{"id":2415,"date":"2011-09-28T15:47:56","date_gmt":"2011-09-28T15:47:56","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemida\/"},"modified":"2025-05-13T20:28:48","modified_gmt":"2025-05-13T20:28:48","slug":"hemida","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemida\/","title":{"rendered":"Diagn\u00f3stico de Anemia por Deficiencia de Hierro"},"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\">El diagn\u00f3stico de<\/span>\u00a0<span class=\"hps atn\">anemia ferrop\u00e9nica<\/span>\u00a0<span class=\"hps\">requiere que el paciente<\/span>\u00a0<span class=\"hps\">tenga anemia<\/span>\u00a0<span class=\"hps\">y mostrar<\/span>\u00a0<span class=\"hps\">evidencia de laboratorio de<\/span>\u00a0<span class=\"hps\">deficiencia de hierro. Los<\/span><span class=\"hps\">\u00a0gl\u00f3bulos rojos<\/span>\u00a0<span class=\"hps\">de la\u00a0<\/span><span class=\"hps atn\">anemia ferrop\u00e9nica<\/span>\u00a0<span class=\"hps\">se describen generalmente<\/span>\u00a0<span class=\"hps\">como<\/span>\u00a0<span class=\"hps\">microc\u00edtica<\/span>\u00a0<span class=\"hps\">(es decir<\/span>, volumen corpuscular medio\u00a0<span class=\"hps\">menor de 80<\/span>\u00a0<span class=\"hps\">um<sup>3<\/sup><\/span>\u00a0<span class=\"hps\">[80<\/span>\u00a0<span class=\"hps\">fL<\/span>]) e\u00a0<span class=\"hps\">hipocr\u00f3mica<\/span>,\u00a0<span class=\"hps\">sin embargo, la<\/span>\u00a0<span class=\"hps\">manifestaci\u00f3n de la<\/span>\u00a0<span class=\"hps\">deficiencia de hierro<\/span>\u00a0<span class=\"hps\">se produce<\/span>\u00a0<span class=\"hps\">en varias etapas.<\/span><br \/>\n<!--more--><br \/>\n<span class=\"hps\">Los pacientes con una<\/span>\u00a0<span class=\"hps\">concentraci\u00f3n de ferritina s\u00e9rica<\/span>\u00a0<span class=\"hps\">inferior a 25<\/span>\u00a0<span class=\"hps\">ng<\/span>\u00a0<span class=\"hps\">por mililitro<\/span>\u00a0<span class=\"hps\">(25<\/span>\u00a0<span class=\"hps\">mcg<\/span>\u00a0<span class=\"hps\">por litro)<\/span>\u00a0<span class=\"hps\">tienen una probabilidad muy<\/span>\u00a0<span class=\"hps\">alta de<\/span>\u00a0<span class=\"hps\">padecer deficiencia de hierro<\/span>.\u00a0<span class=\"hps\">L<\/span><span class=\"hps\">a prueba<\/span>\u00a0<span class=\"hps\">diagn\u00f3stica inicial<\/span>\u00a0<span class=\"hps\">m\u00e1s<\/span>\u00a0<span class=\"hps\">precisa en<\/span><span class=\"hps\">\u00a0la\u00a0<\/span><span class=\"hps atn\">anemia ferrop\u00e9nica<\/span>\u00a0<span class=\"hps\">es la medici\u00f3n<\/span>\u00a0<span class=\"hps\">de ferritina s\u00e9rica<\/span>.<span class=\"hps\">Los valores de<\/span>\u00a0<span class=\"hps\">ferritina s\u00e9rica<\/span>\u00a0<span class=\"hps\">mayor de 100 ng<\/span>\u00a0<span class=\"hps\">por ml<\/span>\u00a0<span class=\"hps\">(100 mcg<\/span>\u00a0<span class=\"hps\">por litro)<\/span>\u00a0<span class=\"hps\">indican<\/span>\u00a0<span class=\"hps\">reservas adecuadas de hierro<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">una baja probabilidad de<\/span><span class=\"hps atn\">\u00a0anemia ferrop\u00e9nica<\/span><span class=\"hps\">.<\/span>\u00a0<span class=\"hps\">En algunas poblaciones,<\/span>\u00a0<span class=\"hps\">como aquellos con<\/span>\u00a0<span class=\"hps\">enfermedad inflamatoria<\/span>\u00a0<span class=\"hps\">o cirrosis<\/span>, estas pruebas\u00a0<span class=\"hps\">deben ser interpretados<\/span>\u00a0<span class=\"hps\">de forma ligeramente diferente<\/span>\u00a0<span class=\"hps\">debido a<\/span>\u00a0que\u00a0<span class=\"hps\">la ferritina es un<\/span>\u00a0<span class=\"hps\">reactante de fase aguda<\/span>.\u00a0Los p<span class=\"hps\">untos de corte para <\/span><span class=\"hps\">anormalidad<\/span>\u00a0<span class=\"hps\">en estos pacientes<\/span>\u00a0<span class=\"hps\">por lo general<\/span>\u00a0<span class=\"hps\">son m\u00e1s altos.