{"id":10369,"date":"2024-05-27T19:08:10","date_gmt":"2024-05-27T19:08:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=10369"},"modified":"2025-12-30T18:55:25","modified_gmt":"2025-12-30T18:55:25","slug":"acute-adrenal-insufficiency","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/acute-adrenal-insufficiency\/","title":{"rendered":"Criterios Diagn\u00f3stico de Insuficiencia Suprarrenal Aguda"},"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>Las gu\u00edas de la Endocrine Society sobre el diagn\u00f3stico y tratamiento de la insuficiencia suprarrenal aguda (ISA) definen una crisis suprarrenal como una emergencia m\u00e9dica con hipotensi\u00f3n, s\u00edntomas abdominales y anomal\u00edas de laboratorio que requieren tratamiento de emergencia.<!--more--><\/p>\n<p><strong>Criterios diagn\u00f3sticos de ISA<\/strong><br \/>\nA. Deterioro marcado\/severo del estado general + m\u00ednimo 2 de los siguientes:<\/p>\n<ul>\n<li>TAS &lt;100 mmHg (hipotensi\u00f3n)<\/li>\n<li>N\u00e1useas o v\u00f3mitos<\/li>\n<li>Somnolencia o desorientaci\u00f3n y lentitud<\/li>\n<li>Febr\u00edcula\/fiebre<\/li>\n<li>Alteraci\u00f3n de los iones: hiponatremia (&lt;132 mEq\/L) o\u00a0hiperpotasemia<\/li>\n<li>Hipoglucemia<\/li>\n<\/ul>\n<p>B. Mejor\u00eda\/remisi\u00f3n r\u00e1pida de los s\u00edntomas despu\u00e9s de la administraci\u00f3n parenteral de glucocorticoides (hidrocortisona). En los casos de deficiencia prolongada, la recuperaci\u00f3n puede ser &gt;24 h<\/p>\n<p>Es necesario un criterio A o B para el diagn\u00f3stico de ISA.<\/p>\n<p>Se definen cuatro grados de gravedad de la ISA seg\u00fan el escenario cl\u00ednico en el que se requiere la atenci\u00f3n del paciente y el resultado final:<\/p>\n<ul>\n<li>Grado 1: atenci\u00f3n ambulatoria;<\/li>\n<li>Grado 2: atenci\u00f3n hospitalaria;<\/li>\n<li>Grado 3: Unidad de Cuidados Intensivos (UCI);<\/li>\n<li>Grado 4: muerte por crisis suprarrenal.<\/li>\n<\/ul>\n<p>La gran mayor\u00eda de los episodios de ISA en los que se busca atenci\u00f3n m\u00e9dica corresponden al grado 1, excepto en casos de traumatismos o accidentes.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Dineen R, Thompson CJ, Sherlock M. Adrenal crisis: prevention and management in adult patients. Ther Adv Endocrinol Metab. 2019 Jun 13;10:2042018819848218. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31223468\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Araujo Castro M, Curr\u00e1s Freixes M, de Miguel Novoa P, Gracia Gimeno P, \u00c1lvarez Escol\u00e1 C, Hanzu FA. SEEN guidelines for the management and prevention of acute adrenal insufficiency. Endocrinol Diabetes Nutr (Engl Ed). 2020 Jan;67(1):53-60. English, Spanish. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31003863\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado May 21, 2024.<\/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>Las gu\u00edas de la Endocrine Society sobre el diagn\u00f3stico y tratamiento de la insuficiencia suprarrenal aguda (ISA) definen una crisis suprarrenal como una emergencia m\u00e9dica con hipotensi\u00f3n, s\u00edntomas abdominales y anomal\u00edas de laboratorio que requieren tratamiento de emergencia.<\/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":[153],"tags":[231,2375,230,16,15,14,13,2630,671,2378],"class_list":["post-10369","post","type-post","status-publish","format-standard","hentry","category-endocrinology-and-metabolism","tag-acute","tag-adrenal","tag-aguda","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-insufficiency","tag-insuficiencia","tag-suprarrenal"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10369","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=10369"}],"version-history":[{"count":6,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10369\/revisions"}],"predecessor-version":[{"id":10391,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10369\/revisions\/10391"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=10369"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=10369"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=10369"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}