Medicina clinica
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Imaging has become an essential tool in the management of patients with giant cell arteritis. Cranial involvement detected by Doppler ultrasonography is an unquestionable diagnostic finding. Imaging of the aorta and its branches with positron emission tomography, computed tomography angiography or magnetic resonance imaging may also have a role in diagnosis and in the assessment of disease activity and response to treatment, but standardisation and validation are still needed before their widespread use as an outcome measure. Aortic structural damage is associated with increased mortality in giant cell arteritis; therefore, periodic screening is recommended.
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To compare the occurrence of haemorrhages among the different oral anticoagulants (OAC) and to analyse factors that influence it. ⋯ According to the results obtained, females and patients undergoing treatment with apixaban presented lower haemorrhagic risk, although there are doubts about whether this better safety profile is related to underdosing, which could influence its effectiveness. Therefore, these results should be analysed with caution and further studies are needed to confirm this data.
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Letter Case Reports
Pleuropulmonary fibroelastosis in a patient with systemic lupus erythematosus.
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Letter Case Reports
Multiple pyomyositis secondary to septic thrombophlebitis.