Revista Colombiana de Reumatologia最新文献

{"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.rcreu.2026.504864","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754195","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":"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.rcreu.2026.504863","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754229","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.rcreu.2026.504865","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754230","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":"Diagnóstico fast-track de arteritis de células gigantes mediante ecografía Doppler en una paciente con necrosis de cuero cabelludo","authors":"Juan David Vélez-Aguirre ,&nbsp;José David Puerta-Rojas ,&nbsp;Adriana Lucía Vanegas-García ,&nbsp;Carlos Horacio Muñoz-Vahos ,&nbsp;Maribel Plaza-Tenorio","doi":"10.1016/j.rcreu.2026.504880","DOIUrl":"10.1016/j.rcreu.2026.504880","url":null,"abstract":"<div><h3>Introduction</h3><div>Doppler ultrasound has gained significant value in different clinical scenarios. The European Alliance of Associations for Rheumatology suggests Doppler ultrasonography of temporal and axillary arteries as the method of choice to support the clinical diagnosis of giant cell arteritis (GCA).</div></div><div><h3>Clinical findings and interventions</h3><div>We present the case of an 88-year-old woman with typical symptoms of cranial GCA in whom the suspicion was confirmed using Doppler ultrasound of temporal and axillary arteries, which allowed immediate treatment.</div></div><div><h3>Conclusion</h3><div>Doppler ultrasound of temporal and axillary arteries constitutes the method of choice to support the diagnosis of cranial GCA due to its low cost, wide availability, real-time results, and high accuracy when compared to temporal artery biopsy, which is time-consuming and not exempt from complications.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504880"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754252","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":"From traditional to digital: Artificial intelligence, transforming ultrasound in rheumatology","authors":"Diego Javier Martínez Lozano ,&nbsp;Yimy F. Medina ,&nbsp;Adriana Beltrán-Ostos ,&nbsp;Carlos A. Guillén-Astete","doi":"10.1016/j.rcreu.2026.504872","DOIUrl":"10.1016/j.rcreu.2026.504872","url":null,"abstract":"<div><div>The use of artificial intelligence (AI) in musculoskeletal ultrasound has grown significantly in recent years, particularly in rheumatology, where standardization of diagnostic accuracy and image acquisition is essential. This article provides a narrative review of the available scientific literature on AI applications in musculoskeletal ultrasound, focusing on the recent advances in machine learning and deep learning algorithms. Sixteen studies published between 2020 and 2023 were reviewed, applying AI to anatomical segmentation and diagnostic prediction in musculoskeletal conditions, such as rheumatoid arthritis and other inflammatory diseases. Most of the reviewed studies employed deep learning algorithms to enhance the diagnostic accuracy and reduce operator-dependent variability. However, a common limitation across studies is the lack of external validation, indicating that future research should focus on confirming the generalizability of these models to larger populations and diverse clinical settings. Despite this limitation, the results suggest that AI has the potential to optimize clinical decision making and improve patient care in the context of musculoskeletal ultrasound in rheumatology.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504872"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754255","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":"Artralgias y displasia de cadera: sobre el síndrome trico-rino-falángico","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.rcreu.2025.04.006","DOIUrl":"10.1016/j.rcreu.2025.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Tricho-Rhino-Phalangeal Syndrome (TPRS) 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 infrequently, it is a musculo-skeletal entity that must be recognised by rheumatologists.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754256","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":"Poliarteritis nodosa: una rara complicación de infección por VIH, reporte de un caso","authors":"Jennifer Delgadillo Velásquez ,&nbsp;Julia Recalde-Reyes ,&nbsp;Oscar Rodrigo Vargas ,&nbsp;Luis Javier Cajas Santana","doi":"10.1016/j.rcreu.2026.504867","DOIUrl":"10.1016/j.rcreu.2026.504867","url":null,"abstract":"<div><h3>Introduction</h3><div>HIV-associated vasculitis is rare. Cases involving small and medium-sized vessels have been reported, usually in the form of polyarteritis nodosa (PAN). Diagnosis is challenging, and treatment is even more challenging in immunocompromised patients.</div></div><div><h3>Case Summary</h3><div>We describe the case of a 42-year-old patient with a history of HIV infection who was presented with skin lesions and critical ischemia in the lower limbs. Diagnostic studies, treatment, and outcome are detailed.</div></div><div><h3>Conclusion</h3><div>Vasculitis are common clinical entities, but their association with HIV infection is rare. Their presentation has become increasingly rare since the introduction of antiretroviral therapy, with very few cases described in the literature. Their appearance is a cause of significant morbidity and requires multidisciplinary and careful management to minimize risks.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504867"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754258","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.rcreu.2026.504868","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754231","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":"Guías colombianas de osteoporosis: hacia una atención más integral y preventiva","authors":"Adriana Medina","doi":"10.1016/j.rcreu.2026.504915","DOIUrl":"10.1016/j.rcreu.2026.504915","url":null,"abstract":"","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504915"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754263","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":"Utilización de medicamentos relacionados con el manejo de osteoartritis en Colombia: estudio descriptivo de corte transversal","authors":"Miguel Eduardo Rubio Toloza ,&nbsp;Manuel Enrique Machado Duque","doi":"10.1016/j.rcreu.2025.03.006","DOIUrl":"10.1016/j.rcreu.2025.03.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence of osteoarthritis in the Colombian population is estimated at 10.8% and is associated with high health costs. The evaluation of the benefit-risk of the pharmacological treatment used is a fundamental aspect for all health professionals.</div></div><div><h3>Objective</h3><div>To identify the profile of medication use related to the management of osteoarthritis in adults over 50<!--> <!-->years of age in Colombia in 2022 and with an unfavourable benefit-risk ratio.</div></div><div><h3>Methods</h3><div>A quantitative, descriptive, cross-sectional study, taking into account all prescription dispensations of patients over 50<!--> <!-->years of age with a diagnosis of osteoarthritis, affiliated with the health plan of a Colombian insurer in 2022. The risk-benefit ratio was determined according to the <em>Prescrire</em> journal and the applicable STOPP criteria.</div></div><div><h3>Results</h3><div>A total of 18,824 patients were included, the median age found was 64<!--> <!-->years. Of these, 74.8% were women. The prevalence of prescription of medications related to osteoarthritis was 0.4% of all affiliates for the year 2022 by said insurer. The most prescribed medication was acetaminophen-codeine in 46.5% of patient dispensations. A total of 64.2% of users were prescribed drugs with an unfavourable benefit-risk ratio according to the <em>Prescrire</em> journal and STOPP criteria.</div></div><div><h3>Conclusions</h3><div>A significant proportion of prescriptions related to the management of osteoarthritis identified in this study contain at least one drug with an unfavourable benefit-risk ratio. This finding highlights the need to reflect on the optimization of prescribing, especially considering the chronic nature of osteoarthritis.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 102182"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754199","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}