{"id":1135,"date":"2022-02-08T13:17:04","date_gmt":"2022-02-08T16:17:04","guid":{"rendered":"https:\/\/reumatologiarosario.com.ar\/web\/?page_id=1135"},"modified":"2022-02-23T15:13:05","modified_gmt":"2022-02-23T18:13:05","slug":"otras-enfermedades-reumatologicas","status":"publish","type":"page","link":"https:\/\/reumatologiarosario.com.ar\/web\/otras-enfermedades-reumatologicas\/","title":{"rendered":"Otras enfermedades reumatol\u00f3gicas"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb3.22&#8243; custom_padding=\u00bb0|0px|4px|0px|false|false\u00bb bottom_divider_height=\u00bb0px\u00bb border_width_bottom=\u00bb1px\u00bb border_color_bottom=\u00bb#efefef\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb1_2,1_2&#8243; _builder_version=\u00bb3.25&#8243; width=\u00bb100%\u00bb max_width=\u00bb100%\u00bb custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb||0px|\u00bb custom_margin_phone=\u00bb\u00bb custom_margin_last_edited=\u00bbon|desktop\u00bb custom_padding=\u00bb0|0px|5px|0px|false|false\u00bb use_custom_width=\u00bbon\u00bb width_unit=\u00bboff\u00bb custom_width_percent=\u00bb100%\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb6%||6%|12%\u00bb custom_padding_tablet=\u00bb50px|50px|50px|50px\u00bb custom_padding_phone=\u00bb50px|50px|50px|50px\u00bb custom_padding_last_edited=\u00bbon|tablet\u00bb global_colors_info=\u00bb{}\u00bb padding_tablet=\u00bb50px|50px|50px|50px\u00bb padding_last_edited=\u00bbon|tablet\u00bb custom_padding__hover=\u00bb|||\u00bb padding_phone=\u00bb50px|50px|50px|50px\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2021\/10\/health-icon-10-3.png\u00bb title_text=\u00bbhealth-icon-10-3&#8243; align_tablet=\u00bbcenter\u00bb align_phone=\u00bbcenter\u00bb align_last_edited=\u00bbon|desktop\u00bb _builder_version=\u00bb4.14.1&#8243; global_colors_info=\u00bb{}\u00bb][\/et_pb_image][et_pb_text _builder_version=\u00bb4.14.1&#8243; text_font=\u00bbMontserrat|300|||||||\u00bb text_text_color=\u00bb#677a92&#8243; text_font_size=\u00bb16px\u00bb text_line_height=\u00bb1.8em\u00bb header_font=\u00bbMontserrat||||||||\u00bb header_font_size=\u00bb50px\u00bb header_line_height=\u00bb1.3em\u00bb header_2_font=\u00bb||||||||\u00bb max_width=\u00bb600px\u00bb custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb0px|50px||50px\u00bb custom_margin_phone=\u00bb|20px||\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb custom_padding=\u00bb|||\u00bb text_line_height_tablet=\u00bb1.8em\u00bb text_line_height_phone=\u00bb1.8em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb36px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb header_2_font_size_phone=\u00bb30px\u00bb header_2_font_size_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h1>Otras enfermedades reumatol\u00f3gicas<\/h1>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb1_2&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2021\/12\/foot-scaled.jpg\u00bb title_text=\u00bbfoot\u00bb force_fullwidth=\u00bbon\u00bb align_tablet=\u00bbcenter\u00bb align_phone=\u00bbcenter\u00bb align_last_edited=\u00bbon|desktop\u00bb _builder_version=\u00bb4.14.1&#8243; custom_margin=\u00bb|||\u00bb custom_padding=\u00bb|||\u00bb animation_style=\u00bbslide\u00bb animation_direction=\u00bbright\u00bb animation_intensity_slide=\u00bb5%\u00bb border_radii=\u00bboff||||21vw\u00bb border_color_all=\u00bb#0ee1f4&#8243; border_width_left=\u00bb2vw\u00bb border_color_left=\u00bb#37dfff\u00bb box_shadow_style=\u00bbpreset4&#8243; box_shadow_horizontal=\u00bb-30px\u00bb