Carpal Tunnel Syndrome Due to a Tophus: Low-field Magnetic Resonance Image
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): María Dolores Ruiz Montesino, Dolores Mendoza Mendoza (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Diffuse Large B-cell Lymphoma of the Lung in a Patient With Nonspecific Interstitial Pneumonia
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): Luis Gorospe Sarasúa, Paola Arrieta, Anabelle Chinea-Rodríguez, Carlos de la Puente-Bujidos (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Gout Mimicking Soft Tissue Tumor
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): Diego Páez Granda, María Dolores Abellán Rivero, Angela Cepero Calvache, Nuria Lozano Rivas (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Chikungunya-related Erosive Arthritis: Case Report and Literature Review
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): Francisco Castro-Domínguez, Tarek Carlos Salman-Monte, Fabiola Ojeda, Patricia Corzo, Irene Carrión-Barberá, Ivan Camilo Garcia-Duitama, Jordi MonfortAbstractChikungunya virus infection (CHIKV) is associated with joint involvement in half of the cases. This can lead to erosive arthritis which, given the high intervariability of clinical and serological presentations, and the probable role of genetic conditioning in the severity and chronification of the condition, represents a great...
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Pulmonary Sarcoidosis Mimicking Tuberculosis: Importance of the Galaxy Sign on Thoracic Computed Tomography
We present the case of a patient with sarcoidosis that was initially misdiagnosed as tuberculosis, in whom the galaxy sign on CT was useful as it suggested the correct diagnosis.ResumenLa sarcoidosis y la tuberculosis son 2 enfermedades granulomatosas frecuentes que comparten presentaciones clínicas y radiológicas. Entre los signos radiológicos característicos de sarcoidosis pulmonar descritos recientemente en la tomografía computarizada de tórax destaca el signo de la «galaxia». Presentamos un caso de sarcoidosis que inicialmente fue confundido con una tuberculosis en ...
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Joint Prosthesis Infection by Streptococcus mutans
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): Mónica Parra-Grande, Pedro Hernández-Ros, Ivan Prats-Sánchez, Pilar López-García (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

The Systemic Sclerosis Questionnaire (SySQ): Validation of the Translation of the Original German Version Into Spanish and Its Relationship to the Disease and to Quality of Life
Publication date: Available online 29 November 2018Source: Reumatología Clínica (English Edition)Author(s): Maria Pilar Cruz-Domínguez, Moisés Casarrubias-Ramírez, Victor Gasca-Martínez, Cindy Maldonado García, Rosa Angélica Carranza-Muleiro, Gabriela Medina, Grettel García-Collinot, Daniel Hector Montes-CortesAbstractObjectiveTranslation, transculturation and validity of the self-administered questionnaire for functionality (Systemic Sclerosis Questionnaires [SySQ]) for use in Spanish patients with systemic sclerosis and its relationship to the severity of the...
Source: Reumatologia Clinica - November 30, 2018 Category: Rheumatology Source Type: research

Recommendations for the Prescription of Physical Exercise for Patients With Spondyloarthritis
ConclusionsWe present recommendations on when and how to prescribe and monitor exercise in patients with SpA based on the opinion of experts in exercise and in SpA. We must now test whether these recommendations are useful for clinical practice and have an effect on patients with SpA seen by rheumatologists.ResumenObjetivosDesarrollar recomendaciones sobre la actividad física y el ejercicio para pacientes con espondiloartritis (EspA) basadas en la opinión de expertos.MétodosDos grupos de expertos, uno de fisioterapeutas, rehabilitadores y profesionales de la actividad física y deporte y otro de ...
Source: Reumatologia Clinica - November 29, 2018 Category: Rheumatology Source Type: research

