Reunión clínica inter-hospitales: hipertensión arterial y microangiopatía trombótica en lupus eritematoso sistémico / Inter-hospital clinical meeting: hypertension and thrombotic microangiopathy in systemic lupus erythematosus
Rev. chil. reumatol
; 27(1): 20-24, 2011. tab, ilus
Article
in Spanish
| LILACS
| ID: lil-609900
Responsible library:
CL1.1
RESUMEN
Se presenta una paciente portadora de lupus eritematoso sistémico (LES), descompensado por múltiples factores, que desarrolló una nefropatía lúpica e hipertensión arterial severa de difícil manejo, asociadas a disfunción orgánica múltiple y microangiopatía trombótica, tratadas con plasmaféresis e inmunosupresión. Se exponen las causas y mecanismos fisiopatológicos más importantes de la hipertensión arterial (HTA) severa en pacientes con LES. Enseguida se analizará específicamente el púrpura trombocitopénico trombótico como causa y/o efecto de HTA en LES.
ABSTRACT
We present a patient with systemic lupus erythematosus (SLE), outweighed by multiple factors, who developed lupus nephritis and severe hypertension difficult to handle, associated with organ dysfunction and thrombotic microangiopathy treated with plasmapheresis and immunosuppression. This document explains the causes and pathophysiological mechanisms leading to hypertension (HT) in patients with severe SLE. Then specifically analyzed as thrombotic thrombocytopenic purpura cause and / or effect of hypertension in SLE.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Hypertension, Malignant
/
Lupus Erythematosus, Systemic
Type of study:
Health technology assessment
Limits:
Adult
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. chil. reumatol
Journal subject:
Rheumatology
Year:
2011
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Universidad de Chile/CL