Publications by authors named "Munoz-Fernandez S"

Article Synopsis
  • The study aimed to analyze the characteristics and treatment responses of patients with uveitis related to immunologic or idiopathic diseases needing immunosuppressive therapy.* -
  • A total of 356 patients were reviewed; 12% received systemic corticosteroids, while 18.5% required immunosuppressive or biological treatments, mostly with methotrexate and adalimumab.* -
  • Findings concluded that many patients needed immunosuppressive therapy, and while several drugs were used, tocilizumab showed notable effectiveness in resolving macular edema.*
View Article and Find Full Text PDF

Objective: Malnutrition is one of the most threatening conditions in geriatric populations. The gut microbiota has an important role in the host's metabolic and muscular health: however, its interplay with disease-related malnutrition is not well understood. We aimed to identify the association of malnutrition with the gut microbiota and predict clinical outcomes in hospitalized acutely ill older adults.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess the prevalence of SARS-CoV-2 antibodies in patients with immune-mediated inflammatory diseases (IMID) who are receiving biologic or synthetic therapies.
  • Conducted from October 2020 to May 2021, researchers evaluated 550 patients and found an overall seroprevalence rate of 16%, with higher rates in those treated with tumor necrosis factor alpha inhibitors (TNFi).
  • The findings also indicated that concurrent treatment with methotrexate reduced the seroprevalence in patients taking TNFi, suggesting a complex interaction between therapies affecting immune response.
View Article and Find Full Text PDF

Post-COVID-19 interstitial lung disease (ILD) is a new entity that frequently causes pulmonary fibrosis and can become chronic. We performed a single-center parallel-group open-label pilot randomized clinical trial to investigate the efficacy and safety of cyclosporine A (CsA) in the development of ILD in the medium term among patients hospitalized with COVID-19 pneumonia. Patients were randomized 1:1 to receive CsA plus standard of care or standard of care alone.

View Article and Find Full Text PDF
Article Synopsis
  • Spondyloarthritis (SpA) is a group of related diseases, including axSpA and psoriatic arthritis (PsA), but there isn't much real-world information about them.
  • The study aimed to look into the characteristics and treatment of axSpA and PsA patients using data from hospitals and fancy computer technology.
  • Out of 887,735 patients, 758 were chosen for the study, revealing that many didn't have clear disease activity scores, which are important for understanding how serious their condition is.
View Article and Find Full Text PDF

Objective: To evaluate progression from nonradiographic (nr-) to radiographic axial spondyloarthritis (r-axSpA) over 5 years in patients with recently diagnosed (≤1 year) axSpA fulfilling the Assessment of SpondyloArthritis international Society (ASAS) classification criteria.

Methods: A prospsective, observational study (Patients with Axial Spondyloarthritis: Multi-Country Registry of Clinical Characteristics) was conducted in rheumatology practices in 29 countries. Baseline and follow-up radiographs of sacroiliac joints were centrally evaluated by three readers according to the grading system of the modified New York criteria for patients initially classified as nr-axSpA.

View Article and Find Full Text PDF

. The risk of herpes zoster reactivation is increased in immunocompromised patients, especially in those with immune-mediated inflammatory diseases (IMIDs) on Janus kinase inhibitor (JAKi) treatment. The recombinant subunit herpes zoster vaccine (RZV) is a non-live vaccine, recently approved for this subgroup of patients, which shows high rates of vaccine effectiveness, with few adverse effects reported in clinical trials.

View Article and Find Full Text PDF

Objective: To develop evidence-based expert-consensus recommendations for the management of non-infectious, non-neoplastic, non-demyelinating disease associated uveitis.

Methods: Clinical research questions relevant to the objective of the document were identified, and reformulated into PICO format (patient, intervention, comparison, outcome) by a panel of experts selected based on their experience in the field. A systematic review of the available evidence was conducted, and evidence was graded according to GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria.

View Article and Find Full Text PDF

Introduction: Uveitis is the inflammation of the middle layer of the eye, the uvea, and is a major cause of blindness. None of the instruments used in clinical practice are, in themselves, sufficient to evaluate the course of uveitis. Therefore, it is necessary to develop instruments enabling standardized measurement of inflammatory activity.

View Article and Find Full Text PDF

Objective: To estimate the population frequency of uveitis complications and to evaluate their main risk factors in the patients with uveitis from the UVECAM study.

Patients And Methods: Development of complications in 386 patients with uveitis in the whole health area of the province of Toledo (UVECAM study) during a period of 1 year. Description of complications and study of their possible determinants by means of multivariate regression models.

View Article and Find Full Text PDF

Objectives: To compare demographic and clinical characteristics of patients with axial SpA (axSpA) across geographic regions.

