Internists and Autoimmune Diseases: the Portuguese National Registry
Keywords:
autoimmune diseases, rheumatoid arthritis, lupus, Sjögren, internal medicine, anti-TNFAbstract
Background: The clinical variability and the diagnostic diffi culty
inherent to all autoimmune diseases leads to their frequent diagnosis and treatment by Internal Medicine specialists. Although it
is known that many Portuguese internists work in this fi eld, the
real dimension of this activity is unknown.
Methods: An inquiry was sent by mail to the 118 Internal Medicine departments registered in the Portuguese Internal Medicine
Society. The data obtained was put in an electronic database.
Results: We had 44 answers from the 118 Internal Medicine
departments, of which 37 were from departments with a specifi c
activity in autoimmune disease. A total number of 158 internists
follow 6.000 to 13.000 patients with autoimmune disease. The
most prevalent were Rheumatoid Arthritis (1.181-2.305 patients),
Lupus Erythematosus (708-1.395 patients) and Sjögren’s syndrome (320-665 patients). Therapy with anti-TNF agents is given
to 135 patients, in 17 departments.
Conclusions: In Portugal, internists follow a high number of
patients with diverse autoimmune diseases, with a national distribution.
Downloads
References
Gabriel SE. Classification of Rheumatic Diseases. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 1.3.1.
Hu P, Reuben DB. Effects of managed care on the length of time that elderly patients spend with physicians during ambulatory visits: National Ambulatory Medical Care Survey. Med Care 2002; 40 (7): 606-613.
Crespo J. Doença de Behçet: casuística nacional. Medicina Interna 1997; 4: 225-232.
Olsen NJ, Stein CM. New drugs for Rheumatoid Arthritis. N Engl J Med 2004; 350: 2167-2179.
MacGregor AJ, Silman AJ. Rheumatoid Arthritis: Classification and Epidemiology. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 5.2.3.
Gladman DD, Urowitz MB. Systemic Lupus Erythematosus: Clinical Features. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.1.1.
Wigley FM. Systemic Sclerosis: Clinical Features. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.9.1.
Medsger TA, Oddis CV. Inflammatory Muscle Disease : Clinical features. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.13.2.
Tzioufas AG, Moutsopoulos HM. Sjögren’s Syndrome. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.32.1.
Harris EN. Antiphospholipid Syndrome. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.35.1.
Yazici H, Yurdakul S, Hamuryudan V. Behçet’s Syndrome. In: Klippel JH, Dieppe PA, Eds. Rheumatology. Barcelona, Mosby. 2000: 7.26.1
Additional Files
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna