El 78 % de las muertes ocurridas en Colombia en 2019 se debieron a enfermedades crónicas no transmisibles. De estas, el 30 % se originaron por condiciones cardiovasculares que se explican principalmente por factores de riesgo como sedentarismo, tabaquismo y patrones de alimentación no saludables. El exceso de consumo de grasas provenientes de la dieta, especialmente saturadas y trans, está relacionado con diversos efectos negativos en salud. En la población colombiana, la ingesta de grasas está dada principalmente por el uso de aceites empleados en frituras y el consumo de productos comestibles ultraprocesados. La Ley 2120, aprobada en Colombia, establece la implementación de un sistema de etiquetado nutricional de advertencia de los principales nutrientes críticos, dentro de ellos de las grasas no saludables contenidas en exceso en comestibles envasados.
Eosinophilic granulomatosis with polyangiitis (EGPA) is an ANCA-associated vasculitis characterized by the development of necrotizing granulomas rich in eosinophils and vasculitis of small and medium vessels, with compromise of the respiratory tract, peripheral nervous system, and least frequent ocular involvement. We report the case of a 54-year-old Caucasian man with a history of EGPA who presented ocular pain, red eye, vision loss, and evidence of scleral slimming compatible with necrotizing scleritis. The patient was treated with systemic steroids and cyclophosphamide, which reduced the ocular pain but did not improve visual acuity, needing surgical treatment of the scleral coverage defect. While necrotizing scleritis is an unusual manifestation of EGPA, it should be part of the differential diagnosis in patients with red eye or ocular pain as an accurate diagnosis and prompt treatment could reduce local complications.
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