2012, Number 19
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Rev Cub de Reu 2012; 14 (19)
Lupus of late start. Case presentation
Hernández MY, Brizuelas AL, Hernández TC
Language: Spanish
References: 38
Page:
PDF size: 125.29 Kb.
ABSTRACT
Systemic lupus erythematosus is an autoimmune systemic illness, characterized by the production of self-antiantibodies and a diversity of clinical manifestations. Some evidences suggest that the patients that suffer this illness can be divided in subgroups more homogeneous; the race, the sex, the age to the diagnostic and the profile of self-antiantibodies are modifier factors of his course and prognosis; when they associate him besides clinical demonstrations particular, can determine special subgroups of this entity. It presents a patient of 62 years old with a prolonged feverish syndrome, associated to a general syndrome expressed by loss of weight, asthenia and anorexia, that was admitted in the Rheumatology National Centre on 24 January of the 2010, for study of inflammatory illness of the connective tissue, diagnosing to the discharge like a systemic lupus erythematosus of late start.
REFERENCES
Alarcón Segovia D. Tratado hispanoamericano de Reumatología, volumen II, Editorial Nomos S.A. Bogotá, 2006: 755.
Michet CJ, McKenna CH, Elveback LR et al. Epidemiology of systemic lupus erythematosus and other connective tissue diseases in Rochester, Minnesota, 1950 through 1979. Mayo Clin Proc. 1985;60:105-13.
Jonsson H, Nived O, Sturfelt G, Silman A. Estimating the incidence of systemic lupus erythematosus in a defined population using multiple sources of retrieval. Br J Rheumatol. 1990; 29:185-8.
Boddaert J, Huong D, Amoura Z, Wechsler B, Godeau P, Piette JC. Late-onset systemic lupus erythematosus: a personal series of 47 patients and pooled analysis of 714 cases in the literatura. Medicine. 2004; 83: 348-59.
Cooper GS, Dooley MA, Treadwell EL et al. Risk factors for development of systemic lupus erythematosus: allergies, infections, and family history. J Clin Epidemiol. 2002; 55: 982-9.
Romero-Díaz J, Martín-Domenech R, Sánchez-Guerrero J. Differences in damage accrual between male and female patients with systemic lupus erythematosus. Arthritis Rheum. 2002; 46: 264.
Molina JF, Drenkard C, Molina J et al. Systemic lupus erythematosus in males. A study of 107 Latin American patients. Medicine. 1996; 75: 124-30.
Guibert Toledano M, Reyes Llerena G, Hernández Martínez A, Torres Carballeira R. Medición de actividad Lúpica en pacientes portadores de Lupus Eritematoso Sistémico. Rev. Cubana de Reumatol. 2000; II (1): 4- 11.
Estévez del Toro Miguel, Chico Capote Araceli, Jiménez Paneque Rosa, Marin Gil José Miguel, Castell Pérez Concepción, Kokuina Elena. Supervivencia en pacientes cubanos con lupus eritematoso sistémico, influencia de las características iniciales de la enfermedad. Rev cubana med. 2008; 47(3).
Guibert Toledano M, Reyes Llerena G, López Cabreja G, González Otero Z, Betancourt Herrera L. Índice de daño en el Lupus Eritematoso Sistémico (slicc/acr). Su análisis en pacientes cubanos; 1997-1998. Rev. Cubana de Reumatol. 2000; II (1): 45- 8.
Estévez del Toro Miguel, Chico Capote Araceli, Hechavarría Rafael, Jiménez Paneque Rosa, Kokuina Elena. Daño en pacientes cubanos con lupus eritematoso sistémico. Relación con características de la enfermedad. Reumatol Clin. 2010; 06: 11- 5.
Guibert Toledano M, Reyes Llerena G, Hernández Martínez A, López Cabreja G, Torres Moya R. Lupus Neuropsiquiátrico. Resultados y experiencias de diez años de trabajo en Servicio Nacional de Reumatología. Rev. Cubana de Reumatol. 1999; I (1): 10- 14.
Guibert Toledano M, Reyes Llerena G, López Aguilera IR, López Mantecón AM, García Estiven A, Izquierdo González M, Junco V. Mecanismos patogénicos, actividad y daño en la enfermedad renal por lupus eritematoso sistémico. Rev. Cubana de Reumatol. 2006; VIII (9 y 10): 52- 64.
Estévez del Toro Miguel, Chico Capote Araceli, Sánchez Bruzón Yeniset, Gutiérrez Rojas Ángela, Chong López Agustín. Factores predictores de la respuesta a la terapia de inducción con ciclofosfamida en nefritis lúpica proliferativa. Rev cubana med. 2007; 46 (2).
Catoggio L, Skinner RP, Smith G, Maddison PJ. Systemic lupus erythematosus in the elderly: clinical and serological characteristics. J Rheumatol. 1984; 11: 175-81.
