Revista Colombiana de Reumatología (English Edition)最新文献

{"title":"Analysis of diagnostic concordance between urinary sediment and kidney biopsy","authors":"José Lucas Daza ,&nbsp;Andrés Cárdenas ,&nbsp;Juan Sebastián Reyes Bello ,&nbsp;Marcelo de Rosa ,&nbsp;María Paola Joven Sierra ,&nbsp;María Alejandra Muñoz","doi":"10.1016/j.rcreue.2026.504863","DOIUrl":"10.1016/j.rcreue.2026.504863","url":null,"abstract":"<div><h3>Introduction</h3><div>The microscopic examination of urinary sediment, an integral part of urinalysis, is a valuable diagnostic tool in nephrology. Its correct execution and interpretation are crucial in the initial diagnostic approach and the clinical follow-up of various nephropathies, with particular relevance in the suspicion of glomerular diseases. The utility of this analysis in strongly suggesting the glomerular origin of hematuria provides significant diagnostic guidance, acting as a “liquid biopsy” whose formed elements can directly correlate with renal histology findings.</div></div><div><h3>Objectives</h3><div>To evaluate the correlation between renal histological findings and the presence of dysmorphic hematuria in the urinary sediment, stratifying the analysis based on the detection of acanthocytes and/or red blood cell casts.</div></div><div><h3>Materials and methods</h3><div>The cohort consisted of 200 women (66.7%) and 100 men (33.3%). The presence of acanthocytes and/or red blood cell casts (Group D1) was significantly associated with a higher probability of PG (OR 12; 95% CI: 9.6–20.5; <em>p</em> <!-->=<!--> <!-->0.001). In contrast, dysmorphic hematuria without these specific elements (Group D2) was associated with a higher probability of NPG (OR 6; 95% CI: 2.4–8.3; <em>p</em> <!-->=<!--> <!-->0.001).</div></div><div><h3>Results</h3><div>The urine samples corresponded to 200 women (66.6%) and 100 men (33.3%). The presence of acanthocytes (D1) in proliferative glomerular diseases (GP) was 12 times more frequent compared to non-proliferative diseases (NPG) (OR 12; 95% CI: 9.6–20.5; <em>p</em> <!-->=<!--> <!-->0.01). The presence of red blood cells is 15 times more frequent in GP (OR 15; 95% CI: 9–40.9). Patients with non-acanthocyte hematuria (D2) are 6 times more frequent in an NPG (OR 6; 95% CI: 2.4–8.3; <em>p</em> <!-->=<!--> <!-->0.01).</div></div><div><h3>Conclusion</h3><div>The presence of dysmorphic hematuria is a useful marker for detecting glomerular disease, although its moderate sensitivity highlights the need for complementary diagnostic tests. In this cohort, the combination of acanthocytic dysmorphic hematuria and the presence of at least one red blood cell cast demonstrated high specificity for diagnosing proliferative glomerulopathy. However, for an accurate diagnosis and prognosis, renal biopsy remains indispensable.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504863"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthralgias and hip dysplasia: About tricho-rhino-phalangeal syndrome","authors":"Pablo González del Pozo,&nbsp;Paula Álvarez Peñalba,&nbsp;Norma Alejandra Callejas Pineda,&nbsp;Marta Loredo Martínez,&nbsp;Ignacio Braña Abascal,&nbsp;María Isabel Zapico Fernández,&nbsp;Sara Alonso Castro","doi":"10.1016/j.rcreue.2026.102188","DOIUrl":"10.1016/j.rcreue.2026.102188","url":null,"abstract":"<div><h3>Introduction</h3><div>Tricho-Rhino-Phalangeal Syndrome (TRPS) is a rare genetic and heterogeneous entity distinguished by skeletal abnomalities, growth retardation, distinctive facial features, ectodermal alterations – thin and depigmented hair, nail dystrophy – and also variable intellectual disability.</div></div><div><h3>Objective</h3><div>We present the case of a woman patient referrered to Rheumatology because of progressive-course mechanical joint pain for few years and previous-known pathology on hips.</div></div><div><h3>Conclusion</h3><div>Although infrequent, it is a musculo-skeletal entity that must be recognised by rheumatologists.