Enfermedades reumatológicas en pacientes con hepatitis autoinmune en un hospital de cuarto nivel de Bogotá entre el 2013 al 2023
dc.contributor.advisor | Quintana, Gerardo | |
dc.contributor.advisor | Sierra Arango, Fernando | |
dc.contributor.author | Vergara Cabra, Cathalina | |
dc.contributor.author | Almánzar Cortés, Juan Sebastián | |
dc.date.accessioned | 2024-07-25T16:13:29Z | |
dc.date.available | 2024-07-25T16:13:29Z | |
dc.date.issued | 2024-07 | |
dc.description.abstract | Introducción: La hepatitis autoinmune (HAI) es una enfermedad crónica inflamatoria del hígado de baja prevalencia a nivel global. En múltiples estudios se ha evaluado la coexistencia de esta entidad con enfermedades reumatológicas la cual es muy variable. El objetivo de este estudio es identificar la frecuencia de la coexistencia de enfermedades reumatológicas y hepatitis autoinmune en adultos que han sido atendidos durante 10 años en un hospital de cuarto nivel en Bogotá, Colombia. Materiales y métodos: Estudio observacional analítico de corte transversal en un único centro que incluyó pacientes mayores de 18 años de ambos sexos con diagnóstico de HAI por “score” simplificado ≥7 puntos, con historia clínica registrada en el Hospital Fundación Santa Fe de Bogotá entre enero de 2013 y diciembre 2023. Resultados: Un total de 66 pacientes cumplieron criterios de inclusión. El 36.4% de los pacientes presentaban una enfermedad autoinmune concomitante, siendo el síndrome de Sjögren, el lupus eritematoso sistémico y la enfermedad tiroidea autoinmune las de mayor prevalencia. Conclusión: La frecuencia de la coexistencia de hepatitis autoinmune con enfermedades reumatológicas en pacientes adultos es del 36.4% para la cohorte estudiada, encontrándose en el rango de lo ya reportado a nivel global, donde se ha descrito una prevalencia del 14 al 44%. | |
dc.description.abstractenglish | Introduction: Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease with low prevalence worldwide. The coexistence of this entity with rheumatic diseases has been evaluated in multiple studies and is highly variable. The objective of this study is to identify the frequency of coexistence of rheumatic diseases and autoimmune hepatitis in adults who have been treated for 10 years in a fourth-level hospital in Bogota, Colombia. Materials and methods: Analytical, observational, cross-sectional study in a single center that included patients over 18 years of age of both sexes with a diagnosis of AIH by simplified score ≥7 points, with a medical history registered at the Fundacion Santa Fe de Bogota in Bogota, Colombia between January 2013 and December 2023. Results: A total of 66 patients met inclusion criteria. 36.4% of patients had a concomitant autoimmune disease, with Sjögren's syndrome, systemic lupus erythematosus and autoimmune thyroid disease being the most prevalent. Conclusion: The frequency of coexistence of autoimmune hepatitis with rheumatic diseases in adult patients is 36.4% for the cohort studied, which is within the range of what has already been reported globally, where a prevalence of 14 to 44% has been described. | |
dc.description.degreelevel | Especialización | spa |
dc.description.degreename | Especialista en Medicina Interna | spa |
dc.description.sponsorship | Fundación Santa Fe de Bogotá | |
dc.format.mimetype | application/pdf | |
dc.identifier.instname | instname:Universidad El Bosque | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad El Bosque | spa |
dc.identifier.repourl | repourl:https://repositorio.unbosque.edu.co | |
dc.identifier.uri | https://hdl.handle.net/20.500.12495/12731 | |
dc.language.iso | es | |
dc.publisher.faculty | Facultad de Medicina | spa |
dc.publisher.grantor | Universidad El Bosque | spa |
dc.publisher.program | Especialización en Medicina Interna | spa |
dc.relation.references | Lohse AW, Chazouillères O, Dalekos G, Drenth J, Heneghan M, Hofer H, et al. EASL clinical practice guidelines: Autoimmune hepatitis. J Hepatol. 2015 Oct 1;63(4):971–1004. | |
