<?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>2413-4341</journal-id>
<journal-title><![CDATA[Revista Paraguaya de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. parag. reumatol.]]></abbrev-journal-title>
<issn>2413-4341</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2413-43412025000100010</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2025.11.01.10</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas de pacientes con Lupus Eritematoso Sistémico internados del Hospital Nacional de Itauguá del año 2022 al 2024]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical Characteristics of Patients with Systemic Lupus Erythematosus Hospitalized at the Hospital Nacional de Itauguá from 2022 to 2024]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa]]></surname>
<given-names><![CDATA[Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Servin]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zaya]]></surname>
<given-names><![CDATA[Laura Silvana Aria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hetter]]></surname>
<given-names><![CDATA[María Eugenia Acosta de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacifico  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>10</fpage>
<lpage>15</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412025000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412025000100010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412025000100010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción : El lupus eritematoso sistémico (LES) puede llevar a complicaciones que requieran de hospitalización.  Objetivo : Evaluar las características clínicas de pacientes con LES internados en el Hospital Nacional de Itauguá entre 2022 y 2024.  Material y Método : Estudio observacional, descriptivo y retrospectivo. Se revisaron 97 fichas clínicas de pacientes adultos diagnosticados con LES, hospitalizados en el servicio de clínica médica. Se analizaron variables sociodemográficas, comorbilidades, motivos de ingreso, actividad de la enfermedad (SLEDAI), tratamiento y estancia hospitalaria. Las variables fueron analizadas mediante estadística descriptiva utilizando el software Epi Info v7.2.  Resultados : La mediana de edad fue 30 años, con predominio del grupo de 18-29 años (49,4 8%) y el sexo femenino (84,54%). La dificultad respiratoria fue el motivo principal de internación y la hipertensión arterial la comorbilidad más común. Según la escala SLEDAI, el 50,52% presentó actividad severa de la enfermedad. Las infecciones fueron la complicación más frecuente (55,67%), y el 48,5% estuvo internado menos de 10 días. Los corticoides fueron los fármacos más utilizados (91,75%), seguidos de inmunosupresores (85,57%).  Conclusión:  La mayoría de los pacientes presentaron una actividad severa y complicaciones infecciosas, resaltando la necesidad de un enfoque integral y un seguimiento estrecho.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Systemic lupus erythematosus (SLE) can lead to complications requiring hospitalization.  Objective:  to evaluate the clinical characteristics of patients with SLE admitted to the National Hospital of Itaugua between 2022 and 2024,  Material and Methods:  a retrospective observational descriptive study. Ninety-seven clinical records of adult patients diagnosed with SLE, hospitalized in the medical clinic service were reviewed. Sociodemographic variables, comorbidities, reasons for admission, disease activity (SLEDAI), treatment and hospital stay were analyzed. The variables were analyzed by descriptive statistics using Epi Info v7.2 software.  Results: The median age was 30 years, with a predominance of the 18-29 years age group (49.4%) and female sex (84.54%). Respiratory distress was the main reason for hospitalization and arterial hypertension the most common comorbidity. According to the SLEDAI scale, 50.52% presented severe disease activity. Infections were the most frequent complication (55.67%), and 48.5% were hospitalized for less than 10 days. Corticosteroids were the most commonly used drugs (91.75%), followed by immunosuppressants (85.57%).  Conclusion : Most patients presented severe activity and infectious complications, highlighting the need for a comprehensive approach and close follow-up.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lupus eritematoso sistémico (LES)]]></kwd>
<kwd lng="es"><![CDATA[Características clínicas]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[Systemic Lupus Erythematosus (SLE)]]></kwd>
<kwd lng="en"><![CDATA[Clinical Characteristics]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Jiménez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mejía Bonilla]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz Fallas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lupus eritematoso sistémico: enfoque general de la enfermedad]]></article-title>
<source><![CDATA[Rev Med Sinerg]]></source>
<year>2021</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montiel]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cacace]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mortalidad y causas de muerte en pacientes con lupus eritematoso sistémico]]></article-title>
<source><![CDATA[Rev Paraguaya Reumatol]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres Boggino]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Taboada]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Montiel]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Velázquez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo de hospitalización y mortalidad de pacientes internados con lupus eritematoso sistémico en Paraguay]]></article-title>
<source><![CDATA[Rev Cienc Salud.]]></source>
<year>2023</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Melgarejo Paniagua]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Denis Doldán]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira Gaona]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Reissner]]></surname>