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 102188"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Models and implementation of education in rheumatologic ultrasonography","authors":"Edgar Alfonso Peñaranda-Parada","doi":"10.1016/j.rcreue.2026.504870","DOIUrl":"10.1016/j.rcreue.2026.504870","url":null,"abstract":"<div><div>Learning in rheumatologic ultrasonography (RU) is a fundamental competence for the clinical practice of the rheumatologist, given its broad benefits for the timely diagnosis and effective treatment of patients, which are achieved immediately at the point of care. This paper argues that, for the appropriate training and construction of ultrasound skills, the structured design of a curricular plan is required, initially inspired by international experiences that managed to consolidate the formal teaching of RU in other latitudes. Subsequently, the implementation of a teaching model in ultrasound is described, supported by the constructivist theory in education, based on learning by competencies and formative evaluation through courses of increasing complexity, according to the particularities of the environment and with the active participation of all the actors in the process. Finally, a quality assurance model is described, which will integrate the subject to the recommendations of self-evaluation and accreditation of the regulatory entities in education.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504870"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical manifestations, diagnosis, and management of otospondylomegaepiphyseal dysplasia (OSMED): A case report and literature review","authors":"Mohammad Reza Fathi ,&nbsp;Mohammad-Reza Mahmoudian-Sani","doi":"10.1016/j.rcreue.2026.102178","DOIUrl":"10.1016/j.rcreue.2026.102178","url":null,"abstract":"<div><div>The case involves a 16-year-old boy from Iran with various medical issues. He experiences morning pain in his knees, ankles, and limb deformity. His medical history revealed congenital deafness and a previous episode of fever and seizures. The boy's parents are related, and his 6-month-old sister, who had similar symptoms, passed away. Physical examination findings include short stature, shortened limbs, flexion contracture in the elbow joints, abnormalities such as enlarged knees and ankles, Pectus excavatum, short arms, protruding eyes, a flattened nose bridge, and finger deformities. X-ray results show enlarged joints, decreased thoracic vertebrae height, thoracic spine scoliosis, and thickened and fused wrist bones. Echocardiography and eye examination showed normal findings with no abnormalities, but audiometry revealed bilateral sensorineural hearing loss. Genetic testing confirmed a homozygous mutation in the COL11A2 gene, leading to a diagnosis of OSMED.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 102178"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of high probability of pulmonary hypertension in early systemic sclerosis. Description of a cohort of patients","authors":"Luis Javier Cajas ,&nbsp;Julia Recalde Reyes ,&nbsp;Javier Alejandro Correa ,&nbsp;Wilder Carvajal ,&nbsp;José S. Cortés","doi":"10.1016/j.rcreue.2026.504865","DOIUrl":"10.1016/j.rcreue.2026.504865","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis is an autoimmune disease characterized by skin and internal organ fibrosis. In the early stages of the disease, complications such as pulmonary hypertension may manifest. The aim of this study was to evaluate the frequency of high probability of pulmonary hypertension and associated factors in a cohort of patients with early systemic sclerosis or systemic sclerosis without cutaneous involvement.</div></div><div><h3>Methods</h3><div>Retrospective cohort study. Patients from the rheumatology outpatient clinic of the Hospital Universitario Nacional between 2017 and 2023 were included. Patients were categorized into early systemic sclerosis and systemic sclerosis without cutaneous involvement. The classification of high probability of pulmonary hypertension was based on echocardiographic features, pulmonary anatomy, lung function, and clinical context.</div></div><div><h3>Results</h3><div>Seventy-one patients with early systemic sclerosis and 51 patients with systemic sclerosis without cutaneous involvement were included in the analysis. Ninety six percent of patients were women, with an average age of 57 years; the most frequent symptoms were related to the gastrointestinal tract. The most common positive autoantibodies were anticentromere antibodies. The prevalence of high probability of pulmonary hypertension was 26%. High probability of group 1 pulmonary hypertension was the most frequent. No factors associated with high probability of pulmonary hypertension were identified.