Lupus eritematoso sistémico (I). Etiopatogenia. Manifestaciones clínicas. Historia natural. Pruebas diagnósticas. Diagnóstico diferencial

  1. Galindo, M.
  2. Molina, R.A.
  3. Álvarez, J.L. Pablos
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2017

Título del ejemplar: Enfermedades del sistema inmune y reumatológicas (II) Lupus eritematoso. Esclerodermia. Enfermedad mixta del tejido correctivo

Serie: 12

Número: 25

Páginas: 1429-1439

Tipo: Artículo

DOI: 10.1016/J.MED.2017.01.001 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

ResumenConcepto y epidemiología El lupus eritematoso sistémico (LES) es una enfermedad autoinmune, multisistémica, de etiología desconocida, que afecta preferentemente a mujeres entre la segunda y la quinta década de la vida. Etiopatogenia En su etiología intervienen tanto factores genéticos como hormonales y ambientales entre los que cabe destacar algunas infecciones, particularmente víricas, y la exposición a la luz ultravioleta o determinados fármacos. Manifestaciones clínicas. El espectro de afectación clínica es muy amplio, siendo las manifestaciones cutaneomucosas, hematológicas, articulares y la nefritis lúpica las más frecuentes. Comorbilidades El riesgo de presentar comorbilidades como infecciones, arteriosclerosis, osteoporosis y ciertas neoplasias está aumentado como consecuencia de la propia enfermedad y de los tratamientos utilizados para su control. Diagnóstico El diagnóstico de LES se hace reuniendo datos clínicos y pruebas de laboratorio, después de descartar los posibles diagnósticos diferenciales de la enfermedad.

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