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Humans , Mental Health , Mental Health/standards , Mental Health/trends , Health Promotion/methods , Health Promotion/standards , Health Promotion , Family Practice/instrumentation , Family Practice , Family Practice/methods , Mental Disorders/epidemiology , Mental Disorders/prevention & control , Family Practice/education , Family Practice/organization & administration , Family Practice/standards
La depresión es de etiología multifactorial, puede ser reactiva a situaciones socio-familiares del paciente y puede ser manifestación de síndromes clínicos. Se presenta con relativa frecuencia en las enfermedades reumatológicas, sobre todo en el lupus eritematoso sistémico. La primera manifestación de esta enfermedad puede afectar a cualquier órgano, siendo la depresión muy raramente la primera manifestación. Se presenta el caso de una paciente que acude a consulta presentando un trastorno depresivo, en principio reactivo a una situación de estrés profesional, y que en las consultas programadas sucesivas se observó que formaba parte de un cuadro clínico que el American College of Rheumatology (ACR) clasifica de lupus eritematoso sistémico
Depression has a multifactorial etiology, can be reactive to socio-family disorders of the patient and can be a manifestation of clinical syndromes. It appears in rheumatology diseases with relative frequency, especially systemic lupus erythematosus. The first manifestation of this illness may be organ damage, depression rarely being the first manifestation. We present the case of a patient with reactive depressive disorder due to work stress. During successive scheduled visits, it was observed that this formed a part of a clinical picture classified by ACR as systemic lupus erythematosus (SLE)
Humans , Female , Adult , Lupus Erythematosus, Systemic/complications , Depression/etiology , Lupus Erythematosus, Systemic/diagnosis , Diagnosis, Differential , Antidepressive Agents/therapeutic use
La medida de la temperatura corporal es un signo inespecífico. Su elevación debe llevar a investigar su causa. La etiología es muy variada: infecciones, neoplasias, colagenosis, etc., y también es importante tener en cuenta que puede ser un signo de un trastorno psicosomático
Measurement of body temperature is a non-specific sign. Its cause should be investigated when it is elevated. The etiology varies greatly: infections, neoplasms, collagenosis, etc. and it is also very important to take into account that it may be a sign of psychosomatic illness
Female , Middle Aged , Humans , Fever of Unknown Origin/diagnosis , Fever of Unknown Origin/psychology , Psychophysiologic Disorders/complications , Psychophysiologic Disorders/diagnosis , Psychosocial Deprivation , Fever of Unknown Origin/drug therapy , Psychophysiologic Disorders/drug therapy , Antidepressive Agents/therapeutic use , Psychotherapy
