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Medicina interna de México

versión impresa ISSN 0186-4866

Resumen

BARAHONA-LOPEZ, DM. et al. Hospitalization in systemic lupus erythematosus: causes, lupus activity and evolution. Med. interna Méx. [online]. 2017, vol.33, n.6, pp.730-738. ISSN 0186-4866.  https://doi.org/10.24245/mim.v33i6.1336.

BACKGROUND:

Systemic lupus erythematosus SLE is an autoimmune pathology of multifactorial etiology where multiple organ involvement occurs.

OBJECTIVE:

To establish the main characteristics of patients with systemic lupus erythematosus treated at Internal Medicine service, their causes of entering, degree of disease activity and evolution posterior to hospitalization.

MATERIAL AND METHOD:

A descriptive and retrospective study of patients diagnosed with systemic lupus erythematosus admitted during the period from January 1st 2013 to June 30 2016 at the Internal Medicine Service of the Hospital Universitario de Tegucigalpa, Honduras.

RESULTS:

We studied 78 female and 5 male patients, establishing a ratio of approximately 16:1, the average hospital admission per patient was 1.19. We found an average MEX-SLEDAI of activity at the entrance of 7.5 ± 4.6 points. The average hospital stay was 12.4 ± 11.7 days, in 61% of cases duration of more than 7 days was presented, in this group an average value of lupus activity of 8.5 ± 4.4 points was found. The most frequent cause of hospital admission was the activity of the disease 58%, followed by infectious processes 24%.

CONCLUSIONS:

Systemic lupus erythematosus is commonly diagnosed in young female patients, but when it occurs in male patients, the disease activity is usually more severe. Lupic activity was the main cause of hospitalization.

Palabras llave : systemic lupus erythematosus; lupus activity; autoimmune diseases.

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