Revista Colombiana de Reumatologia最新文献

{"title":"Guías de práctica clínica en Latinoamérica. La propuesta de Colombia","authors":"Jorge Rojas-Serrano","doi":"10.1016/j.rcreu.2026.504916","DOIUrl":"10.1016/j.rcreu.2026.504916","url":null,"abstract":"","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504916"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754264","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":"Guía de práctica clínica para el diagnóstico y el tratamiento de la enfermedad pulmonar intersticial asociada a esclerosis sistémica y artritis reumatoide en Colombia. Asociación Colombiana de Reumatología - Asoreuma y Asociación Colombiana de Neumología y Cirugía de Tórax - ASONEUMOCITO","authors":"Luis Javier Cajas ,&nbsp;Javier Leonardo Galindo ,&nbsp;Diana Gil ,&nbsp;Daniel G. Fernández-Ávila ,&nbsp;Yimy Medina ,&nbsp;Olga Milena García ,&nbsp;Ledys Blanquicett Barrios ,&nbsp;Rubén Darío Contreras ,&nbsp;Dolfus Santiago Romero ,&nbsp;Jorge Abella ,&nbsp;Ángela María Giraldo Montoya ,&nbsp;Sebastián Herrera ,&nbsp;July Vianneth Torres ,&nbsp;Ana Milena Callejas ,&nbsp;Andrés Ricardo Fernández Aldana ,&nbsp;Mauricio González García ,&nbsp;J. Guillermo López V. ,&nbsp;Carlos Eduardo Matiz ,&nbsp;Paul Méndez Patarroyo ,&nbsp;Uriel Panqueva ,&nbsp;Jorge Alberto Carrillo-Bayona","doi":"10.1016/j.rcreu.2025.504841","DOIUrl":"10.1016/j.rcreu.2025.504841","url":null,"abstract":"<div><h3>Objective</h3><div>To develop evidence-based recommendations for the screening, diagnosis, treatment, and follow-up of interstitial lung disease associated with systemic sclerosis (SSc-ILD) and rheumatoid arthritis (RA-ILD), applicable to current medical practice in Colombia.</div></div><div><h3>Methods</h3><div>A multidisciplinary team of rheumatologists, pulmonologists, and radiologists with expertise in interstitial lung diseases was convened by ASONEUMOCITO and Asoreuma to develop national clinical practice guidelines for SSc-ILD and RA-ILD. Using standardized processes for evidence review and appraisal, and following the GRADE methodology, recommendations were formulated based on the balance of benefits and risks, patient values and preferences, equity, and resource use.</div></div><div><h3>Results</h3><div>A total of 55 recommendations were developed for SSc-ILD and RA-ILD. These recommendations cover screening and diagnosis via clinical evaluation, pulmonary function tests, and high-resolution computed tomography (HRCT) of the chest. The first-line treatment for SSc-ILD includes immunosuppressive agents, while the first-line treatment for RA-ILD includes conventional synthetic disease-modifying antirheumatic drugs (csDMARDs). Depending on patient characteristics and prior treatment exposure, these may be followed by biological agents, JAK inhibitors, or antifibrotic therapies. Other interventions, such as lung or bone marrow transplantation, oxygen therapy, pulmonary rehabilitation, and palliative care, are considered in specific clinical scenarios. Regular follow-up is essential to detect disease progression and guide timely therapeutic decisions.</div></div><div><h3>Conclusions</h3><div>These guidelines—Colombia's first national recommendations for the management of SSc-ILD and RA-ILD—provide evidence-based guidance tailored to the country's healthcare context and available resources, aiming to promote comprehensive and high-quality care for patients affected by these conditions.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504841"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754196","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":"Rheumatologic ultrasound in neurologic diseases of the peripheral nerve","authors":"Catalina Sanmiguel-Reyes,&nbsp;Ruddy Paola Montoya Rumpf,&nbsp;María Paula Carrillo,&nbsp;Carol Anne Mayorga,&nbsp;Héctor Sierra,&nbsp;Sebastián Moreno,&nbsp;Ana Trujillo,&nbsp;Alejandro Escobar,&nbsp;Adriana Rojas-Villarraga,&nbsp;Jairo Cajamarca-Barón","doi":"10.1016/j.rcreu.2026.504874","DOIUrl":"10.1016/j.rcreu.2026.504874","url":null,"abstract":"<div><div>Ultrasonography (US) has become a pivotal tool in assessing peripheral nerve pathology, especially within the rheumatologic domain. Its ability to provide high-resolution, non-invasive imaging enhances diagnostic accuracy and guides therapeutic decisions in complex cases. This review synthesizes the applications, benefits, and limitations of ultrasound in the diagnosis and management of neurologic disorders affecting peripheral nerves in rheumatologic patients.</div><div>The main ultrasound findings in patients with peripheral nervous system involvement in rheumatic diseases are:<ul><li><span>-</span><span><div>Entrapment neuropathies: US effectively identifies characteristic changes such as increased cross-sectional areas and altered echogenicity in conditions like carpal tunnel and cubital tunnel syndromes, enabling early diagnosis and monitoring.