<?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>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962021000300014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colangitis aguda secundaria a coledocolitiasis en una paciente con lupus eritematoso sistémico.]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute Cholangitis Secondary to Choledocholithiasis in a Patient with Systemic Lupus Erythematosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llumitaxi Chilquina]]></surname>
<given-names><![CDATA[Jenny Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guamán Guzmán]]></surname>
<given-names><![CDATA[Narciza Manuela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lema Tayupanda]]></surname>
<given-names><![CDATA[Jessica Germania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vallejo Ochoa]]></surname>
<given-names><![CDATA[Evelyn Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solis Cartas]]></surname>
<given-names><![CDATA[Urbano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Andino de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Escuela Superior Politécnica de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962021000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962021000300014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962021000300014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La colangitis aguda es una enfermedad inflamatoria de las vías biliares que representa la complicación más frecuente de obstrucción biliar. El abordaje terapéutico requiere tratamiento urgente, valoración de su evolución y generalmente drenaje biliar con la utilización de métodos endoscópicos. El propósito de este estudio es dar a conocer elementos clínicos, de laboratorio e imagenológicos que permiten diagnosticar la presencia de colangitis aguda secundaria a coledocolitiasis en una paciente lúpica y su manejo terapéutico. Se presenta a una paciente femenina de 37 años de edad, que acude a servicios de emergencia con manifestaciones clínicas, de laboratorio e imagenológicos que permiten diagnosticar colangitis aguda secundaria a coledocolitiasis. La presencia de litiasis en las vías biliares desencadena procesos inflamatorios, con síntomas que van desde leves a muy graves e implican el manejo intrahospitalario del paciente. La endoscopía, en este caso, colangiopancreatografía retrógrada endoscópica, representa una disminución importante de morbilidad y mortalidad en los pacientes, comparada con la utilización de procedimientos quirúrgicos. Después de realizar la CPRE, la paciente mostró una evolución clínica, de laboratorio e imagenológica favorable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Acute cholangitis is an inflammatory disease of the bile ducts that represents the most frequent complication of biliary obstruction. The therapeutic approach requires urgent treatment, assessment of its evolution and generally biliary drainage with the use of endoscopic methods. To present clinical, laboratory and imaging elements that allow diagnosing the presence of acute cholangitis secondary to choledocholithiasis in a lupic patient and its therapeutic management. Clinical case: female patient, 37 years old, who goes to emergency services with clinical, laboratory and imaging manifestations that allow diagnosing acute cholangitis secondary to choledocholithiasis. The presence of lithiasis in the bile ducts triggers inflammatory processes, with symptoms ranging from mild to very severe and imply inpatient management of the patient. Endoscopy, in this case, endoscopic retrograde cholangiopancreatography, represents a significant decrease in morbidity and mortality in patients, compared to the use of surgical procedures.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colangitis]]></kwd>
<kwd lng="es"><![CDATA[colangiopancreatografía retrógrada endoscópica]]></kwd>
<kwd lng="es"><![CDATA[coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="en"><![CDATA[cholangitis]]></kwd>
<kwd lng="en"><![CDATA[cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[endoscopic retrograde]]></kwd>
<kwd lng="en"><![CDATA[choledocholithiasis]]></kwd>
<kwd lng="en"><![CDATA[systemic lupus erythematosus]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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