</div></div><div><h3>Conclusions</h3><div>Studies on patients in early stages of systemic sclerosis are scarce in our setting. High probability of pulmonary hypertension can be common in the early stages of systemic sclerosis. It could be useful to implement screening strategies for pulmonary hypertension in the early stages of systemic sclerosis.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504865"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics and outcomes of Colombian patients with Takayasu arteritis: A retrospective cohort","authors":"Fabio Torres Saavedra ,&nbsp;Lina León Sierra ,&nbsp;Gloria Vásquez ,&nbsp;Luis Alonso González Naranjo ,&nbsp;Adriana Lucía Vanegas García ,&nbsp;Carlos Horacio Muñoz Vahos","doi":"10.1016/j.rcreue.2026.504868","DOIUrl":"10.1016/j.rcreue.2026.504868","url":null,"abstract":"<div><h3>Introduction</h3><div>Takayasu arteritis (TAK) is a vasculitis of the great vessels that affects mainly young patients. Cardiovascular morbidity is high due to irreversible damage, end-organ failure, and a late diagnosis. The knowledge of this vasculitis in our country is limited. This study describes clinical, laboratory, and angiographic findings of Takayasu arteritis in Colombia.</div></div><div><h3>Methods</h3><div>We described a retrospective cohort of patients with Takayasu arteritis in two rheumatology centers in Medellin, Colombia between 2011 and 2018. We assessed the medical records of 43 patients, 88% of whom met Takayasu arteritis 1990 ACR criteria.</div></div><div><h3>Results</h3><div>Of the forty-three patients, forty-one were female, with a median age of 22 years at diagnosis. Eleven patients were &gt;40 years old. The median delay in diagnosis was 12 months. Systemic manifestations included general malaise (32%), weight loss (23%), and fever (21%). The most frequent vascular symptoms were headache (39%) and upper limb claudication (30%). The most frequent physical examination findings were absent or decreased pulses (76%), hypertension (62%), blood pressure difference (60%), and subclavian murmur (48%). Eighty three percent and 76% of patients had elevated erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), respectively. Angiography (mainly magnetic resonance [MR] angiography) showed stenosis in the left subclavian artery (68%), followed by aortic involvement, including abdominal (62%) and thoracic (52%) segments. Hata–Numano's classification was V (62%), I (16%), and IIa (7%). Renal artery abnormalities, pulmonary artery stenosis, and aortic regurgitation were present in 42%, 14%, and 9%, respectively. Vascular complications were renovascular hypertension (30%), ischemic stroke, chronic kidney disease, and heart failure (all with 18%). Twenty-eight patients (65%) completed the 5-year follow-up. The overall survival rate was 83% in the fifth year, compared to 87.5% in the first.</div></div><div><h3>Conclusions</h3><div>A high rate of complicated vascular lesions (Hata–Numano V and renal/splanchnic artery disease), ongoing disease activity, and a late diagnosis may be the causes of the increased morbidity observed in this cohort of TAK patients.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504868"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of physical activity in patients with common low back pain: A case–control study","authors":"Fazaa Alia ,&nbsp;Kamoun Mariem ,&nbsp;Boussaa Hiba ,&nbsp;Miladi Saoussen ,&nbsp;Makhlouf Yasmine ,&nbsp;Ben Abdelghani Kawther ,&nbsp;Laatar Ahmed","doi":"10.1016/j.rcreue.2026.504869","DOIUrl":"10.1016/j.rcreue.2026.504869","url":null,"abstract":"<div><h3>Introduction</h3><div>Physical activity (PA) can help reduce pain and physical deconditioning. The main aim of our study was to assess the PA level in patients with low back pain (LBP) and in healthy controls, using a self-report questionnaire.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional case–control study of a group of patients followed for more than 12 weeks with LBP and a control group. PA was assessed using the International Physical Activity Questionnaire (IPAQ). Sedentary mean time was measured in minutes per week.</div></div><div><h3>Results</h3><div>Patients and controls had the same gender proportion: 33 patients and 33 controls (7 men and 26 women) were included. In the patients, the mean duration of LBP was 6<!--> <!-->±<!--> <!-->6.7 years. Total PA was lower in patients (4524<!--> <!-->±<!--> <!-->4084 MET (metabolic equivalent of task)-min/week [99–17228]) than in controls (5782<!