Evaluation of pneumococcal and influenza vaccination coverage in rheumatology patients receiving biological therapy in a regional referral hospital
ConclusionsCompared to the scientific literature, we consider that the coverage of our patients against pneumococcus and influenza is high. Referral of these patients to the vaccine unit is the key to guarantee a correct immunization and to minimize some of the possible infectious adverse effects of biological therapies.ResumenObjetivoConocer las coberturas de vacunación frente a gripe estacional y neumococo en pacientes reumatológicos con terapia biológica. Identificar las variables que predicen adherencia a la vacunación.Material y métodoEstudio transversal. Se incluyeron los pacientes reumatológicos que iniciaron ...
Source: Reumatologia Clinica - July 26, 2019 Category: Rheumatology Source Type: research
Oral health-related quality of life in primary Sjögren’s syndrome
ConclusionsPatients with PSS had a poorer HRQoL and oral quality of life than controls. UWSF contributes to the oral quality of life which, in turn, has an impact on HRQoL. Symptomatic treatment of xerostomia as well as the prevention of infections, decay and tooth loss would help to improve the oral quality of life in these patients.ResumenObjetivoEvaluar la calidad de vida general y oral, y sus correlaciones con el flujo salival no estimulado (FSNE) y los síntomas de xerostomía en pacientes con síndrome de Sjögren primario (SSP).MétodosSe incluyeron 60 pacientes con SSP y 60 controles pareados por género y ±3 año...
Source: Reumatologia Clinica - July 25, 2019 Category: Rheumatology Source Type: research
Quality of life in Ecuadorian patients with rheumatoid arthritis: A cross-sectional study
ConclusionThe patients evaluated had a good to moderate HRQoL. The domains related to support and social life were those with the highest scores and the lowest scores were related to pain and nervous tension. Functionality, duration, and disease activity were statistically associated with HRQoL.ResumenObjetivosEvaluar la calidad de vida relacionada con la salud (CVRS) y los factores clínicos, demográficos y socioeconómicos asociados en una cohorte de pacientes ecuatorianos con artritis reumatoide (AR).Pacientes y métodosEstudio descriptivo transversal que evaluó la CVRS con la versión en español del instrumento Qual...
Source: Reumatologia Clinica - July 25, 2019 Category: Rheumatology Source Type: research
Spanish Registry of Recent-onset Psoriatic Arthritis (REAPSER study): Aims and methodology
ConclusionsThe REAPSER study includes a cohort of patients with recent-onset PsA, before the disease course was modified by disease-modifying antirheumatic drugs prescribed in rheumatology departments. Exhaustive information collected in each visit is expected to be an important data source for future analysis.ResumenObjetivosDescribir la metodología del Registro Español de Artritis Psoriásica de reciente comienzo de la Sociedad Española de Reumatología (REAPSER), así como sus fortalezas y limitaciones. El objetivo principal del proyecto es identificar factores pronósticos de la evolución clínica y radiográfica e...
Source: Reumatologia Clinica - July 22, 2019 Category: Rheumatology Source Type: research
Beekeeper' arthropathy
We present the case of a beekeeper who, after a bee sting, developed arthritis of the interphalangeal joint of the first finger of his left hand. Although the subacute clinical course and the magnetic resonance imaging findings required the differential diagnosis with an infectious process, the rest of the laboratory tests. Other imaging studies and the course, together with a history of a similar episode a few years earlier on a finger of the other hand after a bee sting, enabled us to diagnosis this condition.ResumenEn los apicultores se ha descrito una artropatía inflamatoria de etiología desconocida pero relacionada ...
Source: Reumatologia Clinica - July 18, 2019 Category: Rheumatology Source Type: research
IgA vasculitis as a presentation of human immunodeficiency virus infection
Publication date: Available online 17 July 2019Source: Reumatología Clínica (English Edition)Author(s): Anahy M. Brandy-García, Jorge Santos-Juanes, Silvia Suarez, Luis Caminal-MonteroAbstractIgA vasculitis is a small-vessel vasculitis mediated by immune complexes. In clinical terms, it is characterised by palpable purpura in the lower limbs, joint involvement in the form of arthralgia or arthritis, and gastrointestinal and renal involvement (this will mark a poorer prognosis in adults). Infectious processes, mainly in the upper respiratory tract, are frequently found to be triggers. On the other hand, human immunodefic...