Chronic Arthritis in Chikungunya Virus Infection
ConclusionIn the differential diagnosis of chronic polyarthritis, Chikungunya virus disease should also be considered in areas in which it is not endemic.ResumenIntroducciónLa infección por virus de Chikunguña ocasiona artralgias y artritis en la fase aguda de la enfermedad, pero en más de la mitad de los casos las manifestaciones musculoesqueléticas pueden prolongarse en el tiempo y en algunos casos se hacen crónicas. Aunque la poliartralgia es la manifestación crónica más frecuente, también son comunes las formas con poliartritis, tenosinovitis y entes...
Source: Reumatologia Clinica - November 23, 2018 Category: Rheumatology Source Type: research

Myofibroblastic Sarcoma of the Trapezius Muscle
Publication date: Available online 9 November 2018Source: Reumatología Clínica (English Edition)Author(s): Carlos Antonio Guillen Astete, Carmen Larena Grijalva (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 11, 2018 Category: Rheumatology Source Type: research

Renal Transplantation in Systemic Lupus Erythematosus: Comparison of Graft Survival With Other Causes of End-stage Renal Disease
ConclusionsRenal graft survival in SLE patients did not differ from that reported for other causes of ESRD.ResumenIntroducciónLa enfermedad renal terminal (ERT) por nefritis lúpica (NL) se presenta en el 10-30% de los pacientes. Inicialmente, el lupus eritematoso sistémico (LES) fue una contraindicación para el trasplante renal (TR). En la actualidad, la supervivencia del injerto a largo plazo sigue siendo motivo de controversia. El objetivo del estudio fue comparar la supervivencia del TR en los sujetos con LES con otras causas de ERT.MétodosSe incluyó a todos los pacientes con TR...
Source: Reumatologia Clinica - November 11, 2018 Category: Rheumatology Source Type: research

Primary Sjögren's Syndrome and Pregnancy: A Report of 18 Cases
ConclusionsAlmost half of the pregnancies assessed in women with pSS were associated with complications not attributable to factors other than the disease.ResumenEl síndrome de Sjögren primario (SSp) afecta preferentemente al sexo femenino. Los informes sobre la evolución de los embarazos en estas pacientes son pocos y contradictorios.ObjetivoDescribir las características del embarazo y su desenlace en mujeres con SSp, así como la morbilidad del recién nacido.Material y métodosSe incluyeron pacientes con SSp que quedaron embarazadas luego del comienzo de los síntomas de...
Source: Reumatologia Clinica - November 11, 2018 Category: Rheumatology Source Type: research

Radiological Findings in Autosomal Recessive Infantile Osteopetrosis
Publication date: Available online 10 November 2018Source: Reumatología Clínica (English Edition)Author(s): Cristina Gómez Varela, Iria Couto Rodríguez, María Dolores Durán Vila (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 11, 2018 Category: Rheumatology Source Type: research

Double Cervical Rib: A Case Report
Publication date: Available online 6 November 2018Source: Reumatología Clínica (English Edition)Author(s): Nahia Plaza Aulestia, Sergio Rodríguez Montero, María Luisa Velloso Feijoo (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - November 7, 2018 Category: Rheumatology Source Type: research

Severity Indices in Rheumatoid Arthritis: A Systematic Review
ConclusionThere is no index to assess the severity of RA based on the course of the first 2 years of follow-up that is adapted to the current strategy of therapeutic management of this disease. Therefore, we believe it is reasonable to develop a new ad hoc severity index for patients with early arthritis.ResumenObjetivoIdentificar herramientas diseñadas para evaluar la gravedad global de los pacientes con artritis reumatoide (AR) para su uso en la investigación de marcadores pronósticos de artritis precoz.MétodosRevisión sistemática de estudios cuyo objetivo fuera el desarrollo o v...
Source: Reumatologia Clinica - November 7, 2018 Category: Rheumatology Source Type: research

Phlebectasia in a Finger in a Case of Microscopic Polyangiitis With Peripheral Polyneuropathy
Publication date: Available online 6 November 2018Source: Reumatología Clínica (English Edition)Author(s): Jorge Julio Badía Flores, Federico G. Arévalo MartínezAbstractThe patient was a 56-year-old man with microscopic polyangiitis and symmetrical peripheral polyneuropathy of the extremities who was positive for p-ANCA, EMG pattern of mononeuritis multiplex and skin biopsy showing the presence of nonspecific vasculitis. He had phlebectasia with plethora and tortuous vessels on dorsum of the fingers on both hands, paresis and hypoesthesia of fingers and toes with functional limitations. T...
Source: Reumatologia Clinica - November 7, 2018 Category: Rheumatology Source Type: research

