{"id":35,"date":"2009-02-24T10:59:00","date_gmt":"2009-02-24T10:59:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gascd\/"},"modified":"2025-05-14T21:03:02","modified_gmt":"2025-05-14T21:03:02","slug":"gascd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gascd\/","title":{"rendered":"Criterios Revisados ESPGHAN para el Diagn\u00f3stico de Enfermedad Cel\u00edaca (EC)"},"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 cel\u00edaca (EC) es un s\u00edndrome caracterizado por da\u00f1o de la mucosa del intestino delgado causado por la fracci\u00f3n de gliadina del gluten de trigo y prote\u00ednas similares solubles en alcohol (prolaminas) de cebada y centeno en sujetos gen\u00e9ticamente susceptibles.<!--more--><\/p>\n<p style=\"font-weight: 400;\"><strong>Diagn\u00f3stico definitivo de Enfermedad Cel\u00edaca (EC)<\/strong><\/p>\n<p style=\"font-weight: 400;\">Historia y presentaci\u00f3n cl\u00ednica compatible con EC<\/p>\n<ol style=\"font-weight: 400;\">\n<li>Screening serol\u00f3gico compatible con EC: anticuerpos\u00a0antigliadina (AGA) anticuerpos antiendomisio (AEA), anticuerpos antitransglutaminasa tisular (tTG)<\/li>\n<li>Hallazgos histol\u00f3gicos compatibles con EC: atrofia de vellosidades<\/li>\n<li>Respuesta\u00a0cl\u00ednica y serol\u00f3gica\u00a0evidente a la dieta libre de gluten (GFD)<\/li>\n<li>Sujetos &gt;2 a\u00f1os de edad<\/li>\n<li>Descartar otra enfermedad cl\u00ednica que mimetice la EC<\/li>\n<\/ol>\n<p style=\"font-weight: 400;\"><strong>Posibles Manifestaciones Cl\u00ednicas de EC<\/strong><\/p>\n<p style=\"font-weight: 400;\">A- S\u00edntomas t\u00edpicos<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Diarrea cr\u00f3nica<\/li>\n<li>Falta de crecimiento<\/li>\n<li>Distensi\u00f3n abdominal<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">B- S\u00edntomas at\u00edpicos<\/p>\n<p style=\"font-weight: 400;\">I- Malabsorci\u00f3n secundaria<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Anemia siderop\u00e9nica<\/li>\n<li>Estatura corta<\/li>\n<li>Osteopenia<\/li>\n<li>Abortos recurrentes<\/li>\n<li>Esteatosis hep\u00e1tica<\/li>\n<li>Dolor abdominal recurrente<\/li>\n<li>Flatulencia<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">II- Independientes de la malabsorci\u00f3n<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Dermatitis herpetiforme<\/li>\n<li>Hipoplasia del esmalte dental<\/li>\n<li>Ataxia<\/li>\n<li>Alopecia<\/li>\n<li>Cirrosis biliar primaria<\/li>\n<li>Hipertransaminasemia aislada<\/li>\n<li>Estomatitis aftosa recurrente<\/li>\n<li>Miastenia gravis<\/li>\n<li>Pericarditis recurrente<\/li>\n<li>Psoriasis<\/li>\n<li>Polineuropat\u00eda<\/li>\n<li>Epilepsia (con o sin calcificaciones intracraneales)<\/li>\n<li>Vasculitis<\/li>\n<li>Miocardiopat\u00eda dilatada<\/li>\n<li>Hipo\/hipertiroidismo<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><b>Pruebas Serol\u00f3gicas de Screening para el Diagn\u00f3stico de EC<\/b><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 123px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"116\"><b>Prueba<\/b><\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\"><b>Sensibilidad<\/b><\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\"><b>Especificidad<\/b><\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\"><b>VPP<\/b><\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\"><b>VPN<\/b><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"116\">AGA IgG<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">57\u2013100<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">42\u201398<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">20\u201395<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">41\u201388<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"116\">AGA IgA<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">53\u2013100<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">65\u2013100<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">28\u2013100<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">65\u2013100<\/td>\n<\/tr>\n<tr style=\"height: 27px;\">\n<td style=\"height: 27px;\" width=\"116\">AEA IgA\u00a0<sup>a<\/sup><\/td>\n<td style=\"text-align: center; height: 27px;\" width=\"116\">75\u201398<\/td>\n<td style=\"text-align: center; height: 27px;\" width=\"116\">96\u2013100<\/td>\n<td style=\"text-align: center; height: 27px;\" width=\"116\">98\u2013100<\/td>\n<td style=\"text-align: center; height: 27px;\" width=\"116\">80\u201395<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\" width=\"116\">tTG IgA<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">90-98<\/td>\n<td style=\"text-align: center; height: 24px;\" width=\"116\">95-97<\/td>\n<td style=\"height: 24px;\" width=\"116\"><\/td>\n<td style=\"height: 24px;\" width=\"116\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">VPP, valor predictivo positivo; VPN, valor predictivo negativo.<\/p>\n<p style=\"font-weight: 400;\"><em><sup>a<\/sup>\u00a0Pacientes mayores de 2 a\u00f1os.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Fasano A, Catassi C. Current approaches to diagnosis and treatment of celiac disease: an evolving spectrum. Gastroenterology. 2001 Feb;120(3):636-51. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11179241\/\">[Medline]<\/a><\/li>\n<li>Fasano A, Catassi C. Celiac disease.\u00a0 N Engl J Med. 2012 Dec 13;367(25): 2419-26. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23252527\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: May 17, 2008<\/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 cel\u00edaca (EC) es un s\u00edndrome caracterizado por da\u00f1o de la mucosa del intestino delgado causado por la fracci\u00f3n de gliadina del gluten de trigo y prote\u00ednas similares solubles en alcohol (prolaminas) de cebada y centeno en sujetos gen\u00e9ticamente susceptibles.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[1892,1891,1890,16,15,123,51,50,1889,1413,820,8,7],"class_list":["post-35","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-cd","tag-celiac","tag-celiacasdiagnostico","tag-criteria","tag-criterios","tag-diagnosis","tag-disease","tag-enfermedad","tag-espghan","tag-gastroenterology","tag-proposed","tag-revisados","tag-revised"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/35","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=35"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/35\/revisions"}],"predecessor-version":[{"id":8899,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/35\/revisions\/8899"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=35"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=35"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=35"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}