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Smarter medicine

Sociedad Suiza de Reumatología

Initial screening for osteoporosis should be done in accordance with current clinical guidelines. The optimal interval for repeat densitometry (dual-energy X-ray absorptiometry) is uncertain, but since changes in bone density over shorter intervals are typically smaller than the measurement error of most densitometry scans, More frequent evaluations are not needed in most patients. Even in high-risk patients receiving pharmacological treatment for osteoporosis, changes in dual-energy X-ray ...

Smarter medicine

Sociedad Suiza de Reumatología

Research data on the use of Magnetic resonance imaging for the diagnosis and prognosis of rheumatoid arthritis is currently insufficient to justify the widespread use of this method in clinical practice. Although the presence of bone edema demonstrated by Magnetic Resonance Imaging can be predictive of the evolution of structural joint damage in certain populations of Rheumatoid Arthritis, the systematic use of Magnetic Resonance Imaging is not justified in relation to routine clinical ...

Smarter medicine

Sociedad Suiza de Reumatología

Musculoskeletal manifestations of Lyme disease include brief attacks of arthralgia or intermittent or persistent episodes of arthritis, in one or a few large joints, typically the knee. In the absence of these clinical features, Lyme disease testing increases the likelihood of false-positive results, which can lead to unnecessary treatment. Diffuse arthralgia or myalgia or isolated fibromyalgia are not criteria that should suggest Lyme disease with musculoskeletal manifestations

Smarter medicine

Sociedad Suiza de Reumatología

Tests for specific antinucleoprotein antibodies (including anti-DNA, Smith, anti-centromere antibodies) are usually negative if antinuclear antibody is negative. Exceptions include anti-Jo1, which can be positive in some forms of myositis, sometimes anti-Sjögren's Syndrome related Antigen, in lupus or Sjögren's syndrome. Performing an autoantibody panel without well-founded clinical suspicion should be avoided; rather, the choice of autoantibodies should be guided by the specific disease ...

Smarter medicine

La Sociedad Suiza de Dermatología y venereología

The risk of wound infection in dermatological procedures is generally low. Perioperative antibiotic prophylaxis should be evaluated, especially for contaminated or infected wounds and for certain risk factors. In colaplasty in certain locations, such as the lower half of the nose, lips, ear, groin, leg, and foot, antibiotic prophylaxis reduces the risk of surgical wound infection. This also applies to two-step procedures and ulcerated or cortical lesions. Antibiotic prophylaxis is also ...