Niveles de vitamina D correlacionados con actividad de la artritis reumatoide medidas por DAS 28 en pacientes de Promosalud Barranquilla en el año 2019

Vista sencilla de ítem
dc.contributor.advisorPadilla Martínez, Erika
dc.contributor.advisorVarela Prieto, Lourdes
dc.contributor.authorUmaña Castellón, Keving Javier
dc.contributor.authorAraque Libreros, Jonathan David
dc.coverage.spatialBarranquillaspa
dc.creator.emailkevingumana05@gmail.comspa
dc.creator.emailjona_arake@hotmail.comspa
dc.date.accessioned2023-05-11T16:52:15Z
dc.date.available2023-05-11T16:52:15Z
dc.date.created2020
dc.description.abstractObjetivo: Determinar la correlación entre niveles bajos de vitamina D en su forma de 25(OH)D3, y los grados de actividad medidas por DAS28 en pacientes con artritis reumatoide y el comportamiento de niveles de vitamina D según algunas variables clínicas individuales como articulaciones dolorosas, inflamadas y la valoración del estado global de salud. Metodología: Estudio descriptivo, de corte transversal. Se revisaron 334 historias clínicas de pacientes con diagnóstico de artritis reumatoide de la IPS Promosalud que consultaron en el año 2019, se seleccionaron 95 historias clínicas que cumplieron con criterios de inclusión, se organizaron variables demográficas, clínicas, y paraclínicas, realizándose análisis univariado de frecuencias para las variables cualitativas demográficas, aspectos clínicos y tratamiento. Se realizaron medidas de tendencia central y dispersión para algunas variables para determinar la influencia de variables en un desenlace cuantitativo se realizó prueba de correlación de Spearman. Resultados: La mujeres con niveles bajos de vitamina D fue superior a los hombres en el 91,5%, son más frecuente los niveles bajos de 25(OH) vitamina D en los pacientes con mayor número de articulaciones dolorosas (p<0,05), Se halló correlación significativa inversa en los niveles de vitamina D frente a el DAS28 por VSG en el 63%, como también con el DAS 28 por PCR (77%), así mismo con el número de articulaciones dolorosas (63%) y número de articulaciones inflamadas (50%), todos ellos con un P< 0,001. Conclusión: Se encontró asociación inversa estadísticamente significativa entre niveles de vitamina D y el grado de actividad de la artritis reumatoide.spa
dc.description.abstractenglishObjective: To determine the correlation between low levels of vitamin D in 25 (OH) D3 form, in rheumatoid arthritis patients and the disease activity measured through DAS28 besides the behavior of vitamin D levels according to some individual clinical variables such as painful joints , swollen and the assessment of the global state of health. Methodology: Descriptive, cross-sectional study. It was reviewed 334 medical records of patients diagnosed with rheumatoid arthritis from the Promosalud IPS who consulted in 2019, It was selected 95 medical records that met the inclusion criteria, organized demographic, clinical, and paraclinical variables, performing univariate analyzes of frequencies. for qualitative demographic variables, clinical aspects and treatment. Measurements of central tendency and dispersion were made for some variables to determine the influence of variables on a quantitative outcome. Spearman's correlation test was performed. Results: Women with low levels of vitamin D were higher than men in 91.5%, low levels of 25 (OH) vitamin D are more frequent in patients with a greater number of painful joints (p <0.05). ), A significant inverse correlation was found in vitamin D levels versus DAS28 by SGBV in 63%, as well as DAS 28 by PCR (77%), as well as the number of painful joints (63%) and number of inflamed joints (50%), all of them with a P <0.001. Conclusion: A statistically significant inverse association was found between vitamin D levels and the degree of activity of rheumatoid arthritis.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Medicina Internaspa
