{"id":2428,"date":"2011-06-18T16:18:31","date_gmt":"2011-06-18T16:18:31","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gashc\/"},"modified":"2025-05-13T20:28:57","modified_gmt":"2025-05-13T20:28:57","slug":"gashc","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gashc\/","title":{"rendered":"Criterios Diagn\u00f3stico Tradicional para Hemocromatosis Hereditaria"},"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\">La hemocromatosis hereditaria<\/span>\u00a0<span class=\"hps\">se ha definido tradicionalmente<\/span>\u00a0<span class=\"hps\">como un trastorno hereditario<\/span>\u00a0<span class=\"hps\">caracterizado<\/span>\u00a0<span class=\"hps\">por la absorci\u00f3n\u00a0<\/span><span class=\"hps\">inadecuadamente elevada<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">hierro en la dieta<\/span>, lo que conduce\u00a0<span class=\"hps\">a la acumulaci\u00f3n<\/span>\u00a0<span class=\"hps\">anormal de<\/span>\u00a0<span class=\"hps\">hierro en<\/span>\u00a0<span class=\"hps\">los \u00f3rganos<\/span>\u00a0<span class=\"hps\">parenquimatosos<\/span>.<span class=\"hps\">En 1996<\/span>, el gen\u00a0<span class=\"hps\">HFE<\/span>\u00a0<span class=\"hps\">se aisl\u00f3<\/span>\u00a0<span class=\"hps\">en el cromosoma 6<\/span>.\u00a0<span class=\"hps\">Desde<\/span>\u00a0<span class=\"hps\">este hallazgo<\/span>\u00a0<span class=\"hps\">la hemocromatosis<\/span>\u00a0<span class=\"hps\">hereditaria<\/span>\u00a0<span class=\"hps\">ha sido definida<\/span>\u00a0<span class=\"hps\">por algunos como\u00a0<\/span><span class=\"hps\">la presencia de<\/span>\u00a0<span class=\"hps\">un defecto<\/span>\u00a0<span class=\"hps\">homocigoto<\/span>\u00a0<span class=\"hps\">en el gen<\/span>\u00a0<span class=\"hps\">HFE<\/span>\u00a0<span class=\"hps\">con evidencia<\/span>\u00a0<span class=\"hps\">directa o indirecta de<\/span>\u00a0<span class=\"hps\">la sobrecarga de hierro<\/span>.<br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Criterios Diagn\u00f3stico Tradicional para Hemocromatosis Hereditaria<\/span><\/strong><br \/>\n<span class=\"hps\">A- O<\/span><span class=\"hps\">bservaci\u00f3n<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">saturaci\u00f3n de transferrina<\/span>\u00a0<span class=\"hps\">elevada\u00a0<\/span>&gt;<span class=\"hps\">60%<\/span>\u00a0<span class=\"hps\">por lo menos en<\/span>\u00a0<span class=\"hps\">dos<\/span>\u00a0<span class=\"hps\">ocasiones<\/span>, en ausencia de\u00a0<span class=\"hps\">otras causas conocidas de<\/span><span class=\"hps\">saturaci\u00f3n de transferrina<\/span>\u00a0<span class=\"hps\">elevada<\/span><br \/>\n<span class=\"hps atn\">B-\u00a0<\/span>Diagn\u00f3stico de la\u00a0<span class=\"hps\">sobrecarga de hierro<\/span>: 1\u00a0<span class=\"hps\">m\u00e1s 2<\/span>,\u00a0<span class=\"hps\">o<\/span>\u00a0<span class=\"hps\">1 m\u00e1s<\/span>\u00a0<span class=\"hps\">3, de los puntos que figuran m\u00e1s adelante<\/span><br \/>\n1. Ferritina s\u00e9rica e<span class=\"hps\">levada\u00a0<\/span><span class=\"hps\">no explicada por<\/span>\u00a0<span class=\"hps\">otra causa<\/span><br \/>\n<span class=\"hps\">2. Hierro hep\u00e1tico elevado<\/span>, ya sea\u00a0<span class=\"hps\">a- o b-<\/span><\/p>\n<p style=\"padding-left: 30px;\">a- Incremento del\u00a0<span class=\"hps\">hierro<\/span>\u00a0<span class=\"hps\">hepatocelular<\/span>\u00a0<span class=\"hps\">te\u00f1ido<\/span>\u00a0<span class=\"hps atn\">(<\/span>Scheuer\u00a0<span class=\"hps\">grado 3 o<\/span>\u00a0<span class=\"hps\">4)<\/span><br \/>\n<span class=\"hps\">b<\/span><span class=\"atn\">&#8211;\u00a0<\/span>Incremento de\u00a0<span class=\"hps\">la concentraci\u00f3n<\/span>\u00a0<span class=\"hps\">hep\u00e1tica<\/span>\u00a0<span class=\"hps\">de hierro<\/span>\u00a0<span class=\"hps\">(&gt; 80<\/span>\u00a0<span class=\"hps\">\u03bcmmol<\/span><span class=\"hps\">\/g<\/span>) e \u00edndice de\u00a0<span class=\"hps\">hierro<\/span>\u00a0<span class=\"hps atn\">hep\u00e1tico (<\/span>&gt;\u00a0<span class=\"hps\">1,9)<\/span><\/p>\n<p>3. Incremento del\u00a0<span class=\"hps\">hierro m<\/span><span class=\"hps\">ovilizable<\/span>\u00a0\u00a0<span class=\"hps\">(remoci\u00f3n de<\/span>\u00a0<span class=\"hps\">4 g<\/span>\u00a0<span class=\"hps\">de hierro<\/span>\u00a0sin\u00a0<span class=\"hps\">el desarrollo<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">eritropoyesis<\/span>\u00a0<span class=\"hps\">limitada por hierro<\/span>)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Hash RB. Hereditary hemochromatosis. J Am Board Fam Pract. 2001 Jul-Aug;14(4):266-73.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11458969\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0[Medline]<\/a><\/li>\n<li>Pietrangelo A. Hereditary hemochromatosis: pathogenesis, diagnosis, and treatment. Gastroenterology. 2010 Aug;139(2):393-408.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20542038\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jun 18, 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>La hemocromatosis hereditaria\u00a0se ha definido tradicionalmente\u00a0como un trastorno hereditario\u00a0caracterizado\u00a0por la absorci\u00f3n\u00a0inadecuadamente elevada\u00a0de\u00a0hierro en la dieta, lo que conduce\u00a0a la acumulaci\u00f3n\u00a0anormal de\u00a0hierro en\u00a0los \u00f3rganos\u00a0parenquimatosos.En 1996, el gen\u00a0HFE\u00a0se aisl\u00f3\u00a0en el cromosoma 6.\u00a0Desde\u00a0este hallazgo\u00a0la hemocromatosis\u00a0hereditaria\u00a0ha sido definida\u00a0por algunos como\u00a0la presencia de\u00a0un defecto\u00a0homocigoto\u00a0en el gen\u00a0HFE\u00a0con evidencia\u00a0directa o indirecta de\u00a0la sobrecarga de hierro.<\/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":[16,15,14,13,1208,1207,1206,711,1205,1209],"class_list":["post-2428","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-hemochromatosis","tag-hemocromatosis","tag-hereditaria","tag-hereditary","tag-tradicional","tag-traditional"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2428","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=2428"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2428\/revisions"}],"predecessor-version":[{"id":9331,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2428\/revisions\/9331"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}