A Composite Indicator to Assess the Quality of Care in the Management of Patients With Rheumatoid Arthritis in Outpatient Rheumatology Clinics
ConclusionsThe constructed CI allows us to evaluate the quality of care of patients with RA following the T2T strategy in the rheumatology units of Spanish hospitals, offering a valid and easily interpretable summary measure.ResumenObjetivoEl paradigma actual en el tratamiento de la artritis reumatoide (AR) contempla el diagnóstico temprano y el uso precoz de fármacos modificadores de enfermedad (FAME) para alcanzar la remisión o baja actividad inflamatoria, lo cual, se conoce como «treat to target» (T2T). El objetivo del trabajo es desarrollar un indicador compuesto (IC) para evaluar la ca...
Source: Reumatologia Clinica - November 7, 2018 Category: Rheumatology Source Type: research

Noninfective Endocarditis in Microscopic Polyangiitis: Report of a Case With a Successful Response to Immunosuppressive Therapy
We report the case of a 38-year-old woman with ANCA-associated vasculitis who was diagnosed with valve vegetation, that resolved with immunosuppressive therapy.ResumenAunque las vasculitis asociadas a ANCA tienen manifestaciones clínicas diversas, la afección valvular es infrecuente, especialmente en el contexto de una poliangeítis microscópica. Reportamos el caso de una mujer de 38 años con vasculitis ANCA con características clínicas de poliangeítis microscópica y anticuerpos anti-mieloperoxidasa positivos (MPO), que presentó una masa vegetante en la v...
Source: Reumatologia Clinica - November 7, 2018 Category: Rheumatology Source Type: research

Neither the anti-nuclear antibodies nor the anti-extractable nuclear antigens Are What They Used to Be. A Future Change of Nomenclature
Publication date: November–December 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 6Author(s): Diana Hernández-Flórez, Lara Valor (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 31, 2018 Category: Rheumatology Source Type: research

Quality of life and functional capacity in patients with rheumatoid arthritis • Cross-sectional study
Publication date: November–December 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 6Author(s): Diana Rosa-Gonçalves, Miguel Bernardes, Lúcia CostaAbstractObjectivesTo analyze the Health related Quality of Life (HRQoL) and physical function in rheumatoid arthritis (RA) patients and compare it with the general population. We also intended to analyze about disease activity influence in HRQoL and functional capacity, as well as determine potential determinants for these outcomes.Material and methodsA cross-sectional study was conducted in RA patients from a university hos...
Source: Reumatologia Clinica - October 31, 2018 Category: Rheumatology Source Type: research

Erratum “Status of Rheumatology in Spain in 2017: 2.0 Rheumatologists per 100,000 Population” [Reumatol Clin. 2018;14(5):311-316]
Publication date: November–December 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 6Author(s): Carlos Sanchez-Piedra, Beatriz Yoldi, Marta Valero, José Luis Andreu, Federico Díaz-González, Juan Jesús Gómez-Reino (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 31, 2018 Category: Rheumatology Source Type: research

What Role Does Rheumatoid Arthritis Disease Activity Have in Cardiovascular Risk?
ConclusionsAlthough there was an acceptable correlation between the presence of subclinical atherosclerosis and SCOREM, there was a considerable proportion of atheromatous plaques in low-risk patients. Disease activity was the risk factor most closely associated with increased CVR.ResumenLa artritis reumatoide (AR) presenta una mortalidad de 1,3 a 3 veces superior a la población general; la principal causa de muerte son las complicaciones cardiovasculares (40-50%). En el abordaje inicial se debe incluir la valoración del riesgo cardiovascular (RCV) mediante algoritmos adaptados para esta población. Si ...
Source: Reumatologia Clinica - October 31, 2018 Category: Rheumatology Source Type: research