dc.formatPDFspa
dc.identifier.urihttps://hdl.handle.net/10901/25042
dc.relation.referencesRevista cubana de reumatología. “Evaluación De La Calidad De Vida Relacionada Con La Salud En Pacientes Con Artritis Reumatoide En Un Centro De Reumatología” issn 1617- 5996, vol 17nº1 la habana en-abr 2015spa
dc.relation.referencesCutolo m, otsa k, yprus m, seriolo b. vitamin d and rheumatoid arthritis: comment on the letter by nielen et al. arthritis rheum. 2007; 56:1719-20spa
dc.relation.referencesKerr gs, sabahi i, richards js, caplan l, cannon gw, reimold a, et al. prevalence of vitamin d insufficiency/deficiency in rheumatoid arthritis and associations with disease severity and activity. j rheumatol. 2010 oct 15spa
dc.relation.referencesCaballero uc. clinimetría en reumatología. en: molina lj, molina rj, editores. reumatología fundamentos de medicina. medellín: cib; 2012.p.159-168spa
dc.relation.referencesPatel s, farragher t, berry j, bunn d, silman a, symmons d. association between serum vitamin d metabolite levels and disease activity in patients with early inflammatory polyarthritis. arthritis rheum. 2007; 56:2143-9spa
dc.relation.referencesA firestein.”etiologia y patogenia de la artritis reumadoiea” del tratado de reumatología kelley y firestein cap 69 copyright ©2018 elsevier españa pag 1115-1166spa
dc.relation.referencesRevista colombiana de reumatología “la epidemiología de la artritis reumatoide”. 2 0 1 5;22(3):145–147spa
dc.relation.referencesBarbour ke, helmick cg, boring m, brady tj. vital signs: prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation - united states, 2013–2015. mmwr 2017; 66:246–253spa
dc.relation.referencesCrowson cs, matteson el, myasoedova e, et al. the lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases. arthritis rheum 2011; 63:633spa
dc.relation.referencesMa VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and 54 back pain. Arch Phys Med Rehabil 2014;95(5):986-95. e981spa
dc.relation.referencesFondo Colombiano de Enfermedades de alto costo “Situacion de la Artritis Reumatoide en Colombia” Morbimortalidad. Cap 3, Pag 33 – 43, Ed 2016spa
dc.relation.referencesJ. Londoño, I. Pelaez , I Angarita, et al. “Prevalencia de la enfermedad reumatica en Colombia, segun estrategia COPCORD-Asociacion Colombiana de Reumatología. Estudio de prevalencia de enfermedad reumatica en población Colombiana mayor de 18 años. rev colomb reumatol. 2018;25(4):245–256spa
dc.relation.referencesiain mcinnes and james r. o’dell goldman-cecil tratado de medicina interna, 2 vols. 25ª “rheumatoid arthritis” capitulo 264 edicion copyright © 2020 elsevier España pag 1709 – 1718spa
dc.relation.referencesa. erickson, a. cannella, t. mickuls “características clínicas de la artritis reumatoide” capítulo 70 de tratado de reumatología kelley y firestein copyright ©2016 elsevier españa pag 1167 – 1187spa
dc.relation.referencesjosef s. smolen, daniel aletaha Rheumatoid Arthritis nature reviews | disease primers” 8 feb 2018 number 18001 volumen 4 pag 1-23spa
dc.relation.referencesMa vy, chan l, carruthers kj ,VNJ Archives of Physical Medicine and Rehabilitation Archives of Physical Medicine and Rehabilitation 2014; 95:986-95spa
dc.relation.referencesFondo colombiano de enfermedades de alto costo “Situación Se La Artritis Reumatoide En Colombia” morbimortalidad. cap 3, pag 33 – 43, ed 2016spa
