{"id":2178,"date":"2018-11-05T21:18:00","date_gmt":"2018-11-05T21:18:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1355"},"modified":"2026-02-10T18:49:42","modified_gmt":"2026-02-10T18:49:42","slug":"aplastic-anemia","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/aplastic-anemia\/","title":{"rendered":"Criterios Diagn\u00f3stico para Anemia Apl\u00e1sica (AA)"},"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>La anemia apl\u00e1sica (AA) es un trastorno raro y heterog\u00e9neo. Se define como pancitopenia con m\u00e9dula \u00f3sea hipocelular en ausencia de infiltrado anormal o fibrosis medular.<!--more--><\/p>\n<p><strong>Caracter\u00edsticas cl\u00ednicas y diagn\u00f3stico<\/strong><\/p>\n<p>Criterios diagn\u00f3sticos propuestos (tanto I como II deben cumplirse en ausencia de neoplasia):<br \/>\nI- Al menos 2 de los siguientes hallazgos en el recuento completo de sangre: granulocitos &lt;500\/\u03bcL, plaquetas &lt;20.000\/\u03bcL, recuento de reticulocitos corregido &lt;20.000\/\u03bcL.<br \/>\nII- La m\u00e9dula \u00f3sea debe ser marcadamente hipopl\u00e1sica (&lt;25% de CNE*) o moderadamente hipopl\u00e1stica (25-50% de CNE*) con &lt;30% de las c\u00e9lulas hematopoy\u00e9ticas (*CNE = celularidad normal para la edad)<\/p>\n<p>Los criterios modificados de Camitta se utilizan para evaluar la gravedad:<\/p>\n<ul>\n<li>AA Severa (AAS):\u00a0Celularidad de la m\u00e9dula \u00f3sea &lt;25% (o 25 a 50% con &lt;30% de c\u00e9lulas hematopoy\u00e9ticas residuales), m\u00e1s al menos 2 de: (i) neutr\u00f3filos &lt;500\/\u03bcL, (ii) plaquetas &lt;20.000\/\u03bcL, (iii recuento de reticulocitos &lt;20.000\/\u03bcL.<\/li>\n<li>AA Muy Severa (AAMS):\u00a0Como AAS pero neutr\u00f3filos &lt;200\/\u03bcL.<\/li>\n<li>AA no severa (AANS):\u00a0AA que no cumple con los criterios de AAS o AAMS<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Killick SB, Bown N, Cavenagh J, Dokal I, Foukaneli T, Hill A, Hillmen P, Ireland R, Kulasekararaj A, Mufti G, Snowden JA, Samarasinghe S, Wood A, Marsh JC; British Society for Standards in Haematology. Guidelines for the diagnosis and management of adult aplastic anaemia.\u00a0Br J Haematol. 2016 Jan;172(2):187-207. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26568159\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Clucas D, Fox LC, Wood EM, Hong FS, Gibson J, Bajel A, Szer J, Blombery P, McQuilten ZK, Hiwase D, Firkin F, Cole-Sinclair MF; Australian Aplastic Anaemia Registry Steering Committee. Revisiting acquired aplastic anaemia: Current concepts in diagnosis and management.\u00a0Intern Med J. 2018 Oct 15.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30324755\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Furlong E, Carter T. Aplastic anaemia: Current concepts in diagnosis and management. J Paediatr Child Health. 2020 Jul;56(7):1023-1028. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32619069\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Nov 02, 2018.<br \/>\nActualizado Feb 10, 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>La anemia apl\u00e1sica (AA) es un trastorno raro y heterog\u00e9neo. Se define como pancitopenia con m\u00e9dula \u00f3sea hipocelular en ausencia de infiltrado anormal o fibrosis medular.<\/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":[171],"tags":[374,370,372,373,16,15,14,371],"class_list":["post-2178","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-aa","tag-anemia","tag-aplasica","tag-aplastic","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnosticos"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2178","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=2178"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2178\/revisions"}],"predecessor-version":[{"id":10652,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2178\/revisions\/10652"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2178"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2178"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}