--> <!-->±<!--> <!-->7598 MET-min/week [120–30933]) (<em>p</em> <!-->=<!--> <!-->0.293). Thirty-three percent of patients did not meet World Health Organization (WHO) recommendations for PA for health versus 13% of controls (<em>p</em> <!-->=<!--> <!-->0.05). Level of PA was high in 42% of patients versus 34% of controls (<em>p</em> <!-->=<!--> <!-->0.05). Weekly sedentary time was lower in patients than in controls (<em>p</em> <!-->=<!--> <!-->0.076). According to patients, main factors for physical inactivity were lack of free time (48.5%) and LBP pain (33%). In univariate analysis, low PA level was significantly associated with spinal mobility as assessed by the ST (<em>p</em> <!-->=<!--> <!-->0.006).</div></div><div><h3>Conclusion</h3><div>Given the evidence of feasibility and safety, a PA adapted and personalized for each individual suffering from chronic LBP should be an integral part of their treatment.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504869"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I’m not a good enough mom”: Exploring the motherhood experience in women with fibromyalgia syndrome (FMS)","authors":"Anahita Khodabakhshi-Koolaee,&nbsp;Farzane Sadeghipour","doi":"10.1016/j.rcreue.2026.504864","DOIUrl":"10.1016/j.rcreue.2026.504864","url":null,"abstract":"<div><h3>Introduction</h3><div>Fibromyalgia syndrome (FMS) is a common condition among adult women, with its cause and treatment still largely unknown. The prevalence of this syndrome is estimated to affect 2% of the global population, with rates ranging between 61% and 90%. FMS is characterized by chronic, widespread pain in various parts of the body. Considering that women, particularly mothers, serve as the cornerstone of families, any physical or psychological distress they experience directly impacts other family members, including spouses and children. Thus, it is crucial to examine the various aspects of life for mothers diagnosed with FMS.</div></div><div><h3>Objective</h3><div>Accordingly, the present study sought to explore the motherhood experience in women with FMS to identify the multifaceted impacts of this condition on their lives.</div></div><div><h3>Materials and methods</h3><div>This qualitative study used a descriptive phenomenological approach. It examined the lived experience of motherhood among mothers with FMS who were referred to rheumatology and fibromyalgia treatment centers in Tehran in 2024. Semi-structured interviews were used to collect data. Fifteen mothers with FMS were selected and studied through purposive sampling until data saturation was reached. Data analysis was performed using Colaizzi's seven-step method.</div></div><div><h3>Results</h3><div>Data analysis revealed three main themes: “living with constant pain and suffering”, “fear of not being a good enough mother”, and “adaptive living with the disease”, along with six subthemes and 31 initial categories.</div></div><div><h3>Conclusions</h3><div>The findings demonstrate that mothers with FMS face significant challenges in caring for their children since the onset of the disease, often being unable to manage childcare and related responsibilities independently. Consequently, these mothers require psychological and social support from their spouses and families. Moreover, providing health insurance, patient education programs, family training sessions, individual and family counseling, nursing care education, and rehabilitation to enhance self-care behaviors for coping with the disease and managing symptoms is crucial for improving patients quality of life.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504864"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasonographic evaluation of nail involvement in psoriatic arthritis: A systematic review and meta-analysis","authors":"Jairo Cajamarca-Barona ,&nbsp;Catalina Sanmiguel-Reyes ,&nbsp;Jhon Buitrago ,&nbsp;Laura Gallego ,&nbsp;Diana Guavita-Navarro ,&nbsp;Jose Yate ,&nbsp;Ana María Arredondo ,&nbsp;Hector Cubides ,&nbsp;Alejandro Escobar ,&nbsp;Adriana Rojas-Villarraga ,&nbsp;Diego Javier Martínez Lozano","doi":"10.1016/j.rcreue.2026.504877","DOIUrl":"10.1016/j.rcreue.2026.504877","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Nail involvement is a hallmark of psoriatic arthritis (PsA), often reflecting disease severity and systemic inflammation. Subclinical nail changes frequently precede joint symptoms, making early detection essential for timely intervention. Ultrasonography, with its high-frequency probes and power Doppler technology, provides a non-invasive method to assess nail structures and inflammatory activity. Our systematic review and meta-analysis concentrate on the role of ultrasound (US) in identifying subclinical or early PsA-related nail changes – particularly nail plate and nail bed thickness.