{"id":2110,"date":"2019-10-21T15:37:31","date_gmt":"2019-10-21T15:37:31","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=2255"},"modified":"2026-02-02T20:22:18","modified_gmt":"2026-02-02T20:22:18","slug":"pyoderma-gangrenosum","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pyoderma-gangrenosum\/","title":{"rendered":"Criterios Diagn\u00f3stico de Pioderma Gangrenoso (PG)"},"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>El pioderma gangrenoso (PG) es una dermatosis inflamatoria no infecciosa reactiva que cae dentro del espectro de las dermatosis neutrof\u00edlicas, que incluye el s\u00edndrome de Sweet y el s\u00edndrome de Behcet.<!--more--><\/p>\n<p><strong>Herramienta de diagn\u00f3stico para pioderma gangrenoso<\/strong><\/p>\n<p><strong>Criterios mayores<\/strong><\/p>\n<ul>\n<li>Progresi\u00f3n r\u00e1pida de una \u00falcera cut\u00e1nea necrol\u00edtica dolorosa con un borde irregular, viol\u00e1ceo y socavado<\/li>\n<li>Otras causas de ulceraci\u00f3n cut\u00e1nea excluidas<\/li>\n<\/ul>\n<p><strong>Criterios menores<\/strong><\/p>\n<ul>\n<li>Historia de patergia o cl\u00ednica de cicatrizaci\u00f3n cribiforme<\/li>\n<li>Enfermedad sist\u00e9mica asociada (enfermedad inflamatoria intestinal, artritis, gammapat\u00eda por IgA o neoplasia maligna subyacente)<\/li>\n<li>Hallazgos histopatol\u00f3gicos cl\u00e1sicos<\/li>\n<li>Respuesta al tratamiento (respuesta r\u00e1pida al tratamiento con esteroides sist\u00e9micos: mejora del 50% en 1 mes)<\/li>\n<\/ul>\n<p>La herramienta de diagn\u00f3stico requiere dos criterios mayores y dos menores, manteniendo el PG como diagn\u00f3stico de exclusi\u00f3n.<\/p>\n<p><strong>Herramienta de diagn\u00f3stico mejorada para pioderma gangrenoso<\/strong><\/p>\n<p><strong>Criterio mayor<\/strong><\/p>\n<ul>\n<li>Biopsia del borde de la \u00falcera que demuestra infiltrado neutrof\u00edlico.<\/li>\n<\/ul>\n<p><strong>Criterios menores<\/strong><\/p>\n<ul>\n<li>Exclusi\u00f3n de infecci\u00f3n.<\/li>\n<li>Patergia<\/li>\n<li>Antecedentes de enfermedad inflamatoria intestinal o artritis inflamatoria.<\/li>\n<li>Historia de p\u00e1pula, p\u00fastula o ves\u00edcula ulcerante dentro de los 4 d\u00edas de la aparici\u00f3n<\/li>\n<li>Eritema perif\u00e9rico, borde socavado y sensibilidad en el sitio de la ulceraci\u00f3n.<\/li>\n<li>Ulceraciones m\u00faltiples, al menos una en la parte antero-inferior de la pierna<\/li>\n<li>Cicatriz(s) cribiforme o en \u00abpapel arrugado\u00bb en sitios de \u00falceras cicatrizadas<\/li>\n<li>Disminuci\u00f3n del tama\u00f1o de la \u00falcera dentro de 1 mes de iniciar la medicaci\u00f3n inmunosupresora<\/li>\n<\/ul>\n<p>Estos nuevos criterios est\u00e1n basados en un consenso de expertos internacionales, que requieren un criterio mayor y cuatro menores.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Maverakis E, Ma C, Shinkai K, Fiorentino D, Callen JP, Wollina U, Marzano AV, Wallach D, Kim K, Schadt C, Ormerod A, Fung MA, Steel A, Patel F, Qin R, Craig F, Williams HC, Powell F, Merleev A, Cheng MY. Diagnostic Criteria of Ulcerative Pyoderma Gangrenosum: A Delphi Consensus of International Experts.\u00a0JAMA Dermatol. 2018 Apr 1;154(4):461-466. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29450466\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>George C, Deroide F, Rustin M. Pyoderma gangrenosum &#8211; a guide to diagnosis and management.\u00a0Clin Med (Lond). 2019 May;19(3):224-228. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31092515\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Tan B, Chen M, Hu X, He J, Zhang L, Du S, Mou Y, Xiong X, Duan X. Pyoderma Gangrenosum with Biological Agents Therapy: A Systematic Review. Clin Cosmet Investig Dermatol. 2025 Dec 15;18:3413-3427. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41425114\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 15, 2019.<br \/>\nActualizado Feb 2, 2026.<\/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>El pioderma gangrenoso (PG) es una dermatosis inflamatoria no infecciosa reactiva que cae dentro del espectro de las dermatosis neutrof\u00edlicas, que incluye el s\u00edndrome de Sweet y el s\u00edndrome de Behcet.<\/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":[34],"tags":[16,14,37,38,36,35],"class_list":["post-2110","post","type-post","status-publish","format-standard","hentry","category-dermatology","tag-criteria","tag-diagnostic","tag-gangrenosum","tag-pg","tag-pyoderma","tag-ulcerative"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2110","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=2110"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2110\/revisions"}],"predecessor-version":[{"id":10612,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2110\/revisions\/10612"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}