box_shadow_vertical=\u00bb0px\u00bb box_shadow_color=\u00bbrgba(14,225,244,0.33)\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_margin=\u00bb||1px|||\u00bb hover_enabled=\u00bb0&#8243; global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<h1 style=\"text-align: justify;\"><span style=\"color: #99ccff;\"><strong>Penfigoide ocular cicatrizal <\/strong><\/span><\/h1>\n<ul style=\"text-align: justify;\"><\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00bb3_5,2_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb3_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb hover_enabled=\u00bb0&#8243; global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<p style=\"text-align: justify;\">El <strong>penfigoide ocular cicatrizal<\/strong> (POC) es una enfermedad cr\u00f3nica, mediada inmunol\u00f3gicamente, comprendida dentro del espectro de <em>penfigoides membranosos mucocut\u00e1neos (PMM)<\/em>. El diagn\u00f3stico es, con frecuencia, oftalmol\u00f3gico, pero debido al car\u00e1cter autoinmune de la patolog\u00eda, requiere el abordaje en conjunto con reumat\u00f3logos.<\/p>\n<p style=\"text-align: justify;\">La presentaci\u00f3n cl\u00ednica var\u00eda ampliamente, desde casos leves con progresi\u00f3n lenta de a\u00f1os de evoluci\u00f3n hasta casos severos con evoluci\u00f3n t\u00f3rpida y r\u00e1pidamente progresiva a la fibrosis, refractarios a m\u00faltiples tratamientos. \u00a0Los s\u00edntomas m\u00e1s frecuentes en fases iniciales son enrojecimiento ocular, lagrimeo, sensibilidad a la luz, episodios de conjuntivitis a repetici\u00f3n, etc. Posteriormente puede existir sequedad ocular, alteraci\u00f3n de pesta\u00f1as (distriquiasis) y fibrosis (formaci\u00f3n de cicatrices).<\/p>\n<p style=\"text-align: justify;\">Una evaluaci\u00f3n completa del paciente, ayudar\u00e1 a guiar el diagn\u00f3stico. El diagn\u00f3stico es cl\u00ednico y\/o mediante biopsia conjuntival. El tratamiento es local y sist\u00e9mico de acuerdo a su severidad y evoluci\u00f3n. Un diagn\u00f3stico y tratamiento precoz pueden evitar secuelas, preservar la visi\u00f3n y mejorar la calidad de vida.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb2_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2022\/02\/ojo.jpg\u00bb title_text=\u00bbojo\u00bb _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb border_radii=\u00bbon|15px|15px|15px|15px\u00bb box_shadow_style=\u00bbpreset4&#8243; global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_padding=\u00bb8px|||||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_margin=\u00bb||1px|||\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<ul><\/ul>\n<p><strong>Referencias<\/strong><\/p>\n<ul>\n<li>Lamberts A, Borradori L, Barry RJ, Caproni M, Carey B, Carrozzo M, et al. European guidelines ( S3 ) on diagnosis and management of mucous membrane pemphigoid , initiated by the European Academy of Dermatology and Venereology \u2013 Part I. 2021;1750\u201364.<\/li>\n<li>Ringer A, Daniel G, Siegrist C, Cuadranti N, Pablo J, Cecilia M, et al. Review article Ocular cicatricial pemphigoid. From a rheumatology and ophthalmology point of view. 2021;(x x):1\u201310.<\/li>\n<li>Fremont F et al. Clinical Characteristics and Outcomes of Ocular Cicatricial Pemphigoid: A Cohort Study and Literature Review. Cornea 2019; 38(11):1406\u201311.<\/li>\n<li>Georgoudis P et al. Ocular Mucous Membrane Pemphigoid: Current State of Pathophysiology, Diagnostics and Treatment. Ophthalmol Ther. 2019;8(1):5\u201317.