Abstract：
:Sarcoidosis is a multisystem disease of unknown etiology. Renal manifestation is rare and usually caused by hypercalcemia and nephrocalcinosis. Moreover, renal disease can occur as granulomatous interstitial nephritis (GIN), which is a histological diagnosis. We describe a case of sarcoidosis first presenting with multiple organ involvement including renal failure caused by severe GIN and subsequent remission on glucocorticoid therapy. After 18 months under low-dose prednisolone, the patient was readmitted with acute renal failure, histologically confirmed to be a relapse of renal sarcoidosis. Extrarenal manifestations of sarcoidosis were not present. Glucocorticoid dose was raised and kidney function again recovered significantly. Usual serologic markers of disease activity were not appropriate to indicate disease activity. Renal manifestation of sarcoidosis should be diagnosed by renal biopsy to guide therapy and probably requires larger glucocorticoid doses and prolonged treatment to prevent relapse.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Mayer C,Müller A,Halbritter J,Wirtz H,Stumvoll Mdoi
10.1007/s11606-008-0603-3subject
Has Abstractpub_date
2008-06-01 00:00:00pages
879-82issue
6eissn
0884-8734issn
1525-1497journal_volume
23pub_type
杂志文章abstract：BACKGROUND:The greater the severity of illness of a patient, the more likely the patient will have a poor hospital outcome. However, hospital-wide severity of illness scores that are simple, widely available, and not diagnosis-specific are still needed. Laboratory tests could potentially be used as an alternative to es...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-019-05282-2
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:The 2016 presidential election and the controversial policy agenda of its victor have raised concerns about how the election may have impacted mental health. OBJECTIVE:Assess how mental health changed from before to after the November 2016 election and how trends differed in states that voted for Donald Tru...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-020-06328-6
更新日期：2020-10-31 00:00:00
abstract：:The quality of diabetes care delivered to patients falls below the expectations of practice guidelines and clinical trial evidence. Studies in many jurisdictions with varying health care systems have shown that recommended processes of care occur less often than they should; hence, outcomes of care are inadequate. Man...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1007/s11606-006-0027-x
更新日期：2007-02-01 00:00:00
abstract：BACKGROUND:Patient reminders for influenza vaccination, delivered via electronic health record (EHR) patient portal messages and interactive voice response (IVR) calls, offer an innovative approach to improving patient care. OBJECTIVE:To test the effectiveness of portal and IVR outreach in improving rates of influenza...
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pub_type： 杂志文章,随机对照试验
doi：10.1007/s11606-017-4266-9
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Opioid-dependent patients often have co-occurring chronic illnesses requiring medications that interact with methadone. Methadone maintenance treatment (MMT) is typically provided separately from medical care. Hence, coordination of medical care and substance use treatment is important to preserve patient sa...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-009-1043-4
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVES:To characterize prostate-specific antigen (PSA) testing practices in a hospital-based primary care clinic, and to determine the outcomes of PSA testing, including urology referrals, biopsies, cancers detected, and cancer treatments. DESIGN:Retrospective cohort study. Data were obtained from computerized Dep...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
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更新日期：1998-02-01 00:00:00
abstract：BACKGROUND:The gap in asthma prevalence, morbidity, and mortality is increasing in low-income racial/ethnic minority groups as compared with Caucasians. In order to address these disparities,alternative beliefs and behaviors need to be identified. OBJECTIVE:To identify causal models of asthma and the context of conven...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2006.00624.x
更新日期：2006-12-01 00:00:00
abstract：:Our institution has instituted "short-call" and "nightfloat" systems to reduce the number of admissions to the traditional "long-call" housestaff. However, the nightfloat system introduces increased discontinuity to patient care, and interns may spend less time with short-call patients because they are nor required to...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.1997.012005308.x
更新日期：1997-05-01 00:00:00
abstract：OBJECTIVE:To identify the ethical dilemmas that internists encounter, the strategies they use to address them, and the usefulness of ethics consultation. DESIGN:National telephone survey. SETTING:Doctors' offices. PARTICIPANTS:General internists, oncologists, and critical care/pulmonologists (N = 344, 64% response r...
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pub_type： 杂志文章
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更新日期：2004-03-01 00:00:00
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更新日期：2015-02-01 00:00:00
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doi：10.1007/s11606-009-1155-x
更新日期：2010-01-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-008-0713-y
更新日期：2008-10-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-007-0336-8
更新日期：2008-04-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 临床试验,杂志文章
doi：10.1046/j.1525-1497.2003.20410.x
更新日期：2003-05-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1007/s11606-017-4117-8
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Patients with mental health conditions (MHCs) experience poor anticoagulation control when using warfarin, but we have limited knowledge of the association between specific mental illness and warfarin treatment outcomes. OBJECTIVE:To examine the relationship between the severity of MHCs and outcomes of anti...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-014-2784-2
更新日期：2014-06-01 00:00:00
abstract：:The authors surveyed 112 recent alumni and 92 current residents (70% responded) at a residency program that requires original research. Most alumni felt that the research project was a valuable learning experience, particularly in improving their abilities to critically review the medical literature. Almost a third fe...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02599759
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:Online learning has changed medical education, but many "educational" websites do not employ principles of effective learning. This article will assist readers in developing effective educational websites by integrating principles of active learning with the unique features of the Web. DESIGN:Narrative revie...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1111/j.1525-1497.2004.30029.x
更新日期：2004-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s11606-010-1274-4
更新日期：2010-05-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2016-02-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
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journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1007/s11606-015-3298-2
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:National guidelines indicate that healthcare providers should routinely screen women of reproductive age for experience of intimate partner violence. We know little about intimate partner violence (IPV) screening and disclosure experience among women older than reproductive age. OBJECTIVE:To examine the per...
journal_title：Journal of general internal medicine
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doi：10.1007/s11606-020-05947-3
更新日期：2020-09-01 00:00:00
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journal_title：Journal of general internal medicine
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doi：10.1007/s11606-009-0997-6
更新日期：2009-07-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2001.00214.x
更新日期：2001-02-01 00:00:00
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journal_title：Journal of general internal medicine
pub_type： 杂志文章
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更新日期：2020-05-01 00:00:00
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更新日期：2009-11-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2000-07-01 00:00:00
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更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:The relationship between worklife factors, clinician outcomes, and time pressure during office visits is unclear. OBJECTIVE:To quantify associations between time pressure, workplace characteristics ,and clinician outcomes. DESIGN:Prospective analysis of data from the Healthy Work Place randomized trial. P...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-019-05343-6
更新日期：2020-02-01 00:00:00
