{"id":2567,"date":"2009-02-28T20:12:10","date_gmt":"2009-02-28T20:12:10","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasnafld\/"},"modified":"2025-05-14T19:11:53","modified_gmt":"2025-05-14T19:11:53","slug":"gasnafld","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasnafld\/","title":{"rendered":"Sistema de Puntuaci\u00f3n Histol\u00f3gica para Enfermedad del H\u00edgado Graso no Alcoh\u00f3lico (NAFLD)"},"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;\">Componentes del Score de Actividad para NAFLD (NAS) y Estadios Cl\u00ednicos de Fibrosis de Esteatohepatitis No Alcoh\u00f3lica<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td colspan=\"4\"><strong>Componentes del Score de Actividad para NAFLD (ver interpretaci\u00f3n del score)<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>Item<\/strong><\/td>\n<td style=\"text-align: center;\"><strong>Score<\/strong><\/td>\n<td><strong>Extensi\u00f3n<\/strong><\/td>\n<td><strong>Definici\u00f3n y Comentarios<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"4\">Esteatosis<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td>&lt;5%<\/td>\n<td>Se refiere al \u00e1rea de superficie comprometida por la esteatosis evaluada con bajo o mediano poder; la m\u00ednima esteatosis (&lt;5%) recibe un score de 0 para evitar dar un exceso de peso a biopsias con muy pocos cambios grasos<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">1<\/td>\n<td>5-33%<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">2<\/td>\n<td>&gt;33-66%<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">3<\/td>\n<td>&gt;66%<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"4\">Inflamaci\u00f3n Lobular<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td>No focos<\/td>\n<td>Cuerpos acid\u00f3filos no son incluidos en esta evaluaci\u00f3n, ni tampoco inflamaci\u00f3n portal<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">1<\/td>\n<td>&lt;2 focos\/200x<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">2<\/td>\n<td>2-4 focos\/200x<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">3<\/td>\n<td>&gt;4 focos\/200x<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\">Balonamiento del hepatocito<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td>No<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">1<\/td>\n<td>Pocas c\u00e9lulas bal\u00f3n<\/td>\n<td>El t\u00e9rmino \u00abpoco\u00bb es raro, pero define hepatocitos balonados as\u00ed como tambi\u00e9n los casos en el que el diagn\u00f3stico es borderline<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">2<\/td>\n<td>Muchas c\u00e9lulas\/ balonamiento prominente<\/td>\n<td>La mayor\u00eda de los casos con balonamiento prominente tienen tambi\u00e9n cuerpos de Mallory, pero los cuerpos de Mallory no presentan puntuaci\u00f3n por separado<\/td>\n<\/tr>\n<tr>\n<td colspan=\"4\"><strong>Estadio de Fibrosis (Evaluado separadamente para NAS)<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Fibrosis<\/td>\n<td style=\"text-align: center;\">0<\/td>\n<td>No<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">1<\/td>\n<td>Perisinusoidal o periportal<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">1A<\/td>\n<td>Leve, zona 3, perisinusoidal<\/td>\n<td>Fibrosis \u00abdelicada\u00bb<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">1B<\/td>\n<td>Moderada, zona 3, perisinusoidal<\/td>\n<td>fibrosis \u00abdensa\u00bb<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">1C<\/td>\n<td>Portal\/periportal<\/td>\n<td>En esta categor\u00eda se incluyen casos con fibrosis portal y\/o periportal sin fibrosis pericellular\/perisinusoidal acompa\u00f1ante<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">2<\/td>\n<td>Perisinusoidal y portal\/periportal<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">3<\/td>\n<td>Puentes fibrosos<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td style=\"text-align: center;\">4<\/td>\n<td>Cirrosis<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">El total del Score de Actividad para NAFLD (NAS) representa la suma de los scores para esteatosis, inflamaci\u00f3n lobular, y balonamiento, y el rango es de 0-8. El diagn\u00f3stico de NASH (o, alternativamente, h\u00edgado graso no diagn\u00f3stico de NASH) deber\u00eda ser realizado primero, luego el NAS utilizado para el grado de actividad. En la referencia del estudio, el score NAS de 0-2 ocurri\u00f3 en casos ampliamente considerados no diagn\u00f3stico de NASH, score de 3-4 fueron eventualmente divididos en aquellos considerados no diagn\u00f3stico, borderline, o positivos para NASH. Score de 5-8 ocurrieron en casos que fueron ampliamente considerados diagn\u00f3stico de NASH.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Kleiner DE, Brunt EM, Van Natta M, Behling C, Contos MJ, Cummings OW, Ferrell LD, Liu YC, Torbenson MS, Unalp-Arida A, Yeh M, McCullough AJ, Sanyal AJ; Nonalcoholic Steatohepatitis Clinical Research Network. Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology. 2005 Jun;41(6):1313-21.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15915461\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: May 11, 2007<\/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>Componentes del Score de Actividad para NAFLD (NAS) y Estadios Cl\u00ednicos de Fibrosis de Esteatohepatitis No Alcoh\u00f3lica<\/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":[1735,1734,51,1733,1413,891,1725,1732,795,524,1731,1033,1730,794,494,507],"class_list":["post-2567","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-alcoholic","tag-alcoholica","tag-disease","tag-fatty","tag-gastroenterology","tag-graso","tag-higado","tag-histological","tag-histologico","tag-liver","tag-nafld","tag-no","tag-nonalcoholic","tag-scoring","tag-sistema","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2567","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=2567"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2567\/revisions"}],"predecessor-version":[{"id":9387,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2567\/revisions\/9387"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2567"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2567"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2567"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}