{"id":2538,"date":"2009-03-03T18:40:04","date_gmt":"2009-03-03T18:40:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasautopan\/"},"modified":"2025-05-14T19:11:00","modified_gmt":"2025-05-14T19:11:00","slug":"gasautopan","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasautopan\/","title":{"rendered":"Criterios Diagnostico para Pancreatitis Autoinmune\u00a0"},"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 Diagnostico para Pancreatitis Autoinmune\u00a0(Japan Pancreas Society)<\/strong><\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td colspan=\"2\"><strong>Hallazgos en las Im\u00e1genes Radiogr\u00e1ficas (Uno Requerido)<\/strong><\/td>\n<td colspan=\"3\"><strong>Hallazgos Serol\u00f3gicos e Histol\u00f3gicos (Uno Requerido)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Im\u00e1genes\u00a0en\u00a0cortes transversales<\/td>\n<td>ERCP o MRCP<\/td>\n<td>An\u00e1lisis Serol\u00f3gico<\/td>\n<td>An\u00e1lisis Histol\u00f3gico Pancre\u00e1tico Biliar<\/td>\n<td>An\u00e1lisis Histol\u00f3gico\u00a0no Gastrointestinal<\/td>\n<\/tr>\n<tr>\n<td>P\u00e1ncreas aumentado difusamente<\/td>\n<td>Estrechamiento ductal pancre\u00e1tico segmentario<\/td>\n<td>Niveles\u00a0de IgG4\u00a0elevados<\/td>\n<td>Fibrosis o infiltraci\u00f3n linfoplasmocitario periductal<\/td>\n<td>Nefritis tubulointersticial con dep\u00f3sitos inmunes en la membrana basal tubular<\/td>\n<\/tr>\n<tr>\n<td>Incremento de la hipoatenuaci\u00f3n del anillo perif\u00e9rico \u201chalo\u201d<\/td>\n<td>Estrechamiento ductal pancre\u00e1tico focal<\/td>\n<td>Niveles s\u00e9ricos elevados de IgG o gamma globulinas<\/td>\n<td>Flebitis obliterativa<\/td>\n<td>Infiltraci\u00f3n linfoplasmocitario intersticial pulmonar con IgG4 positivo en plasmocitos<\/td>\n<\/tr>\n<tr>\n<td>Masa de baja atenuaci\u00f3n en la cabeza del p\u00e1ncreas<\/td>\n<td>Estrechamiento ductal pancre\u00e1tico difuso<\/td>\n<td>Presencia de ALA, ACA II, ASMA, o ANA<\/td>\n<td>Plasmocitos con IgG4 positivo en el tejido<\/td>\n<td>Sialadenitis cr\u00f3nica con plasmocitos con IgG4 positivo<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">Los criterios fueron modificados por la Japan Pancreas Society. ERCP denota colangiopancreatograf\u00eda retr\u00f3grada endosc\u00f3pica, MRCP colangiopancreatograf\u00eda por resonancia magn\u00e9tica, ALA anticuerpos anti lactoferrina, ACA II anticuerpos anti anhidrasa carbonica II, ASMA anticuerpos anti m\u00fasculo liso, y ANA anticuerpo antinuclear.<\/p>\n<p style=\"font-weight: 400;\">La presencia de c\u00e9lulas con IgG4 positiva en los tejidos no es necesariamente anormal, pero una infiltraci\u00f3n con un n\u00famero incrementado de estas c\u00e9lulas es anormal.<\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios Diagn\u00f3stico para Pancreatitis Autoinmune en Asan Medical Center<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios de Inclusi\u00f3n<\/strong><\/p>\n<p style=\"font-weight: 400;\">Criterio I. Im\u00e1genes pancre\u00e1ticas (esencial)<\/p>\n<ol style=\"font-weight: 400;\">\n<li>TC: Agrandamiento difuso (tumefacci\u00f3n) del p\u00e1ncreas, y<\/li>\n<li>ERCP: Estrechamiento irregular difuso o segmentario del ducto pancre\u00e1tico principal<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Criterio II. Hallazgos de laboratorio<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Niveles elevados de IgG y\/o IgG4. o<\/li>\n<li>anticuerpos detectados<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Criterio III. Hallazgos histopatol\u00f3gicos: Fibrosis e infiltraci\u00f3n linfoplasmocitaria<\/p>\n<p style=\"font-weight: 400;\">Criterio IV. Respuesta a los esteroides<\/p>\n<p style=\"font-weight: 400;\">Diagn\u00f3stico definitivo: Criterio I y cualquiera de los criterios II-IV<\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios Diagn\u00f3stico para Pancreatitis Autoinmune por el Italian Group<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios\u00a0Diagn\u00f3stico<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Histolog\u00eda y citolog\u00eda<\/li>\n<li>Asociaci\u00f3n con otras enfermedades autoinmunes postuladas<\/li>\n<li>Respuesta al tratamiento con esteroides<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Japan Pancreas Society. Diagnostic criteria for autoimmune pancreatitis. J Jpn Pancreas Soc 2002;17:585-7.<\/li>\n<li>Finkelberg DL, Sahani D, Deshpande V, Brugge WR. Autoimmune pancreatitis. N Engl J Med. 2006 Dec 21;355(25):2670-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17182992\/\">[Medline]<\/a><\/li>\n<li>Kim KP, Kim MH, Kim JC, Lee SS, Seo DW, Lee SK. Diagnostic criteria for autoimmune chronic pancreatitis revisited. World J Gastroenterol. 2006 Apr 28;12(16):2487-96. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16688792\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Dic 26, 2006<\/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 Diagnostico para Pancreatitis Autoinmune\u00a0(Japan Pancreas Society)<\/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":[250,251,16,15,14,13,1413,1648,1647,1008,1646,1649],"class_list":["post-2538","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-autoimmune","tag-autoinmune","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-gastroenterology","tag-japan","tag-pancreas","tag-pancreatitis","tag-rheumatoilogy","tag-society"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2538","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=2538"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2538\/revisions"}],"predecessor-version":[{"id":9108,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2538\/revisions\/9108"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}