{"id":2555,"date":"2009-03-02T01:11:33","date_gmt":"2009-03-02T01:11:33","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reumctd\/"},"modified":"2025-05-14T19:11:29","modified_gmt":"2025-05-14T19:11:29","slug":"reumctd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reumctd\/","title":{"rendered":"Criterios Diagn\u00f3stico para Enfermedad Mixta del Tejido Conectivo (EMTC)"},"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>La enfermedad mixta del tejido conectivo (MCTD) tiene signos y s\u00edntomas de una combinaci\u00f3n de trastornos, principalmente lupus, esclerodermia y polimiositis. Muchas personas con esta enfermedad poco com\u00fan tambi\u00e9n tienen s\u00edndrome de Sjogren. Por esta raz\u00f3n, la MCTD a veces se denomina enfermedad de superposici\u00f3n.<br \/>\n<!--more--><\/p>\n<p><strong>Criterios Diagn\u00f3stico Alarcon-Segovia para Enfermedad Mixta del Tejido Conectivo<\/strong><\/p>\n<ol>\n<li>Criterio Serol\u00f3gico: Anticuerpos anti U1 RNP positivo con un t\u00edtulo en la hemaglutinaci\u00f3n &gt;1:1600<\/li>\n<li>Criterios Cl\u00ednicos:<\/li>\n<\/ol>\n<ul>\n<li>Edema de manos<\/li>\n<li>Sinovitis<\/li>\n<li>Miositis<\/li>\n<li>Fen\u00f3meno de Raynaud<\/li>\n<li>Acroesclerosis<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Requerimientos:<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Serol\u00f3gico<\/li>\n<li>Al\u00a0menos\u00a03\u00a0caracter\u00edsticas cl\u00ednicas<\/li>\n<li>La asociaci\u00f3n de edema de manos, fen\u00f3meno de Raynaud y acroesclerosis requiere al menos otra caracter\u00edstica m\u00e1s<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\"><strong>Criterios Diagn\u00f3stico Kusukawa para Enfermedad Mixta del Tejido Conectivo<\/strong><\/p>\n<p style=\"font-weight: 400;\">S\u00edntomas Comunes<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Fen\u00f3meno\u00a0de Reynaud<\/li>\n<li>Hinchaz\u00f3n\u00a0de\u00a0dedos\u00a0o\u00a0manos<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">Presencia de anticuerpos Anti U1 RNP<\/p>\n<p style=\"font-weight: 400;\">Hallazgos mixtos<\/p>\n<p>A- LES like<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Poliartritis<\/li>\n<li>Pericarditis\/pleuritis<\/li>\n<li>Linfadenopat\u00eda<\/li>\n<li>Facial\u00a0eritema<\/li>\n<li>Leucopenia\/trombocitopenia<\/li>\n<\/ul>\n<p>B- Esclerodermia like<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Esclerodactilia<\/li>\n<li>Fibrosis\u00a0pulmonar<\/li>\n<li>Dismotilidad esof\u00e1gica<\/li>\n<\/ul>\n<p>C- Polimiositis like<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Debilidad\u00a0muscular<\/li>\n<li>Creatinfosfoquinasa (CPK)\u00a0elevada<\/li>\n<li>Electromiograma (EMG)\u00a0miop\u00e1tico<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Requerimiento para el diagn\u00f3stico: Al menos un s\u00edntoma com\u00fan, con anticuerpos positivo anti U1 RNP y uno o m\u00e1s hallazgos en al menos 2 de las 3 categor\u00edas A, B, y C.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Alarcon-Segovia D, Cardiel MH. Comparison between 3 diagnostic criteria for mixed connective tissue disease. Study of 593 patients. J Rheumatol. 1989 Mar;16(3):328-34. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2724251\/\">[Medline]<\/a><\/li>\n<li>Alarcon-Segovia D. Mixed connective tissue disease and overlap syndromes. Clin Dermatol. 1994 Apr-Jun;12(2):309-16. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8076270\/\">[Medline]<\/a><\/li>\n<li>Tiddens HA, van der Net JJ, de Graeff-Meeder ER, Fiselier TJ, de Rooij DJ, van Luijk WH, Herzberger R, van Suijlekom LW, van Venrooij WJ, Zegers BJ, et al. Juvenile-onset mixed connective tissue disease: longitudinal follow-up. J Pediatr. 1993 Feb;122(2):191-7. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8429431\/\">[Medline]<\/a><\/li>\n<li>Haroon N, Nisha RS, Chandran V, Bharadwaj A. Pulmonary hypertension not a major feature of early mixed connective tissue disease: A prospective clinicoserological study. J Postgrad Med. 2005 Apr-Jun;51(2):104-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16006700\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p style=\"font-weight: 400;\">\n<p style=\"font-weight: 400;\">Creado: Mar 24, 2006<\/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>La enfermedad mixta del tejido conectivo (MCTD) tiene signos y s\u00edntomas de una combinaci\u00f3n de trastornos, principalmente lupus, esclerodermia y polimiositis. Muchas personas con esta enfermedad poco com\u00fan tambi\u00e9n tienen s\u00edndrome de Sjogren. Por esta raz\u00f3n, la MCTD a veces se denomina enfermedad de superposici\u00f3n.<\/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":[1702,1701,16,15,14,51,1700,50,1699,1698,759,1070,1697,1703],"class_list":["post-2555","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-conectivo","tag-connective","tag-criteria","tag-criterios","tag-diagnostic","tag-disease","tag-emtc","tag-enfermedad","tag-mctd","tag-mixed","tag-mixta","tag-rheumatology","tag-tejido","tag-tissue"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2555","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=2555"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2555\/revisions"}],"predecessor-version":[{"id":9456,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2555\/revisions\/9456"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}