Lupus neuropsiquiátrico. Resultados y experiencias de diez años de trabajo en el Servicio Nacional de Reumatología
Keywords:
lupus neuropsiquiátrico, disfunción del SNCAbstract
Se pesquisaron las manifestaciones neuropsiquiátricas a partir de los pacientes hospitalizados con el diagnóstico de lupus eritematoso sistémico en el SNR y en el período comprendido entre 1988-1989.
Hicimos un estudio retrospectivo-prospectivo y comparativo del comportamiento de las manifestaciones NS en nuestro medio con el objetivo de: 1ro- Relacionar nuestros resultados con la experiencia publicada por otros autores en el área internacional, 2do- Meditar acerca de nuestro pensamiento ante estos casos teniendo en cuenta Ia literatura actualizada. Se realiza un análisis de cada manifestación clínica independiente sufrida OE nuestros pacientes. De 454 casos con LES hospitalizados, 45(9.9%) tuvieron disfunción neurológica o psiquiátrica y de ellos, el 95.5 % correspondió al sexo femenino y el 4.4% al sexo masculino, nos percatamos de que: La estandarización de los criterios clínicos NS entre los diferentes especialistas al abordar esta problemática es fundamental, y que la aplicación de algún índice de actividad orienta al especialista en Ia valoración clínica ms aceptada del caso, por una parte, y a tomar la decisión terapéutica más conveniente por otra.
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