Tratamiento de la artritis idiopática juvenil con infiltraciones articulares de acetónido de triamcinolona
Treatment of idiopathic juvenile arthritis with intraarticular triamcinolone acetonide injections
J. García-Consuegra Molina
, R. Merino Muñoz
Autor para correspondencia
reumped@hulp.es
Correspondencia: Unidad de Reumatología Pediátrica. Hospital Infantil La Paz. 28046 Madrid.
Correspondencia: Unidad de Reumatología Pediátrica. Hospital Infantil La Paz. 28046 Madrid.
Unidad de Reumatología Pediátrica. Hospital La Paz. Madrid
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"apellidos" => "Martinón Sánchez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300774686?idApp=UINPBA00005H" "url" => "/16954033/0000005300000004/v1_201307051520/S1695403300774686/v1_201307051520/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Tratamiento de la artritis idiopática juvenil con infiltraciones articulares de acetónido de triamcinolona" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "314" "paginaFinal" => "317" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. García-Consuegra Molina, R. Merino Muñoz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "García-Consuegra Molina" "email" => array:1 [ 0 => "reumped@hulp.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Merino Muñoz" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Reumatología Pediátrica. Hospital La Paz. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Unidad de Reumatología Pediátrica. Hospital Infantil La Paz. 28046 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of idiopathic juvenile arthritis with intraarticular triamcinolone acetonide injections" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-02-29" "fechaAceptado" => "2000-06-30" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186453" "palabras" => array:2 [ 0 => "Artritis Idiopàtica Juvenil" 1 => "Corticoïdes intraarticulares" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec186454" "palabras" => array:2 [ 0 => "Juvenile idiopathic arthritis" 1 => "Intra-articular corticosteroids" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar la respuesta terapéutica a las infiltraciones intraarticulares con acetónido de triamcinolona en pacientes con artritis idiopàtica juvenil.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Ochenta y ocho pacientes fueron evaluados prospectivamente después de recibir una o màs inyecciones intraarticulares de acetónido de triamcinolona. Fueron inyectadas un total de 194 articulaciones: 68 de 39 niños con una forma de comienzo oligoarticular, 36 de 17 con una forma poliarticular, 67 de 20 niños con un comienzo sistémico de la enfermedad y 23 en 12 pacientes con espondiloartropatía.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 131 de las 194 articulaciones infiltradas se consiguió una remisión de los signos inflamatorios (67,5%). El porcentaje de remisión fue significativamente menor en el grupo correspondiente a enfermos con una forma sistémica (36 frente a un 80% en los otros grupos). A los 6 meses el 70% de las articulaciones que habían remitido permanecía libre de recaída. No hubo complicaciones significativas.