<given-names><![CDATA[CV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones en pacientes con lupus eritematoso sistémico]]></article-title>
<source><![CDATA[Rev Nac (Itauguá)]]></source>
<year>2015</year>
<volume>7</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-31</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vásconez González]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Cuchiparte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Peláez]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Galarza Maldonado]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Cano Cevallos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[López Cortés]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ortíz Prado]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manifestaciones neurológicas del lupus eritematoso sistémico: revisión de literatura]]></article-title>
<source><![CDATA[Rev Ecuat Neurol]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López Posada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Comportamiento del complemento sérico en pacientes con lupus eritematoso sistémico y enfermedad renal crónica en estadio 5 que se encuentran en hemodiálisis en los centros de cuidado renal de B. Braun Colombia durante el periodo julio 2019 - diciembre 2019]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Pereira ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Tecnológica de Pereira]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruíz Blasco]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Lupus eritematoso sistémico: revisión bibliográfica]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Zaragoza ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Zaragoza]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Gómez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Atención urgente ante complicaciones del lupus eritematoso sistémico: revisión sistemática]]></source>
<year>2023</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Europea]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boteanu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Lupus eritematoso sistémico pediátrico]]></source>
<year>2020</year>
<publisher-name><![CDATA[Sociedad Española de Reumatología Pediátrica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oyarzún]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Access to clinical records for biomedical research purposes]]></article-title>
<source><![CDATA[Rev Chil Enferm Respir]]></source>
<year>2015</year>
<volume>31</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>212-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dorgham]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Anwar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Khaled]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infection in systemic lupus erythematosus patients]]></article-title>
<source><![CDATA[Egypt Rheumatol]]></source>
<year>2021</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>115-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Selvananda]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chong]]></surname>
<given-names><![CDATA[YY]]></given-names>
</name>
<name>
<surname><![CDATA[Thundyil]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Disease activity and damage in hospitalized lupus patients: a Sabah perspective]]></article-title>
<source><![CDATA[Lupus]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Manadan]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reasons for hospitalization and in-hospital mortality in adult systemic lupus erythematosus]]></article-title>
<source><![CDATA[]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dhital]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[All-cause hospitalizations and mortality in systemic lupus erythematosus in the US: results from a national inpatient database]]></article-title>
<source><![CDATA[Lupus]]></source>
<year>2019</year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[De La Cruz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Características clínicas y comorbilidades en pacientes con lupus eritematoso sistémico en 2 hospitales de Lambayeque (2017-2022)]]></source>
<year>2022</year>
<publisher-loc><![CDATA[Chiclayo ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Católica Santo Toribio de Mogrovejo;]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aragón]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Ordoñez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez-Avellaneda]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gallego]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<name>
<surname><![CDATA[Gallego]]></surname>
<given-names><![CDATA[CN]]></given-names>
</name>
<name>
<surname><![CDATA[Bolaños]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Granados]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tobón]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical characterization, outcomes, and prognosis in patients with systemic lupus erythematosus admitted to the intensive care unit]]></article-title>
<source><![CDATA[Lupus]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Correa]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Ariza-Rodríguez]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz-Jiménez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Ávila]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Rosselli]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Costo de atención hospitalaria en pacientes con lupus eritematoso sistémico en un hospital de alta complejidad en Colombia]]></article-title>
<source><![CDATA[Rev Colomb Reumatol]]></source>
<year>2024</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