Methods: Patients With Axial Spondyloarthritis: Multicountry Registry of Clinical Characteristics (PROOF) is an observational study that enrolled recently diagnosed (≤1 year) axSpA patients fulfilling the Assessment of SpondyloArthritis international Society classification criteria from rheumatology clinical practices in 29 countries across six geographic regions. Demographics and disease-related parameters were collected.

View Article and Find Full Text PDF

Background & Aims: Acutely ill older adults are at higher risk of malnutrition. This study aimed to explore the applicability and accuracy of the GLIM criteria to diagnose malnutrition in acutely ill older adults in the emergency ward (EW).

Methods: We performed a retrospective secondary analysis, of an ongoing cohort study, in 165 participants over 65 years of age admitted to the EW of a Brazilian university hospital.

View Article and Find Full Text PDF

Objectives: To describe local adaptations of materials derived from evidence-based recommendations in a training programme in rheumatoid arthritis (RA).

Methods: The eRA (evolving the management of rheumatoid arthritis) programme generated shared decision-making practises and a checklist for managing comorbidity in RA, among others, at the international level. Unmet needs in RA management were first identified and prioritised.

View Article and Find Full Text PDF

Objective: Choroidal thickness (CT) has been evaluated as a marker of systemic inflammation in ankylosing spondylitis (AS). This study evaluates the CT of AS patients before and after 6 months of biological treatment.

Methods: This longitudinal multicenter study evaluated CT in 44 AS patients.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess how current research on poor prognostic factors in rheumatoid arthritis (RA) influences treatment decisions among clinicians.
  • Researchers conducted a systematic literature review and a Delphi survey of rheumatologists to evaluate the effects of biologic drugs and Janus kinase inhibitors on these factors.
  • Findings revealed that only interstitial lung disease (ILD) significantly influenced treatment choices, with abatacept or rituximab being preferred, while other factors did not notably affect rheumatologists' decisions.
View Article and Find Full Text PDF
Article Synopsis
  • * The study involved 182 patients who received a combined pneumococcal vaccination protocol and evaluated their immune response through a specific assay measuring antibody functionality.
  • * Results indicated that patients on the drug etanercept had a better immune response to multiple pneumococcal serotypes, with about 50% of all participants developing functional antibodies post-vaccination, especially for the prevalent serotype 3.
View Article and Find Full Text PDF

Objectives: Rapid control of intraocular inflammation in non-infectious uveitis (NIU) is mandatory to avoid irreversible structural and functional damage. In this study, we assessed the efficacy and safety of intravenous methylprednisolone (IVMP) pulses in the treatment of NIU.

Methods: A retrospective case series of 112 patients who received IVMP for the treatment of NIU, either isolated or associated with different underlying diseases, was studied.

View Article and Find Full Text PDF

Objectives: The aim of this study was to examine the incidence of coronavirus disease 2019 (COVID-19) among patients with immunomediated inflammatory diseases (IMIDs) treated with biologic or targeted synthetic disease-modifying antirheumatic drugs (bDMARDs and tsDMARDs) and to evaluate the influence of either IMIDs or related therapies on the incidence and evolution of COVID-19.

Methods: This observational, cross-sectional study was conducted from January 31, 2020, to May 15, 2020. Data of 902 patients were obtained from clinical records in hospitals, primary care units, and community pharmacies.

View Article and Find Full Text PDF
Article Synopsis
  • * The review included 49 studies and found significant variability in prevalence and incidence, with an overall incidence rate of 50.45 cases per 100,000 people, affected by geographic differences.
  • * Factors such as study methodology and definitions of uveitis contributed to substantial differences in reported rates, indicating that many studies may not be widely applicable or representative of the general population.
View Article and Find Full Text PDF

Background: Non-infectious non-anterior uveitis (NINA) is a sight-threatening condition that often requires immunomodulatory drugs (IMDs) for its management.

Objectives: To evaluate the published evidence regarding the use of IMDs in adult patients with NINA uveitis including intermediate (IU) and posterior uveitis (PU), panuveitis (PanU) and macular edema (ME).

Methods: We performed a systematic literature review.

View Article and Find Full Text PDF

Objective: To estimate the prevalence of uveitis and to describe its etiologic and anatomical patterns based on a population study carried out in a Spanish region.

Material And Methods: A cross-sectional, descriptive, population-based multicenter study was conducted. The selection criteria consisted of having a diagnosis of uveitis.

View Article and Find Full Text PDF

Background: Influenza vaccine is recommended for patients with autoimmune inflammatory diseases (AIID) on biological therapy.

Objective: To evaluate whether serological response to Influenza vaccine obtained in patients on biological therapy is similar to that achieved in patients on synthetic disease-modifying anti-rheumatic drugs (DMARDs) and that obtained in healthy controls.

Methods: We designed a cohort study in which patients with AIID, 68 on biological therapy and 46 on synthetic DMARDs, as well as 48 healthy controls, were included and vaccinated during the 2015-2016 influenza season.

View Article and Find Full Text PDF