<\/li>\n<li>Schmidt E, Rashid H, Marzano A V, Lamberts A, Zenzo G Di, Diercks GFH, et al. European Guidelines ( S3 ) on diagnosis and management of mucous membrane pemphigoid , initiated by the European Academy of Dermatology and Venereology \u2013 Part II. 2021;1926\u201348.<\/li>\n<li>Wang K, Seitzman G, Gonzales JA. Ocular cicatricial pemphigoid. Curr Opin Ophthalmol. 2018, 29:543\u2013551.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.14.1&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_margin=\u00bb||1px|||\u00bb hover_enabled=\u00bb0&#8243; global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<h1><span style=\"color: #99ccff;\"><strong>Polimialgia Reum\u00e1tica<\/strong><\/span><\/h1>\n<ul style=\"text-align: justify;\"><\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00bb3_5,2_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_padding=\u00bb||0px|||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb3_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb hover_enabled=\u00bb0&#8243; global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<p style=\"text-align: justify;\">La <strong>polimialgia reum\u00e1tica<\/strong> es un trastorno inflamatorio que provoca dolor y rigidez en los m\u00fasculos, especialmente en los hombros y las caderas. Por lo general, los signos y s\u00edntomas de la polimialgia reum\u00e1tica comienzan de manera r\u00e1pida y son peores por la ma\u00f1ana.<\/p>\n<p style=\"text-align: justify;\">La mayor\u00eda de las personas que manifiestan polimialgia reum\u00e1tica son mayores de 65 a\u00f1os. En muy pocas ocasiones afecta a personas menores de 50 a\u00f1os. En el laboratorio suele verse algunas alteraciones.<\/p>\n<p style=\"text-align: justify;\">Los signos y s\u00edntomas de la polimialgia reum\u00e1tica suelen producirse en ambos lados del cuerpo y pueden incluir los siguientes: dolor en los hombros, dolor en el cuello, parte superior de los brazos, gl\u00fateos, caderas o muslos, rigidez en las zonas afectadas, particularmente por la ma\u00f1ana o despu\u00e9s de estar inactivo por un largo tiempo, amplitud de movimiento limitada en las zonas afectadas, dolor o rigidez en mu\u00f1ecas, codos o rodillas. Tambi\u00e9n es posible que tengas signos y s\u00edntomas m\u00e1s generales, como los siguientes: fiebre leve, cansancio, sensaci\u00f3n general de no estar bien (malestar), alteraci\u00f3n del sue\u00f1o, limitaci\u00f3n de la capacidad para realizar actividades habituales, como vestirse.<\/p>\n<p style=\"text-align: justify;\">[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb2_5&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_image src=\u00bbhttp:\/\/reumatologiarosario.com.ar\/web\/wp-content\/uploads\/2022\/02\/hombro-scaled.jpg\u00bb title_text=\u00bbhombro\u00bb _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb border_radii=\u00bbon|15px|15px|15px|15px\u00bb box_shadow_style=\u00bbpreset4&#8243; global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_padding=\u00bb8px|||||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.7&#8243; _module_preset=\u00bbdefault\u00bb custom_margin=\u00bb||1px|||\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<ul><\/ul>\n<p style=\"text-align: justify;\">Esta enfermedad ocasionalmente se puede acompa\u00f1ar de otro trastorno inflamatorio llamado \u00abarteritis de c\u00e9lulas gigantes\u00bb. La arteritis de c\u00e9lulas gigantes puede provocar dolor de cabeza, dificultades de la vista, dolor maxilar y sensibilidad en el cuero cabelludo.