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Available Online at the Official Journal of the European Federation of Internal Medicine (EFIM) EUROPEAN JOURNAL OF Volume 22 Supplement 1 October 2011 ISSN 0953-6205 EUROPEAN JOURNAL OF Abstracts from 10th Congress of the European Federation of Internal Medicine October 5–8, 2011 Athens, Greece www.ejinme.com Available online at www.sciencedirect.com The official journal of the European Federation of Internal Medicine (EFIM) EUROPEAN JOURNAL OF European Federation of Internal Medicine The European Federation of Internal Medicine (EFIM) is a scientific organisation founded in 1996 from the Association Européenne de Médecine Interne (AEMI)*. AEMI was founded in 1969 by members of the UEMS monospecialty section on internal medicine to provide a scientific organisation of internal medicine on a European basis. EFIM was formed by bringing together the national societies of internal medicine in each of the European countries, both inside and outside the European Union. EFIM currently comprises 33 member Societies representing over 30,000 internists. www.efim.org The Official Journal of EFIM Executive Committee European Federation President Treasurer of Internal Medicine Werner Bauer, Switzerland Faustino Ferreira, Portugal President Elect Past President Ramon Pujol Farriols, Spain Stefan Lindgren, Sweden Vice-President Honorary President Serhat Unal, Turkey Ugo E F Carcassi, Italy Irish Association Swedish Society Secretary-General of Internal Medicine of Internal Medicine Jan Willem F Elte, The Netherlands Founder Members of EFIM: Yves Le Tallec, France (deceased); Ugo Carcassi, Italy; Christopher Davidson, England; Philippe Jaeger, Switzerland; Icelandic Society Norwegian Society Jaime Merino, Spain; Michel Lambert, France. of Internal Medicine for Internal Medicine Member Countries Algerian Society of Internal Medicine (Associate Member) Affiliated with Austrian Society of Internal Medicine Belgian Society of Internal Medicine Czech Society of Internal Medicine Polish Society Turkish Society Danish Society of Internal Medicine of Internal Medicine of Internal Medicine Estonian Society of Internal Medicine Finnish Society of Internal Medicine French Society of Internal Medicine German Society of Internal Medicine Hellenic Society of Internal Medicine Hungarian Society of Internal Medicine Portuguese Society Icelandic Society of Internal Medicine of Internal Medicine Irish Association of Internal Medicine Israeli Society of Internal Medicine (Associate Member) Italian Society of Internal Medicine Latvian Society of Internal Medicine Volume 22 (2011) Lithuanian Society of Internal Medicine Luxembourg Society of Internal Medicine Malta (Association of Physicians of Malta) Moroccan Society of Internal Medicine (Associate Member) Netherlands Society of Internal Medicine Norwegian Society of Internal Medicine Polish Society of Internal Medicine Portugese Society of Internal Medicine Romanian Society of Internal Medicine Serbian Association of Internal Medicine Slovak Society of Internal Medicine Slovenian Society of Internal Medicine Spanish Society of Internal Medicine Swedish Society of Internal Medicine Swiss Society of Internal Medicine Tunisian Society of Internal Medicine (Associate Member) Amsterdam • Boston • London • New York • Oxford • Paris • Philadelphia • San Diego • St. Louis Turkish Society of Internal Medicine UK (The Federation of the Royal Colleges of Physicians of the United Kingdom) EUROPEAN JOURNAL OF The offi cial Journal of the European Federation of Internal Medicine (EFIM) Editor-in-Chief P.M. Mannucci, Scientifi c Director, IRCCS Cà Granda Foundation Maggiore Hospital, Milan, Italy Past Editors U. Carcassi (1989–1998); H. Hillen (1999–2002); P.W. de Leeuw (2003–2008) Associate Editors J. Casademont, Internal Medicine, Hospital de Sant Pau/Universitat Aut`onoma de Barcelona, Barcelona, Spain S. Corrao, Biomedical Department of Internal Medicine and Subspecialties University of Palermo, Palermo, Italy R. Hojs, University Medical Centre Maribor, Clinic for Internal Medicine, Maribor, Slovenia A. Jotkowitz, Prywes Center for Medical Education, Department of Internal Medicine, Soroka University Medical Center, Ben Gurion University of the Negev, Beer-Sheva, Israel J. Kellett, St. Joseph’s General Hospital, Nenagh, Co. Tipperary, Ireland Statistical/Epidemiology Editor Young Internist Editor V. Novack, Beer-Sheva, Israel M. Vardi, Haifa, Israel Section Editors Clinical Pharmacology and Toxicology: Rheumatology and Immunology: A. Schaper, Göttingen, Germany L. Dagna, Milan, Italy Endocrinology: G.F. Ferraccioli, Rome, Italy U. Feldt-Rasmussen, Copenhagen, Infectious Diseases: Denmark E. Van Wijngaerden, Leuven, Belgium Intensive Care and Emergency Medicine: Gastroenterology: M. Levi, Amsterdam, The Netherlands A.S. Peña, Amsterdam, The Netherlands Nephrology: Hepatology: H. Haller, Hannover, Germany C. Puoti, Rome, Italy Pneumology: S. Aliberti, Monza, Italy Haematology: W. Wuyts, Leuven, Belgium M.D. Cappellini, Milan, Italy Vascular Medicine and Cardiology: Oncology: A. Perrier, Geneva, Switzerland E. Zucca, Bellinzona, Switzerland J.