<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912020000100063</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/02.01.2020.63</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reporte de un caso: Vasculitis asociada a ANCA P en el adulto mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[Case report: Vasculitis associated to P-ANCA in the elderly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Investigador independiente  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>2</volume>
<numero>1</numero>
<fpage>63</fpage>
<lpage>69</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912020000100063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912020000100063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912020000100063&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El espectro clínico de las vasculitis depende en gran medida de los vasos sanguíneos dañados y de los órganos afectados. Todas comparten síntomas comunes como los constitucionales y la presencia de anticuerpo anti citoplasmático de neutrofilos. La Poliangiítis microscópica es la vasculitis más frecuente en la población anciana. Se expone el caso de una paciente de 76 años de edad con antecedentes de presentar alteración recurrente del sedimento urinario, anemia crónica, debilidad muscular, trastornos de la marcha, tos húmeda no productiva, con internaciones frecuentes de origen genitourinario o respiratorio. Se solicita perfiles de laboratorio, serologías virales, perfiles reumatológicos entre ellos ANCA ante sospecha clínica de vasculitis y evaluaciones por especialistas. Ante cuadro clínico sugerente de afectación renal, pulmonar, neurológica documentada por proteinuria de 24 hs y clearance de creatinina, espirometría, tacar de tórax, electromiografía y con ANCA p positivo se inicia tratamiento con corticoides e inmunosupresores. A pesar del tratamiento realizado y ante la leve mejoría en principio del cuadro clínico, el diagnóstico tardío sumado a factores de mal pronóstico y al abandono del tratamiento, conllevan al fallecimiento de la paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The clinical spectrum of vasculitis is highly dependent on damaged blood vessels and affected organs. They all share common symptoms such as constitutional symptoms and the presence of anti-neutrophil cytoplasmic antibody. Microscopic polyangiitis is the most frequent vasculitis in the elderly population. The case of a 76-year-old patient with a history of recurrent alteration of the urinary sediment, chronic anemia, muscle weakness, gait disorders, non-productive wet cough, with frequent hospitalizations of genitourinary or respiratory origin is presented. Laboratory profiles, viral serologies, rheumatological profiles including ANCA are requested in case of clinical suspicion of vasculitis and evaluations by specialists. In a clinical picture suggestive of renal, pulmonary, and neurological involvement, documented by 24-hour proteinuria and creatinine clearance, spirometry, chest tacar, electromyography, and with positive ANCA, treatment with corticosteroids and immunosuppressants was started. Despite the treatment carried out and the slight improvement in the clinical picture at the beginning, the late diagnosis added to poor prognosis factors and the abandonment of the treatment, lead to the death of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vasculitis]]></kwd>
<kwd lng="es"><![CDATA[anticuerpos anticitoplasma de neutrófilos]]></kwd>
<kwd lng="es"><![CDATA[poliangitis microscópica]]></kwd>
<kwd lng="en"><![CDATA[vasculitis]]></kwd>
<kwd lng="en"><![CDATA[antibodies, antineutrophil cytoplasmic]]></kwd>
<kwd lng="en"><![CDATA[microscopic polyangiitis]]></kwd>
</kwd-group>
</article-meta>
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