Asunto(s)
Humanos , Femenino , Niño , Administración Cutánea , Piel , Tuberculosis Cutánea/diagnóstico , PacientesAsunto(s)
Tuberculosis Cutánea , Administración Cutánea , Humanos , Piel , Tuberculosis Cutánea/diagnósticoAsunto(s)
Anemia Hemolítica Autoinmune , Infecciones por Coronavirus , Pandemias , Neumonía Viral , Betacoronavirus , COVID-19 , Niño , Humanos , SARS-CoV-2RESUMEN
Chronic fatigue syndrome is characterised by intense fatigue, with duration of over six months and associated to other related symptoms. The latter include asthenia and easily induced tiredness that is not recovered after a night's sleep. The fatigue becomes so severe that it forces a 50% reduction in daily activities. Given its unknown aetiology, different hypotheses have been considered to explain the origin of the condition (from immunological disorders to the presence of post-traumatic oxidative stress), although there are no conclusive diagnostic tests. Diagnosis is established through the exclusion of other diseases causing fatigue. This syndrome is rare in childhood and adolescence, although the fatigue symptom per se is quite common in paediatric patients. Currently, no curative treatment exists for patients with chronic fatigue syndrome. The therapeutic approach to this syndrome requires a combination of different therapeutic modalities. The specific characteristics of the symptomatology of patients with chronic fatigue require a rapid adaptation of the educational, healthcare and social systems to prevent the problems derived from current systems. Such patients require multidisciplinary management due to the multiple and different issues affecting them. This document was realized by one of the Interdisciplinary Work Groups from the Institute for Rare Diseases, and its aim is to point out the main social and care needs for people affected with Chronic Fatigue Syndrome. For this, it includes not only the view of representatives for different scientific societies, but also the patient associations view, because they know the true history of their social and sanitary needs. In an interdisciplinary approach, this work also reviews the principal scientific, medical, socio-sanitary and psychological aspects of Chronic Fatigue Syndrome.
Asunto(s)
Síndrome de Fatiga Crónica/diagnóstico , Adolescente , Adulto , Niño , Terapia Combinada , Diagnóstico Diferencial , Fatiga/diagnóstico , Síndrome de Fatiga Crónica/etiología , Síndrome de Fatiga Crónica/terapia , Femenino , Humanos , Hipersensibilidad/diagnóstico , Masculino , Educación del Paciente como Asunto , Participación del Paciente , Guías de Práctica Clínica como Asunto , Pautas de la Práctica en Medicina , Pronóstico , Trastornos por Estrés Postraumático/diagnósticoRESUMEN
Describimos un caso de síndrome SAPHO (sinovitis, acné, pustulosis, hiperostosis y osteítis) con una forma de presentación poco habitual, en una niña de 14 años de edad con febrícula de 8 meses de duración, dolor lumbar izquierdo y reactantes de fase aguda elevados con anemia normocítica y normocrómica. En una radiografía de miembros inferiores se evidenció una imagen lítica con osteítis e hiperostosis en peroné derecho, como hallazgo casual tras una caída accidental. Estos datos, además del acné, la pustulosis, la artritis esternoclavicular y los estudios obtenidos por resonancia magnética (RM) de columna y gammagrafía ósea, orientaron el diagnóstico de SAPHO (AU)
We describe a case of SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) with an unusual presentation in a 14 year-old girl with low grade fever which lasts 8 months, left low back pain and elevated erythrocyte sedimentation rates and protein C-reactive with chronic anaemia. A radiograhy of the lower limbs showed a lytic image with osteitis and hyperostose in the right fibula, as a casual finding. This information, in addition to the acne, pustulosis, sternoclavicular arthritis and the studies got from the magnetic resonance image (MR) of spine, pointed out the diagnosis of SAPHO (AU)
Asunto(s)
Humanos , Femenino , Adolescente , Síndrome de Hiperostosis Adquirido/diagnóstico , Enfermedades Reumáticas/complicaciones , Acné Vulgar/etiología , Proteínas de Fase Aguda , Fiebre/etiologíaRESUMEN
We describe a case of SAPHO (synovitis, acne, pustulosis, hyperostosis and osteitis) with an unusual presentation in a 14 year-old girl with low grade fever which lasts 8 months, left low back pain and elevated erythrocyte sedimentation rates and protein C-reactive with chronic anaemia. A radiograhy of the lower limbs showed a lytic image with osteitis and hyperostose in the right fibula, as a casual finding. This information, in addition to the acne, pustulosis, sternoclavicular arthritis and the studies got from the magnetic resonance image (MR) of spine, pointed out the diagnosis of SAPHO.