<\/p>\n<p style=\"text-align: justify;\">Se desconoce la causa exacta de la polimialgia reum\u00e1tica. Hay dos factores que parecen contribuir a causar este trastorno: Gen\u00e9tica y Ambiental.<\/p>\n<p style=\"text-align: justify;\">Existen tratamientos, que, en la mayor\u00eda de los casos, mejoran sustancialmente la evoluci\u00f3n de la enfermedad, pudiendo remitir en algunos casos.<\/p>\n<p style=\"text-align: justify;\">\n<p><strong>Referencias<\/strong><\/p>\n<ul>\n<li>\n<p>Gonz\u00e1lez-Gay, M. A., Matteson, E. L., &amp; Casta\u00f1eda, S. Polymyalgia rheumatica. The Lancet, 2017.\u00a0 390(10103), 1700\u20131712.<\/p>\n<\/li>\n<li>\n<p>Dejaco C, Singh Y, Perel P, Hutchings A, et al. Recommendations for the Management of Polymyalgia Rheumatica: A European League Against Rheumatism\/American College of Rheumatology Collaborative Initiative. Arthritis &amp; Rheumatology, 67(10), 2569\u20132580.<\/p>\n<\/li>\n<li>\n<p>Salman Bin Mahmood, Elizabeth Nelson, Jessica Padniewski, and Rawad Nasr, Cleveland Clinic Journal of Medicine September 2020, 87 (9) 549-556.<\/p>\n<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbBlog\u00bb _builder_version=\u00bb3.22&#8243; background_color=\u00bb#f1f5f7&#8243; custom_margin=\u00bb|||\u00bb custom_padding=\u00bb100px|0|100px|0px|true|false\u00bb border_radii=\u00bb||15vw||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb3.25&#8243; global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_blog fullwidth=\u00bboff\u00bb posts_number=\u00bb6&#8243; include_categories=\u00bb39,45,46&#8243; show_author=\u00bboff\u00bb _builder_version=\u00bb4.14.7&#8243; header_level=\u00bbh4&#8243; header_font=\u00bbMontserrat||||||||\u00bb header_line_height=\u00bb1.5em\u00bb body_font=\u00bbMontserrat|300|||||||\u00bb body_font_size=\u00bb15px\u00bb body_line_height=\u00bb2em\u00bb meta_font=\u00bbMontserrat|300|||||||\u00bb pagination_font=\u00bbMontserrat||||||||\u00bb pagination_text_color=\u00bb#2f8cff\u00bb pagination_font_size=\u00bb16px\u00bb pagination_line_height=\u00bb2em\u00bb custom_padding=\u00bb||0px|||\u00bb border_radii=\u00bbon|25px|25px|25px|25px\u00bb border_width_all=\u00bb0px\u00bb box_shadow_style=\u00bbpreset3&#8243; box_shadow_vertical=\u00bb30px\u00bb box_shadow_blur=\u00bb50px\u00bb box_shadow_spread=\u00bb-30px\u00bb box_shadow_color=\u00bbrgba(0,0,0,0.1)\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Otras enfermedades reumatol\u00f3gicas &nbsp;Penfigoide ocular cicatrizal El penfigoide ocular cicatrizal (POC) es una enfermedad cr\u00f3nica, mediada inmunol\u00f3gicamente, comprendida dentro del espectro de penfigoides membranosos mucocut\u00e1neos (PMM). El diagn\u00f3stico es, con frecuencia, oftalmol\u00f3gico, pero debido al car\u00e1cter autoinmune de la patolog\u00eda, requiere el abordaje en conjunto con reumat\u00f3logos. La presentaci\u00f3n cl\u00ednica var\u00eda ampliamente, desde casos leves [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1135","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/1135","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/comments?post=1135"}],"version-history":[{"count":9,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/1135\/revisions"}],"predecessor-version":[{"id":1251,"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/pages\/1135\/revisions\/1251"}],"wp:attachment":[{"href":"https:\/\/reumatologiarosario.com.ar\/web\/wp-json\/wp\/v2\/media?parent=1135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}