1. Rheumatology Unit, Medellin, Colombia, South America
2. Intensive Care Unit, Medellin, Colombia, South America
3. Renal Therapy Center, Clínica Universitaria Bolivariana (CUB), Medellin, Colombia, South America
4. Rheumatology Unit, Medellin, Colombia, South America, School of Medicine, Universidad Pontificia Bolivariana (UPB), and the Corporacion para Investigaciones Biologicas, Medellin, Colombia, South America,