dc.relation.referencesJohn Londono˜ a, Ingris Pelaez Ballestas b, Francy Cuervo Prevalencia De La Enfermedad Reumática En Colombia, según estrategia COPCORD-Asociación Colombiana de Reumatología. Estudio de prevalencia de enfermedad reumática en población colombiana mayor de 18 años revista colombiana reumatología. 2 0 1 8;25(4):245–256spa
dc.relation.referencesJames r. o’dell “Artritis Reumatoide” capítulo 264 del tratado de medicina interna de goodman y cecil, edición 25 © 2017. elsevier españa, s.l.u pag 1755spa
dc.relation.referencesElena myasoedova, cynthia s. crowson, hilal maradit kremers The Incidence Of Rheumatoid Arthritis Rising? Results From Olmsted County, Minnesota, 1955–2007 arthritis & rheumatism vol. 62, no. 6, june 2010, pp 1576–1582spa
dc.relation.referencesJeremy Sokolove, Reuven Bromberg, Kevin D. Deane Autoantibody Epitope Spreading in the Pre-Clinical Phase Predicts Progression to Rheumatoid Arthritis plus one May 2012 | Volume 7 pag: 1-9spa
dc.relation.referencesJ.l. pablos álvarez j. Fisiopatología De La Artritis Reumatoide Manual Ser De Reumatología, capítulo 29, 217222 copyright © 2016spa
dc.relation.referencesJuan David cano Martínez Regulación e Impacto Epigenetico Del Elemento Móvil Humano 1 En Un Genoma Pluripotente Tesis Doctoral Programa De Benomica y Oncología en ciencias biomédicas de la universidad de granada 2010 (27)spa
dc.relation.referencesLuis miguel gómez, maría carolina páez y juan-manuel anaya Epigenética y Epigenómica De La Artritis Reumatoide revista med14 (1): 48-60, 2006spa
dc.relation.referencesNakano, K., Boyle, D. L., & Firestein, G. S.. Regulation of DNA Methylation in Rheumatoid Arthritis Synoviocytes. The Journal of Immunology, 2012 190(3), 1297–1303. doi:10.4049/jimmunol.1202572spa
dc.relation.referencesNakano, K., Whitaker, J. W., Boyle, D. L., Wang, W., & Firestein, G. S. . DNA Methylome Signature In Rheumatoid Arthritis. Annals of the Rheumatic Diseases, 72(1), 110–117. doi:10.1136/annrheumdis-2012-201526spa
dc.relation.referencesFrederick D. coffman chitinase 3-like-1 (chi3l1): A Putative Disease Marker At The Interface Of Proteomics And Glycomics Critical Reviews in Clinical Laboratory Sciences, 45(6):531–562 (2008) pag: 531-541spa
dc.relation.referencesJapcy Margarita Quiceno, Stefano Vinaccia Rheumatoid Arthritis: Psychobiological Considerations Divers.: Perspect. Psicol.Vol. (7) No 1 2011 pp. 27-41spa
dc.relation.referencesDr. Emigdio José León Toirac,I Dra. Nerys Magdalena Shortage of estrogen and immunity, a suggestive approach to the postmenopausal woman Revista Cubana de Endocrinología 2015;26(3):292-303spa
dc.relation.referencesSong Li1, Yangsheng Yu, Yinshi Yue, Zhixin Zhang and Kaihong Su Microbial Infection and Rheumatoid Arthritis national institute of health J Clin Cell Immunol. 2014 August 13 pag: 1-12 doi:10.4172/2155-9899.1000174spa
dc.relation.referencesPablos jl, cañete jd. Immunopathology Of Rheumatoid Arthritis. currend topics medicinal chemistry 2013; (13): 705-11spa
dc.relation.referencesJ.l. pablos álvarez. “Fisiopatología De La Artritis Reumatoide” del texto manual ser de enfermedades reumáticas, sociedad española de reumatología. ed 6, 2014 pag 220 - 221spa
dc.relation.referencesSong Li1, Yangsheng Yu, Yinshi Yue, Zhixin Zhang and Kaihong Su Microbial Infection and Rheumatoid Arthritis national institute of health J Clin Cell Immunol. 2014 August 13 pag: 1-12 doi:10.4172/2155-9899.1000174spa
dc.relation.referencesAriana Morales López Artritis Reumatoide revista médica de costa rica y Centroamérica lxx (607) 523 - 528, 2013 pag: 524-528spa
