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Updated: Feb 26, 2026

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Larga duración de la COVID: una larga historia

Ilana Löwy1

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Los pacientes con COVID de larga duración a menudo tienen síntomas debilitantes pero resultados de pruebas normales, lo que lleva a que sus sufrimientos sean desestimados. Esto resalta un patrón histórico de trastornos médicamente invisibles e injusticia epistémica en la atención médica.

Palabras clave:
COVID de larga duracióninjusticia epistémicatrastornos médicamente invisiblessíntomasatención médica

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Área de la Ciencia:

  • Sociología Médica
  • Defensa del Paciente
  • Estudios de Salud Longitudinal

Sus antecedentes:

  • La COVID de larga duración se presenta con síntomas diversos y graves a pesar de las pruebas médicas normales.
  • Este desafío diagnóstico puede llevar a los profesionales de la salud a sospechar trastornos psicosomáticos.
  • Los pacientes con afecciones médicamente invisibles históricamente enfrentan incredulidad y desestimación.

Objetivo del estudio:

  • Examinar el concepto de injusticia epistémica en el contexto de la COVID de larga duración.
  • Conectar las experiencias de los pacientes con COVID de larga duración con la historia de los trastornos médicamente invisibles.
  • Abogar por el reconocimiento de los síntomas de la COVID de larga duración como reales y válidos.

Principales métodos:

  • Análisis cualitativo de narrativas de pacientes.
  • Revisión histórica de síntomas médicamente inexplicables.
  • Examen sociológico de las prácticas diagnósticas.

Principales resultados:

  • Los pacientes con COVID de larga duración experimentan injusticia epistémica debido a la falta de marcadores diagnósticos objetivos.
  • Su sufrimiento a menudo se invalida, lo que refleja experiencias históricas de pacientes con trastornos médicamente invisibles.
  • El sistema médico actual tiene dificultades para validar afecciones diagnosticadas principalmente a través de la autoinformación del paciente.

Conclusiones:

  • Los desafíos que enfrentan los pacientes con COVID de larga duración están profundamente arraigados en los sesgos médicos históricos.
  • Reconocer y validar las narrativas de los pacientes es crucial para abordar la injusticia epistémica.
  • Se necesita más investigación para desarrollar herramientas de diagnóstico objetivo y mejorar la atención médica para la COVID de larga duración.