-L. Reny, Geneva, Switzerland Editorial Board M. Mittelman, Israel M. Bivol, Norway F. Monzani, Italy A. Blum, Israel J. Mustonen, Finland J-L. Dupond, France J. O’Hare, Ireland I. Duris, Slovakia E. Pilger, Austria J.W.F. Elte, the Netherlands J.A. Plius˘kys, Lithuania P.R.J. Falger, the Netherlands S.A. Raptis, Greece B. Fantin, France M. Ravid, Israel J. García-Alegría, Spain H. Sahin, Turkey Y. Hirata, Japan Y. Seedat, South Africa K. Hork´y, Czech Republic Y. Shoenfeld, Israel M. Kelly, United Kingdom I. Silins, Latvia L. Kotik, Czech Republic K. Sjöberg, Sweden E. Kucharz, Poland R. Stein, United States of America K. Lundin, Norway C. Tanasescu, Romania A. Mellemgaard, Denmark E.V. Tsianos, Greece doi:10.1016/S0953-6205(11)00203-2 © 2011 European Federation of Internal Medicine. All rights reserved This journal and the individual contributions contained in it are protected under copyright by the European Federation of Internal Medicine and the following terms and conditions apply to their use: Photocopying Single photocopies of single articles may be made for personal use as allowed by national copyright laws. Permission of the Publisher and pay- ment of a fee is required for all other photocopying, including multiple or systematic copying, copying for advertising or promotional purposes, resale, and all forms of document delivery. Special rates are available for educational institutions that wish to make photocopies for non-profit edu- cational classroom use. For information on how to seek permission visit www.elsevier.com/permissions or call: (+44) 1865 843830 (UK) / (+1) 215 239 3804 (USA). Derivative Works Subscribers may reproduce tables of contents or prepare lists of articles including abstracts for internal circulation within their institutions. Permission of the Publisher is required for resale or distribution outside the institution. Permission of the Publisher is required for all other deriv- ative works, including compilations and translations (please consult www.elsevier.com/permissions). Electronic Storage or Usage Permission of the Publisher is required to store or use electronically any material contained in this journal, including any article or part of an article (please consult www.elsevier.com/permissions). Except as outlined above, no part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission of the Publisher. Notice No responsibility is assumed by the Publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. Although all advertising material is expected to conform to ethical (medical) standards, inclusion in this publication does not constitute a guar- antee or endorsement of the quality or value of such product or of the claims made of it by its manufacturer. AIMS AND SCOPE journal’s website (www.ejinme.com). Further information is available The European Journal of Internal Medicine is the official journal of the on this journal and other Elsevier products through Elsevier’s web- European Federation of Internal Medicine. The journal is devoted to site (www.elsevier.com). Subscriptions are accepted on a prepaid promoting the science and practise of internal medicine in Europe. To basis only and are entered on a calendar year basis. Issues are sent this end the journal publishes original scientific articles, reviews, edito- by standard mail (surface within Europe, air delivery outside rials, case reports, short communications and other information rele- Europe). Priority rates are available upon request. Claims for miss- vant to internal medicine and related fields. The journal also publishes ing issues should be made within six months of the date of dispatch. news and articles concerning the activities and policies of the Orders, claims, and journal enquiries: please contact the Elsevier Federation as well as those of national internal medicine societies. Customer Service Department nearest you: Manuscript submission: All submissions to the EJIM must be made St. Louis: Elsevier Customer Service Department, 3251 Riverport electronically via the website: www.ejinme.com. Authors should regis- Lane, Maryland Heights,
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