{"id":49,"date":"2009-02-25T14:36:09","date_gmt":"2009-02-25T14:36:09","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/derdermatitis\/"},"modified":"2025-05-14T21:01:33","modified_gmt":"2025-05-14T21:01:33","slug":"derdermatitis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/derdermatitis\/","title":{"rendered":"Criterios Diagn\u00f3stico para Dermatitis At\u00f3pica (DA)"},"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 dermatitis at\u00f3pica (DA) es una enfermedad cut\u00e1nea inflamatoria cr\u00f3nica eccematosa y muy pruriginosa. Por lo general, comienza temprano en la vida y, a menudo, ocurre en personas con antecedentes personales o familiares de asma y rinitis al\u00e9rgica.<!--more--><\/p>\n<p class=\"MsoNormal\"><strong>Criterios Diagn\u00f3stico de Hanifin y Rajka para Dermatitis At\u00f3pica (DA)<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Criterios Mayores: <\/strong>Debe tener tres o m\u00e1s:<\/p>\n<p><span style=\"line-height: 1.3em;\">1. Prurito<\/span><br \/>\n<span style=\"line-height: 1.3em;\">2. Distribuci\u00f3n y morfolog\u00eda t\u00edpica<\/span><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">Liquenificaci\u00f3n o linearidad flexional en adultos<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Compromiso extensor y facial en infantes y ni\u00f1os<\/span><\/li>\n<\/ul>\n<p><span style=\"line-height: 1.3em;\">3. Dermatitis cr\u00f3nica o cr\u00f3nicamente recidivante<\/span><br \/>\n<span style=\"line-height: 1.3em;\">4. Historia personal o familiar de atopias (asma, rinitis al\u00e9rgica, dermatitis at\u00f3pica)<\/span><\/p>\n<p class=\"MsoNormal\"><strong>Criterios Menores<\/strong>: Deben tener 3 o m\u00e1s de:<\/p>\n<ol>\n<li><span style=\"line-height: 1.3em;\">Xerosis<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Ictiosis, hiperlinearidad palmar, o <\/span><span style=\"line-height: 1.3em;\">qu<\/span><span style=\"line-height: 1.3em;\">eratosis pilaris<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Reactividad a pruebas cut\u00e1neas inmediata (tipo 1)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">IgE s\u00e9rico elevado<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Comienzo a temprana edad<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Tendencia a infecciones cut\u00e1neas (especialmente <\/span><em style=\"line-height: 1.3em;\">S. aureus<\/em><span style=\"line-height: 1.3em;\"> y herpes simplex) o defecto en la inmunidad mediada por c\u00e9lulas<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Tendencia a dermatitis en manos y pies inespec\u00edficas<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Eczema del pez\u00f3n<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Queilitis<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Conjuntivitis recurrente<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Pliegue infraorbitario de Dennie-Morgan<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Qu<\/span><span style=\"line-height: 1.3em;\">eratocono<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Cataratas anterior subcapsular<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Oscurecimiento orbitario (ojeras)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Eritema<\/span><span style=\"line-height: 1.3em;\"> o <\/span><span style=\"line-height: 1.3em;\">palidez facial<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Pitiriasis alba<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Pliegues anteriores del cuello<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Prurito al sudar (hipersudoraci\u00f3n)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Intolerancia a lanas y solventes org\u00e1nicos<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Acentuaci\u00f3n perifolicular<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Intolerancia a alimentos<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Curso influenciado por factores ambientales o emocionales<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Dermografismo blanco<\/span><\/li>\n<\/ol>\n<p><strong style=\"line-height: 1.3em;\">Criterios Universales Sugeridos por la American Academy of Dermatology para Dermatitis At\u00f3pica (DA)<\/strong><\/p>\n<p class=\"MsoNormal\">A. Caracter\u00edsticas esenciales; deben estar presentes y, si es completo, son suficientes para el diagn\u00f3stico<\/p>\n<ol>\n<li class=\"MsoNormal\">Prurito<\/li>\n<li class=\"MsoNormal\">Cambios eczematosos que son agudos, subagudos, o cr\u00f3nicos:<\/li>\n<\/ol>\n<p class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">a. Patrones espec\u00edficos para la edad y t\u00edpicos<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 100px; margin-top: 0pt; margin-bottom: 0pt;\">(i) Compromiso facial, cuello, y extensor en infantes y ni\u00f1os<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 100px; margin-top: 0pt; margin-bottom: 0pt;\">(ii) Lesiones flexionales actuales o previas en adultos\/cualquier