Caso clínico de vasculitis C-ANCA / Clinic case of vasculitis C-ANCA

Paciente de sexo femenino, de 26 años de edad, con antecedentes de rinitis y cuadros de obstrucción bronquial estacionales que presentó cuadro de úlceras en extremidades inferiores, asociadas a compromiso pulmonar en base a hemoptisis e imágenes radiológicas anormales transitorias, eosinofilia al frotis de sangre periférico y c-ANCA positivo y que responde favorablemente a la terapia con corticoides e inmunosupresores

Factores de riesgo cardiovascular en 15 nefrópatas de la ciudad de Temuco en diálisis crónica: comparación descriptiva con la población general chilena / Cardiovascular risk factors in 15 nephrology patients in maintenance dialysis of Temuco city: comparison with chilean general population

Patients in chronic hemodialysis have a high mortality due to cardiovascular diseases. To study cardiovascular risk factors and nutritional status in a group of patients in maintenance hemodialysis, body mass index, blood pressure, serum levels of total cholesterol, HDL cholesterol, triglycerides and albumin were measured in 15 patients (8 males). Data were compared with available figures for the normal chilean population. Age ranged from 33 to 60 years oldin female patients and from 22 to 63 years old in males. Thirteen subjects (87 percent) has a high blood pressure, all had HDL cholesterol levels below 35 mg/dl, 4 (27 percent) had a total cholesterol over 200 mg/dl, 3 had triglyceride levels over 200 mg/dl, 2 (13 percent) smoked and none were diabetic. Mean body mass index was normal, albumin levels were 4.16 and 4.02 g/dl and serum creatinine was 11.64 and 9.68 mg/dl in males and females respectively. The estimated prevalence of high blood pressure, hypercholesterolemia and smoking in the general chilean population range from 9 to 22 percent, from 50 to 52 percent and from 45 to 51 percent respectively. In conclusion, this group of patients has a high frequency of high blood pressure and low HDL cholesterol levels