Determina la forma de presentación clínica de la ET en los pacientes con AR no usuarios de terapia biológica atendidos en el Servicio de Reumatología del Hospital Nacional Guillermo Almenara Irigoyen (H.N.G.A.I.) período diciembre 2000 - diciembre 2005. El estudio es descriptivo retrospectivo. Los pacientes cumplieron los criterios ACR para AR, fueron mayores a 16 años al diagnóstico, sin síndrome de superposición ni uso de terapia biológica y no tuvieron infección por VIH Se documentó ET por baciloscopía positiva (BAAR), cultivo positivo para micobacterium tuberculoso (MT), anatomía patológica compatible y/o presencia de síntomas o respuesta terapéutica. Se realizó una entrevista personal. De 808 historias se identificaron 20 casos de ET. La mediana de la edad fue 67,9 años. No hubo comorbilidades predisponentes para TBC. El patrón de localización fue pulmonar puro ...

Introduction. Lupus patients have an increased risk of developing infections due to the disease, use of immunosuppressants and corticosteroids. Objective. To identify the associated factors for serious infections in lupus patients in a national referral hospital. Retrospective, analytical, case-control study in the Rheumatology Service of the Guillermo Almenara Irigoyen National Hospital, Lima, Peru. Methods. The registry of hospitalized patients in the study period was analyzed, the cases were patients in whom the etiology of the first infection developed their hospitalization. Controls were hospitalized lupus patients without infections in the same study period. Variables predisposing to the development of infections were analyzed. Results. 61 patients out of 390 hospitalized developed infections during their hospitalization. 48 developed 1 only infectious event (in 40 an etiology deve...

Background: Because most patients with SLE are in their productive-age years, the ability to maintain a gainful employment is fundamental for both, the patient and society at large. It is thus quite important to determine the work and non-work factors that are associated with work productivity impairment in these patients. Objectives: To determine the factors associated with absenteeism (percentage of the time missed from scheduled work-time over the preceding 7 days, due to SLE), presenteeism (percentage of time from scheduled work-time where productivity was impaired while patient was at work, over the preceding 7 days, due to SLE) and overall work impairment (combination of absenteeism and presenteeism) in patients with SLE.