edad<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 100px; margin-top: 0pt; margin-bottom: 0pt;\">(iii) Respeta las regiones inguinales y axilares<\/p>\n<p class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">b. Curso cr\u00f3nico o recidivante<\/p>\n<p class=\"MsoNormal\">B. Caracter\u00edsticas importantes que se ven en la mayor\u00eda de los casos, y soportan el diagn\u00f3stico<\/p>\n<ol>\n<li class=\"MsoNormal\">Comienzo a temprana edad<\/li>\n<li class=\"MsoNormal\">Atopia (reactividad a IgE)<\/li>\n<li class=\"MsoNormal\">Xerosis<\/li>\n<\/ol>\n<p class=\"MsoNormal\">C. Caracter\u00edsticas asociadas: Asociaciones cl\u00ednicas; ayudan a sugerir el diagn\u00f3stico de Dermatitis At\u00f3pica pero son inespec\u00edficas para ser utilizadas para definir o detectar Dermatitis At\u00f3pica en estudios de investigaci\u00f3n y epidemiol\u00f3gicos<\/p>\n<ol>\n<li class=\"MsoNormal\">Queratosis pilaris\/Ictiosis\/Hiperlinearidad palmar<\/li>\n<li class=\"MsoNormal\">Respuesta vascular at\u00edpica<\/li>\n<li class=\"MsoNormal\">Acentuaci\u00f3n perifolicular\/Liquenificaci\u00f3n\/Prurigo<\/li>\n<li class=\"MsoNormal\">Cambios oculares\/periorbitales<\/li>\n<li class=\"MsoNormal\">Lesiones periorales\/periauriculares<\/li>\n<\/ol>\n<p class=\"MsoNormal\">D. Exclusiones: El diagn\u00f3stico de certeza de Dermatitis At\u00f3pica depende de la exclusi\u00f3n de condiciones como escabiosis, dermatitis al\u00e9rgica por contacto, dermatitis seborreica, linfoma cut\u00e1neo, ictiosis, psoriasis, y otras entidades primarias.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>Bibliograf\u00eda: <\/strong><\/p>\n<ol>\n<li><span style=\"line-height: 1.3em;\">Rothe MJ, Grant-Kels JM. Diagnostic criteria for atopic dermatitis. <\/span> <span style=\"line-height: 1.3em;\"> Lancet. 1996; 348: 769-770.<\/span> <a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8813980\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li><span style=\"line-height: 1.3em;\">Rudikoff D, Lebwohl M. Atopic dermatitis. Lancet. <\/span> <span style=\"line-height: 1.3em;\"> 1998; 351: 1715-1721.<\/span> <a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9734903\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li><span style=\"line-height: 1.3em;\">Simpson EL, Hanifin JM. Atopic dermatitis. Med Clin North Am. 2006 Jan;90(1):149-67<\/span> <a style=\"line-height: 1.3em;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16310528\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li><span style=\"line-height: 1.3em;\">Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, Berger TG, Bergman JN, Cohen DE, Cooper KD, Cordoro KM, Davis DM, Krol A, Margolis DJ, Paller AS, Schwarzenberger K, Silverman RA, Williams HC, Elmets CA, Block J, Harrod CG, Smith Begolka W, Sidbury R. <\/span><span style=\"line-height: 1.3em;\">Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014 Feb;70(2):338-51. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24290431\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/span><\/li>\n<li>Katoh N, Ohya Y, Ikeda M, Ebihara T, Katayama I, Saeki H, Shimojo N, Tanaka A, Nakahara T, Nagao M, Hide M, Fujita Y, Fujisawa T, Futamura M, Masuda K, Murota H, Yamamoto-Hanada K; Committee for Clinical Practice Guidelines for the Management of Atopic Dermatitis 2018, The Japanese Society of Allergology, The Japanese Dermatology Association. Japanese guidelines for atopic dermatitis 2020. Allergol Int. 2020 Jul;69(3):356-369. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32265116\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>St\u00e4nder S. Atopic Dermatitis. N Engl J Med. 2021 Mar 25;384(12):1136-1143. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33761208\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Actualizado: Jul 27, 2021<\/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 dermatitis at\u00f3pica (DA) es una enfermedad cut\u00e1nea inflamatoria cr\u00f3nica eccematosa y muy pruriginosa. Por lo general, comienza temprano en la vida y, a menudo, ocurre en personas con antecedentes personales o familiares de asma y rinitis al\u00e9rgica.<\/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":[34],"tags":[460,1854,1853,16,15,1852,1694,14,13],"class_list":["post-49","post","type-post","status-publish","format-standard","hentry","category-dermatology","tag-ad","tag-atopic","tag-atopica","tag-criteria","tag-criterios","tag-dermatitis","tag-dermatology","tag-diagnostic","tag-diagnostico"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/49","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=49"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/49\/revisions"}],"predecessor-version":[{"id":8850,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/49\/revisions\/8850"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=49"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=49"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=49"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}