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las inyecciones intraarticulares con triamcinolona son una opción terapéutica segura y eficaz para el control de los niños con artritis idiopàtica</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the therapeutic response to intraarticular triamcinolone acetonide injections in patients with juvenile idiopathic arthritis</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Eight-eight patients were prospectively evaluated after receiving one or more intraarticular triamcinolone acetonide injections. A total of 194 joints were injected: 68 joints in 39 children with oligoarticular onset juvenile idiopathic arthritis, 36 joints in 17 children with polyarticular onset, 67 joints in 20 children with systemic onset, and 23 joints in 12 children with spondyloarthropathy</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Full resolution of signs of inflammation was achieved in 131 of 194 joints (67.5%). The percentage of remission was significantly lower in patients with systemic onset of the disease (36% versus 80% in the other groups). At the 6-month follow-up, 70% of the joints remained in remission. No significant complications were observed.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Intraarticular triamcinolone injections are safe and effective in children with chronic arthritis</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intraarticular triamcinolone hexacetonide in the management of chronic arthritis in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R.C. Allen" 1 => "K.R. Gross" 2 => "R.M. Laxer" 3 => "P.N. Malleson" 4 => "R.D. Beauchamp" 5 => "R.E. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 5 | 15 | 20 |
| 2024 Octubre | 32 | 102 | 134 |
| 2024 Septiembre | 35 | 77 | 112 |
| 2024 Agosto | 51 | 117 | 168 |
| 2024 Julio | 47 | 66 | 113 |
| 2024 Junio | 67 | 58 | 125 |
| 2024 Mayo | 50 | 53 | 103 |
| 2024 Abril | 57 | 43 | 100 |
| 2024 Marzo | 40 | 49 | 89 |
| 2024 Febrero | 44 | 50 | 94 |
| 2024 Enero | 52 | 50 | 102 |
| 2023 Diciembre | 51 | 30 | 81 |
| 2023 Noviembre | 48 | 47 | 95 |
| 2023 Octubre | 51 | 40 | 91 |
| 2023 Septiembre | 29 | 28 | 57 |
| 2023 Agosto | 52 | 29 | 81 |
| 2023 Julio | 50 | 71 | 121 |
| 2023 Junio | 51 | 51 | 102 |
| 2023 Mayo | 59 | 32 | 91 |
| 2023 Abril | 39 | 22 | 61 |
| 2023 Marzo | 82 | 41 | 123 |
| 2023 Febrero | 45 | 26 | 71 |
| 2023 Enero | 33 | 32 | 65 |
| 2022 Diciembre | 49 | 29 | 78 |
| 2022 Noviembre | 56 | 47 | 103 |
| 2022 Octubre | 48 | 50 | 98 |
| 2022 Septiembre | 34 | 36 | 70 |
| 2022 Agosto | 62 | 55 | 117 |
| 2022 Julio | 55 | 49 | 104 |
| 2022 Junio | 37 | 37 | 74 |
| 2022 Mayo | 39 | 47 | 86 |
| 2022 Abril | 33 | 42 | 75 |
| 2022 Marzo | 29 | 48 | 77 |
| 2022 Febrero | 33 | 28 | 61 |
| 2022 Enero | 31 | 55 | 86 |
| 2021 Diciembre | 33 | 50 | 83 |
| 2021 Noviembre | 56 | 48 | 104 |
| 2021 Octubre | 48 | 63 | 111 |
| 2021 Septiembre | 29 | 51 | 80 |
| 2021 Agosto | 23 | 34 | 57 |
| 2021 Julio | 39 | 35 | 74 |
