{"id":2407,"date":"2011-11-30T12:05:49","date_gmt":"2011-11-30T12:05:49","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gashav\/"},"modified":"2025-05-13T20:28:28","modified_gmt":"2025-05-13T20:28:28","slug":"gashav","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gashav\/","title":{"rendered":"Curso Serol\u00f3gico T\u00edpico de la Infecci\u00f3n por el Virus de la Hepatitis A (VHA)"},"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><span class=\"hps\">Tanto<\/span>\u00a0<span class=\"hps\">cl\u00ednicamente como<\/span>\u00a0<span class=\"hps\">bioqu\u00edmicamente<\/span>, la hepatitis\u00a0<span class=\"hps\">aguda por<\/span>\u00a0<span class=\"hps\">el VHA<\/span>\u00a0<span class=\"hps\">no<\/span>\u00a0<span class=\"hps\">se puede distinguir de<\/span>\u00a0otras<span class=\"hps\">\u00a0hepatitis<\/span>\u00a0<span class=\"hps\">virales<\/span>,\u00a0<span class=\"hps\">las pruebas serol\u00f3gicas<\/span>\u00a0<span class=\"hps\">son necesarios para un<\/span>\u00a0<span class=\"hps\">diagn\u00f3stico<\/span>\u00a0<span class=\"hps\">espec\u00edfico del virus<\/span>.<br \/>\n<!--more--><br \/>\n<span class=\"hps\">El diagn\u00f3stico de la<\/span>\u00a0<span class=\"hps\">hepatitis<\/span>\u00a0<span class=\"hps\">se hace<\/span>\u00a0<span class=\"hps\">por una evaluaci\u00f3n<\/span>\u00a0<span class=\"hps\">bioqu\u00edmica<\/span>\u00a0<span class=\"hps\">de la funci\u00f3n hep\u00e1tica<\/span>\u00a0<span class=\"hps atn\">(<\/span>evaluaci\u00f3n de laboratorio de:<span class=\"hps\"> bilirrubina\u00a0<\/span><span class=\"hps\">y <\/span><span class=\"hps\">urobilin\u00f3geno<\/span>\u00a0<span class=\"hps\">urinario<\/span>,<span class=\"hps\">\u00a0bilirrubina s\u00e9rica<\/span>\u00a0<span class=\"hps\">total y directa<\/span>\u00a0<span class=\"hps\">de la<\/span>,\u00a0<span class=\"hps\">ALT (GPT)<\/span>\u00a0<span class=\"hps\">y\/o<\/span>\u00a0<span class=\"hps\">AST (GOT)<\/span>, fosfatasa alcalina, tiempo de protrombina, prote\u00ednas<span class=\"hps\">\u00a0totales, alb\u00famina<\/span>,\u00a0<span class=\"hps\">IgG<\/span>, IgA, IgM,\u00a0<span class=\"hps\">conteo sangu\u00edneo completo<\/span>).<br \/>\n<span class=\"hps\">El diagn\u00f3stico de rutina<\/span>\u00a0<span class=\"hps\">espec\u00edfica de<\/span>\u00a0<span class=\"hps\">la hepatitis A aguda<\/span>\u00a0<span class=\"hps\">se hace<\/span>\u00a0<span class=\"hps\">mediante la b\u00fasqueda de<\/span>\u00a0<span class=\"hps\">IgM anti-VHA<\/span>\u00a0<span class=\"hps\">en el suero<\/span>\u00a0<span class=\"hps\">de los pacientes. Una<\/span><span class=\"hps\">\u00a0segunda opci\u00f3n<\/span>\u00a0<span class=\"hps\">es la detecci\u00f3n de<\/span>\u00a0<span class=\"hps\">virus<\/span>\u00a0<span class=\"hps\">y\/o<\/span>\u00a0<span class=\"hps\">ant\u00edgenos<\/span>\u00a0<span class=\"hps\">en las heces.<\/span><br \/>\n<span class=\"hps\">Virus<\/span>\u00a0<span class=\"hps\">y anticuerpos<\/span>\u00a0<span class=\"hps\">pueden ser detectados por<\/span>\u00a0<span class=\"hps\">kits de RIA<\/span>,\u00a0<span class=\"hps\">EIA<\/span>\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">ELISA<\/span>\u00a0<span class=\"hps\">disponibles en el mercado<\/span>.\u00a0<span class=\"hps\">Estas pruebas<\/span>\u00a0<span class=\"hps\">disponibles comercialmente para<\/span>\u00a0<span class=\"hps\">IgM anti-VHA<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">anti-VHA<\/span><span class=\"hps\">\u00a0total\u00a0<\/span><span class=\"hps\">(IgM e<\/span>\u00a0<span class=\"hps\">IgG<\/span>) para la evaluaci\u00f3n\u00a0<span class=\"hps\">de la inmunidad a<\/span>\u00a0<span class=\"hps\">la hepatitis A no<\/span>\u00a0<span class=\"hps\">se ven influidos por<\/span>\u00a0<span class=\"hps\">la administraci\u00f3n pasiva de<\/span>\u00a0<span class=\"hps\">IG<\/span>,\u00a0<span class=\"hps\">porque la<\/span>\u00a0<span class=\"hps\">dosis profil\u00e1cticas<\/span>\u00a0<span class=\"hps\">est\u00e1n<\/span>\u00a0<span class=\"hps\">por debajo del nivel<\/span>\u00a0<span class=\"hps\">de detecci\u00f3n.