Revista médica de Chile
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Revista médica de Chile · Jul 2024
Review Case Reports[Acute Myocardial Infarction as a Presentation of Takayasu Arteritis in a Patient with Ulcerative Colitis: Case Report and Review of the Topic].
A 36-year-old woman with ulcerative colitis presented with progressive chest pain and neurovegetative symptoms. The electrocardiogram showed ST segment elevation in the inferior wall. The patient had a previous history of fatigue and night sweats. ⋯ Aortitis was suspected, which led to additional studies, among which a slight elevation of inflammatory activity indices stood out, and a computed tomography angiography showed periaortic fibrotic thickening and significant stenosis in multiple arteries, suggesting Takayasu vasculitis. She was treated with prednisone and methotrexate and underwent delayed myocardial revascularization surgery with good results. This case highlights the complexity of Takayasu arteritis, its possible association with ulcerative colitis, and the importance of early diagnosis for adequate management.
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Revista médica de Chile · Jul 2024
Education of Patients with Asthma Leading to the Self-management of their Condition? The primary Health Care Providers' Approach.
Asthma is a chronic non-communicable disease considered a serious health problem worldwide. The Chronic Care Model promotes the self-management of patients' chronic conditions. This process requires an active engagement of health professionals to provide education for patients to manage their disease better. ⋯ The health care education process for asthma patients focuses on delivering information about the disease and medical treatment. Some issues of the Chronic Care Model, which promotes self-management, are still not addressed.
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Revista médica de Chile · Jul 2024
Case ReportsEcthyma Gangrenosum Caused by Klebsiella Pneumoniae: A Rare Entity with Devastating Consequences.
This report describes the case of a 64-year-old female patient, with multiple comorbidities which presented an ecthyma gangrenosum due to Klebsiella pneumoniae confirmed by blood and tissue cultures. It finally ended in the amputation of the limb. The case is presented given the low prevalence of positive cultures for this microorganism in this pathology associated to devastating consequences for the patient.
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Revista médica de Chile · Jul 2024
[Care and Treatment Guarantee Plan for Patients with Multiple Sclerosis: Impact on Beneficiaries of the Chilean Public System 2008-2018].
Multiple sclerosis (MS) is a pathology that mainly affects the young population, causing irreversible disability without treatment. The national multiple sclerosis program improves access to diagnosis, treatment, and prognostic of patients with relapsing-remitting multiple sclerosis (RRMS). ⋯ Access to the RRMS program is not affected by age, gender, clinical presentation, disability, or region of origin, despite the unequal distribution of patients with RRMS in the country and the differences in access to diagnostic technologies in each of them.
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Revista médica de Chile · Jul 2024
Observational Study[Association Between Balance Disorders, Fibromyalgia Severity, and Balance Confidence: An Observational Study on Fibromyalgia].
Fibromyalgia is a syndrome of widespread chronic pain, associated with fatigue, sleep disorders, and a wide range of additional symptoms, among which balance disorders are a common complaint. ⋯ A significant inverse correlation was found between balance disorders and the severity of fibromyalgia impact. Additionally, a moderate correlation was observed between balance confidence and Berg Balance Scale scores.