dc.relation.references | Lv T, Li M, Zeng N, Zhang J, Li S, Chen S, et al. Systematic review and meta-analysis on the incidence and prevalence of autoimmune hepatitis in Asian, European, and American population. Journal of Gastroenterology and Hepatology (Australia). 2019 Oct 1;34(10):1676–84. | |
dc.relation.references | Wang CR, Tsai HW. Autoimmune liver diseases in systemic rheumatic diseases. Vol. 28, World Journal of Gastroenterology. Baishideng Publishing Group Inc; 2022. p. 2527–45. | |
dc.relation.references | Makol A, Watt KD, Chowdhary VR. Autoimmune Hepatitis: A Review of Current Diagnosis and Treatment. Hepat Res Treat. 2011 May 15;2011:1–11. | |
dc.relation.references | Hurlburt KJ, Mcmahon BJ, Deubner H, Hsu-Trawinski B, Williams JL, Kowdley K V. Prevalence of Autoimmune Liver Disease in Alaska Natives. 2002. | |
dc.relation.references | Mack CL, Adams D, Assis DN, Kerkar N, Manns MP, Mayo MJ, et al. Diagnosis and Management of Autoimmune Hepatitis in Adults and Children: 2019 Practice Guidance and Guidelines From the American Association for the Study of Liver Diseases WHat’S NeW SINCe 2010 gUIDelINeS? 2020;0(0). | |
dc.relation.references | Olivas I, Rodríguez-Tajes S, Londoño MC. Autoimmune hepatitis: Challenges and novelties. Vol. 159, Medicina Clinica. Ediciones Doyma, S.L.; 2022. p. 289–98. | |
dc.relation.references | de Boer YS, Gerussi A, van den Brand FF, Wong GW, Halliday N, Liberal R, et al. Association Between Black Race and Presentation and Liver-Related Outcomes of Patients With Autoimmune Hepatitis. Clinical Gastroenterology and Hepatology. 2019 Jul 1;17(8):1616-1624.e2. | |
dc.relation.references | Webb GJ, Hirschfield GM, Krawitt EL, Gershwin ME. Cellular and Molecular Mechanisms of Autoimmune Hepatitis. 2017; Available from: https://doi.org/10.1146/annurev-pathol-020117- | |
dc.relation.references | Tanaka H, Tujioka H, Ueda H, Hamagami H, Kida Y, Elsevier MI, et al. Autoimmune hepatitis triggered by acute hepatitis A. World J Gastroenterol [Internet]. 2005;11(38):6069–71. Available from: www.wjgnet.com | |
dc.relation.references | Yeoman AD, Westbrook RH, Zen Y, Bernal W, Al-Chalabi T, Wendon JA, et al. Prognosis of acute severe autoimmune hepatitis (AS-AIH): The role of corticosteroids in modifying outcome. Vol. 61, Journal of Hepatology. Elsevier B.V.; 2014. p. 876–82. | |
dc.relation.references | Yasui S, Fujiwara K, Yonemitsu Y, Oda S, Nakano M, Yokosuka O. Clinicopathological features of severe and fulminant forms of autoimmune hepatitis. J Gastroenterol. 2011 Mar;46(3):378–90. | |
dc.relation.references | Liberal R, Grant CR. Cirrhosis and autoimmune liver disease: Current understanding. World J Hepatol. 2016;8(28):1157–68. | |
dc.relation.references | De Luca-Johnson J, Wangensteen KJ, Hanson J, Krawitt E, Wilcox R. Natural History of Patients Presenting with Autoimmune Hepatitis and Coincident Nonalcoholic Fatty Liver Disease. Dig Dis Sci. 2016;61(9):2710–20. | |
dc.relation.references | Stravitz RT, Lefkowitch JH, Fontana RJ, Gershwin ME, Leung PSC, Sterling RK, et al. Autoimmune acute liver failure: Proposed clinical and histological criteria. Hepatology. 2011;53(2):517–26. | |
dc.relation.references | Czaja AJ. Performance parameters of the diagnostic scoring systems for autoimmune hepatitis. Hepatology. 2008;48(5):1540–8. | |
dc.relation.references | Gassert DJ, Garcia H, Tanaka K, Reinus JF. Corticosteroid-responsive cryptogenic chronic hepatitis: Evidence for seronegative autoimmune hepatitis. Dig Dis Sci. 2007;52(9):2433–7. | |
dc.relation.references | Czaja AJ. Autoantibody-negative autoimmune hepatitis. Vol. 57, Digestive Diseases and Sciences. 2012. p. 610–24. | |
dc.relation.references | Rahim MN, Miquel R, Heneghan MA. Approach to the patient with acute severe autoimmune hepatitis. Vol. 2, JHEP Reports. Elsevier B.V.; 2020. | |
dc.relation.references | Nguyen Canh H, Harada K, Ouchi H, Sato Y, Tsuneyama K, Kage M, et al. Acute presentation of autoimmune hepatitis: A multicentre study with detailed histological evaluation in a large cohort of patients. J Clin Pathol. 2017 Nov 1;70(11):961–9. | |