Prevalence of Rheumatic Diseases in Adult Population in Spain (EPISER 2016 Study): Aims and Methodology
ConclusionsSociodemographic and lifestyle changes over the last 16 years justify EPISER 2016. This study will provide current data about the prevalences of RA, AS, PsA, SLE, SS, osteoarthritis, fibromyalgia, gout and clinical osteoporotic fracture. The results will allow comparisons with studies from other countries and EPISER 2000.ResumenObjetivosDescribir la metodología del estudio de prevalencia de las enfermedades reumáticas en la población adulta en España, EPISER 2016, así como sus fortalezas y limitaciones. El objetivo del proyecto es estimar la prevalencia de artritis reumatoide (...
Source: Reumatologia Clinica - October 29, 2018 Category: Rheumatology Source Type: research

Myositis as the Initial Presentation of Panarteritis Nodosa
Publication date: Available online 24 October 2018Source: Reumatología Clínica (English Edition)Author(s): Romina Calvo, Melina Negri, Alberto Ortiz, Susana Roverano, Sergio PairaAbstractA 47-year-old man presented with weight loss, bilateral calf pain, fever, hypertension, orchitis and oligoarthritis. Lab tests: anemia and elevated muscle enzymes. Resonance magnetic imaging: hyperintensity in gastrocnemius muscles (myositis). Histologic exam of the muscles: inflammatory infiltrate with atrophy and perifascicular regeneration. Treatment: methylprednisone (bolus) and cyclophosphamide. Muscle pain and swelling ...
Source: Reumatologia Clinica - October 25, 2018 Category: Rheumatology Source Type: research

Neurological Manifestations of Behçet's Disease: Case Report and Literature Review
We report the case of a 32-year-old patient with a history of deep venous thrombosis, who was being treated for holocranial headache, apathy, and oral and genital ulcers. Brain magnetic resonance imaging showed hyperintense lesions in the basal ganglia and white matter, and the vascular study evidenced venous thrombosis of the left transverse sinus. After confirming the diagnosis of Behçet's disease with parenchymal and nonparenchymal cerebral involvement, immunosuppressive and corticosteroid therapy was started, resulting in the remission of the symptoms.ResumenLa afectación neurológica en la enfermed...
Source: Reumatologia Clinica - October 18, 2018 Category: Rheumatology Source Type: research

Osteoarticular Infections Caused by Streptococcus pneumoniae Since Authorization of Conjugate Vaccines
Publication date: Available online 17 October 2018Source: Reumatología Clínica (English Edition)Author(s): María Arrizabalaga, Yolanda Borjas, María Peñaranda, Margarita Garau, Enrique Ruíz de Gopegui, Antoni Payeras (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 18, 2018 Category: Rheumatology Source Type: research

Periodic Fever: From Still's Disease to Muckle-Wells Syndrome
We report the case of a patient with this rare disease to call the attention to the singularity of this condition, its low incidence, its atypical presentation and the subsequent delay in the diagnosis, which is reached when late and devastating consequences have taken place.In this case, the first-line therapy, anti-interleukin 1 (IL-1), failed to control the disease. Nevertheless, the IL-6 inhibitor, tocilizumab, proved effective, achieving the total remission of nephrotic syndrome associated with AA secondary amyloidosis, changing the bleak prognosis of this disease.ResumenEl síndrome de Muckle-Wells es una enfer...
Source: Reumatologia Clinica - October 18, 2018 Category: Rheumatology Source Type: research

Communication Skills in Candidates for Accreditation in Rheumatology Are Correlated With Candidate's Performance in the Objective Structured Clinical Examination
ConclusionsCS assessed during a national accreditation process correlated with the candidate's performance at the station level and with the overall OSCE.ResumenIntroducciónEl Consejo Mexicano de Reumatología certifica anualmente reumatólogos mediante una prueba teórica y un examen clínico objetivo estructurado (ECOE). Desde el año 2015, se evalúan las habilidades de comunicación (HC) de los candidatos. Los objetivos fueron comparar las HC evaluadas por el paciente (HCP) y por el médico (HCM) y correlacionarlas con el desempeño de los candidatos en el EC...
Source: Reumatologia Clinica - October 17, 2018 Category: Rheumatology Source Type: research

