RESUMEN
PURPOSE OF REVIEW: This review focuses on the association between RA and heart failure, highlighting the role of inflammation and the prevalence of heart failure with preserved ejection fraction (HFpEF) in this population. RECENT FINDINGS: The incidence of heart failure in RA patients is two to three times higher than in the general population, with inflammation playing a significant role independent of traditional cardiovascular risk factors. HFpEF accounts for about half of heart failure cases and is increasingly recognized in RA patients, although it remains underdiagnosed. Atypical presentations and non-specific symptoms further complicate diagnosis. Early control of inflammation has been shown to reduce the risk of heart failure development and progression, improving both morbidity and mortality outcomes. Rheumatoid arthritis (RA) is a systemic inflammatory disease affecting approximately 1% of the population, with cardiovascular disease being the leading cause of premature death in these patients.
RESUMEN
Systemic lupus erythematosus is a chronic, autoimmune, multisystemic, potentially fatal disease that commonly affects young women between puberty and menopause. It is a multifactorial disease associated with an elevated risk of premature death. The diagnosis is complex due to the broad clinical spectrum as well as the severity at the time of presentation. It is based on clinical manifestations and complementary studies of antibodies. Diagnostic criteria are not available, and classification criteria, such as the ACR/EULAR (American College of Rheumatology/European League Against Rheumatism) of 2019 are often used for diagnosis. Despite its clinical heterogeneity, SLE is an autoimmune disease that can affect multiple systems, and its early diagnosis is essential to avoid damage to vital organs and improve clinical outcomes. This case report shows atypical manifestations of a patient with neuropsychiatric and dermatological symptoms that were essential within the clinical picture to make the diagnosis of systemic lupus erythematosus.