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Diagn\u00f3stico de Anemia Ferrop\u00e9nica\u00a0<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td colspan=\"2\"><strong>\u00a0Adultos con anemia*<\/strong><\/td>\n<td colspan=\"2\"><strong>\u00a0Adultos mayores de 65<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Prueba<\/td>\n<td align=\"center\">\u00a0Probabi-<br \/>\nlidad<\/td>\n<td>\u00a0Prueba<\/td>\n<td align=\"center\">\u00a0<span class=\"short_text\"><span class=\"hps\">Probabi-<br \/>\nlidad<\/span><\/span><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong>\u00a0<\/strong><strong>Volumen<\/strong><strong>\u00a0corpuscular medio<\/strong><strong><br \/>\n<\/strong><\/td>\n<td colspan=\"2\"><strong>\u00a0<\/strong><strong>Volumen<\/strong><strong>\u00a0corpuscular medio<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Menor de 70 um3 (70 fL)<br \/>\n70 a 74 um3 (74 fL)<br \/>\n75 a 79 um3 (75 to 79 fL)<br \/>\n80 a 84 um3 (80 to 84 fL)<br \/>\n85 a 89 um3 (85 to 89 fL)<br \/>\n90 um3 (90 fL) o m\u00e1s<\/td>\n<td align=\"center\">12.5<br \/>\n3.3<br \/>\n1.0<br \/>\n0.91<br \/>\n0.76<br \/>\n0.29<\/td>\n<td>\u00a0Menor de 75 um3<br \/>\n75 a 85 um3<br \/>\n86 a 91 um3 (86 to 91 fL)<br \/>\n92 a 95 um3 (92 to 95 fL)<br \/>\nM\u00e1s de 95 fL<\/td>\n<td align=\"center\">8.82<br \/>\n1.35<br \/>\n0.64<br \/>\n0.34<br \/>\n0.11<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong>\u00a0Ferritina<\/strong><\/td>\n<td colspan=\"2\"><strong>\u00a0Ferritina<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Menor de 15 ng\/mL (15 mcg\/L)<br \/>\n15 a 24 ng\/mL (15 to 24 mcg\/L)<br \/>\n25 a 34 ng\/mL (25 to 34 mcg\/L)<br \/>\n35 a 44 ng\/mL (35 to 44 mcg\/L)<br \/>\n45 a 100 ng\/mL (45 to 100 mcg\/L)<br \/>\nM\u00e1s de 100 ng\/mL<\/td>\n<td align=\"center\">\u00a051.8<br \/>\n8.8<br \/>\n2.5<br \/>\n1.8<br \/>\n0.54<br \/>\n0.08<\/td>\n<td>\u00a0Menor de 19 ng\/mL (19 mcg\/L)<br \/>\n19 to 45 ng\/mL (19 to 45 mcg\/L)<br \/>\n46 to 100 ng\/mL (46 to 100 mcg\/L)<br \/>\nM\u00e1s de 100 ng\/mL<\/td>\n<td align=\"center\">41.0<br \/>\n3.1<br \/>\n0.46<br \/>\n0.13<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><strong>\u00a0Saturaci\u00f3n de Transferrina<\/strong><strong>\u00a0<\/strong><\/td>\n<td colspan=\"2\"><strong> Saturaci\u00f3n de Transferrina\u00a0<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Menor de 5 %<br \/>\n5 a 9 %<br \/>\n10 a 19 %<br \/>\n20 a 29 %<br \/>\n30 a 49 %<br \/>\n50 % o m\u00e1s<\/td>\n<td align=\"center\">10.5<br \/>\n2.5<br \/>\n0.81<br \/>\n0.52<br \/>\n0.43<br \/>\n0.15<\/td>\n<td>\u00a0Menor de 5 %<br \/>\n5 a 8 %<br \/>\n8 a 21 %<br \/>\nM\u00e1s de 21 %<\/td>\n<td align=\"center\">16.51<br \/>\n1.43<br \/>\n0.57<br \/>\n0.28<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>*Hemoglobina menor de 13 g\/dL [130 g\/L] para hombres y menor de 12 g\/dL [120 g\/L] para mujeres<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Killip S, Bennett JM, Chambers MD. Iron deficiency anemia. Am Fam Physician. 2007 Mar 1;75(5):671-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17375513\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Guyatt GH, Oxman AD, Ali M, Willan A, McIlroy W, Patterson C. Laboratory diagnosis of iron-deficiency anemia: an overview. J Gen Intern Med. 1992 Mar-Apr;7(2):145-53. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1487761\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Sep 28, 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>El diagn\u00f3stico de\u00a0anemia ferrop\u00e9nica\u00a0requiere que el paciente\u00a0tenga anemia\u00a0y mostrar\u00a0evidencia de laboratorio de\u00a0deficiencia de hierro. Los\u00a0gl\u00f3bulos rojos\u00a0de la\u00a0anemia ferrop\u00e9nica\u00a0se describen generalmente\u00a0como\u00a0microc\u00edtica\u00a0(es decir, volumen corpuscular medio\u00a0menor de 80\u00a0um3\u00a0[80\u00a0fL]) e\u00a0hipocr\u00f3mica,\u00a0sin embargo, la\u00a0manifestaci\u00f3n de la\u00a0deficiencia de hierro\u00a0se produce\u00a0en varias etapas.<\/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":[370,163,162,123,13,1173,1172,1171,1174],"class_list":["post-2415","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-anemia","tag-deficiencia","tag-deficiency","tag-diagnosis","tag-diagnostico","tag-ferropenica","tag-hierro","tag-ida","tag-iron"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2415","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=2415"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2415\/revisions"}],"predecessor-version":[{"id":9322,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2415\/revisions\/9322"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}