Tjalma Syndrome (Pseudo-pseudo Meigs’) as Initial Manifestation of Juvenile-onset Systemic Lupus Erythematosus
We report the first case in a 14-year old patient who presented with ascites and pleural effusion refractory to treatment and elevated CA-125, in the absence of an ovarian tumor, that warranted aggressive management.ResumenEl síndrome de Tjalma o pseudo-pseudo Meigs es una entidad clínica que se presenta con derrame pleural, ascitis y elevación de CA-125 sin asociación a tumor ovárico benigno o maligno en un paciente con lupus eritematoso sistémico (LES). Tjalma describió el primer caso de un paciente con LES, ascitis, derrame pleural y elevación de CA-125. Presentamo...
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Tophaceous Gout of the Shoulder Joint
Publication date: Available online 4 October 2018Source: Reumatología Clínica (English Edition)Author(s): Ana María Tierra Rodriguez, Lucía Pantoja Zarza, Pelayo Brañanova López, Carolina Diez Morrondo (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Myositis Ossificans in Elbow Mimicking Soft Tissue Sarcoma: Similar Clinical and Radiological Findings
Publication date: Available online 4 October 2018Source: Reumatología Clínica (English Edition)Author(s): Elena Espinosa Muñoz, Diego Ramírez Ocaña, Ana María Martín García, Carmen Puentes Zarzuela (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Diagnosis of Relapsing Polychondritis in a Patient With Chronic Cough and Without Nasal or Auricular Chondritis
Publication date: Available online 5 October 2018Source: Reumatología Clínica (English Edition)Author(s): Luis Gorospe Sarasúa, Deisy Barrios-Barreto, Ismael Said-Criado, Carlos de la Puente-Bujidos (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Asymptomatic Bilateral Central Pulmonary Embolism Following Multiple Cement Vertebroplasties
Publication date: Available online 5 October 2018Source: Reumatología Clínica (English Edition)Author(s): Luis Gorospe Sarasúa, Paola Arrieta, Deisy Barrios-Barreto, Carlos de la Puente-Bujido (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Subcutaneous Edema in Juvenile Dermatomyositis
Publication date: Available online 5 October 2018Source: Reumatología Clínica (English Edition)Author(s): Alfonso Ragnar Torres Jiménez, Eunice Solís-Vallejo, Adriana Ivonne Céspedes-Cruz, Magdalena Sánchez-Uribe (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Retroperitoneal Fibrosis Associated With Immunoglobulin G4-related Disease in the Differential Diagnosis in Retroperitoneal Tumours. Case Report
Publication date: Available online 5 October 2018Source: Reumatología Clínica (English Edition)Author(s): Gabriela Ruiz Mar, Óscar E. Cárdenas Serrano, Jorge Roldan García, Abraham Cañavera-Constantino, Víctor M. Menéndez Trejo, Óscar Chapa AzuelaAbstractThe patient was a 55-year-old woman with a 4-month history of pain in left flank that irradiated to the lumbar region. Computed tomography revealed a cystic tumor in the retroperitoneal region that compresses the ureter and left renal pelvis in contact with pancreatic body and tail. Surgery was performed and th...
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Osteoarthritis and Atherosclerosis in Joint Disease
Publication date: September–October 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 5Author(s): Francisco J. Blanco (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Clinical significance of fibromyalgia syndrome in different rheumatic diseases: Relation to disease activity and quality of life
ConclusionFibromyalgia syndrome is more frequent in rheumatic diseases, could be related to the disease activity in RA and BD patients and to thrombosis in SLE and affected the QoL in RA.ResumenObjetivoDescribir las frecuencias del síndrome de fibromialgia (SFM) en los pacientes de diversas enfermedades reumáticas; artritis reumatoide (AR), lupus eritematoso sistémico (LES), esclerosis sistémica (ES) y enfermedad de Behçet (EB), y estudiar su relación con las manifestaciones clínicas y la calidad de vida (CV).Pacientes y métodosSe incluyó en el estudio a 160 pa...
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Median nerve ultrasound findings in systemic sclerosis patients: How do they relate to clinical features of the disease?
Publication date: September–October 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 5Author(s): Joana Sousa-Neves, Marcos Cerqueira, Carmo Afonso, Filipa Teixeira (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Rice Bodies in Tuberculous Tenosynovitis of Wrist
Publication date: September–October 2018Source: Reumatología Clínica (English Edition), Volume 14, Issue 5Author(s): Latika Gupta, Vikas Gupta, Tushant Kumar (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

