{"id":2549,"date":"2009-03-02T11:19:10","date_gmt":"2009-03-02T11:19:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/nefnef\/"},"modified":"2025-05-14T19:11:25","modified_gmt":"2025-05-14T19:11:25","slug":"nefnef","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/nefnef\/","title":{"rendered":"Caracter\u00edsticas Cl\u00ednicas del S\u00edndrome Nefr\u00f3tico y Nefr\u00edtico"},"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;\"><strong>Caracter\u00edsticas Cl\u00ednicas del S\u00edndrome Nefr\u00f3tico<\/strong><\/p>\n<p style=\"font-weight: 400;\">El s\u00edndrome nefr\u00f3tico es un complejo cl\u00ednico caracterizado por:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>proteinuria de &gt;3,5 g por 1,73 m\u00b2 por 24 h (en la pr\u00e1ctica, &gt;3,0 a 3,5 g por 24 h),<\/li>\n<li>hipoalbuminemia,<\/li>\n<li>edema,<\/li>\n<li>hiperlipidemia,<\/li>\n<li>lipiduria, y<\/li>\n<li>hipercoagulabilidad.<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Caracter\u00edsticas Cl\u00ednicas del S\u00edndrome Nefr\u00edtico<\/strong><\/p>\n<p style=\"font-weight: 400;\">El s\u00edndrome nefr\u00edtico es definido por:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>hematuria (usualmente con eritrocitos dism\u00f3rficos), y<\/li>\n<li>cilindros hem\u00e1ticos en el examen microsc\u00f3pico del sedimento urinario<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Frecuentemente con uno o m\u00e1s de los siguientes elementos:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>proteinuria leve a moderada (proteinuria subnefr\u00f3tica\u00a0&lt;\u00a03,0 g por 24 h),<\/li>\n<li>edema,<\/li>\n<li>hipertensi\u00f3n,<\/li>\n<li>creatinina s\u00e9rica elevada, y<\/li>\n<li>oliguria (400 mL\/d\u00eda de orina).<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Clasificaci\u00f3n de enfermedad glomerular de acuerdo a las caracter\u00edsticas cl\u00ednicas<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Glomerulonefritis focal<\/strong><\/p>\n<p style=\"font-weight: 400;\">Sedimento urinario activo sin insuficiencia renal o s\u00edndrome nefr\u00f3tico<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Menores de 15 a\u00f1os: Glomerulonefritis postinfecciosa leve, nefropat\u00eda por IgA, enfermedad con adelgazamiento de la membrana basal, nefritis hereditaria, p\u00farpura de Henoch-Sch\u00f6nlein, glomerulonefritis mesangial proliferativa<\/li>\n<li>15 a 40 a\u00f1os: nefropat\u00eda por IgA, enfermedad con adelgazamiento de la membrana basal, lupus, nefritis hereditaria, glomerulonefritis mesangial proliferativa<\/li>\n<li>Mayores de 40 a\u00f1os: nefropat\u00eda por IgA<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Glomerulonefritis difusa<\/strong><\/p>\n<p style=\"font-weight: 400;\">Sedimento urinario activo insuficiencia renal y proteinuria variable, que puede incluir al s\u00edndrome nefr\u00f3tico<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Menores de 15 a\u00f1os: Glomerulonefritis postinfecciosa, glomerulonefritis membranoproliferativa<\/li>\n<li>15 a 40 a\u00f1os: Glomerulonefritis postinfecciosa, lupus, glomerulonefritis r\u00e1pidamente progresiva, glomerulonefritis fibrilar, glomerulonefritis membranoproliferativa<\/li>\n<li>Mayores de 40 a\u00f1os: Glomerulonefritis r\u00e1pidamente progresiva, vasculitis (incluyendo crioglobulinemia mixta), glomerulonefritis fibrilar, glomerulonefritis postinfecciosa<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>S\u00edndrome nefr\u00f3tico<\/strong><\/p>\n<p style=\"font-weight: 400;\">Proteinuria importante, sedimento ins\u00edpido con hematuria leve en algunas oportunidades<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Menores de 15 a\u00f1os: enfermedad a cambios m\u00ednimos, glomeruloesclerosis focal, glomerulonefritis proliferativa mesangial<\/li>\n<li>15 a 40 a\u00f1os: Focal glomeruloesclerosis, enfermedad a cambios m\u00ednimos, neuropat\u00eda membranosa (incluyendo lupus), nefropat\u00eda diab\u00e9tica, preeclampsia, glomerulonefritis postinfecciosa (estadio tard\u00edo)<\/li>\n<li>Mayores de 40 a\u00f1os: glomeruloesclerosis focal, nefropat\u00eda membranosa, nefropat\u00eda diab\u00e9tica, enfermedad a cambios m\u00ednimos, nefropat\u00eda por IgA, amiloidosis primaria o enfermedad relacionadas por dep\u00f3sito de cadenas livianas (que puede ocurrir en el 15 a 20 % de los casos en pacientes mayores de 60 a\u00f1os de edad), nefroesclerosis benigna, glomerulonefritis postinfecciosa (estadio tard\u00edo)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Orth SR, Ritz E. The nephrotic syndrome. N Engl J Med. 1998 Apr 23;338(17):1202-11.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9554862\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Roth KS, Amaker BH, Chan JC. Nephrotic syndrome: pathogenesis and management. Pediatr Rev. 2002 Jul;23(7):237-48.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12093934\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998 Sep 24;339(13):888-99.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9744974\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Jennette JC, Falk RJ. Diagnosis and management of glomerular diseases. Med Clin North Am. 1997 May;81(3):653-77.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9167650\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Isbel NM. Glomerulonephritis&#8211;management in general practice. Aust Fam Physician. 2005 Nov;34(11):907-13.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16299623\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Lau KK, Wyatt RJ. Glomerulonephritis. Adolesc Med Clin. 2005 Feb;16(1):67-85.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15844384\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Ene 12, 2007<\/p>\n<p style=\"font-weight: 400;\">\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>Caracter\u00edsticas Cl\u00ednicas del S\u00edndrome Nefr\u00f3tico El s\u00edndrome nefr\u00f3tico es un complejo cl\u00ednico caracterizado por: proteinuria de &gt;3,5 g por 1,73 m\u00b2 por 24 h (en la pr\u00e1ctica, &gt;3,0 a 3,5 g por 24 h), hipoalbuminemia, edema, hiperlipidemia, lipiduria, y hipercoagulabilidad.<\/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":[473],"tags":[40,490,935,41,1681,1680,1679,1353,1678,5,4],"class_list":["post-2549","post","type-post","status-publish","format-standard","hentry","category-nephrology","tag-caracteristicas","tag-clinical","tag-clinicas","tag-features","tag-nefritico","tag-nefrotico","tag-nephritic","tag-nephrology","tag-nephrotic","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2549","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=2549"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2549\/revisions"}],"predecessor-version":[{"id":9120,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2549\/revisions\/9120"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2549"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2549"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2549"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}