{"id":2528,"date":"2009-03-05T11:56:06","date_gmt":"2009-03-05T11:56:06","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reupan\/"},"modified":"2025-05-14T19:10:54","modified_gmt":"2025-05-14T19:10:54","slug":"reupan","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reupan\/","title":{"rendered":"Criterios ACR para la Clasificaci\u00f3n de Poliarteritis Nodosa (PAN)"},"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<p style=\"font-weight: 400;\">Criterios de la American College\u00a0of\u00a0Rheumatology (1990) para la clasificaci\u00f3n de la\u00a0poliarteritis\u00a0nodosa (PAN). Es clasificado como PAN si est\u00e1n presentes al menos 3 de los siguientes 10 criterios:<!--more--><\/p>\n<ol style=\"font-weight: 400;\">\n<li>P\u00e9rdida de peso &gt;4 kg: P\u00e9rdida &gt;4 kg desde el comienzo de la enfermedad, no relacionado con dietas u otros factores.<\/li>\n<li>Livedo\u00a0reticularis: Patr\u00f3n moteado reticular sobre la piel de distribuci\u00f3n en las extremidades o torso.<\/li>\n<li>Dolor o sensibilidad testicular: Dolor o sensibilidad de los test\u00edculos, no relacionado con infecci\u00f3n, trauma u otras causas.<\/li>\n<li>Mialgias, debilidad, o dolor en piernas: Mialgias difusas (excluyendo hombros o caderas) o debilidad de los m\u00fasculos o dolor en m\u00fasculos de las piernas.<\/li>\n<li>Mono o polineuropat\u00eda: Desarrollo de mononeuropat\u00eda, mononeuropat\u00eda m\u00faltiple o polineuropat\u00eda.<\/li>\n<li>Presi\u00f3n arterial diast\u00f3lica &gt;90\u00a0mmHg: Desarrollo de hipertensi\u00f3n con la presi\u00f3n arterial diast\u00f3lica &gt;90\u00a0mmHg.<\/li>\n<li>Niveles de urea nitrogenada o creatinina s\u00e9rica elevada: Elevaci\u00f3n de la urea nitrogenada s\u00e9rica &gt;40 mg\/dl o creatinina &gt;1,5 mg\/dl, no causada por deshidrataci\u00f3n u obstrucci\u00f3n.<\/li>\n<li>Virus de la hepatitis B: Presencia del ant\u00edgeno de superficie de la hepatitis B o anticuerpos en suero.<\/li>\n<li>Anormalidades\u00a0arteriogr\u00e1ficas:\u00a0Arteriograma\u00a0mostrando aneurismas u oclusiones de arterias viscerales, no debido a arteriosclerosis, displasia\u00a0fibromuscular\u00a0u otras causas no inflamatorias.<\/li>\n<li>Biopsia de arterias de peque\u00f1o o mediano tama\u00f1o conteniendo leucocitos\u00a0polimorfonucleares: Cambios histol\u00f3gicos mostrando la presencia de\u00a0granulocitos\u00a0o\u00a0granulocitos\u00a0y leucocitos\u00a0mononucleares\u00a0en las paredes arteriales.<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Estos criterios han reportado una sensibilidad del 82,2% y una especificidad del 86,6% para la clasificaci\u00f3n de\u00a0poliarteritis\u00a0nodosa comparado con otras vasculitis.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Lightfoot RW, Michel BA, Bloch DA,\u00a0Hunder\u00a0GG,\u00a0Zvaifler\u00a0NJ,\u00a0McShane\u00a0DJ, et al. The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa. Arthritis Rheum. 1990;33:1088-93.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1975174\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: May 29, 2005<\/p>\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 de la American College\u00a0of\u00a0Rheumatology (1990) para la clasificaci\u00f3n de la\u00a0poliarteritis\u00a0nodosa (PAN). Es clasificado como PAN si est\u00e1n presentes al menos 3 de los siguientes 10 criterios:<\/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":[45],"tags":[423,166,167,16,15,1619,1618,1617,1616,1070],"class_list":["post-2528","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-acr","tag-clasificacion","tag-classification","tag-criteria","tag-criterios","tag-nodosa","tag-pan","tag-poliarteritis","tag-polyarteritis","tag-rheumatology"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2528","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=2528"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2528\/revisions"}],"predecessor-version":[{"id":9402,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2528\/revisions\/9402"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}