dc.relation.references | Björnsson E, Talwalkar J, Treeprasertsuk S, Kamath PS, Takahashi N, Sanderson S, et al. Drug-induced autoimmune hepatitis: Clinical characteristics and prognosis. Hepatology. 2010 Jun;51(6):2040–8. | |
dc.relation.references | Wong GW, Yeong T, Lawrence D, Yeoman AD, Verma S, Heneghan MA. Concurrent extrahepatic autoimmunity in autoimmune hepatitis: implications for diagnosis, clinical course and long-term outcomes. Liver International. 2017 Mar 1;37(3):449–57. | |
dc.relation.references | Czaja AJ, Carpenter HA. Distinctive clinical phenotype and treatment outcome of type 1 autoimmune hepatitis in the elderly. Hepatology. 2006 Mar;43(3):532–8. | |
dc.relation.references | Teufel A, Weinmann A, Kahaly GJ, Centner C, Piendl A, Wo¨rns M, et al. Concurrent Autoimmune Diseases in Patients With Autoimmune Hepatitis [Internet]. 2010. Available from: www.jcge.com | |
dc.relation.references | Efe C, Wahlin S, Ozaslan E, Berlot AH, Purnak T, Muratori L, et al. Autoimmune hepatitis/primary biliary cirrhosis overlap syndrome and associated extrahepatic autoimmune diseases. Eur J Gastroenterol Hepatol. 2012 May;24(5):531–4. | |
dc.relation.references | Paredes Millán Mileydy, Chirinos Montes Nataly Juliana, Martinez Apaza Anthony, Lozano Adelina. Enfermedades reumatológicas más frecuentes en pacientes con enfermedad hepática autoinmune en el Hospital Nacional Arzobispo Loayza entre el 2008 al 2013, Lima. | |
dc.relation.references | Utiyama SRR, Zenatti KB, Nóbrega HAJ, Soares JZC, Skare TL, Matsubara C, et al. Rheumatic Disease Autoantibodies in Autoimmune Liver Diseases. Immunol Invest. 2016 Aug 17;45(6):566–73. | |
dc.relation.references | Díaz-Ramírez GS, Jiménez D, Escobar D, Vargas C, Rojas C, Rojas N. Characterization of patients diagnosed with autoimmune hepatitis in a fourth level hospital from Cali, 2014-2020. Rev Colomb Gastroenterol. 2023 Jan 1;38(1):2–11. | |
dc.relation.references | Bonder A, Retana A, Winston DM, Leung J, Kaplan MM. Prevalence of Primary Biliary Cirrhosis-Autoimmune Hepatitis Overlap Syndrome. Clinical Gastroenterology and Hepatology. 2011 Jul;9(7):609–12. | |
dc.relation.references | Perdigoto R, Carpenter HA, Czaja AJ. Frequency and significance of chronic ulcerative colitis in severe corticosteroid-treated autoimmune hepatitis. J Hepatol. 1992;14(2–3):325–31. | |
dc.relation.references | Manns MP, Woynarowski M, Kreisel W, Lurie Y, Rust C, Zuckerman E, et al. Budesonide induces remission more effectively than prednisone in a controlled trial of patients with autoimmune hepatitis. Gastroenterology. 2010;139(4):1198–206. | |
dc.relation.references | Heneghan MA, Yeoman AD, Verma S, Smith AD, Longhi MS. Autoimmune hepatitis. In: The Lancet. Elsevier B.V.; 2013. p. 1433–44. | |
dc.relation.references | To U, Silveira M. Overlap Syndrome of Autoimmune Hepatitis and Primary Biliary Cholangitis. Clin Liver Dis [Internet]. 2018;22(3):603–11. Available from: https://doi.org/10.1016/j.cld.2018.03.010 | |
dc.rights | Atribución-NoComercial-CompartirIgual 4.0 Internacional | en |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
dc.rights.local | Acceso abierto | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
dc.subject | Hepatitis Autoinmune | |
dc.subject | Enfermedades reumatológicas | |
dc.subject | Perfil inmunoserológico | |
dc.subject | Frecuencia | |
dc.subject | Coexistencia | |
dc.subject.keywords | Autoinmune Hepatitis | |
dc.subject.keywords | Inmune system diseases | |
dc.subject.keywords | Autoantibodies | |
dc.subject.keywords | Prevalence | |
dc.subject.nlm | WB 115 | |
dc.title | Enfermedades reumatológicas en pacientes con hepatitis autoinmune en un hospital de cuarto nivel de Bogotá entre el 2013 al 2023 | |
dc.title.translated | Reumathologic diseases in patients with autoinmune hepatitis in a fourth level hospital from Bogota, findings between 2013 and 2023 | |
dc.type.coar | https://purl.org/coar/resource_type/c_7a1f | |
dc.type.coarversion | https://purl.org/coar/version/c_ab4af688f83e57aa | |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
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