[2015 literature findings in general internal medicine]. / Médecine ambulatoire en 2015: moins est parfois mieux!

Benzodiazepines are associated with the risk of developing Alzheimer's disease. Systematic dosage and vitamin D substitution have no place in times of immediate post-menopause. Topical placebos challenge analgesics in the treatment of knee osteoarthritis. Palliative chemotherapy does not improve life-quality at the end of life. Restrictive transfusion thresholds entail no risk. Spirometry should always be performed before the initiation of a long-term bronchodilator therapy. Practitioners continue to overprescribe antibiotics for infections of the upper respiratory tract. Pap test may soon be replaced by HPV urinary testing. Without increasing costs, a telephone triage by the primary care physician can reduce the number of consultations.

[Eosinophilic esophagitis]. / Œsophagite à éosinophiles.

Esophagitis is the first cause of dysphagia and food impaction in a young male adult. Eosinophilic esophagitis is a clinical and pathological entity with involvement limited to the oesophagus. Eosinophilic esophagitis is associated with allergy and atopy. Most common in Caucasians, with 3:1 male predominance. Endoscopic findings are unspecific. Clinical and histological diagnosis has to be confirmed by unresponsiveness to proton pump inhibitor. Recommended first therapeutic approach: topical corticoids.