</div></span></li><li><span>-</span><span><div>Inflammatory neuropathies: chronic inflammatory demyelinating polyneuropathy (CIDP) and anti-MAG antibody neuropathy demonstrate distinct ultrasonographic patterns, aiding differential diagnoses.</div></span></li><li><span>-</span><span><div>Trauma and neoplasms: ultrasound detects structural abnormalities such as nerve discontinuities, intraneural fibrosis, and nerve-associated tumors with high accuracy.</div></span></li></ul></div><div>US offers several advantages, including real-time dynamic assessments, cost-effectiveness, and non-invasiveness. However, its efficacy is highly dependent on operator expertise and may be limited in deeper nerve imaging.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504874"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754254","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.rcreu.2025.03.003","DOIUrl":"10.1016/j.rcreu.2025.03.003","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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754260","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":"Comite Editorial online","authors":"","doi":"10.1016/S0121-8123(26)00041-1","DOIUrl":"10.1016/S0121-8123(26)00041-1","url":null,"abstract":"","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504902"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754262","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.rcreu.2026.504870","DOIUrl":"10.1016/j.rcreu.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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754253","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":"Guía de Práctica Clínica multidisciplinaria para la osteoporosis en Colombia: recomendaciones basadas en la evidencia y adaptadas al contexto nacional","authors":"Geraldine Altamar-Canales ,&nbsp;Daniel G. Fernández-Ávila ,&nbsp;Miguel Ángel González-Reyes ,&nbsp;Francisco Bernardo Linares-Restrepo ,&nbsp;Adriana Medina-Orjuela ,&nbsp;Francisco Oscar Fernando Rosero-Olarte ,&nbsp;Javier Armando Velásquez-Mendoza ,&nbsp;Ximena Castro-Flórez ,&nbsp;Edgar Eduardo Castro-Osorio ,&nbsp;Monique Chalem ,&nbsp;Carlos Augusto Pérez-Niño ,&nbsp;Ariana Margarita Sierra-Osorio ,&nbsp;Regulo Andrés Vidal-Barragán ,&nbsp;Susan Martínez ,&nbsp;Linda Ibatá","doi":"10.1016/j.rcreu.2025.504840","DOIUrl":"10.1016/j.rcreu.2025.504840","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteoporosis is a skeletal disease characterized by low bone mineral density and deterioration of bone microarchitecture, which increases the risk of fractures. Between 2012 and 2018, 249,803 cases of osteoporosis were reported in individuals over 50 years of age in Colombia, with the incidence of fragility fractures doubling between 2015 and 2019. Despite its clinical and economic impact, over 80% of patients do not receive adequate treatment.</div></div><div><h3>Objective</h3><div>To develop an evidence-based clinical practice guideline (CPG) to improve the diagnosis, treatment, and follow-up of osteoporosis in Colombia, in order to patient care and the use of healthcare resources.</div></div><div><h3>Methods</h3><div>A multidisciplinary panel was assembled, including clinical specialists, guideline development experts, and patient representatives. Systematic reviews were conducted using electronic databases to build the evidence base, with methodological quality and certainty of evidence assessed using the GRADE approach. The evidence-to-decision framework was used to formulate 32 recommendations and 14 good practice points.</div></div><div><h3>Results</h3><div>The recommendations include diagnosis by bone densitometry and FRAX®, non-pharmacological treatment involving adequate nutrition, vitamin D, dietary and supplemental calcium as required, exercise, and fall prevention. These interventions are integrated with pharmacological treatment, which is selected based on fracture risk and the need for sequential therapy with bisphosphonates, denosumab, or osteoanabolic agents. The importance of a multidisciplinary approach, therapeutic adherence, and implementing fracture liaison services is emphasized.</div></div><div><h3>Conclusions</h3><div>Osteoporosis is an underdiagnosed and undertreated public health issue in Colombia. Implementing this CPG will help improve detection, optimize treatment, and reduce the associated disease burden.