Source: Reumatologia Clinica - July 18, 2019 Category: Rheumatology Source Type: research
Cervical abscess as an exceptional presentation of advance bisphosphonate-related osteonecrosis of the jaw: Case report and review of the literature
Publication date: Available online 17 July 2019Source: Reumatología Clínica (English Edition)Author(s): José Darío Sánchez López, Paolo Cariati, Ismael Rodríguez, Sebastián Carriel Araya (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - July 18, 2019 Category: Rheumatology Source Type: research
Experience and satisfaction with a multidisciplinary care unit for patients with psoriasis an psoriatic arthritis
ConclusionsThis multidisciplinary care unit has improved the care and satisfaction of patients with psoriasis or PsA, and increased collaboration between rheumatology and dermatology departments.ResumenObjetivoDescribir las características de los pacientes, la actividad registrada, así como la satisfacción percibida, de una consulta de atención multidisciplinar para pacientes con psoriasis o artritis psoriásica (APs).MétodosEstudio observacional retrospectivo con revisión de historias clínicas de todos los pacientes atendidos en la consulta de atención multidisciplinar. Se contactó con todos ellos para que contes...
Source: Reumatologia Clinica - June 22, 2019 Category: Rheumatology Source Type: research
Osteoporosis: The other interventions
Publication date: July–August 2019Source: Reumatología Clínica (English Edition), Volume 15, Issue 4Author(s): Jorge Morales Torres (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - June 22, 2019 Category: Rheumatology Source Type: research
Impact of an osteoporosis specialized unit on bone health in breast cancer survivals treated with aromatase inhibitors
ConclusionsThe preventive intervention of a specialized unit at the start of AI treatment in breast cancer survivors allows the identification of patients with high fracture risk and may contribute to preventing bone events in these patients.ResumenObjetivoEvaluar el impacto de la intervención preventiva de una unidad de osteoporosis en supervivientes de cáncer de mama que inician un tratamiento con inhibidores de la aromatasa (IA).Material y métodosEstudio retrospectivo en mujeres posmenopáusicas con cáncer de mama precoz que iniciaron un tratamiento con IA tras la cirugía y/o quimioterapia, derivadas a la unidad de...
Source: Reumatologia Clinica - June 22, 2019 Category: Rheumatology Source Type: research
Subclinical synovitis measured by ultrasound in rheumatoid arthritis patients with clinical remission induced by synthetic and biological modifying disease drugs
ConclusionsPersistent US activity was evident in a high percentage of rheumatoid arthritis patients in clinical remission by DAS28. No differences in subclinical synovitis measured by US were found between patients with DMARD and anti-TNF-induced clinical remission.ResumenIntroducciónLos pacientes con artritis reumatoide (AR) con enfermedad en remisión clínica pueden mostrar sinovitis subclínica, que puede estar relacionada con el progreso del daño articular estructural.ObjetivosDeterminar y comparar el grado de inflamación sinovial medida por ultrasonido (US) en pacientes con AR en remisión clínica, tratados con F...
Source: Reumatologia Clinica - June 22, 2019 Category: Rheumatology Source Type: research
Unusual presentations and pitfalls of secondary syphilis: Periosteitis, tenosynovitis and hepatic abnormalities
Publication date: July–August 2019Source: Reumatología Clínica (English Edition), Volume 15, Issue 4Author(s): Diana Rosa-Gonçalves, Miguel Bernardes, Lúcia CostaAbstractWe herein describe two cases of secondary syphilis in patients with human immunodeficiency virus (HIV) infection with an unusual presentation, a diffuse polyostotic periosteitis. Patients referred mainly intense bone pain. Other relevant aspects of the clinical pictures were flexor tenosynovitis and hepatic abnormalities. Given the persistence of symptoms, the treatment duration performed was different from most described in literature. However, alth...
Source: Reumatologia Clinica - June 22, 2019 Category: Rheumatology Source Type: research
Belimumab in systemic lupus erythematosus: Experience in clinical practice settings in a regional hospital
Publication date: Available online 5 June 2019Source: Reumatología Clínica (English Edition)Author(s): Leyre Riancho-Zarrabeitia, Ignacio Villa Blanco, Montserrat Santos-Gómez, Elena Aurrecoechea (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - June 7, 2019 Category: Rheumatology Source Type: research
Pyomyositis presenting as septic arthritis
Publication date: Available online 4 June 2019Source: Reumatología Clínica (English Edition)Author(s): Anahy M. Brandy-García, Daniel Clemente Garulo, Juan Carlos López Robledillo (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - June 6, 2019 Category: Rheumatology Source Type: research
Painful shoulder in a patient receiving anticoagulation therapy with rivaroxaban
We report the case of an 83-year-old man on rivaroxaban treatment, with pain in right shoulder, back of the upper arm, forearm and wrist, and inability to extend the wrist and fingers, as the result of an injury. The radiographs were normal, but thoracic CT showed an axillary artery pseudoaneurysm and a secondary haematoma that compressed the brachial plexus. This should be borne in mind in patients with painful shoulder, treated with anticoagulant therapy and without associated radiographic changes.ResumenSe presenta el caso de un varón de 83 años en tratamiento con rivaroxabán, con dolor en hombro, cara posterior de b...
Source: Reumatologia Clinica - June 6, 2019 Category: Rheumatology Source Type: research