dc.relation.referencesBrisslert, Rehnberg M, Bokarewa MI.. Epstein-Barr Virus Infection Transforms cd25+ b Cells Into Antibody-Secreting Cells In Rheumatoid Arthritis Patients. Immunology 2013; 140:421-9spa
dc.relation.referenceswagner ca, sokolove j, lahey lj, et al. Identification Of Anticitrullinated Protein Antibody Reactivities In a Subset Of Anti-Ccp-Negative Rheumatoid Arthritis: Association With Cigarette Smoking And Hla-drb1 “Shared Epitope” Wagner CA, et al. Ann Rheum Dis 2015;74:579–586. doi:10.1136/annrheumdis-2013-203915spa
dc.relation.referencesKocijan R, Harre U, Schett G Acpa And Bone Loss In Rheumatoid Arthritis. current rheumatology report 2013;(15):366spa
dc.relation.referencesVíctor Ermilo Arana Argáez, Julio Cesar Torres Romero Inmunopatogénesis De La Artritis Reumatoide Diagnóstico y Estrategias Terapéuticas cap 8 Instituciones de Educación Superior. La labor investigadora e innovadora en México edición 1ª diciembre 2016 pag 113-145spa
dc.relation.referencesSabrina G. de Aquino, Shahla Abdollahi-Roodsaz, Marije I. et al. Periodontal Pathogens Directly Promote Autoimmune Experimental Arthritis By Inducing a TLR2- and IL-1-Driven Th17 Response The Journal of Immunology 2014;192:410spa
dc.relation.referencesJose U. Scher,1 Carles Ubeda,2 Michele Equinda,2 Raya Khanin, et al. Periodontal Disease and the Oral Microbiota in New-Onset Rheumatoid Arthritis. arthritis & rheumatism vol. 64, no. 10, october 2012, pp 3083–3094spa
dc.relation.referencesWilliam P. Arend and Gary S. Firestein . Pre-Rheumatoid Arthritis: Predisposition And Transition To Clinical Synovitis. nature reviews rheumatology, 8(10), 573–586. doi:10.1038/nrrheum.2012.134spa
dc.relation.referencesF.j. ballina garcía “Manifestaciones Clínicas y Complicaciones De La Artritis Reumatoide Establecida” capitulo 31 de del texto manual ser de enfermedades reumáticas, sociedad española de reumatología. ed 6, 2015 pag 231-238spa
dc.relation.referencesAbeer Fauzi Al-Rubaye, Mohanad Jawad Kadhim Rheumatoid Arthritis: History, Stages, Epidemiology, Pathogenesis, Diagnosis and Treatment International Journal of Toxicological and Pharmacological Research 2017; 9(2); 145-155spa
dc.relation.referencesReem Hamdy A Mohammed, Faisal Farahat, Hanady H Kewan and Mohammed A Bukhari Predictors of European League Against Rheumatism (EULAR) good response, DAS-28 remission and sustained responses to TNFinhibitors in rheumatoid arthritis: a prospective study in refractory disease springer plus 2012; 206-31 pag: 1-7spa
dc.relation.referencesJosé Luis Alcocer Maldonado-Luis Gerardo Domínguez Gasca-Jorge Mora ConstantinoLuis Gerardo Domínguez Carrillo Atlantoaxial instability: report of a case Acta méd. Grupo Ángeles vol.14 no.4 México oct./dic. 2016spa
dc.relation.referencesYasser Emad & Ashraf Anbar & Ihab Abo-Elyoun & Nashwa El-Shaarawy & Hadeel AlHanafi & atem Darwish & Mona Gamil & Johannes J. Rasker In Palindromic Rheumatism, Hand Joint Involvement And Positive Anti-CCP Antibodies Aredict RA Development After 1 Year Of Follow-Up Clin Rheumatol (2014) 33:791–797spa
dc.relation.referencesFischer A, Solomon JJ , du Bois RM , Deane KD , Olson ALet al. Lung Disease With AntiCcp Antibodies But Not Rheumatoid Arthritis Or Connective Tissue Disease. Respir med 2012;106(7):1040-7spa
dc.relation.referencesKajal Prasad ,Deepak Rath y Bijit Kumar Kundu Arthritis Robustus: review of a case of an “abnormal” rheumatoid rheumatoid. springerplus 2014; 3:606spa
dc.relation.referencesPaloma vela Extra-Articular Manifestations Of Rheumatoid Arthritis, now emj european medical journal 2014;1:103-112spa