A Case Report of Granulomatosis With Polyangiitis With Granulomas in Bone Marrow
Publication date: Available online 25 September 2018Source: Reumatología Clínica (English Edition)Author(s): Isabel de la Cámara Fernández, Fernando Lozano Morillo, Luis Morillas López, Mario Martínez López (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Non-Hodgkin's Lymphoma and Atypical Neck Pain: A Case Report
We report the case of a patient who had a 1-month history of neck pain. The main symptom was pain on palpation of C2–C6 cervical spinous processes and contracture of the trapezius muscle that did not cease with conventional treatment. Imaging studies indicated an abnormality. He underwent surgery and the results of vertebral biopsy were compatible with diffuse large B-cell lymphoma. He was treated with radiotherapy with a good outcome.ResumenLa cervicalgia es un motivo de consulta muy frecuente en la consulta médica. Se sabe que al menos un 15% de la población activa y hasta el 40% de los profesionales ...
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Recommendations by the Spanish Society of Rheumatology on the Use of Biological Therapies in Axial Spondyloarthritis
ConclusionsWe present an update of the SER recommendations for the use of biological therapy in patients with axSpA.ResumenObjetivoLa aparición de nueva información sobre las terapias biológicas en la espondiloartritis axial (EspAax) ha impulsado una nueva revisión de las recomendaciones de la Sociedad Española de Reumatología (SER) basadas en la mejor evidencia posible. Estas nuevas recomendaciones pueden servir de referencia para reumatólogos implicados en el tratamiento de estos pacientes.MétodosSe creó un panel formado por nueve reumatólogos expertos...
Source: Reumatologia Clinica - October 5, 2018 Category: Rheumatology Source Type: research

Diffuse Idiopathic Skeletal Hyperostosis: Can We Identify a Peripheral Pattern?
We present 3 patients in which a diagnosis of diffuse idiopathic skeletal hyperostosis could not be established if we apply those criteria, but they have fully compatible clinical and radiological manifestations of hyperostotic disease.ResumenLa hiperostosis esquelética difusa idiopática es una enfermedad caracterizada por la osificación de ligamentos vertebrales y de entesis periféricas. Actualmente, siguen utilizándose los criterios clasificatorios clásicos que se basan en hallazgos radiológicos vertebrales, pero que no incluyen otras manifestaciones clinicopatológi...
Source: Reumatologia Clinica - September 21, 2018 Category: Rheumatology Source Type: research

Ultrasonography as a Diagnostic and Monitoring Tool for the Tendon Xanthomas in Familial Hypercholesterolemia
Publication date: Available online 20 September 2018Source: Reumatología Clínica (English Edition)Author(s): Delia Reina, Carlos Jericó, Paula Estrada, Vanesa Navarro, Vicenç Torrente, Pedro Armario, Hèctor Corominas (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 21, 2018 Category: Rheumatology Source Type: research

