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    Refractory systemic juvenile idiopathic arthritis successfully treated with rapamycin
    (2021)
    Sara Concha
    ;
    Emma Rey-Jurado
    ;
    M Cecilia Poli
    ;
    Rodrigo Hoyos-Bachiloglu
    ;
    Arturo Borzutzky
    Scopus© Citations 6  1
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    A case report of granuloma faciale, an uncommon cutaneous vasculitis
    (2019)
    Javier Arellano
    ;
    Pablo Vargas
    ;
    Constanza Pulgar
    ;
    Gabriel Neely
    ;
    Yamile Corredoira
      1
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    Definition of Uveitis Refractory to Treatment: A Systematic Review in the Absence of a Consensus
    (2020)
    Rodrigo A. Valenzuela
    ;
    Iván Flores
    ;
    Myriam Pujol
    ;
    Carolina Llanos
    ;
    Ester Carreño
      3Scopus© Citations 10
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    Frequency and severity of periodontitis among patients with rheumatoid arthritis
    (2015)
    Sebastián Ibáñez V
    ;
    Cristina Ferreiro
    ;
    Andrés Contreras
    ;
    ;
    Nicolás Giadalah
      29  1Scopus© Citations 7
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    Predictors of relapse and treatment outcomes in biopsy-proven giant cell arteritis: a retrospective cohort study
    (2016)
    CRISTIAN HUMBERTO LABARCA SOLAR
    ;
    Matthew J. Koster
    ;
    Cynthia S. Crowson
    ;
    Ashima Makol
    ;
    Steven R. Ytterberg
      4Scopus© Citations 147
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    Sepsis progression to multiple organ dysfunction in carotid chemo/baro-denervated rats treated with lipopolysaccharide
    (2015)
    Gino Nardocci
    ;
    Aldo Martin
    ;
    Sebastián Abarzúa
    ;
    Jorge Rodríguez
    ;
    Felipe Simon
      1Scopus© Citations 27  1
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    Efficacy of Methotrexate in Real-world Management of Giant Cell Arteritis: A Case-control Study
    (2019)
    Matthew J. Koster
    ;
    Karthik Yeruva
    ;
    Cynthia S. Crowson
    ;
    Francesco Muratore
    ;
    Cristian Labarca
    <jats:sec><jats:title>Objective.</jats:title><jats:p>To determine the effect of methotrexate (MTX) on relapse risk and glucocorticoid (GC) use in a large single-institution cohort of patients with giant cell arteritis (GCA).</jats:p></jats:sec><jats:sec><jats:title>Methods.</jats:title><jats:p>Patients diagnosed with GCA from 1998 to 2013 with confirmed evidence of temporal artery biopsy and/or radiographic evidence of large vessel vasculitis were identified. Each patient with GCA treated with adjunct MTX (case) was matched to a similar patient with GCA treated only with GC (control). GC requirements and relapse events before and after MTX initiation (or corresponding index date) were compared using rate ratios (RR).</jats:p></jats:sec><jats:sec><jats:title>Results.</jats:title><jats:p>Eighty-three cases and 83 controls were identified and compared. No significant differences in age, demographics, laboratory variables, baseline disease characteristics, or mean initial prednisone doses were observed. Median [interquartile range (IQR)] time from GCA diagnosis to MTX initiation in cases was 39 (13–80) weeks and the median (IQR) starting dose was 13.5 (10–15) mg/week. RR comparing relapse rates before and after MTX initiation/index date were significantly reduced in both cases (RR 0.32, 95% CI 0.24–0.41) and controls (RR 0.60, 95% CI 0.43–0.86). The decrease in relapse rate was significantly greater in patients taking MTX than in those taking GC alone (p = 0.004). Rates of GC discontinuation did not differ between groups.</jats:p></jats:sec><jats:sec><jats:title>Conclusion.</jats:title><jats:p>In this large single-institution cohort, the addition of MTX to GC decreased the rate of subsequent relapse by nearly 2-fold compared to patients taking GC alone. MTX may be considered as adjunct therapy in patients with GCA to decrease the risk of further relapse events.</jats:p></jats:sec>
    Scopus© Citations 44  1
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    Factors predictive of serious infections over time in systemic lupus erythematosus patients: data from a multi-ethnic, multi-national, Latin American lupus cohort
    (2019)
    V R Pimentel-Quiroz
    ;
    M F Ugarte-Gil
    ;
    GB Harvey
    ;
    D Wojdyla
    ;
    G J Pons-Estel
    <jats:sec><jats:title>Aim</jats:title><jats:p> The aim of this study was to identify factors predictive of serious infections over time in patients with systemic lupus erythematosus (SLE). </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> A multi-ethnic, multi-national Latin American SLE cohort was studied. Serious infection was defined as one that required hospitalization, occurred during a hospitalization or led to death. Potential predictors included were sociodemographic factors, clinical manifestations (per organ involved, lymphopenia and leukopenia, independently) and previous infections at baseline. Disease activity (SLEDAI), damage (SLICC/ACR Damage Index), non-serious infections, glucocorticoids, antimalarials (users and non-users), and immunosuppressive drugs use; the last six variables were examined as time-dependent covariates. Cox regression models were used to evaluate the predictors of serious infections using a backward elimination procedure. Univariable and multivariable analyses were performed. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Of the 1243 patients included, 1116 (89.8%) were female. The median (interquartile range) age at diagnosis and follow-up time were 27 (20–37) years and 47.8 (17.9–68.6) months, respectively. The incidence rate of serious infections was 3.8 cases per 100 person-years. Antimalarial use (hazard ratio: 0.69; 95% confidence interval (CI): 0.48–0.99; p = 0.0440) was protective, while doses of prednisone &gt;15 and ≤60 mg/day (hazard ratio: 4.18; 95 %CI: 1.69–10.31; p = 0.0019) and &gt;60 mg/day (hazard ratio: 4.71; 95% CI: 1.35–16.49; p = 0.0153), use of methylprednisolone pulses (hazard ratio: 1.53; 95% CI: 1.10–2.13; p = 0.0124), increase in disease activity (hazard ratio: 1.03; 95% CI: 1.01–1.04; p = 0.0016) and damage accrual (hazard ratio: 1.22; 95% CI: 1.11–1.34; p &lt; 0.0001) were predictive factors of serious infections. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> Over time, prednisone doses higher than 15 mg/day, use of methylprednisolone pulses, increase in disease activity and damage accrual were predictive of infections, whereas antimalarial use was protective against them in SLE patients. </jats:p></jats:sec>
      6Scopus© Citations 75
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      5Scopus© Citations 1
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    Glucocorticoid Receptor-alpha and MKP-1 as Candidate Biomarkers for Treatment Response and Disease Activity in Vogt-Koyanagi-Harada Disease
    (2019)
    Cristhian A. Urzua
    ;
    Ping Chen
    ;
    Benjamin Chaigne-Delalande
    ;
    Baoying Liu
    ;
    Rodrigo Anguita
      42Scopus© Citations 5