dc.relation.referencesEdilzar Gilberto González Velásquez Artritis Reumatoide Y Pulmón Neumología y Cirugía de Tórax Vol. 67(2):75-78, 2008spa
dc.relation.referencesEem Hamdy A Mohammed, Faisal Farahat, Hanady H Kewan and Mohammed A Bukhari2. Rheumatoid Arthritis: Pathogenesis And Clinical Features. en: bijilsma jwj, editor. eular textbook on rheumatic diseases. london, bmj publihsing group ltd., 2012; 206-31spa
dc.relation.referencesDaniela Marín-Hernández, Mauricio Orrantia-Vértiz, Jorge Alberto Barragán-Garfias, Rheumatoid Vasculitis As First Manifestation Of Rheumatoid Arthritis. Med Int Méx. 2018 mayo-junio;34(3):480-485spa
dc.relation.referencesMarco Aurelio Ramírez Huaranga. María Dolores Mínguez Sánchez Artritis Reumatoide Una Enfermedad Sistémica Comun Riesgo Cardiovascular Subestimado revista colombiana reumatología 2018; 25 (2) :92–98spa
dc.relation.referencesAna Lois Iglesias a, Walter Alberto Sifuentes Giraldoa Leucemia De Linfocitos Grandes Granulares Como Complicación De Artritis Reumatoide Reumatología Clínica. 2012;8(6):365–367spa
dc.relation.referencesAshutosh D Wechalekar, Julian D Gillmore, Philip N Hawkins Systemic amyloidosis the lancet Published Online December 21, 2015spa
dc.relation.referencesFrank c. arnett, steven m. edworthy, daniel a. bloch, dennis j. mcshane,james f. fries, norman s. cooper The American Rheumatism Association 1987 Revised Criteria For The Classification Of Rheumatoid Arthritis arthritis and rheumatism, vol. 31, no. 3 (march 1988)spa
dc.relation.referencesSánchez. g, navarro. e “Enfermedades Sistémicas En El Anciano” capítulo 86 tratado de medicina geriátrica, fundamentos de atención sanitaria a los mayores copyright © 2015 elsevier españa, s.l.uspa
dc.relation.referencesAletaha D1, Neogi T, Silman AJ, Funovits J, Felson DT 2010 Rheumatoid Arthritis Classification Criteria Arthritis & Rheumatism vol. 62, no. 9, september 2010, pp 2569–2581spa
dc.relation.referencesNeogi, A.J. Silman, J. Funovits 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative BMJ Anales de las enfermedades reumáticas 1 octubre 2010 Volumen 69, Número 9spa
dc.relation.referencesCombe b, landewe r, lukas c, et al. eular Update Of The Eular Recommendations For The Management Of Early Arthritis Report Of a Task Force Of The European Standing 59 Committee For International Clinical Studies Including Therapeutics (escisit). Annals of rheumatic disease 2016. British medical journal medicinespa
dc.relation.referencesSmolen js, landewé r, bijlsma j, et al. eular Recommendations For The Management Of Rheumatoid Arthritis With Synthetic And Biological Disease-Modifying Antirheumatic Drugs: 2016 update. Annals rheumatic disease 2017; 76:960spa
dc.relation.referencesAletaha d, smolen js. The Definition And Measurement Of Disease Modification In Inflammatory Rheumatic Diseases. Rheum disease clinic north america 2006; 32:9spa
dc.relation.referencesSokka T and Pincus T. Quantitative Joint Assessment In Rheumatoid Arthritis. Clin Exp Rheumatol 2005 ;23(5 Suppl 39):S58-62. Reviewspa
dc.relation.referencesAlejandro Balsa, Virginia Villaverde y Emilio Martín-Mola Índices De Actividad Y Mejoría En La Artritis Reumatoide Servicio de Reumatología. Hospital Universitario La Paz. Universidad Autónoma de Madrid. 04-06-2011spa
dc.relation.referencesRitchie DM, Boyle JA, McInnes JM, et al. Clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. Q J Med 1968;New Series 37:303-406spa
dc.relation.referencesFuchs HA, Brooks RH, Callahan LF, Pincus T. A simplified twenty-eight joint quantitative articular index in rheumatoid arthritis. Arthritis Rheum 1989; 32:531-7spa