Use of Immunomodulatory Drugs at a Uveitis Clinic
Publication date: Available online 20 September 2018Source: Reumatología Clínica (English Edition)Author(s): Claudia Millán-Longo, Diana Peiteado, Armelle Schlincker, Ventura Hidalgo, Amara Pieren, Alejandro Balsa, Eugenio de MiguelAbstractObjectiveThe treatment of noninfectious uveitis includes steroids and immunomodulatory drugs, the use of which has increased in the last few years, and the options have been enriched with the development of new treatments. However, clear therapeutic guidelines and protocols have not been developed. The purpose is to analyse the response to the drugs used and the char...
Source: Reumatologia Clinica - September 21, 2018 Category: Rheumatology Source Type: research

Single-photon Emission Computed Tomography in the Diagnosis of a Case of Forestier's Disease
Publication date: Available online 19 September 2018Source: Reumatología Clínica (English Edition)Author(s): María Isabel Morales Lozano, Enrique Ornilla, Lidia Sancho, Edgar Fernando Guillén (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 20, 2018 Category: Rheumatology Source Type: research

Acute Tubulointerstitial Nephritis in an HLA-B27-positive Patient With Axial Spondyloarthritis Being Treated With Adalimumab
We report a case of acute nongranulomatous tubulointerstitial nephritis in an HLA-B27-positive patient with axial spondyloarthritis and Crohn's disease being treated with adalimumab.ResumenLos antagonistas del factor de necrosis tumoral-alfa (ATNF) se utilizan en el tratamiento de múltiples enfermedades, como artritis psoriásica, enfermedad de Crohn, espondilitis anquilosante, artritis idiopática juvenil, generalmente, cuando son refractarias al tratamiento de primera línea.1 La utilización de los ATNF se ha asociado con la inducción de enfermedades autoinmunes, como lupus eritemat...
Source: Reumatologia Clinica - September 20, 2018 Category: Rheumatology Source Type: research

Recurrent Multifocal Osteomyelitis in Children: Experience in a Tertiary Care Center
ConclusionsWhen CNBO is refractory to treatment with anti-inflammatory drugs, intravenous pamidronate can be an alternative. Anti-TNF drugs can be considered in patients who fail with pamidronate, as can agents associated with other autoimmune conditions.ResumenIntroducciónLa osteomielitis multifocal crónica recurrente es una inflamación ósea aséptica poco frecuente en pediatría cuyo abordaje y tratamiento no está estandarizado.MétodosEstudio descriptivo retrospectivo de menores de 14 años a quienes se diagnosticó osteomielitis crónica no bacteria...
Source: Reumatologia Clinica - September 20, 2018 Category: Rheumatology Source Type: research

Analysis of Effectiveness, Safety and Optimization of Tocilizumab in a Cohort of Patients With Rheumatoid Arthritis in Clinical Practice
ConclusionsTocilizumab appears to be effective and safe in RA in clinical practice. The optimised regimen appears to be effective in most patients in remission, even when they change from IV to SC.ResumenObjetivoEvaluar la efectividad y la seguridad de tocilizumab (TCZ) en pacientes con artritis reumatoide (AR) en práctica clínica; la optimización de dosis y el cambio de formulación intravenosa (iv) a subcutánea (sc).Material y métodosEstudio observacional retrospectivo. Se incluyó a 53 pacientes con AR tratados con TCZ. El desenlace principal fue efectividad de TCZ en la se...
Source: Reumatologia Clinica - September 20, 2018 Category: Rheumatology Source Type: research

After Failure With Acenocoumarol, Rivaroxaban in Antiphospholipid Syndrome: A Report of 2 Cases
We present two cases in which the use of rivaroxaban achieved control of the disease after the failure of acenocoumarol.ResumenEl síndrome antifosfolipídico se caracteriza por abortos o fenómenos trombóticos asociado a anticuerpos específicos. El tratamiento se basa en la anticoagulación con los antagonistas de la vitamina K. Presentamos 2 casos en los que el empleo del rivaroxabán ha logrado controlar la enfermedad tras su fracaso con acenocumarol. (Source: Reumatologia Clinica)
Source: Reumatologia Clinica - September 20, 2018 Category: Rheumatology Source Type: research