Información del artículo
Resumen
Se describe el caso de una paciente de 48 años de edad con diagnóstico de síndrome CREST incompleto (variante de esclerosis sistémica limitada), en quien se documenta la presencia de artropatía de Jaccoud de las manos y compromiso pulmonar intersticial por fibrosis pulmonar tipo neumonía intersticial usual, con positividad para factor reumatoide y anticuerpos contra el péptido citrulinado.
Palabras clave:
síndrome CREST
artropatía
enfermedad pulmonar intersticial
fibrosis pulmonar
Summary
We report a case of a 48 years old patient with diagnosis of incomplete CREST syndrome (variant limited systemic sclerosis) in who we documented the presence of Jaccoud's arthropathy of the hands and pulmonary involvement by pulmonary fibrosis type usual interstitial pneumonia, with positivity for rheumatoid factor and anti-cyclic citrullinated peptide antibody.
Key words:
CREST syndrome
joint disease
interstitial lung disease
pulmonary fibrosis
El Texto completo está disponible en PDF
Referencias
[1.]
J. Restrepo, F. Rondon, E. Matteson, A. Iglesias.
Artropathy in Patients with CREST variant Scleroderma.
Curr Rheumatol Rev, 2 (2006), pp. 1-6
[2.]
K.L. Blocka, L.W. Bassett, D.E. Furst, P.J. Clements, H.E. Paulus.
The arthropathy of advanced progressive systemic sclerosis. A radiographic survey.
Arthritis Rheum, 24 (1981), pp. 874-884
[3.]
L.J. Catoggio, G. Evison, J.A.L. Harkness, P.J. Maddison.
The arthropathy of systemic sclerosis (scleroderma): comparison with mixed connective tissue disease.
Clin Exp Rheumatol, 1 (1983), pp. 101-112
[4.]
R. Misra, K. Darton, R.F. Jewkes, C.M. Black, R.N. Maini.
Arthritis in scleroderma.
Br J Rheumatol, 4 (1995), pp. 831-837
[5.]
R.D. Armstrong.
Scleroderma and erosive polyarthritis: a disease entity?.
Gibson T. Ann Rheum Dis, 41 (1982), pp. 141-146
[6.]
Y. Mimura, H. Ihn, M. Jinnin, Y. Asano, K. Yamane, N. Yazawa, K. Tamaki.
Rheumatoid factor isotypes and anti-agalactosyl IgG antibodies in systemic sclerosis.
Br J Dermatol, 151 (2004), pp. 803-808
[7.]
A.D. Rocha-Muñoz, L. González-López, R. Peguero-Gómez, E.A. Aguilar-Chávez, A.I. Villa-Manzano, E. Corona-Sánchez, et al.
Assessment of serum IgG activity correlation against cyclic citrullinated peptide antibodies, topoisomerase I and centromere proteins in Mexican patients with progressive systemic sclerosis.
Rev Alerg Mex, 56 (2009), pp. 103-107
[8.]
Y. Morita, Y. Muro, K. Sugiura, Y. Tomita.
Anti-cyclic citrullinated peptide antibody in systemic sclerosis.
Clin Exp Rheumatol., 26 (2008), pp. 542-547
[9.]
F. Ingegnoli, V. Galbiati, S. Zeni, L. Meani, L. Zahalkova, C. Lubatti, et al.
Use of antibodies recognizing cyclic citrullinated peptide in the differential diagnosis of joint involvement in systemic sclerosis.
Clin Rheumatol, 26 (2007), pp. 510-514
[10.]
S. Generini, G. Steiner, I. Miniati, M.L. Conforti, S. Guiducci, Skriner, et al.
Anti-hnRNP and other autoantibodies in systemic sclerosis with joint involvement.
Rheumatology (Oxford), 48 (2009), pp. 920-925
[11.]
R. Wu, O. Shovman, Y. Zhang, B. Gilburd, G. Zandman-Goddard, Y. Shoenfeld.
Increased prevalence of anti-third generation cyclic citrullinated peptide antibodies in patients with rheumatoid arthritis and CREST syndrome.
Clin Rev Allergy Immunol, 32 (2007), pp. 47-56
[12.]
M. Santiago, M. Baron, K. Miyachi, M.J. Fritzler, M. Abu-Hakima, S. Leclercq, et al.
A comparison of the frequency of antibodies to cyclic citrullinated peptides using a third generation anti-CCP assay (CCP3) in systemic sclerosis, primary biliary cirrhosis and rheumatoid arthritis.
Clin Rheumatol, 27 (2008), pp. 77-83
[13.]
L. Vignale, P.C. Rossi, G.C. Parentini.
Pulmonary involvement in a case of CREST syndrome.
Minerva Med, 81 (1990), pp. 827-830
[14.]
A. Pesci, G. Bertorelli, P. Manganelli, U. Ambanelli.
Bronchoalveolar lavage analysis of interstitial lung disease in CREST syndrome.
Clin Exp Rheumatol, 4 (1986), pp. 121-124
[15.]
E.E. Salvant, J.M. Carter, E.M. Armstrong, O.D. Polk Jr., K.I. Austin.
CREST syndrome: a variant of progressive systemic sclerosis, associated with interstitial pulmonary fibrosis and malignancy.
South Med J, 81 (1988), pp. 1185-1187
[16.]
G. Owens, G. Fino, D. Herbert, V. Steen, T. Medsger, Pennock, et al.
Pulmonary Function in Progressive Systemic Sclerosis. Comparison of CREST Syndrome Variant with Diffuse Scleroderma.
Chest, 84 (1983), pp. 546-550
Copyright © 2010. Asociación Colombiana de Reumatología
