Search

Background: the post-Covid19 manifestations can be varied and affect multiple systems including the musculoskeletal, causing symptoms such as fatigue, myalgias and arthralgias which can extend up to 60 days after the infection, causing a negative impact to the quality of life of patients. These symptoms are part of the syndrome known as “Long Covid”. Objective: to determine the main post-Covid19 musculoskeletal manifestations in the population of Ricaurte, March 2020 - September 2023. Cuenca - Ecuador. Methods: a descriptive study, which covers all adults between 18-65 years of age residing in Ricaurte, the sample consists of 164 participants selected by convenience. The information was obtained through a questionnaire and the data was processed using SPSS statistics software version 25.0, applying frequency statistics for its evaluation and analysis. Results: musculoskeletal manifestations occurred in 89.6% of participants, who were mostly adults between 30 and 60 years old (53%), the majority were men (46.3%), with secondary education (53%), the most part did not have comorbidities (56.7%), hadn’t been vaccinated (66.5%), and received only ambulatory care (84.1%). The main manifestations included muscular pain (74.1%), joint pain (46.9%), and muscle weakness (46.3%), the intensity of the pain was moderate (51.8%), and was located in neck (58.8%), knees (31.3%) and upper back (51.1%), the duration of symptoms was 2 to 4 weeks (54.4%). Conclusions: the presence of post-Covid19 musculoskeletal manifestations was high, with moderate muscle pain being the most prevalent symptom, which lasted up to 4 weeks post-infection.

Background: Idiopathic inflammatory myopathies (IIM) are a group of diseases characterized by muscle weakness and inflammatory infiltrates in muscle tissue, which can affect different organs. Clinical case: a 40-year-old female patient who presented with musculoskeletal pain and muscle weakness in the upper limbs accompanied by scaly papular lesions on the back of the hands and erythema on the eyelids, with increased serum muscle enzymes, suspected IIM, and a muscle biopsy was performed. Reporting perivascular infiltrate, with abnormal electromyography, the Bohan and Peter criteria are applied with a diagnosis of dermatomyositis; Immunosuppressive treatment was started with favorable clinical evolution, medical discharge and outpatient follow-up were decided Clinical case: A 40-year-old female patient who attended for musculoskeletal pain and muscle weakness in the upper limbs accompanied by scaly papular lesions on the back of the hands and erythema at the level of the eyelids, with increased serum muscle enzymes, suspected IIM, a muscle biopsy was performed reporting perivascular infiltrate , with abnormal electromyography, the Bohan and Peter criteria are applied with a diagnosis of dermatomyositis; Immunosuppressive treatment was started with favorable clinical evolution, medical discharge and outpatient follow-up were decided Conclusions: In patients presenting with musculoskeletal pain and muscle weakness associated with skin lesions, IM should be clinically suspected, so the Bohan and Peter criteria should be applied to define the diagnosis. Introducción: la disección de aorta (DA) consiste en una rotura de la capa íntima de la pared del vaso permitiendo el paso de sangre a la capa media separando la luz verdadera de la falsa, es una patología poco frecuente, que puede presentarse en pacientes con antecedentes de traumatismo torácico. Caso clínico: paciente masculino de 35 años, con antecedente de accidente en vehículo motorizado hace 18 meses, acude al servi

Introduction: The SARS-CoV2 coronavirus disease (COVID-19) has a variable lethality due to the wide spread of the virus worldwide. Factors associated with severity are reported, such as age, sex and different comorbidities such as arterial hypertension, cardiovascular diseases, diabetes, chronic kidney disease and obesity. Objective: to establish the prevalence of COVID-19 and factors associated with severe COVID in patients admitted to the Vicente Corral Moscoso Hospital (HVCM). Methodology: An analytical, cross-sectional study was carried out with patients treated in the internal medicine service; The variables analyzed were age, sex, COVID-19 diagnosis, comorbidities: arterial hypertension (HBP), cardio vascular diseases (CVD), diabetes, chronic kidney disease (CKD), obesity, severe COVID; descriptive statistics with percentages and frequencies, measures of dispersion and central tendency were performed. Association was determined with the chi-square statistic and to establish the direction and intensity of the relationship the OR together with its confidence intervals. The processing of the information was analyzed in the statistical program SPSS 25 and a significance of 5% (p<0.05) was considered. Conclusions: a prevalence of 28.87 COVID-19 was observed in the HVCM, being more frequent in males. Older adults and comorbidities such as arterial hypertension, chronic kidney disease, and obesity are risk factors related to severity.

Background: Fibromyalgia (FM) is a central sensitization syndrome that occurs in specific anatomical areas tender to palpation, accompanied by fatigue, sleep and cognitive disturbances. It has been seen that this pathology accompanies other rheumatic diseases, including rheumatoid arthritis (RA), in which cases a greater disease activity has been found. Objective: To determine the prevalence of fibromyalgia in patients with rheumatoid arthritis and its relationship with the disease activity in the outpatient service of rheumatology on the Jose Carrasco Arteaga Hospital and Hospital Santa Inés. Methods: Cross-sectional analytical and prevalence study. The universe consisted in 190 patients diagnosed with RA. The data was obtained using forms. The statistical measures used were frequencies and percentages. In order to find out the difference between groups and to verify the hypothesis, Chi square was used. The Prevalence Ratio (PR) and its 95% confidence interval (95% CI) were determined. Results: Of the 190 patients, 69.87% (n=129) were between 35-64 years, 90.53% (n = 172) were women, a prevalence of 13.68% (n = 26) of secondary FM was obtained, 92.3% (n = 24) of this last group presented a moderate to high disease activity, finding a risk association for greater disease activity (p<0.00 PR = 19.74 CI = 95%). Conclusions: The prevalence of secondary FM in RA patients was considerable in the studied group; a risk association was found between the presence of secondary FM in RA and a higher disease activity. Non statistical relationship was found between the time of RA diagnosis and the disease activity.

Background: rheumatoid arthritis is a chronic inflammatory disease that causes joint destruction, negatively impacting quality of life. Periodic evaluation of disease activity determines prognosis and therapeutic success. Due to the aforementioned, it is necessary to evaluate the quality of life and in a complementary way the adherence to treatment as fundamental pillars in the control of the disease. General objective: to determine the activity of the disease and its relationship with quality of life and adherence to treatment in patients with rheumatoid arthritis at the IESS-Cuenca Hospital, 2019. Methodology: analytical, observational, cross-sectional study in 265 patients who attended the rheumatology outpatient clinic of the IESS-Cuenca Hospital. Prior to signing the informed consent, sociodemographic information, time of illness and comorbidities were collected on a registration form prepared by the authors. In addition, validated questionnaires were applied for health-related quality of life and adherence to treatment. The data obtained was analyzed in the SPSS version 12.0 software. Results: 83.8% of the study population corresponded to the female gender. The average age was 55.8 ± 12.8 years. Regarding disease activity, 45.3% were in remission and 4.5% in high activity. Quality of life had an average score of 6.89 and was rated as good in 86.8% of cases. Treatment adherence was 67.9%. A significant association was found between disease activity and quality of life (p = 0.001). Conclusion: The study evidenced an association between disease activity and quality of life, whereas, no significant association of disease activity with treatment adherence was found