed to ...
Source: Wiener Medizinische Wochenschrift - March 6, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - March 6, 2020 Category: General Medicine Source Type: research

Ignaz Semmelweis: a  victim of harassment?
This article will show Semmelweis to be a multilingual author of scientific literature and (open) letters; it will present him as a researcher who became a victim of harassment and what is referred to as the “Semmelweis reflex” (“Semmelweis effect”); and it will focus on his afterlife in (children’s) literature, drama, and film. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - March 4, 2020 Category: General Medicine Source Type: research

Psychiatric comorbidities in cancer patients: acute interventions by the psychiatric consultation liaison service
ConclusionOur data showed that the CLP provides an important service of detecting and initiating early and appropriate treatment for cancer patients with comorbid psychiatric disorders by directing patients to the relevant treatment procedure or facility. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - February 28, 2020 Category: General Medicine Source Type: research

Ethische Entscheidungen in zunehmend ökonomisierten Krankenhäusern
ZusammenfassungWerden durch die Ökonomisierung des deutschen Gesundheitssystems medizinische Werte in den Hintergrund gedrängt? Im Rahmen einer Vignettenstudie wurde der Fall einer Verlängerung der Verweildauer einer älteren, noch nicht gänzlich genesenen Patientin vorgestellt. Zunächst sollte über die Verweildauer entschie den werden. Ergänzend hierzu wurde die Relevanz der medizinischen Richtigkeit, Einfühlvermögen für die Patientin und Identifikation mit dem Klinikum erhoben. Die Teilnehmenden (N = 1239) schreiben den Entscheidern die medizinische Korrekthe...
Source: Wiener Medizinische Wochenschrift - February 28, 2020 Category: General Medicine Source Type: research

Treatment of hypophosphatasia
SummaryHypophosphatasia (HPP) is a  rare disorder with perinatal, infantile, childhood, and adult presentations. Severe forms are autosomal recessive with an early onset, whereas milder forms have a later onset. The underlying cause of the disease is a mutation based on a genetic disorder of thetissue non-specific alkaline phosphatase (TNSALP) gene, leading on the one hand to decreased activity of the TNSALP enzyme, and on the other hand to accumulation of TNSALP substrates. Symptoms like non-traumatic and non-healing fractures, musculoskeletal pain, chondrocalcinosis, seizures, premature loss of fully ...
Source: Wiener Medizinische Wochenschrift - February 18, 2020 Category: General Medicine Source Type: research

Orally administered gadolinium orthovanadate GdVO 4 :Eu 3+ nanoparticles do not affect the hydrophobic region of cell membranes of leukocytes
ConclusionNeither changes in the physical and chemical properties of the leukocyte membranes nor in ROS generation by WBCs are detected in the rats orally exposed to VNP solution for 2  weeks. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - February 12, 2020 Category: General Medicine Source Type: research

Briefsammlung Wittelsh öfer
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - February 3, 2020 Category: General Medicine Source Type: research

The influence of neighbouring countries and sciences and the international spread of Viennese medicine: Carl Freiherr von Rokitansky ’s international relations
This article describes the impact of Rokitansky’s handbook using new sources from the Rokitansky family archive, focusing in particular on its international reception and the relationships that were formed as a resu lt. The model of Viennese Medicine was transferred to universities abroad and implemented in new medical schools in Japan, Iran, Mexico, Greece and the USA that developed it further. Rokitansky’s international network contributed greatly to this transfer of knowledge as shown by newly-discovered s ource material from the Rokitansky family archive. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - January 29, 2020 Category: General Medicine Source Type: research

Schilddr üse
(Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - January 29, 2020 Category: General Medicine Source Type: research

Clonal dissemination of high-level gentamicin-resistant isolates of Enterococcus faecalis within a  university hospital in southeastern Iran
ConclusionsNo link between AME determinants and clusters was found. Clonal spread of HLGR isolates ofE.  faecalis was found within our hospital. More rigorous recommendations are required to avoid dissemination of such resistant microorganisms in the hospital setting. (Source: Wiener Medizinische Wochenschrift)
Source: Wiener Medizinische Wochenschrift - January 28, 2020 Category: General Medicine Source Type: research

Multidisciplinary patient care in X ‐linked hypophosphatemic rickets: one challenge, many perspectives
SummaryX ‑linked hypophosphatemic rickets (XLH, OMIM #307800) is a rare genetic metabolic disorder caused by dysregulation of fibroblast-like growth factor 23 (FGF23) leading to profound reduction in renal phosphate reabsorption. Impaired growth, severe rickets and complex skeletal deformities are direct consequences of hypophosphatemia representing major symptoms of XLH during childhood. In adults, secondary complications including early development of osteoarthritis substantially impair quality of life and cause significant clinical burden. With the global approval of the monoclonal FGF23 antibod y burosumab,...
Source: Wiener Medizinische Wochenschrift - January 28, 2020 Category: General Medicine Source Type: research

Adolf Lorenz und Tom áš Garrigue Masaryk – eine außergewöhnliche Begegnung
ZusammenfassungAdolf Lorenz, der Begr ünder der Orthopädie in Österreich und Vater des späteren Nobelpreisträgers Konrad Lorenz, und der Gründer und erste Präsident der tschechoslowakischen Republik, Tomáš G. Masaryk, standen in Kontakt miteinander. In den siebziger und achtziger Jahren des 19. Jahrhunderts studierten beide a n der Universität Wien: der um vier Jahre ältere Masaryk Philosophie und Lorenz Medizin. Die ersten Treffen fanden im Seziersaal des Anatomischen Institutes statt. Ihnen beiden gelangen (wissenschaftliche) Karrieren und sie wurden pr...
Source: Wiener Medizinische Wochenschrift - January 28, 2020 Category: General Medicine Source Type: research