Background: The causes of acute decompensations of patients with systemic autoimmune diseases are not well known.
Aim: To describe the causes for consultation in an emergency room of patients with systemic autoimmune diseases.
Material And Methods: Review of medical records of patients with systemic autoimmune diseases, aged over 14 years, consulting in an emergency room of a general hospital during three months.
Results: In the study period, 166 patients with systemic autoimmune diseases consulted in the emergency room, of a total of 18,153 consultations (0.9%). Patients with rheumatoid arthritis were those that consulted with higher frequency (37%) followed by patients with systemic lupus erythematosus (21%). The most common causes for consultation were cardiovascular diseases in 25%, followed by digestive disorders in 15%. The most common diagnosis was chest pain with suspected ischemic heart disease in 36%. No differences in cardiovascular risk factors were observed between those patients consulting for cardiovascular diseases and those consulting for other causes.
Conclusions: The most common cause of consultation in the emergency room of patients with systemic autoimmune diseases is cardiovascular.
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