Revista médica de Chile
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Revista médica de Chile · Oct 2020
[Lower limb ischemia in giant cell arteritis. Report of one case].
Giant cell arteritis is more common in women older than 60 years, is associated with systemic inflammation symptoms and mainly involves the aortic arch and cranial arteries, specially the temporal artery. Symptomatic lower extremity arterial stenosis or occlusion is uncommon and can lead to limb loss. We report a 73-year-old woman presenting with a one-month history of lower extremity intermittent claudication of sudden onset. ⋯ Steroidal treatment was started, and a temporal artery biopsy was performed confirming giant cell arteritis. Six weeks after steroid therapy the patient had a complete remission of symptoms. A serologic exacerbation was subsequently treated with a humanized monoclonal antibody against the interleukin-6 receptor Tocilizumab, obtaining long time remission.
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Revista médica de Chile · Oct 2020
[Proposal on the principles that should guide the ethical responsibilities of the state during the COVID-19 pandemic].
On March 11, 2020, the World Health Organization (WHO) stated that the number of cases of COVID-19 multiplied by 13 outside China, with a threefold increase in the number of affected countries. The WHO expressed its concern about the alarming levels of spread and severity of the outbreak, declaring the pandemic. ⋯ To meet the challenge, Governments must make decisions based on the principles that govern the State- These should consider the differences and particularities of those affected, without diverting attention from collective social protection. The following is a proposal on the ethical principles that should guide a State that makes decisions in public health emergencies.
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Revista médica de Chile · Oct 2020
[Prevalence of cholelithiasis and gallbladder cancer among Aymara individuals].
The prevalence of cholelithiasis and gallbladder cancer may be different across ethnic groups. ⋯ There is a 42% prevalence of cholelithiasis and no gallbladder cancer in this sample of Aymara population.