dc.relation.referenceshttp://www.reumatologia.sld.cu/escalas-y-medidas-de-uso-en-reumatologia Actualizado: 21 de Abril de 2020spa
dc.relation.referencesSokka T. Assessment 0f Pain In Rheumatic Diseases. Clin Exp Rheumatol 2005;23(5 Suppl 39):S77-S84spa
dc.relation.referencesHuskisson EC. Measurement Of Pain. Lancet 1974; 2:1127-31spa
dc.relation.referencesWilliamson A, Hoggart B. Pain: a Review Of Three Commonly Used Pain Rating Scales. Journal Clinic Nurse. 2005;14(7):798- 804. Reviewspa
dc.relation.referencesSantillán M, Arriola MS, Citera G, Maldonado Cocco JA. Comparación de tres escalas de evaluación del dolor y la actividad en pacientes con artritis reumatoidea [abstract]. Rev Argent Reumatol 2004;15 (Supl 1): 27. (79)spa
dc.relation.referencesVliet Vlieland TPM, Zwinderman AH, Breedveld FC, Hazes JMW.Measurement of morning stiffness in rheumatoid arthritis clinical trials. J Clin Epidemiol 997;50(7): 757-63spa
dc.relation.referencesRitchie DM, Boyle JA, McInnes JM, et al. Clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. Q J Med 1968;New Series 37:303-406spa
dc.relation.referencesSiegel jn, zhen bg. use of the american college of rheumatology n (acr-n) index of improvement in rheumatoid arthritis: argument in favor. arthritis rheum 2005; 52:1637spa
dc.relation.referencesMallya RK, Mace BEW. The Assessment of disease activity in rheumatoid arthritis using a multivariate analysis. Rheumatol Rehabil 1981; 20:14-17spa
dc.relation.referencesVan der Heijide DMFM, van't Hof MA, van Riel PLCM, et al. Judging disease activity in clinical practice in rheumatoid arthritis: first step in the development of a disease activity score. Ann Rheum Dis 1990; 49:916-920spa
dc.relation.referencesHuskisson EC. Measurement of pain. Lancet 1974; 2:1127-1131spa
dc.relation.referencesHuskisson EC. Assessment for clinical trials. Clin Rheum Dis 1976; 2:37-50spa
dc.relation.referencesaletaha d, nell vp, stamm t, et al. acute phase reactants add little to composite disease activity indices for rheumatoid arthritis: validation of a clinical activity score. arthritis res ther 2005; 7:r796spa
dc.relation.referencesVan der heijde dm, van 't hof m, van riel pl, van de putte lb. development of a disease activity score based on judgment in clinical practice by rheumatologists. j rheumatol 1993; 20:579spa
dc.relation.referencesAntonio Iglesias – G, Gerardo Quintana – L Análisis histórico de la clinimetría y de la autoclinimetría. Estado del arte Rev.Colomb.Reumatol. vol.20 no.1 Bogotá Jan./ ritchie dm, boyle ja, mcinnes jm, et al. clinical studies with an articular index for the assessment of joint tenderness in patients with rheumatoid arthritis. q j med 1968; 37:393. June 2013spa
dc.relation.referencesFleischmann rm, van der heijde d, gardiner pv, et al. das28-crp and das28-esr cut-offs for high disease activity in rheumatoid arthritis are not interchangeable. rmd open 2017; 3spa
dc.relation.referencesSmolen JS, Breedveld FC, Schiff MH, et al. A simplified disease activity index for rheumatoid arthritis for use in clinical practice. Rheumatology 2003; 42:244-57spa
dc.relation.referencesAletaha D and Smolen J. The simplified disease activity index (SDAI) and the clinical disease activity index (CDAI): a review of their usefulness and validity in rheumatoid arthritis. Clin Exp Rheumatol 2005;23(Suppl. 39), S100-8spa
dc.relation.referenceschristakos s, ajibade dv, dhawan p, fechner aj, mady lj. vitamin d: metabolism. endocrinol metab clin north am 2010; 39: 243-253, table of contentsspa
