{"id":16,"date":"2009-02-19T18:55:39","date_gmt":"2009-02-19T18:55:39","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reuapl\/"},"modified":"2025-05-14T21:05:23","modified_gmt":"2025-05-14T21:05:23","slug":"reuapl","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reuapl\/","title":{"rendered":"Criterios para la Clasificaci\u00f3n del S\u00edndrome Antifosfol\u00edpido (AFL)"},"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><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios cl\u00ednicos<\/strong><\/p>\n<p>Trombosis vascular<\/p>\n<ul>\n<li>Uno o m\u00e1s episodios cl\u00ednicos de trombosis arterial, venosa, o de peque\u00f1os vasos, que ocurran en cualquier tejido u \u00f3rgano<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p>Complicaciones del embarazo<\/p>\n<ul>\n<li>Uno o m\u00e1s muertes no explicadas de fetos morfol\u00f3gicamente normales despu\u00e9s de la semana 10 de gestaci\u00f3n; o<\/li>\n<li>Uno o m\u00e1s nacimientos prematuros de neonatos morfol\u00f3gicamente normales, antes de la semana 34 de gestaci\u00f3n; o<\/li>\n<li>Tres o m\u00e1s abortos espont\u00e1neos consecutivos no explicados, antes de la semana 10 de gestaci\u00f3n.<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Criterios de laboratorio<\/strong><\/p>\n<p style=\"font-weight: 400;\">Anticuerpos anticardiolipina<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Anticuerpos anticardiolipina IgG o IgM presentes en niveles moderados o elevados en sangre en dos o m\u00e1s ocasiones, separados por al menos 6 semanas<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Anticuerpos anticoagulante l\u00fapico<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Anticuerpos anticoagulante l\u00fapico detectados en sangre en dos o m\u00e1s ocasiones separados por al menos 6 semanas, de acuerdo a las gu\u00edas de la International Society on Thrombosis and Hemostasis<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Un diagn\u00f3stico definitivo de s\u00edndrome antifosfol\u00edpido requiere la presencia de al menos uno de los criterios cl\u00ednicos y al menos uno de los criterios de laboratorio. No existen l\u00edmites de intervalos entre los eventos cl\u00ednicos y los hallazgos positivos en el laboratorio.<\/p>\n<p style=\"font-weight: 400;\">Los anticuerpos antifosfol\u00edpido que no se encuentran incluidos dentro de los criterios diagn\u00f3stico son los siguientes: anticuerpos anticardiolipina IgA, anticuerpos anti B2-glicoprote\u00edna I, y anticuerpos antifosfol\u00edpido dirigidos contra otros fosfol\u00edpidos diferentes a la cardiolipina (ej. fosfatidilserina y fosfatidiletanolamina) o contra prote\u00ednas unidas a fosfol\u00edpidos diferente a la cardiolipina unida a B2-glicoprote\u00edna I (por ej. protrombina, anexina V, prote\u00edna C o prote\u00edna S).<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Levine JS, Branch DW, Rauch J. The antiphospholipid syndrome. N Engl J Med. 2002 Mar 7;346(10):752-63. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11882732\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Greaves M, Cohen H, MacHin SJ, Mackie I. Guidelines on the investigation and management of the antiphospholipid syndrome. Br J Haematol. 2000 Jun;109(4):704-15.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10929019\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Alving BM. Diagnosis and management of patients with the antiphospholipid syndrome. J Thromb Thrombolysis. 2001 Sep;12(1):89-93.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11711694\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Mar 24, 2006<\/p>\n<p><\/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>Criterios cl\u00ednicos Trombosis vascular Uno o m\u00e1s episodios cl\u00ednicos de trombosis arterial, venosa, o de peque\u00f1os vasos, que ocurran en cualquier tejido u \u00f3rgano<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[45],"tags":[1929,257,256,166,167,16,15,1070,5,4],"class_list":["post-16","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-antifosfolipidico","tag-antiphospholipid","tag-aps","tag-clasificacion","tag-classification","tag-criteria","tag-criterios","tag-rheumatology","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/16","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=16"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/16\/revisions"}],"predecessor-version":[{"id":8773,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/16\/revisions\/8773"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=16"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=16"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}