La Unidad de Continuidad Asistencial (UCA) como herramienta para evitar la fragmentación de la atención a los pacientes pluripatológicos

  1. Collado-Aliaga, Javier 1
  2. Moralejo-Alonso, Leticia 1
  3. Alonso-Claudio, Gloria 1
  1. 1 Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, España
Aldizkaria:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Argitalpen urtea: 2020

Zenbakien izenburua: Suplemento. Paciente pluripatológico y edad avanzada

Alea: 5

Zenbakia: 0

Orrialdeak: 27-28

Mota: Artikulua

DOI: 10.32818/RECCMI.A5S1A10 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Laburpena

A 71-year-old pluripathological patient with a history of follicular non-Hodgkin-B lymphoma treated with 3 lines due to relapse, the latter with rituximab and dexamethasone, currently in complete remission. He is referred to the Continuity of Assistance Unit for weight loss, recurrent infections and diarrhea of 1 year evolution. It was assessed by different specialists who requested multiple complementary tests. After an exhaustive review of the clinical his-tory, we observed a severe immunoglobulin deficiency (IgA, IgM and IgG) which, together with the exposed clinic, guided us to a secondary common variable immunodeficiency. After starting treatment with immunoglobulins, the patient presents progressive improvement with weight gain without new infectious episodes.

Erreferentzia bibliografikoak

  • Cunningham-Rundles C. Clinical manifestations, epidemiology, and diagnosis of common variable immunodeficiency in adults. In UpToDate. Feldweg AM (ed). UpToDate. Waltham, MA, 2020.
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  • Proceso de Atención al Paciente Pluripatológico en Castilla y León [Recurso electrónico]. Valladolid. Gerencia Regional de Salud, 2015. Accesible en: https://www.saludcastillayleon.es/profesionales/es/atencion-cronicos/atencion-paciente-cronico-castilla-leon (último acceso: febrero 2020).
Datuen iturria: Dialnet