Revista Argentina de Reumatología最新文献

{"title":"Calciphylaxis of the temporal artery simulating temporal arteritis","authors":"J. Gallo, Eduardo Henares, S. Paira","doi":"10.47196/rar.v32i3.487","DOIUrl":"https://doi.org/10.47196/rar.v32i3.487","url":null,"abstract":"Calciphylaxis is characterized by intense deposition of calcium in small blood vessels, skin, and other organs, described mainly in patients with chronic renal insufficiency, renal transplant of parathyroid dysfunction. To date, there are only seven cases described in literature of calciphylaxis mimicking giant cell arteritis (GCA). In this review, we present the eighth case pathologically documented.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121152859","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":"Idiopathic granulomatose mastitis. Case report and literary review","authors":"Santiago Catalán Pellet, G. Briones, Daniela Miravalle","doi":"10.47196/rar.v32i3.488","DOIUrl":"https://doi.org/10.47196/rar.v32i3.488","url":null,"abstract":"The clinical case of a patient with a histological diagnosis of idiopathic granulomatous mastitis is described, a rare disease in which immunosuppressants are used as the described treatment and can be confused with other entities treated in the specialty. The case is described and a literature review is carried out.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115684521","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":"Capillaroscopic findings and clinical characteristics in patients with primary and secondary Raynaud's phenomenon","authors":"E. R. Tralice, M. Tamborenea, F. Romanini, M. Bejarano, A. Secco","doi":"10.47196/rar.v32i3.482","DOIUrl":"https://doi.org/10.47196/rar.v32i3.482","url":null,"abstract":"Objectives: to describe videocapillaroscopy (VCP) findings in patients with primary Raynaud's phenomenon (PRP) and secondary (SRP); compare demographic and clinical characteristics between both.\u0000Materials and methods: observational, analytical, cross-sectional study. Age, occupation, evolution time of RP, connective tissue disease (CTD) and capillaroscopic characteristics were documented. The VCP were reported as normal, nonspecific or early, active, and late SD pattern. Descriptive statistics were performed. Chi2 or Fisher's exact test were used for categorical variables; for continuous variables t test or Man Whitney, considering statistically significant p<0.05.\u0000Results: 290 VCP were performed. In patients with PRP (n:122), 18% (n:23) were normal and 81% (n:99) non-specific. In patients with SRP (n:168), 8% were normal, 42% non-specific and 51% with SD pattern (25% early, 44% active, 31% late). We found statistically significant differences: time of evolution of RP in months (12 vs. 36, p<0.01), normal VCP (18.85% vs 7.4%, p<0.01), non-specific pattern (81.14% vs 41%, p<0.01) in patients with PRP vs SRP.\u0000Conclusions: in patients with FRS predominated the SD pattern, while in those with FRP the normal and nonspecific pattern was superior. FRS was associated with a longer evolution time.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123322177","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":"Paul Klee and systemic sclerosis","authors":"F. Canillas, Lucía Canillas","doi":"10.47196/rar.v32i3.492","DOIUrl":"https://doi.org/10.47196/rar.v32i3.492","url":null,"abstract":"Paul Klee represents one of the pillars of avant-garde art of the early 20th century. \u0000He produced an enormous amount of artistic works in the sixty years of his life. \u0000Systemic sclerosis appeared five years before he died, but this did not reduce his creative activity. \u0000This article analyzes his life and his illness that so influenced his work and that is a paradigmatic example of resilience in the face of adversity.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125516552","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":"In Rheumatology, do we generate the teachers that the 21st century needs?","authors":"S. Paira","doi":"10.47196/rar.v32i3.491","DOIUrl":"https://doi.org/10.47196/rar.v32i3.491","url":null,"abstract":"Who should be the great educators and masters of Argentinian Rheumatology? One would think they should be the best ones! But are they the best ones? What ought to be the selection criteria for such a distinguished and honourable position? Our society demands: “All of those who have turned 65 years old and who, thanks to their academic work, have trained young rheumatologists”. How the latter were trained... do we know? As mere technicians or as humane professionals?\u0000The academic training of a pupil of Rheumatology, as in this case, must be comprehensive. Not only the technical but also the human aspect is of the utmost importance. An educator converses, is true to an ideal, gives up/sacrifices enrichment and reveals their weak points.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114392001","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":"Sexual dysfunction in women with systemic lupus erythematosus","authors":"G. V. Espasa, L. González Lucero, Y. Soria Curi, S. Mazza, María Lilia Leguizamón, M. Pera, A. Barbaglia, H. R. Sueldo, M. C. Bertolaccini, M. Santana, L. Galindo, V. Bellomio","doi":"10.47196/rar.v32i3.484","DOIUrl":"https://doi.org/10.47196/rar.v32i3.484","url":null,"abstract":"Introduction: sexual dysfunction is the alteration in one or several phases of sexual activity. It can culminate in frustration, pain and a decrease in the frequency of sexual intercourse. \u0000Objectives: determine the frequency of sexual dysfunction and analyze associated factors in patients with SLE.\u0000Materials and methods: a descriptive cross-sectional study was conducted. We included patients with SLE, between 18 and 50 years of age, Secondary Sjogren’s syndrome, menopause, severe depression and illiterate patients were excluded.\u0000Demographic and disease-related variables were studied. The Depression Anxiety Stress Scale (DASS-21), and the Female Sexual Function Index (FSFI) were applied. \u0000Results: sixty women with SLE and 63 controls were evaluated. The prevalence of SD in SLE was 71.7% and there were significant differences in all domains of sexual function. \u0000The total FSFI score in patients with SLE was lower when compared to controls. According to the DASS-21 scale, stress, anxiety and depression were observed in at least half of lupus women, however no association was found between these variables and SD.\u0000Conclusions: the prevalence of SD in patients with SLE was high. Depression, Anxiety, and Stress were not determinants in the presence of SD.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128895555","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":"Autoimmune necrotizing myositis. Presentation of a clinical case","authors":"Sabrina Plou, María Elena Gaona, V. Caputo","doi":"10.47196/rar.v32i3.490","DOIUrl":"https://doi.org/10.47196/rar.v32i3.490","url":null,"abstract":"Inflammatory myopathies (IM) or myositis are a heterogeneous group of muscle diseases of rare occurrence. Such diseases are characterized by inflammation of the different components of muscle tissue, which can occur either in isolation or, more commonly, as part of a systemic disorder. Immune-mediated necrotizing myopathies (IMNM) are a type of autoimmune myopathy characterized by proximal muscle weakness, myofiber necrosis with minimal inflammatory cell infiltrate on muscle biopsy and infrequent extramuscular involvement.\u0000Even though there are clinical and histopathological similarities. The spectrum of inflammatory myopathies is considerably variable. Therefore, the performance of complementary studies is essential for the proper identification of the IM subtype to contribute accurately on treatment so determine the better prognosis). \u0000The present article shows the case of a young 29 years old, with no personal and family history background of autoimmune disease and no relevant pathological back-ground. The patient consulted the medical ward of the Institution with pain, functional impairment of upper and lower extremities, muscle weakness mainly located in the pectoral girdle area and, although to a lesser degree, in the pelvic girdle area. \u0000It was also associated with asthenia, tendency to drowsiness and hyporeactivity.