</div></div><div><h3>Materials and methods</h3><div>A systematic review and meta-analysis were conducted following the PRISMA guidelines. Nine studies were included for qualitative synthesis, and three studies for quantitative meta-analysis. A comprehensive search of PubMed and EMBASE was performed using MeSH terms and keywords including “psoriatic arthritis,” “nail,” and “ultrasonography.” Random-effects models calculated pooled mean differences for nail thickness, and heterogeneity was assessed using the <em>I</em>² statistic.</div></div><div><h3>Results</h3><div>Among 253 participants (175 PsA, 78 controls), patients with PsA exhibited significantly increased nail plate thickness (mean difference: 0.11<!--> <!-->mm, 95% CI: 0.07–0.15, <em>p</em> <!-->&lt;<!--> <!-->0.001, <em>I</em>² <!-->=<!--> <!-->12%) and nail bed thickness (mean difference: 0.20<!--> <!-->mm, 95% CI: 0.14–0.26, <em>p</em> <!-->&lt;<!--> <!-->0.001, <em>I</em>² <!-->=<!--> <!-->18%). Ultrasonographic findings also revealed subclinical enthesitis and increased power Doppler signals indicative of active inflammation. Consistent results across studies highlight ultrasonography's diagnostic reliability.</div></div><div><h3>Conclusion</h3><div>Ultrasonography is a robust, non-invasive method for evaluating nail involvement in PsA, with increased nail plate and bed thickness serving as reliable markers of disease activity. Standardization of ultrasonographic protocols and further multicenter studies are recommended to validate these findings and expand their clinical application.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 504877"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of women with fibromyalgia in Spain on the impact of the COVID-19 pandemic on their health","authors":"Daniel Sanjuán-Sánchez ,&nbsp;Cristina Bravo ,&nbsp;Carolina Climent-Sanz ,&nbsp;Francesc Rubí-Carnacea ,&nbsp;Erica Briones-Vozmediano","doi":"10.1016/j.rcreue.2026.102181","DOIUrl":"10.1016/j.rcreue.2026.102181","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 pandemic significantly affected individuals with chronic pain, leading to increased pain severity, reduced functionality, compromised mental health, and a decline in overall quality of life.</div></div><div><h3>Objective</h3><div>To explore the perceived impact of the pandemic on women with fibromyalgia, including their physical and mental health, physical activity and exercise, employment status, and access to and quality of healthcare services.</div></div><div><h3>Methodology</h3><div>Eleven women with fibromyalgia were recruited using snowball sampling. Semi-structured, in-depth interviews were conducted, and an inductive thematic analysis was implemented following Braun and Clarke.</div></div><div><h3>Results</h3><div>Five main themes emerged: (1) Impact of the pandemic and lockdown on physical symptoms, (2) Impact of lockdown on mental health, (3) Physical activity and exercise during lockdown, (4) Influence of work-related changes, and (5) Experiences with healthcare services. Participants reported increased pain and stiffness due to immobility. Negative emotions, exacerbated by social isolation and uncertainty, were predominant. Telephone contact with loved ones was identified as a protective factor. Participants expressed a sense of abandonment, highlighting difficulties in accessing healthcare services, while the empathy of healthcare professionals was crucial in alleviating this feeling.</div></div><div><h3>Conclusion</h3><div>The findings underscore the importance of addressing mental health in this population during periods of social isolation, promoting physical activity and exercise, maintaining active employment, and ensuring healthcare services are tailored to their needs.</div></div>","PeriodicalId":101099,"journal":{"name":"Revista Colombiana de Reumatología (English Edition)","volume":"33 2","pages":"Article 102181"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148193331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}