| Popis: |
espanolIntroduccion La sarcoidosis es una enfermedad compleja, de etiologia desconocida, de curso variable y con formas de presentacion diversas. Nuestro objetivo fue caracterizar a todos nuestros pacientes con sarcoidosis con enfasis en su forma de presentacion clinica y establecer diferencias entre los pacientes con sarcoidosis con y sin compromiso articular. Metodos Se revisaron las historias clinicas de todos los pacientes con diagnostico de sarcoidosis que fueron atendidos en el Hospital Pablo Tobon Uribe de Medellin, Colombia, desde enero de 2002 hasta abril de 2017. Resultados Se encontraron 22 pacientes con sarcoidosis. Hubo sintomas articulares en 13 de ellos. Todos los pacientes con sarcoidosis articular, excepto uno, tuvieron compromiso cutaneo concomitante (92%), lo cual fue mucho menos frecuente en los pacientes sin compromiso articular (22%) (OR = 4,2; p Conclusiones Los pacientes con sarcoidosis que tienen compromiso articular presentan una frecuencia mucho mayor de compromiso cutaneo concomitante. La ausencia de hallazgos en piel en un paciente con sintomas articulares disminuye la probabilidad de que se trate de sarcoidosis. EnglishIntroduction Sarcoidosis is a complex disease of unknown etiology, with a variable course and highly different forms of presentation. Our objective was to characterize all our patients with sarcoidosis with emphasis on their clinical presentation and to establish differences between patients with sarcoidosis with and without joint involvement. Methods We reviewed the medical records of all patients with a diagnosis of sarcoidosis who were treated at the outpatient or inpatient services of the Pablo Tobon Uribe Hospital in Medellin, Colombia, from January 2002 to April 2017. Results We identified 22 patients with sarcoidosis. There were joint symptoms in 13 of them. All but one of the patients with sarcoidosis affecting the joints had concomitant skin involvement (92%), which was much less frequent in patients without joint involvement (22%) (odds ratio = 4.2; P Conclusions Patients with sarcoidosis who have joint involvement have a much higher frequency of concomitant skin involvement. The absence of cutaneous findings in a patient with joint symptoms decreases the likelihood of sarcoidosis. |