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127825006","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":"Moving towards new challenges","authors":"M. C. de la Vega, D. Scublinsky","doi":"10.47196/rar.v32i3.481","DOIUrl":"https://doi.org/10.47196/rar.v32i3.481","url":null,"abstract":"I am proud to write these lines in this special context of medical and publishing activity. Humanity is facing one of the greatest challenges ever presented to it: fighting an unknown and relentless enemy like SARS-Cov-2. Doctors especially had to face unusual tasks, fight against fear, transmit tranquility and continue helping those who need us most: our patients.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114312778","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":"ASAS Health Index performance in real-life Spondyloarthritis patients","authors":"M. Martire, P. Girard Bosch, C. Airoldi, M. Benegas, V. Cosentino, J. Marin, V. Duarte, J. Bande, M. J. Gamba, F. Sommerfleck, P. González, D. Vila, M. Oliver, L. Garcia, E. Velozo, E. Kerzberg, J. Tapia, M. Cosatti, P. Giorgis, R. Nieto, S. Scarafia, E. Schneeberger","doi":"10.47196/rar.v32i2.355","DOIUrl":"https://doi.org/10.47196/rar.v32i2.355","url":null,"abstract":"Introduction: the “Assessment of Spondyloarthritis International Society Health Index” (ASASHI) questionnaire was developed to globally measure function and health status in patients with spondyloarthritis (SpA). Cut-off points have been proposed to determine different health states that were poorly evaluated in real-life patients.\u0000Objectives: to describe the health status measured by ASAS-HI in Argentine patients with axial SpA (AxSpA) and peripheral SpA (SpAp) in daily practice and to evaluate the factors associated with poor health.\u0000Materials and methods: cross-sectional, analytical and multicenter study. Patients with SpAax and SpAp were consecutively included according to ASAS criteria, from 15 Argentine centers.\u0000Statistical analysis: descriptive statistics, bivariate and multivariate analysis (multiple logistic regression) were performed to evaluate the factors associated with poor health status (ASAS-HI≥12). To analyze the construct validity of the tool, Spearman correlation was performed between the ASAS-HI and other disease evaluation parameters.\u0000Results: 274 patients with SpA were included, with a mean age of 49 (± 14) years and a median duration of the disease of 62 months (p25-75: 24-135), 155 (56.6%) were male, 129 patients (47%) with AxSpA and 145 (52.9%) SpAp. According to the ASAS-HI, 119 patients (43.4%) had good health, 117 (42.7%) had moderate health and 38 (13.9%) had poor health. In patients with SpAp, the mean ASAS-HI value was 7 (p25-75: 3-10). The ASAS-HI positively correlated with: DAS28: rho: 0.5 (p <0.001) and HAQ: rho: 0.54 (p <0.001). The variable independently associated with poor health status was DAS28 (OR: 1.9, 95% CI 1.1-3.4, p: 0.029). In patients with AxSpA, the mean ASAS-HI value was 6 (p25-75: 2.75-10). The ASAS-HI showed correlation with: BASDAI: rho: 0.7 (p <0.001), ASDAS-ERS: rho: 0.7 (p <0.001), ASQoL: rho: 0.8 (p<0.001), BASFI rho: 0.75 (p <0.001) 0.001). The variable that was independently associated with poor health was the ASDAS-ERS (OR 6.6, 95% CI 2-22, p 0.002).\u0000Conclusion: poor health status was independently associated with higher disease activity in patients with AxSpA and SpAp. The ASAS-HI correlated with other parameters of the disease, which reinforces the construct validity of this new tool.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128767339","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":"Ulcer-mutilating variety of Carpal Tunnel Syndrome","authors":"Carmen M. Baied, Stella M. Fernández García, Fabio Karlen, E. Gutfraind","doi":"10.47196/rar.v32i2.360","DOIUrl":"https://doi.org/10.47196/rar.v32i2.360","url":null,"abstract":"Carpal tunnel syndrome is the most common entrapment neuropathy, affecting 1 to 3%\u0000of the population. Even the fact that is very frequent, digital ulcers and skin lesions are\u0000unusually related to this neuropathy. We present the case of a patient with digital ulcers\u0000secondary to carpal tunnel síndrome.","PeriodicalId":249076,"journal":{"name":"Revista Argentina de Reumatología","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125987238","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}