Tan EM, Cohen AS, Fries J. et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982; 25:1271-7.
Baker SB, Rovira JR, Campion EW, Mills JA. Late onset systemic lupus erythematosus. Am J Med. 1979; 66: 727- 32.
Bertoli AM, Alarcón GS, Calvo-Alén J, Fernández M, Vilá LM, Reveille JD. Systemic lupus erythematosus in a multiethnic US cohort. Arthritis Rheum. 2006; 54: 1580- 87.
Ho C, Mok C, Lau C, Wong R. Late onset systemic lupus erythematosus in southern Chinese. Ann Rheum Dis. 1998; 57: 437- 40.
Padovan M, Govoni M, Castellano G, Rizzo N, Fontinidi M, Trotta F. Late onset systemic lupus erythematosus: no substancial differences using different cut-off ages. Rheumatol Int. 2007; 27: 735- 41.
Gaviria LM, Rodelo JR, Uribe O, Vásquez G, Ramírez LA. Características clínicas y serológicas de los pacientes con LES de inicio tardío en una población colombiana. Rev Colombiana de Reumatol. 2007; 14: 23-31.
González Naranjo LA, Ramírez Gómez LA. Lupus eritematoso sistémico de inicio tardío. Rev Colombiana de Reumatol. 2008; 15(3): 24- 32.
Foad BS, Sheon RP, Kirsner AB. Systemic lupus erythematosus in the elderly. Arch Intern Med. 1972; 130: 743- 46.
Koh ET, Boey ML. Late onset lupus: a clinical and immunological study in a predominantly Chinese population. J Rheumatol 1994; 21: 1463- 67.
Formiga F, Moga I, Pac M, Mitjavila F, Rivera A, Pujol R. Mild presentation of systemic lupus erythematosus in elderly patients assessed by SLEDAI. Lupus. 1999; 8: 462- 65.
Voulgari PV, Katsimbri P, Alamanos Y, Drosos AA. Gender and age differences in systemic lupus erythematosus. A study of 489 Greek patients with a review of the literature. Lupus. 2002; 11: 722- 29.
Ballou SP, Khan MA, Kushner I. Clinical features of systemic lupus erythematosus. Arthritis Rheum. 1982; 25: 55- 60.
Ward MM, Polisson RP. A meta-analysis of the clinical manifestations of older-onset systemic lupus erythematosus. Arthritis Rheum. 1989; 32: 1226- 32.
Pu SJ, Luo SF, Wu YIJ, Cheng HS, Ho HH. The clinical features and prognosis of lupus with disease onset at age 65 and older. Lupus. 2000; 9: 96-100.
Gaviria LM, Rodelo J, Ramírez LA. Late onset systemic lupus erythematosus: clinical, immunological and serological features between subgroups. Ann Rheum Dis. 2008; 67 (suppl II): 485.
Domenech I, Aydintug R, Cervera R, Khamashta M, Jedryka-Goral A, Vianna JL, Hughes GR. Systemic lupus erythematosus in 50 year olds. Postgrad Med J. 1992; 68: 440- 44.
Hochberg MC, Florsheim F, Scott J et al. Familial aggregation of systemic lupus erythematosus. Am J Epidemiol. 1985; 122: 526-31.
Lawrence JS, Martins L, Drake G. A family survey of lupus erythematosus: I. Heritability. J Rheumatol. 1987; 14: 913- 21.
Guibert Toledano M, López Mantecón AM, Reyes Llerena G, Hernández Martínez A, Molinero Rodríguez C, Sotolongo García Y, Valladares Oliva. C. Realidad, Incertidumbre y Reflexiones: Lupus Neuropsiquiátrico; presentación y discusión de 3 casos. Rev. Cubana de Reumatol. 2002; IV (2): 22- 9
Hochberg MC. The incidence of systemic lupus erythematosus in Baltimore, Maryland, 1970-1977. Arthritis Rheum. 1985; 28: 80- 6.
Maddison PJ. Systemic lupus erythematosus in the elderly. J Rheumatol. 1987; 14: 182- 87.
Cervera R, Khamashta MA, Font J, Sebastiani GD, Gil A, Lavilla P, Doménech I, Aydintug AO, Jedryka-Góral A, de Ramón E, et al. Systemic lupus erythematosus: clinical and immunologic patterns of disease expression in a cohort of 1,000 patients. The European Working Party on Systemic Lupus Erythematosus. Medicine. 1993; 72: 113- 24.
Font J, Pallarés L, Cervera R, López-Soto A, Navarro M, Bosch X, Ingelmo M. Systemic lupus erythematosus in the elderly: clinical and immunological characteristics. Ann Rheum Dis. 1991; 50: 702- 05.