Author/Editor     Kos-Golja, Mojca
Title     Zvišana telesna temperatura pri sistemskih boleznih vezivnega tkiva
Translated title     Fever in connective tissue diseases
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 38, št. Suppl 1
Publication year     1999
Volume     str. 7-12
Language     slo
Abstract     The author outlines fever, its incidence and etiology in connective diseases. Certain diseases, such as systemic lupu erythematosus, Sjoegren syndrome systemic vasculitides, inflammatory myopathies, where the fever is either a frequent initial symptom or the signof the disease worsening, are described. The fact, that the fever patterns or its extent in these illnesses are not specific, is pointed out. The accormpanying systemic symptoms of the fever (weight loss, fatigaue) are described, together with the possibility of life threatening, rapid and progrssive vital organ damages. Because of well known immune deficiency and frequent use of immunomodulating drugs defence against bacteria and viruses is radically reduced. Therefore the awareness of the infection even the opportunistic one and of unusual localisation is revealed. The basic differential diagnostic and therapeutic procedures are described as well.
Summary     Avtorica obravnava zvišano telesno temperaturo, pogostnost njenega pojavljanja in njeno etiologijo pri nekaterih najpogostejših sistemskih boleznih vezivnega tkiva. Omenjene so bolezni, kot so sistemski lupus eritematozus, Sjoegrenov sindrom, sistemski vaskulitisi in vnetne miopatije, kjer se vročina kot znak bolezni ali njenega poslabšanja pojavlja najpogosteje. Nadalje je omenjeno, da tip višane temperature pri teh boleznih nima posebnih značilnosti ali določenih vzorce. Opisani so spremljajoči sistemski znaki, poudarjena je hitro napredujoča prizadetost vitalnih organov ob vročinskih stanjih, kar lahko ogroža bolnikovo življenje. Ker imunska oslabelost bolnikov in različna zdravila zmanjšuje obrambo proti bakterijam in virusom, je posebej poudarjena nevarnost okužb, tudi oportunističnih in z nenavadno lokaliacijo. Opisani so tudi temeljni diagnostični postopki za opredelitev vzrokov zvišane temperature in zdravljneje bolezni, ki se kaže z vročino.
Descriptors     CONNECTIVE TISSUE DISEASES
FEVER
SJOGREN'S SYNDROME
LUPUS ERYTHEMATOSUS, SYSTEMIC