{"id":2494,"date":"2009-03-08T17:33:30","date_gmt":"2009-03-08T17:33:30","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemet\/"},"modified":"2025-05-14T19:09:56","modified_gmt":"2025-05-14T19:09:56","slug":"hemet","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemet\/","title":{"rendered":"Criterios Diagn\u00f3stico para Trombocitopenia Esencial"},"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><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\"><strong>Criterios Diagn\u00f3stico del Polycythemia Vera Study Group (PVSG) para Trombocitopenia Esencial<\/strong><\/p>\n<p style=\"font-weight: 400;\">Todos de los siguientes criterios deben cumplirse para realizar el diagn\u00f3stico de Trombocitopenia Esencial:<\/p>\n<ol style=\"font-weight: 400;\">\n<li style=\"list-style-type: none;\">\n<ol style=\"font-weight: 400;\">\n<li>Recuento plaquetario mayor de 600 x 10<sup>9<\/sup>\/L<\/li>\n<li>Hematocrito menor de 40 o masa de gl\u00f3bulos rojos normal<\/li>\n<li>Hierro te\u00f1ible en m\u00e9dula \u00f3sea o volumen corpuscular medio\u00a0normal\u00a0 de los gl\u00f3bulos rojos (Si estas mediciones sugiere deficiencia de hierro, la policitemia vera no puede ser excluida a menos que una prueba con terapia con hierro falle en incrementar la masa de gl\u00f3bulos rojos en el rango policit\u00e9mico)<\/li>\n<li>No\u00a0cromosoma\u00a0Philadelphia o\u00a0gen\u00a0<em>bcr\/abl<\/em><\/li>\n<li>Fibrosis col\u00e1gena de la m\u00e9dula \u00f3sea ausente o menos de un tercio del \u00e1rea de la biopsia sin esplenomegalia y sin frotis sangu\u00edneo leucoeritrobl\u00e1stico<\/li>\n<li>No evidencia citogen\u00e9tica o morfol\u00f3gica para s\u00edndrome mielodispl\u00e1sico<\/li>\n<li>Ausencia de causa para trombocitosis reactiva<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios Diagn\u00f3stico OMS para Trombocitopenia Esencial<\/strong><\/p>\n<p style=\"font-weight: 400;\">Criterios Positivos<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Recuento de plaquetas sostenido &gt; 600x 10<sup>9<\/sup>\/l<\/li>\n<li>Biopsia de medula \u00f3sea con proliferaci\u00f3n principalmente del linaje megacarioc\u00edtico con incrementado n\u00famero de megacariocitos grandes y maduros<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Criterios\u00a0de\u00a0exclusi\u00f3n<\/p>\n<ol>\n<li>No evidencia de policitemia vera (PV)\n<ul>\n<li>Masa de eritrocitos normal o Hb &lt;18,5 g\/dl en hombres, 16,5 g\/dl en mujeres<\/li>\n<li>Hierro por tinci\u00f3n en medula \u00f3sea, ferritina s\u00e9rica normal o volumen corpuscular medio (VCM) normal<\/li>\n<li>Si lo anterior no est\u00e1 presente, o fallo en la prueba de hierro en incrementar la masa de gl\u00f3bulos rojos o niveles de hemoglobina en rango de PV<\/li>\n<\/ul>\n<\/li>\n<li>No evidencia de CML\n<ul>\n<li>No evidencia de cromosoma Philadelphia (Ph) y no gen de fusi\u00f3n BCR\/ABL<\/li>\n<\/ul>\n<\/li>\n<li>No evidencia de mielofibrosis idiop\u00e1tica\n<ul>\n<li>Ausencia de fibrosis col\u00e1gena<\/li>\n<li>Fibrosis de reticulina m\u00ednima o ausente<\/li>\n<\/ul>\n<\/li>\n<li>No evidencia de s\u00edndrome mielodispl\u00e1sico\n<ul>\n<li>No del(5q), t(3;3)(q21;26), inv(3)(q21q26)<\/li>\n<li>No displasia granuloc\u00edtica significativa; pocos o ninguno, micromegacariocitos<\/li>\n<\/ul>\n<\/li>\n<li>No evidencia que la trombocitosis es reactiva a:\n<ul>\n<li>Inflamaci\u00f3n subyacente o infecci\u00f3n<\/li>\n<li>Neoplasia subyacente<\/li>\n<li>Esplenectom\u00eda previa<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Imbert M, Pierre R, Thiele J, Vardiman JW, Brunning RD, Flandrin G. Essential thrombocythaemia. In: Jaffe ES, Harris NL, Stein H, et al, editors. WHO classification of tumours: tumours of haematopoietic and lymphoid tissues. Lyon: IARC Press; 2001. p. 39-41.<\/li>\n<li>Murphy S, Peterson P, Iland H, Laszlo J. Experience of the Polycythemia Vera Study Group with essential thrombocythemia: a final report on diagnostic criteria, survival, and leukemic transition by treatment. Semin Hematol. 1997 Jan;34(1):29-39. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9025160\/\">[Medline]<\/a><\/li>\n<li>Harrison CN, Green AR. Essential thrombocythemia. Hematol Oncol Clin North Am. 2003 Oct;17(5):1175-90, vii. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14560781\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Sep 03, 2007<\/p>\n<\/div>\n<p><\/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>Criterios Diagn\u00f3stico del Polycythemia Vera Study Group (PVSG) para Trombocitopenia Esencial Todos de los siguientes criterios deben cumplirse para realizar el diagn\u00f3stico de Trombocitopenia Esencial: Recuento plaquetario mayor de 600 x 109\/L Hematocrito menor de 40 o masa de gl\u00f3bulos rojos normal Hierro te\u00f1ible en m\u00e9dula \u00f3sea o volumen corpuscular medio\u00a0normal\u00a0 de los gl\u00f3bulos rojos [&hellip;]<\/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":[16,15,14,13,238,239,287,1381,1510,1511],"class_list":["post-2494","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-esencial","tag-essential","tag-et","tag-hematology","tag-thrombocytopaenia","tag-trombocitopenia"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2494","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=2494"}],"version-history":[{"count":2,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2494\/revisions"}],"predecessor-version":[{"id":8990,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2494\/revisions\/8990"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2494"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2494"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2494"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}