{"id":2547,"date":"2009-03-03T10:54:37","date_gmt":"2009-03-03T10:54:37","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/hemneutropenia\/"},"modified":"2025-05-14T19:11:24","modified_gmt":"2025-05-14T19:11:24","slug":"hemneutropenia","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/hemneutropenia\/","title":{"rendered":"Clasificaci\u00f3n de Neutropenia"},"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>Neutropenias Adquiridas<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Postinfecciones: varicela, sarampi\u00f3n, rub\u00e9ola, hepatitis A y B, mononucleosis, influenza, citomegalovirus, parvovirus, s\u00edndrome de inmunodeficiencia adquirido (SIDA), S. aureus, brucelosis, tularemia, rickettsia, Mycobacterium tuberculosis, sepsis.<\/li>\n<li>Inducidos por Drogas: Agentes antineopl\u00e1sicos, procainamida, drogas antitiroideas, sulfasalazina, fenotiazinas, penicilinas semisint\u00e9ticas, agentes anti-inflamatorios no esteroideos, derivados de la aminopirina, benzodiazepinas, barbit\u00faricos, compuestos de oro, sulfonamidas, propranolol, dipiridamol, digoxina, acetildigoxina, sulfametoxizol, anticonvulsivantes<\/li>\n<li>Neutropenia familiar benigna<\/li>\n<li>Neutropenia benigna cr\u00f3nica en ni\u00f1os<\/li>\n<li>Neutropenia idiop\u00e1tica cr\u00f3nica<\/li>\n<li>Neutropenia autoinmune<\/li>\n<li>Neutropenia isoinmune<\/li>\n<li>Neutropenia asociada con anormalidades inmunol\u00f3gicas<\/li>\n<li>Neutropenia\u00a0asociada\u00a0con enfermedades metab\u00f3licas<\/li>\n<li>Neutropenia debido a marginaci\u00f3n incrementada<\/li>\n<li>Deficiencia nutricional<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\">Defectos\u00a0Intr\u00ednsicos<\/p>\n<ul style=\"font-weight: 400;\">\n<li>S\u00edndrome de Kostmann (Agranulocitosis severa infantil)<\/li>\n<li>Mielocatexis\/neutropenia con n\u00facleos tetraploides<\/li>\n<li>Neutropenia c\u00edclica<\/li>\n<li>S\u00edndrome\u00a0de Shwachman-Diamond-Oski<\/li>\n<li>S\u00edndrome\u00a0de Chediak-Higashi<\/li>\n<li>Disgenesia reticular<\/li>\n<li>Disqueratosis cong\u00e9nita<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Recuento de Neutr\u00f3filos Cl\u00ednicamente Significativo<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"107\"><strong>RAN<\/strong><\/td>\n<td style=\"height: 24px;\" width=\"285\"><strong>Significado Cl\u00ednico<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"107\">&gt;1.500\/mm<sup>3<\/sup><\/td>\n<td style=\"height: 24px;\" width=\"285\">Normal<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px;\" width=\"107\">1.000-1.500<\/td>\n<td style=\"height: 48px;\" width=\"285\">No predisposici\u00f3n significativa a infecciones. La fiebre puede ser manejada en un paciente ambulatorio<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"height: 48px;\" width=\"107\">500-1.000<\/td>\n<td style=\"height: 48px;\" width=\"285\">Alguna predisposici\u00f3n a infecciones. Ocasionalmente la fiebre puede ser manejada en un paciente ambulatorio<\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"height: 72px;\" width=\"107\">&lt;500<\/td>\n<td style=\"height: 72px;\" width=\"285\">Significativa predisposici\u00f3n\u00a0a\u00a0infecciones.\u00a0Siempre debe ser manejado con el paciente hospitalizado con antibi\u00f3ticos parenterales. Presentas escasos signos cl\u00ednicos de infecci\u00f3n.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">RAN:\u00a0Recuento\u00a0Absoluto de Neutr\u00f3filos<\/p>\n<p style=\"font-weight: 400;\">Estas reglas se aplican estrictamente para neutropenias con m\u00e9dula \u00f3sea hipopl\u00e1sica, captura mieloide temprana, y pools de reserva de granulocitos disminuida.\u00a0El juicio cl\u00ednico es m\u00e1s amplio en neutropenias con m\u00e9dula normocelular. La \u00fanica excepci\u00f3n a esta regla es la neutropenia benigna cr\u00f3nica documentada en ni\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Kyono W, Coates TD. A practical approach to neutrophil disorders. Pediatr Clin North Am. 2002 Oct;49(5):929-71, viii. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12430620\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Oct 23, 2005<\/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>Neutropenias Adquiridas Postinfecciones: varicela, sarampi\u00f3n, rub\u00e9ola, hepatitis A y B, mononucleosis, influenza, citomegalovirus, parvovirus, s\u00edndrome de inmunodeficiencia adquirido (SIDA), S. aureus, brucelosis, tularemia, rickettsia, Mycobacterium tuberculosis, sepsis. Inducidos por Drogas: Agentes antineopl\u00e1sicos, procainamida, drogas antitiroideas, sulfasalazina, fenotiazinas, penicilinas semisint\u00e9ticas, agentes anti-inflamatorios no esteroideos, derivados de la aminopirina, benzodiazepinas, barbit\u00faricos, compuestos de oro, sulfonamidas, propranolol, dipiridamol, [&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":[166,167,1381,1672],"class_list":["post-2547","post","type-post","status-publish","format-standard","hentry","category-hematology","tag-clasificacion","tag-classification","tag-hematology","tag-neutropenia"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2547","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=2547"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2547\/revisions"}],"predecessor-version":[{"id":9118,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2547\/revisions\/9118"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2547"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2547"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2547"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}