dc.relation.referencesHolick mf, chen tc. vitamin d deficiency: a worldwide problem with health consequences. am j clin nutr 2008; 87: 1080s-1086sspa
dc.relation.referencesHolick mf. vitamin d: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. am j clin nutr 2004; 79: 362-371. (99)spa
dc.relation.referencesReichrath j, lehmann b, carlberg c, varani j, zouboulis cc. vitamins as hormones. horm metab res 2007; 39: 71-84spa
dc.relation.referencesKochupillai n. the physiology of vitamin d: current concepts. Ind1ian j med res 2008; 127: 256-262spa
dc.relation.referencesMorris ha, anderson ph. Autocrine And Paracrine Actions Of Vitamin D. clin biochem rev 2010; 31: 129- 138spa
dc.relation.referencesCarlberg c “current understanding of the function of the nuclear vitamin d receptor in response to its natural and synthetic ligands”. recent results cancer (2003) res 164: 29–42spa
dc.relation.referencesLiu pt et al. (2006) Toll-Like Receptor Triggering Of a Vitamin D-Mediated Human Antimicrobial Response. science 311: 1770–1773spa
dc.relation.referencesSigmundsdottir h et al. (2007) dcs metabolize sunlight-induced vitamin d3 to ‘program’ t cell attraction to the epidermal chemokine ccl27. nat immunol 8: 285–293spa
dc.relation.referencesSchauber j et al. (2007) injury enhances tlr2 function and antimicrobial peptide expression through a vitamin d-dependent mechanism. j clin invest 117: 803–811spa
dc.relation.referencesIfigenia kostoglou-athanassiou, panagiotis athanassiou, aikaterini lyraki, et al. “Vitamin D and Rheumatoid Arthritis”. journal list ther adv endocrinol metab v.3(6); dec/2012. doi: 10.1177/2042018812471070spa
dc.relation.referencesM. cutolo. “vitamin d and autoimmune rheumatic diseases” rheumatology, volume 48, issue 3, 1 march 2009, pages 210–212, https://doi.org/10.1093/rheumatology/ken394spa
dc.relation.referencesMinisterio de Salud “De los aspectos Éticos de la investigación en seres humanos” Resolución Nº 8430/1993 Capitulo 1, Resolución 8430IIspa
dc.relation.referencesTurhanoğlu AD, Güler H, Yönden Z, Aslan F, Mansuroglu A, Ozer C. The relationship between vitamin D and disease activity and functional health status in rheumatoid arthritis. Rheumatol Int. 2010 Mar 19spa
dc.relation.referencesThiele k, huscher d, bischoff s, et al. performance of the 2011 acr/eular preliminary remission criteria compared with das28 remission in unselected patients with rheumatoid arthritis. ann rheum dis 2013; 72:1194spa
dc.relation.referencesE. Lubrano1 , F. Mesina2 , R. Caporali3 Clinical remission in rheumatoid arthritis and psoriatic arthritis Clinical and Experimental Rheumatology 2018 Clin Exp Rheumatol 2018; 36: 900-910spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subjectArtritisspa
dc.subjectDAS28spa
dc.subject25(OH)D3 (vitamina D)spa
dc.subject.lembDeficiencia de vitamina Dspa
dc.subject.lembArtritis reumatoidespa
dc.subject.lemb25-hidroxi (vitamina D)spa
dc.titleNiveles de vitamina D correlacionados con actividad de la artritis reumatoide medidas por DAS 28 en pacientes de Promosalud Barranquilla en el año 2019spa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.localTesis de Especializaciónspa

Archivos

Bloque original

Mostrando 1 - 2 de 2
Miniatura
Nombre:
UMAÑA Y ARAQUE.pdf
Tamaño:
1.18 MB
Formato:
Adobe Portable Document Format
Descripción:
Archivo tesis Umaña MEDINT 2020
Descargar
Miniatura
Nombre:
Formato autorizacion-Araque y Umaña.pdf
Tamaño:
780.91 KB
Formato:
Adobe Portable Document Format
Descripción:
Autorizacion publicacion Umaña MEDINT 2020
Descargar

Bloque de licencias

Mostrando 1 - 1 de 1
Miniatura
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Especialización en Medicina Interna