| 2021 Junio | 35 | 46 | 81 |
| 2021 Mayo | 34 | 41 | 75 |
| 2021 Abril | 68 | 91 | 159 |
| 2021 Marzo | 71 | 47 | 118 |
| 2021 Febrero | 90 | 32 | 122 |
| 2021 Enero | 50 | 30 | 80 |
| 2020 Diciembre | 45 | 21 | 66 |
| 2020 Noviembre | 28 | 23 | 51 |
| 2020 Octubre | 24 | 13 | 37 |
| 2020 Septiembre | 26 | 10 | 36 |
| 2020 Agosto | 38 | 9 | 47 |
| 2020 Julio | 25 | 16 | 41 |
| 2020 Junio | 24 | 15 | 39 |
| 2020 Mayo | 33 | 21 | 54 |
| 2020 Abril | 22 | 8 | 30 |
| 2020 Marzo | 16 | 8 | 24 |
| 2020 Febrero | 23 | 18 | 41 |
| 2020 Enero | 32 | 26 | 58 |
| 2019 Diciembre | 31 | 26 | 57 |
| 2019 Noviembre | 20 | 20 | 40 |
| 2019 Octubre | 9 | 26 | 35 |
| 2019 Septiembre | 22 | 17 | 39 |
| 2019 Agosto | 25 | 20 | 45 |
| 2019 Julio | 28 | 38 | 66 |
| 2019 Junio | 25 | 35 | 60 |
| 2019 Mayo | 29 | 54 | 83 |
| 2019 Abril | 22 | 77 | 99 |
| 2019 Marzo | 17 | 28 | 45 |
| 2019 Febrero | 16 | 17 | 33 |
| 2019 Enero | 25 | 18 | 43 |
| 2018 Diciembre | 22 | 20 | 42 |
| 2018 Noviembre | 38 | 17 | 55 |
| 2018 Octubre | 52 | 19 | 71 |
| 2018 Septiembre | 15 | 20 | 35 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 1 | 0 | 1 |
| 2018 Abril | 17 | 0 | 17 |
| 2018 Marzo | 10 | 0 | 10 |
| 2018 Febrero | 15 | 0 | 15 |
| 2018 Enero | 13 | 0 | 13 |
| 2017 Diciembre | 14 | 0 | 14 |
| 2017 Noviembre | 21 | 0 | 21 |
| 2017 Octubre | 36 | 0 | 36 |
| 2017 Septiembre | 22 | 1 | 23 |
| 2017 Agosto | 12 | 0 | 12 |
| 2017 Julio | 21 | 1 | 22 |
| 2017 Junio | 18 | 31 | 49 |
| 2017 Mayo | 25 | 32 | 57 |
| 2017 Abril | 22 | 12 | 34 |
| 2017 Marzo | 18 | 13 | 31 |
| 2017 Febrero | 10 | 23 | 33 |
| 2017 Enero | 10 | 3 | 13 |
| 2016 Diciembre | 22 | 19 | 41 |
| 2016 Noviembre | 45 | 15 | 60 |
| 2016 Octubre | 38 | 30 | 68 |
| 2016 Septiembre | 41 | 53 | 94 |
| 2016 Agosto | 39 | 14 | 53 |
| 2016 Julio | 23 | 17 | 40 |
| 2016 Febrero | 1 | 0 | 1 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 1 | 0 | 1 |
| 2015 Agosto | 1 | 0 | 1 |
| 2015 Julio | 16 | 0 | 16 |
| 2015 Junio | 14 | 0 | 14 |
| 2015 Mayo | 18 | 16 | 34 |
| 2015 Abril | 28 | 0 | 28 |
| 2015 Marzo | 17 | 0 | 17 |
| 2015 Febrero | 15 | 0 | 15 |
| 2015 Enero | 25 | 0 | 25 |
| 2014 Diciembre | 23 | 2 | 25 |
| 2014 Noviembre | 16 | 0 | 16 |
| 2014 Octubre | 9 | 1 | 10 |
| 2014 Septiembre | 14 | 3 | 17 |
| 2014 Agosto | 18 | 1 | 19 |
| 2014 Julio | 20 | 2 | 22 |
| 2014 Junio | 26 | 1 | 27 |
| 2014 Mayo | 25 | 2 | 27 |
| 2014 Abril | 19 | 4 | 23 |
| 2014 Marzo | 26 | 12 | 38 |
| 2014 Febrero | 16 | 7 | 23 |
| 2014 Enero | 15 | 9 | 24 |
| 2013 Diciembre | 23 | 9 | 32 |
| 2013 Noviembre | 16 | 7 | 23 |
| 2013 Octubre | 18 | 7 | 25 |
| 2013 Septiembre | 22 | 7 | 29 |
| 2013 Agosto | 12 | 11 | 23 |
| 2013 Julio | 8 | 5 | 13 |
| 2013 Junio | 7 | 4 | 11 |
| 2013 Mayo | 7 | 2 | 9 |
| 2013 Abril | 7 | 4 | 11 |
| 2013 Marzo | 11 | 8 | 19 |
| 2013 Febrero | 31 | 4 | 35 |
| 2013 Enero | 25 | 1 | 26 |
| 2012 Diciembre | 19 | 4 | 23 |
| 2012 Noviembre | 18 | 3 | 21 |
| 2012 Octubre | 6 | 4 | 10 |
| 2012 Septiembre | 8 | 1 | 9 |
| 2000 Septiembre | 1770 | 0 | 1770 |
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