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504840"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754112","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":"Percepciones de mujeres con fibromialgia en España sobre el impacto de la pandemia de COVID-19 en su salud","authors":"Daniel Sanjuán-Sánchez ,&nbsp;Cristina Bravo ,&nbsp;Carolina Climent-Sanz ,&nbsp;Francesc Rubí-Carnacea ,&nbsp;Erica Briones-Vozmediano","doi":"10.1016/j.rcreu.2025.03.005","DOIUrl":"10.1016/j.rcreu.2025.03.005","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":37643,"journal":{"name":"Revista Colombiana de Reumatologia","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":"147754198","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":"Integración de las enfermedades huérfanas/raras (EHR) en los planes locales/territoriales de salud de Colombia: revisión sistemática exploratoria","authors":"Diego Andrés Vásquez Lesmes ,&nbsp;Lina María Acero Ruge ,&nbsp;Erwin Hernando Hernández Rincón ,&nbsp;Lina Paola Avella Pérez","doi":"10.1016/j.rcreu.2026.504862","DOIUrl":"10.1016/j.rcreu.2026.504862","url":null,"abstract":"<div><h3>Introduction</h3><div>Orphans/Rare diseases (ORD) in Colombia have a prevalence of 1 per 5000 persons. Globally, public policies have shown inefficacy. International efforts to raise awareness for these patients have progressed, but challenges persist in integrating them into local and territorial health plans in Colombia. Overcoming barriers in healthcare delivery and assessing the need for structural reforms are crucial.</div></div><div><h3>Objective</h3><div>To synthesize available evidence on the integration of ORD into local/territorial health plans in Colombia, providing a comprehensive view of the Colombian healthcare system in the global context.</div></div><div><h3>Methods</h3><div>An exploratory systematic review, known as a “Scoping Review,” was conducted in PubMed, Embase, Scopus, and grey literature from 2009 to 2024; 49 documents were selected for analysis.</div></div><div><h3>Results</h3><div>Of the evidence found, 20.5% (n<!--> <!-->=<!--> <!-->10) were primary studies, highlighting global public policies, and 79.5% (n<!--> <!-->=<!--> <!-->39) comprised grey literature; (n<!--> <!-->=<!--> <!-->8) discussed access barriers, health models, (n<!--> <!-->=<!--> <!-->31) addressed public policies with Colombian intervention pillars, and only (n<!--> <!-->=<!--> <!-->6) included local and territorial health plans in Colombia.</div></div><div><h3>Conclusions</h3><div>The information gathered shows that ORD pose significant challenges to healthcare systems due to their low prevalence and the lack of specific research and treatment. Despite regulatory efforts in Colombia, a comprehensive and coordinated approach is needed to effectively address these conditions.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 2","pages":"Article 504862"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754259","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":"Enfermedad relacionada con los implantes mamarios de silicona o síndrome de ASIA relacionado con los implantes mamarios: consenso de expertos","authors":"Andrés A. Hormaza-Jaramillo ,&nbsp;Damaris Romero Chamorro ,&nbsp;Yeison Santamaría Alza ,&nbsp;Alejandro Duque Restrepo ,&nbsp;David Enrique Guarín Sastre ,&nbsp;Jaime Eduardo Pachón Suárez ,&nbsp;María Isabel Cadena Ríos ,&nbsp;Diana Rocío Gil Calderón ,&nbsp;Daniel G. Fernández-Ávila ,&nbsp;Felipe Mesa Betancur ,&nbsp;Gloria María Vásquez D. ,&nbsp;Héctor Ernesto Barbosa Landínez ,&nbsp;Adriana Rojas-Villarraga","doi":"10.1016/j.rcreu.2025.04.004","DOIUrl":"10.1016/j.rcreu.2025.04.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast augmentation surgeries are very common, but in recent years there has been a growing interest in their possible relationship with the appearance of nonspecific symptoms and signs, as well as the development of autoimmune disorders. The lack of a consensus about the syndrome is a controversial issue for the scientific community and generates uncertainty among women with breast implants in Colombia.</div></div><div><h3>Objective</h3><div>To provide guidelines for the evaluation, approach, and follow-up of silicone breast implant-related disease, or ASIA syndrome, based on evidence and clinical expert opinion.</div></div><div><h3>Methods</h3><div>Experts from the Colombian Society of Rheumatology and the Colombian Society of Plastic Surgery and an independent methodological team developed a systematic literature review and consensus using a modified Delphi method.</div></div><div><h3>Results</h3><div>The evidence for an association between silicone breast implants and the development of symptoms, autoimmune or rheumatic diseases is limited, and a definitive causal relationship has not been demonstrated. The low certainty of the evidence is due to bias, study heterogeneity, and non-specific, self-reported symptoms. On this basis, 22 consensus statements were formulated, highlighting the importance of an individualized medical approach, comprehensive evaluation, and effective communication with patients about risks and expectations before implantation and explantation procedures.</div></div><div><h3>Conclusions</h3><div>Evaluation and therapeutic decisions in women with suspected silicone implant-associated disease should be based on available scientific evidence. Future research should explore the causality of the syndrome and improve disease characterization.</div></div>","PeriodicalId":37643,"journal":{"name":"Revista Colombiana de Reumatologia","volume":"33 1","pages":"Article 102186"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147409774","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}