Mögliche Auswirkungen eines Handels- und Investitionsschutzabkommens EU-USA auf die Schweiz

Die gegenwärtigen Bemühungen für ein umfassendes Handels- und Investitionsschutzabkommen zwischen der EU und den USA werden nicht ohne Auswirkungen auf die Schweiz bleiben. Eine Studie des World Trade Institute der Universität Bern im Auftrag des Staatssekretariats für Wirtschaft analysiert die möglichen Auswirkungen eines Abkommens auf die Schweizer Wirtschaft und auf die Handelsbeziehungen der Schweiz. Unterschiedliche Szenarien führen dabei zu unterschiedlichen Auswirkungen.

Polymyalgia rheumatica in a married couple

The case of a married couple developing polymyalgia rheumatica (PMR) consecutively is presented. The 55-year-old wife complained in June 2010 about pain in her neck. Case history, physical examination, and erythrocyte sedimentation rate (ESR) of 80 mm/hour led to the diagnosis of PMR. In May 2011, her 66-year old husband complained about pain in his neck, shoulders, buttocks, and thighs. Considering anamnesis, physical examination, and ESR of 56 mm/hour, the diagnosis of PMR was made. Both wife and husband responded to steroid treatment. When the steroid dose was gradually reduced, both patients relapsed. In order to lower the cumulative dose of glucocorticoid therapy, 10 mg methotrexate per week was added. In the literature, six cases of polymyalgia rheumatica in married couples have been described to date. In four cases, polymyalgia rheumatica occurred first in the wife. The interval of the diagnosis between the spouses ranged from 0 to 89 months. Although in most of the previous case reports a genetic disposition and an infectious agent have been discussed, this hypothesis must be questioned.