{"id":10069,"date":"2023-05-29T21:10:01","date_gmt":"2023-05-29T21:10:01","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=10069"},"modified":"2025-12-30T19:37:41","modified_gmt":"2025-12-30T19:37:41","slug":"aspergillosis-abpa","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/aspergillosis-abpa\/","title":{"rendered":"Criterios Diagn\u00f3stico de Aspergilosis Broncopulmonar Al\u00e9rgica (ABPA)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Los criterios diagn\u00f3sticos de ABPA incluyen antecedentes de asma, evidencia de sensibilizaci\u00f3n IgE de Aspergillus fumigatus (A. fumigatus) en an\u00e1lisis de sangre y\/o pruebas cut\u00e1neas, niveles elevados de IgE total y recuentos de eosin\u00f3filos, detecci\u00f3n de precipitinas o IgG de Aspergillus, aislamiento de A. fumigatus en cultivos de esputo, presencia de infiltrados pulmonares en las radiograf\u00edas de t\u00f3rax y distribuci\u00f3n de las bronquiectasias en las tomograf\u00edas computarizadas de t\u00f3rax. La presencia de moco de alta atenuaci\u00f3n en la tomograf\u00eda computarizada puede ser \u00fatil en el diagn\u00f3stico y en la estadificaci\u00f3n de la gravedad de la ABPA. <!--more--><\/p>\n<p><strong>Criterios diagn\u00f3stico de la aspergilosis broncopulmonar al\u00e9rgica<\/strong><\/p>\n<p>Criterios esenciales<\/p>\n<ul>\n<li>Asma o fibrosis qu\u00edstica<\/li>\n<li>IgE espec\u00edfica de Aspergillus elevada o positividad de la prueba cut\u00e1nea de Aspergillus<\/li>\n<li>IgE s\u00e9rica elevada (&gt; 1000 ng\/ml o &gt; 417 UI\/ml)*<\/li>\n<\/ul>\n<p>Otros criterios<\/p>\n<ul>\n<li>Precipitaci\u00f3n de anticuerpos s\u00e9ricos contra A. fumigatus o IgG s\u00e9rica elevada de Aspergillus mediante inmunoensayo<\/li>\n<li>Opacidades pulmonares radiogr\u00e1ficas compatibles con aspergilosis broncopulmonar al\u00e9rgica<\/li>\n<li>Eosinofilia en sangre (&gt; 500 c\u00e9lulas\/mcL [&gt; 0,5 \u00d7 109\/L) en la actualidad o antes mientras no hab\u00eda recibido corticosteroides<\/li>\n<\/ul>\n<p>* Puede ser menor si el paciente cumple con todos los dem\u00e1s criterios para el diagn\u00f3stico.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Agarwal R, Chakrabarti A, Shah A, Gupta D, Meis JF, Guleria R, Moss R, Denning DW; ABPA complicating asthma ISHAM working group. Allergic bronchopulmonary aspergillosis: review of literature and proposal of new diagnostic and classification criteria. Clin Exp Allergy. 2013 Aug;43(8):850-73. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23889240\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Hill AT, Sullivan AL, Chalmers JD, De Soyza A, Elborn SJ, Floto AR, Grillo L, Gruffydd-Jones K, Harvey A, Haworth CS, Hiscocks E, Hurst JR, Johnson C, Kelleher PW, Bedi P, Payne K, Saleh H, Screaton NJ, Smith M, Tunney M, Whitters D, Wilson R, Loebinger MR. British Thoracic Society Guideline for bronchiectasis in adults. Thorax. 2019 Jan;74(Suppl 1):1-69. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30545985\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Huang J, White AA. Biologics in Aspirin-Exacerbated Respiratory Disease and Allergic Bronchopulmonary Aspergillosis. Immunol Allergy Clin North Am. 2024 Nov;44(4):673-692. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39389717\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 29, 2023.<br \/>\nActualizado Dic 30, 2025.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los criterios diagn\u00f3sticos de ABPA incluyen antecedentes de asma, evidencia de sensibilizaci\u00f3n IgE de Aspergillus fumigatus (A. fumigatus) en an\u00e1lisis de sangre y\/o pruebas cut\u00e1neas, niveles elevados de IgE total y recuentos de eosin\u00f3filos, detecci\u00f3n de precipitinas o IgG de Aspergillus, aislamiento de A. fumigatus en cultivos de esputo, presencia de infiltrados pulmonares en las [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[2581,2580,2582,2584,2578,2583,2579,16,15,14,13],"class_list":["post-10069","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-abpa","tag-alergica","tag-allergic","tag-aspergillosis","tag-aspergilosis","tag-bronchopulmonary","tag-broncopulmonar","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=10069"}],"version-history":[{"count":6,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10069\/revisions"}],"predecessor-version":[{"id":10554,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10069\/revisions\/10554"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=10069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=10069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=10069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}