Revista médica de Chile
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Revista médica de Chile · Nov 2020
[The threat of climate change on population health and the urgent need to act].
Climate change is associated with negative health outcomes, such as cardiovascular and respiratory diseases. This article analyses the threat of climate change on population health and the urgent need to implement measures to avoid this damage. Heat vulnerability, heatwave exposures, and wildfire exposure to forest fires have increased in Chile. ⋯ Thus, multidisciplinary and intersectoral mitigation and adaptation policies are needed. Among other elements, mental health impacts of climate change, health education provided by health workers to reduce negative health impacts of climate change, greater engagement of academia to generate evidence useful for policy-making processes and a better articulation between central and local governments should be considered. Finally, achieving a healthy population should be the aim of all these policies and efforts.
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Revista médica de Chile · Nov 2020
Case Reports[Lupus erythematosus associated with erythema multiforme or Rowell's syndrome. Report of one case].
Rowell's syndrome is characterized by an association of lupus erythematosus and erythema multiforme, with distinctive laboratory findings. Its treatment is similar to lupus. We report a 16-year-old female presenting with skin lesions, laboratory and histology consistent with this entity. Because of the spread of cutaneous involvement and development of epidermal detachment, she required therapy with intravenous corticosteroids and gamma globulin.
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The prognosis of Non-Hodgkin Lymphoma (NHL) depends on the type of lymphoma, the extension of the disease and the response to therapy. ⋯ Early treatment response assessed by interim PET/CT is the strongest prognostic factor in NHL patients.
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Revista médica de Chile · Nov 2020
[Reliability and construct validity of SF-12 to measure health related quality of life in Chilean subjects].
Health-Related Quality of Life (HRQoL) is understood as a multidimensional variable, mostly measured using the SF-12 questionnaire. However, this measurement doesn't always replicate the factorial structure theoretically expected, hindering potential conclusions. ⋯ The practical importance of these results highlight the need to measure HRQoL using more extensive scales.
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Giant cell arteritis (GCA) is a primary granulomatous systemic vasculitis involving the aorta and its main branches that affects people aged over 50 years with a genetic predisposition. Its main phenotypes are cranial and extracranial involvement, with or without symptoms of polymyalgia rheumatica. These phenotypes can overlap. ⋯ These imaging techniques are complementary, and their use is highly recommended. GCA treatment is based on steroidal therapy, often associated with a corticosteroid-sparing immunosuppressive agent. The follow-up is eminently clinical.