<\/span><br \/>\n<span class=\"hps\">En el inicio<\/span>\u00a0<span class=\"hps\">de la enfermedad<\/span>, la presencia de\u00a0<span class=\"hps\">IgG<\/span>\u00a0<span class=\"hps\">anti-VHA<\/span>\u00a0<span class=\"hps\">es siempre<\/span>\u00a0<span class=\"hps\">acompa\u00f1ada por la presencia<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">IgM<\/span>\u00a0<span class=\"hps\">anti-VHA<\/span>.\u00a0<span class=\"hps\">Como<\/span>\u00a0<span class=\"hps\">IgG<\/span>\u00a0<span class=\"hps\">anti-VHA<\/span>\u00a0<span class=\"hps\">persiste<\/span>\u00a0<span class=\"hps\">toda la vida<\/span>\u00a0<span class=\"hps\">despu\u00e9s de la infecci\u00f3n<\/span>\u00a0<span class=\"hps\">aguda<\/span>, la detecci\u00f3n de\u00a0<span class=\"hps\">IgG<\/span>\u00a0<span class=\"hps\">anti-VHA<\/span>\u00a0<span class=\"hps\">solo<\/span>\u00a0<span class=\"hps\">indica<\/span>\u00a0<span class=\"hps\">una infecci\u00f3n anterior<\/span>.<br \/>\n<span class=\"hps\">Virus puede<\/span>\u00a0<span class=\"hps\">estar presente en<\/span>\u00a0<span class=\"hps\">la ausencia de<\/span>\u00a0<span class=\"hps\">ant\u00edgeno<\/span>\u00a0<span class=\"hps\">detectable<\/span>\u00a0<span class=\"hps\">VHA<\/span>,\u00a0<span class=\"hps\">como lo demuestra el<\/span>\u00a0<span class=\"hps\">uso de<\/span>\u00a0<span class=\"hps\">m\u00e9todos m\u00e1s sensibles<\/span>.<\/p>\n<figure id=\"attachment_6704\" aria-describedby=\"caption-attachment-6704\" style=\"width: 934px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6704 size-full\" src=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es.jpg\" alt=\"Curso Serol\u00f3gico T\u00edpico de la Infecci\u00f3n por el Virus de la Hepatitis A (VHA)\" width=\"934\" height=\"505\" srcset=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es.jpg 934w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es-300x162.jpg 300w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es-768x415.jpg 768w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisa-es-500x270.jpg 500w\" sizes=\"auto, (max-width: 934px) 100vw, 934px\" \/><\/a><figcaption id=\"caption-attachment-6704\" class=\"wp-caption-text\">Curso Serol\u00f3gico T\u00edpico de la Infecci\u00f3n por el Virus de la Hepatitis A (VHA)<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Nainan OV, Xia G, Vaughan G, Margolis HS. Diagnosis of hepatitis a virus infection: a molecular approach. Clin Microbiol Rev. 2006 Jan;19(1):63-79. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16418523\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Regev A, Schiff ER. Viral hepatitis A, B, and C. Clin Liver Dis. 2000 Feb;4(1):47-71. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11232191\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Advisory Committee on Immunization Practices (ACIP), Fiore AE, Wasley A, Bell BP. Prevention of hepatitis A through active or passive immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2006 May 19;55(RR-7):1-23. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16708058\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Dic 01, 2011.<\/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>Tanto\u00a0cl\u00ednicamente como\u00a0bioqu\u00edmicamente, la hepatitis\u00a0aguda por\u00a0el VHA\u00a0no\u00a0se puede distinguir de\u00a0otras\u00a0hepatitis\u00a0virales,\u00a0las pruebas serol\u00f3gicas\u00a0son necesarios para un\u00a0diagn\u00f3stico\u00a0espec\u00edfico del virus.<\/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":[53],"tags":[1148,1147,1146,1145,1144,266,267,1143,1142,1141,1140,716],"class_list":["post-2407","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-a","tag-course","tag-curso","tag-hav","tag-hepatitis","tag-infeccion","tag-infection","tag-serologic","tag-serologico","tag-tipico","tag-typical","tag-virus"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2407","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=2407"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2407\/revisions"}],"predecessor-version":[{"id":8837,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2407\/revisions\/8837"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2407"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2407"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}