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Enfermedades reumáticas que se presentan con ictus isquémico joven: revelaciones de la experiencia del centro
Hatice Ecem Konak1, Serdar Can Guven1, Ebru Atalar1
1Department of Rheumatology, Ankara Bilkent City Hospital, Ankara, Turkiye.
Northern clinics of Istanbul
|August 21, 2025
Resumen
Este estudio encontró que las enfermedades reumatológicas son una causa potencial de accidente cerebrovascular isquémico de inicio temprano en adultos jóvenes. La derivación temprana a la reumatología es crucial para el diagnóstico preciso y la prevención de accidentes cerebrovasculares recurrentes.
Área de la Ciencia:
- Reumatología
- Neurología
- Médico interno
Sus antecedentes:
- El ictus isquémico en adultos jóvenes presenta desafíos de diagnóstico.
- La identificación de las causas reumatológicas subyacentes es fundamental para un tratamiento eficaz.
Objetivo del estudio:
- Determinar la frecuencia y las características clínicas de las enfermedades reumatológicas en pacientes con ictus isquémico por primera vez.
- Investigar el papel de la reumatología en la etiología del accidente cerebrovascular isquémico de inicio temprano.
Principales métodos:
- Análisis retrospectivo de pacientes de entre 18 y 65 años con primer ictus isquémico.
- Inclusión de pacientes derivados a reumatología para investigación etiológica.
- La recopilación de datos incluyó datos demográficos, resultados de laboratorio, imágenes y diagnósticos finales.
Principales resultados:
- Se identificaron 115 pacientes con primer ictus isquémico; 70 tenían ictus de inicio temprano.
- Las afecciones reumatológicas diagnosticadas incluyeron lupus con síndrome antifosfolípido secundario (APS), APS primario, síndrome de Sjögren primario y granulomatoso con poliangiitis.
- Casos específicos: 1 lupus con APS secundario y Sjögren, 1 lupus y APS secundario, 2 APS primario, 1 lupus, 1 Sjögren primario, 1 granulomatoso con poliangitis.
Conclusiones:
- Las enfermedades reumatológicas son una causa importante, a menudo pasada por alto, de accidente cerebrovascular isquémico en adultos jóvenes.
- El diagnóstico etiológico preciso es vital para prevenir eventos isquémicos recurrentes.
- Se recomienda una mayor sensibilización del médico y la remisión oportuna a los reumatólogos.
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