Published: 12 April 2026
Author(s): Giovanni Santacroce, Antonio Lo Bello, Marietta Iacucci, Antonio Di Sabatino
Issue: April 2026
Section: Commentary

Modern Internal Medicine stands at a critical inflection point. The traditional disease-centred paradigm, built on clinical phenotypes, organ-based classifications, and population-level evidence, is increasingly challenged by the recognition that most diseases are intrinsically complex, dynamic, and heterogeneous [1]. Cardiovascular, neurological, gastroenterological, and oncological disorders, among others, share a common feature: they arise from multifactorial and interdependent molecular mechanisms, often involving immune dysregulation, genetic susceptibility, environmental exposures, and stochastic biological variation.

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