Abordaje integral de la artritis reumatoide en atención primaria de salud

Abstract

Rheumatoid arthritis is a chronic, autoimmune, systemic inflammatory disease of unknown etiology, which mainly and symmetrically affects the peripheral joints. Several advances have been made in accordance with its pathophysiology, but its etiology remains unknown; it has been proven that tumor necrosis factor (TNF)-α and interleukin (IL)-6 are found with greater predominance in the pathogenesis and persistence . of arthritis inflammation, the diagnosis is based on the presence of antibodies against citrullinated peptides. Rheumatoid arthritis causes joint deformities and injuries, in addition to increasing cardiovascular risk, infections and tumors, which is why strategies have been created at the national level aimed at prevention, early diagnosis and timely treatment to remit the disease early and improve its prognosis. Objective To characterize the comprehensive approach to rheumatoid arthritis in primary health care. Methodology: Descriptive study, evidenced in the collection of medical literature from different international databases such as Pubmed, Medscape and Elsevier from the last 5 years. Conclusion: It is concluded that the management of rheumatoid arthritis should emphasize the prevention of modifiable environmental factors, and that early diagnosis and timely treatment help improve the quality of life in patients, reducing their morbidity, mortality, and costs. . that they generate in rehabilitation