Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile

Background: Mapuche, Chilean natives, represent approximately 9.8% of Chilean population and in the IX region of the country, they account for 18.4% of population over 15 years old. They preserve some socio-cultural characteristics that make them different to the rest of the population. Aim: To desc...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kaliski K,Sonia, Bustos M,Luis, Artigas A,Carmen, Alarcón V,César, Vega V,Miguel Angel, Cárdenas R,Cristián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2001
Materias:	Aborigines Rheumatic diseases Arthritis rheumatoid
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300003
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872001000300003
record_format	dspace
spelling	oai:scielo:S0034-988720010003000032001-05-22Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de ChileKaliski K,SoniaBustos M,LuisArtigas A,CarmenAlarcón V,CésarVega V,Miguel AngelCárdenas R,Cristián Aborigines Rheumatic diseases Arthritis rheumatoid Background: Mapuche, Chilean natives, represent approximately 9.8% of Chilean population and in the IX region of the country, they account for 18.4% of population over 15 years old. They preserve some socio-cultural characteristics that make them different to the rest of the population. Aim: To describe the epidemiological characteristics rheumatoid arthritis among Mapuche natives. Subjects and methods: Retrospective review of patients of Mapuche origin with rheumatoid arthritis, seen at Temuco Hospital between 1980 and 1996. Results: Among 308 cases gathered, only 106 (93 women, aged 55 ± 10 years old) complied with 1987 American College of Rheumatology (ACR) criteria for rheumatoid arthritis. The disease began between 29 and 52 years old in 73% of patients and the mean delay in diagnosis was 4.4 years. At diagnosis, 99% had symmetric poliarthritis, 28.3% had either fatigue, fever or weight loss, and 46.9% were in class III or in class IV of ACR-1991. Fifty three percent of patients developed Sicca syndrome, 36% developed nodules, 23% developed Raynaud phenomenon, 11% developed pulmonary involvement, 7% developed vasculitis, 5% developed neurological manifestations and 19% developed ophthalmologic involvement. Rheumatoid factor was positive in 78% and 73% had erosions. HLA DR4 was (+) in 60% of 30 patients. Thirty percent required 3 or more disease modifying drugs and prednisone over 10 mg/day. There was no correlation between functional capacity and several other features of the disease. Conclusions: Mapuche rheumatoid arthritis patients are detected late and have a poor functional capacity at the time of diagnosis. They also have a higher proportion of extraarticular manifestations, more erosions and require more aggressive treatments. (Rev Méd Chile 2001; 129: 253-8).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.3 20012001-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300003es10.4067/S0034-98872001000300003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aborigines Rheumatic diseases Arthritis rheumatoid
spellingShingle	Aborigines Rheumatic diseases Arthritis rheumatoid Kaliski K,Sonia Bustos M,Luis Artigas A,Carmen Alarcón V,César Vega V,Miguel Angel Cárdenas R,Cristián Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
description	Background: Mapuche, Chilean natives, represent approximately 9.8% of Chilean population and in the IX region of the country, they account for 18.4% of population over 15 years old. They preserve some socio-cultural characteristics that make them different to the rest of the population. Aim: To describe the epidemiological characteristics rheumatoid arthritis among Mapuche natives. Subjects and methods: Retrospective review of patients of Mapuche origin with rheumatoid arthritis, seen at Temuco Hospital between 1980 and 1996. Results: Among 308 cases gathered, only 106 (93 women, aged 55 ± 10 years old) complied with 1987 American College of Rheumatology (ACR) criteria for rheumatoid arthritis. The disease began between 29 and 52 years old in 73% of patients and the mean delay in diagnosis was 4.4 years. At diagnosis, 99% had symmetric poliarthritis, 28.3% had either fatigue, fever or weight loss, and 46.9% were in class III or in class IV of ACR-1991. Fifty three percent of patients developed Sicca syndrome, 36% developed nodules, 23% developed Raynaud phenomenon, 11% developed pulmonary involvement, 7% developed vasculitis, 5% developed neurological manifestations and 19% developed ophthalmologic involvement. Rheumatoid factor was positive in 78% and 73% had erosions. HLA DR4 was (+) in 60% of 30 patients. Thirty percent required 3 or more disease modifying drugs and prednisone over 10 mg/day. There was no correlation between functional capacity and several other features of the disease. Conclusions: Mapuche rheumatoid arthritis patients are detected late and have a poor functional capacity at the time of diagnosis. They also have a higher proportion of extraarticular manifestations, more erosions and require more aggressive treatments. (Rev Méd Chile 2001; 129: 253-8).
author	Kaliski K,Sonia Bustos M,Luis Artigas A,Carmen Alarcón V,César Vega V,Miguel Angel Cárdenas R,Cristián
author_facet	Kaliski K,Sonia Bustos M,Luis Artigas A,Carmen Alarcón V,César Vega V,Miguel Angel Cárdenas R,Cristián
author_sort	Kaliski K,Sonia
title	Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
title_short	Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
title_full	Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
title_fullStr	Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
title_full_unstemmed	Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile
title_sort	artritis reumatoidea en población mapuche.: una experiencia de 16 años en la ix región de chile
publisher	Sociedad Médica de Santiago
publishDate	2001
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001000300003
work_keys_str_mv	AT kaliskiksonia artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile AT bustosmluis artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile AT artigasacarmen artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile AT alarconvcesar artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile AT vegavmiguelangel artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile AT cardenasrcristian artritisreumatoideaenpoblacionmapucheunaexperienciade16anosenlaixregiondechile
_version_	1718435960713117696

Artritis reumatoidea en población mapuche.: Una experiencia de 16 años en la IX región de Chile

Ejemplares similares