Gutiérrez-González Luis Arturo
Rheumatology Department, Hospital Universitario de Caracas, HUC-UCV, Caracas, 1020, DC, Venezuela.
Clin Rheumatol. 2015 Dec;34(12):2011-9. doi: 10.1007/s10067-015-2994-y. Epub 2015 Jun 24.
Rheumatological conditions can sometimes present as emergencies. These can occur due to the disease process or infection; contrary to what many people think, rheumatologic emergencies like a pain, rheumatic crisis, or attack gout do not compromise the patient's life. This article mentioned only true emergencies: catastrophic antiphospholipid syndrome (cAPS), kidney-lung syndrome, central nervous system (CNS) vasculitis, anti-Ro syndrome (neonatal lupus), and macrophage activation syndrome (MAS). The management of above emergencies includes critical care, immunosuppression when indicated, and use of a diagnostic flowchart as well as fast laboratory profile for making decisions. Anticoagulants have to be used in the management of antiphospholipid syndrome. A good understanding of these conditions is of paramount importance for proper management.
风湿性疾病有时会以急症形式出现。这些急症可能由疾病进程或感染引起;与许多人所想的相反,诸如疼痛、风湿性危机或痛风发作等风湿性急症并不会危及患者生命。本文仅提及真正的急症:灾难性抗磷脂综合征(cAPS)、肺肾综合征、中枢神经系统(CNS)血管炎、抗Ro综合征(新生儿狼疮)和巨噬细胞活化综合征(MAS)。上述急症的管理包括重症监护、必要时的免疫抑制,以及使用诊断流程图和快速实验室检查结果来做决策。在抗磷脂综合征的管理中必须使用抗凝剂。对这些病症有充分的了解对于妥善管理至关重要。