Systemic lupus erythematosus (SLE) is an inflammatory disease of the connective tissue, that affects multiple organs and its etiology remains unknown. The discrepancies in the course of the illness and the consequences in the patients with LES are multifactorial. The influence of emotional factors is recegnized in the aetiopathogenesis of the disease, however, it is not certain how important they are in order to induce the activity of SLE, specially in Brazil, where the social diversities are significant. The present study selected 73 patients, which 13 were excluded fornot accepting to participate. The remaining 60 patients were separated: 30 were followed in the public clinic of rheumatology of the Fundação Santa Casa de Misericórdia do Pará and 30 were followed in private medical officer of rheumatology. They were all submitted to socioeconomic protocol and, after, it was applied the SLEDAI. From the 30 patients followed by public service, there was one patient with psychosis, 21 with organic cerebral syndrome, 3 with vision riots, 16 with chronic headache, 14 with vasculitis, 11 with arthritis, 15 with musculoskeletal disease, 2 with urine cylinders, 3 with hematuria, 5 with proteinuria, 9 with pyuria, 17 with rashes cutaneous, 10 with alopecia, 1 with pleuritis, 13 with consumption of complement system, 13 with positive anti-nuclear antibodies, 2 with thrombocytopaenia and 1 with leukopaenia. Amongst the 30 followed by private service, there 9 patients with organic cerebral syndrome, 1 with vision riots, 7 with chronic headache, 12 with vasculitis, 12 with arthritis, 7 with musculoskeletal disease, 3 with urine cylinders, 1 with hematuria, 1 with proteinuria, 16 with rashes cutaneous, 12 with alopecia, 18 with consumption of complement system, 30 with positive anti-nuclear antibodies and 2 with leukocoapenia. The predominance of amerindian patients was evidenced, presenting a bigger activity of disease. In this ethnic group, it was found a great diversity of the activity of the disease when social and economic factors were compared such as educational status, civil state, proper property, revenues, rewarding professional activity and access to the private net of health. The patients followed by the public service presented greater activity of the disease through the SLEDAI. On the other hand, the patients followed by the service revealed absence or minor activity of SLE.
|
