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Internal Medicine

Editor's Choice

Mitochondria-targeted strategies for acute pancreatitis

Mitochondrial dysfunction is an early and pivotal event in acute pancreatitis. Could mitochondria represent an attractive target for therapeutic intervention and how might mitochondria-directed strategies work?

Diagnostics in cardio-oncology: a focus on anthracyclines

The dose-dependent cardiotoxicities of anthracyclines require careful cardiovascular monitoring. Discover how the latest diagnostic advances in imaging modalities, biomarkers, and genetic screening are refining patient care.

Vitamin D in gut homeostasis, infection, and immune regulation

This international consensus statement integrates epidemiological, mechanistic, and interventional research findings, emphasizing the clinical relevance of maintaining adequate vitamin D status across a range of systems.

The 24/7 lifestyle and male hormonal health

Sleep and diet are both recognized as global health concerns. Explore how the combined impact of sleep deprivation and ultra-processed food intake may exert convergent or additive effects on testosterone regulation.

Findings support treat-to-target for gout

  • 03-04-2026
  • Gout
  • News

A treat-to-target approach may be better than symptom-driven care for improving long-term gout control without increasing the risk for adverse events.

Infectious mastitis guidelines released for the USA

US guidelines have been published for the diagnosis and treatment of the three most common breast infections.

Sparing muscle reduction in type 2 diabetes with SBMA

Semaglutide use in a man with type 2 diabetes and spinal and bulbar muscular atrophy treated with leuprorelin. Over 2 years glycemic parameters improved and fat mass reduced, with only a minor annual decrease in muscle mass.

Postpartum ACLF in a woman with ALD

The immediate postpartum period is a uniquely vulnerable time for women with alcohol-associated cirrhosis. In this case, postpartum esophageal variceal bleeding after cesarean section precipitated acute-on-chronic liver failure.

Addition of RFA doesn't boost survival for locally advanced PC

Radiofrequency ablation does not improve overall survival for patients with locally advanced pancreatic cancer who are undergoing chemotherapy and is associated with poorer quality of life.

Differing STEMI and NSTEMI profiles in type 1 diabetes

ST-elevation myocardial infarction and non-ST-elevation myocardial infarction show distinct risk profiles in type 1 diabetes, highlighting the need for early, comprehensive cardiovascular prevention.


A bloodless approach to aortic dissection

Thoracic aortic surgery in patients who refuse blood transfusion poses unique challenges. In this case, a bloodless surgical strategy using the frozen elephant trunk technique was successful in treating acute type A aortic dissection.

Insights into autoimmune-related DED

Autoimmune-related dry eye disease is often refractory to conventional first-line treatments, with anti-inflammatory and immunomodulatory therapies instead crucial for long-term control. This stepwise approach provides insights from real-world cases.

Complications in a patient with VEXAS syndrome

This case highlights the importance of heightened clinical suspicion, early identification, and treatment of macrophage activation syndrome in individuals with VEXAS syndrome.

Autochthonous neurocysticercosis in Germany

This rare case of autochthonous neurocysticercosis in rural Germany underscores the need to consider NCC in patients with new‑onset generalized seizures and compatible neuroimaging findings, even in non‑endemic settings.

Serial EBV antibody measures improve MS diagnosis

Serial measures of Epstein-Barr virus antibody titers may differentiate multiple sclerosis from other inflammatory autoimmune diseases of the central nervous system.

Emerging strategies for Neuro-Behcet syndrome

Early recognition and aggressive immunosuppression are essential to preventing irreversible neurological damage in Neuro‑Behçet syndrome. Explore the emerging diagnostic techniques and evolving long‑term treatment strategies improving patient outcomes.

LAA closure fails to match medical therapy in high-risk AF

Left atrial appendage closure fails to match medical therapy for preventing stroke and major events in high-risk atrial fibrillation, the CLOSURE-AF trial shows.

Adding evolocumab to statins reduces MACE even without overt atherosclerosis

Adding evolocumab to background statin therapy substantially reduces the risk for a major adverse cardiovascular event in high-risk patients with diabetes who do not have significant atherosclerosis.

Hormonal management after risk-reducing surgery in TNBC survivors

Is HRT appropriate after risk-reducing surgery in BRCA mutation carriers with a history of triple-negative breast cancer? What do current international guidelines, evidence, and expert recommendations suggest?

Impact of IBS on older adults

IBS can significantly impact older adults, but what do we know about the effect of age-related changes on the diagnosis and treatment of IBS in older adults compared with their younger counterparts?

Image Credits
3d rendering of mitochondria/© wir0man / Getty Images / iStock, Holographic image of heart/© Yuichiro Chino / Moment / Getty, Solidarity/consensus concept image/© Andriy Onufriyenko / moment / Getty Images, Tired man yawning/© H_Ko / stock.adobe.com (symbolic image with model), Papercraft image of an arrow hitting a target/© MirageC / Moment / Getty, Multicolored index cards/© MirageC / Moment / Getty, Histological image of mammalian skeletal muscle/© sinhyu / Stock.adobe.com, Active bleeding from lower esophageal varices, hemostasis achieved by endoscopic variceal ligation, and small residual varices without high-risk stigmata/© 2026, Yoshiaki Kobayashi et al, Clin J Gastroenterol (CC-BY-4.0), 3D illustration of the pancreas/© Rasi Bhadramani / Getty Images / iStock, Heart model and ECG representation/© Nataliia_Trushchenko / Generated with AI / Stock.adobe.com, CT angiogram showing acute type A aortic dissection/© 2026, Laura Asta et al, J Cardiothorac Surg (CC BY 4.0), Clinical images of elderly male with SS-associated dry eye disease/© 2026, Giuseppe Giannaccare et al, Ophthalmol Ther (CC BY 4.0), Blood test vials/© Oleg Elkov / Getty Images / iStock, Giemsa staining highlighting larvae and surrounding giant cell reaction/© 2026, Franziska Lordick et al, BMC Infect Dis (CC BY 4.0), Blood test/© Alexander Raths / stock.adobe.com, Neurologist examining MRI brain scan/© Gorodenkoff / stock.adobe.com (symbolic image with model), Speech bubble with exclamation mark/© Javier Zayas Photography / Getty Images, Elderly woman receiving injection with autoinjector/© recep-bg / E+ / Getty (symbolic image with models), Hormone replacement therapy/© RFBSIP / stock.adobe.com (symbolic image with model), Older woman with abdominal pain/© Shi / stock.adobe.com (symbolic image with model)