{"id":67,"date":"2009-02-27T00:20:15","date_gmt":"2009-02-27T00:20:15","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/pulipf\/"},"modified":"2025-05-14T20:59:33","modified_gmt":"2025-05-14T20:59:33","slug":"pulipf","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/pulipf\/","title":{"rendered":"Criterios ATS\/ERS para el Diagn\u00f3stico de Fibrosis Pulmonar Idiop\u00e1tica"},"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>Las neumon\u00edas intersticiales idiop\u00e1ticas (NII) forman parte de un grupo amplio y heterog\u00e9neo de enfermedades pulmonares intersticiales que engloba m\u00e1s de 200 enfermedades agudas o cr\u00f3nicas con diversos grados de inflamaci\u00f3n o fibrosis.<!--more--><\/p>\n<p><strong>Criterios ATS\/ERS para el Diagn\u00f3stico de Fibrosis Pulmonar Idiop\u00e1tica<\/strong><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios Mayores<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Exclusi\u00f3n de otras causas conocidas de enfermedad pulmonar\u00a0intersticiaI\u00a0(EPI) como ser toxicidad confirmada de ciertas drogas, exposici\u00f3n ambiental, y enfermedades del tejido conectivo<\/li>\n<li>Estudios de funci\u00f3n pulmonar alterados que incluyen evidencia de restricci\u00f3n (CV reducida, a menudo con relaci\u00f3n VEF<sub>1<\/sub>\/CVF incrementada) y alteraci\u00f3n en el intercambio de gases [P(A\u2013a)O<sub>2<\/sub>\u00a0incrementada, PaO<sub>2<\/sub>\u00a0disminuida con el reposo o ejercicio o DLCO disminuida]<\/li>\n<li>Anormalidades bibasales reticulares con m\u00ednima opacidad tipo vidrio esmerilado en TC de alta resoluci\u00f3n<\/li>\n<li>Biopsia pulmonar transbronquial o LBA mostrando ausencia de caracter\u00edsticas que soporten un diagn\u00f3stico alternativo<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios Menores<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Edad\u00a0&gt;50\u00a0a\u00f1os<\/li>\n<li>Comienzo insidioso de disnea inexplicada de esfuerzo<\/li>\n<li>Duraci\u00f3n\u00a0de la\u00a0enfermedad\u00a0&gt;3\u00a0meses<\/li>\n<li>Rales inspiratorios bibasales\u00a0(secos, tipo \u201cVelcro\u201d)<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><em>Definici\u00f3n\u00a0de\u00a0abreviaturas<\/em><\/p>\n<p>LBA = lavado broncoalveolar;<br \/>\nDLCO = capacidad de difusi\u00f3n en el pulm\u00f3n para CO;<br \/>\nTC = Tomograf\u00eda computarizada;<br \/>\nEPI = enfermedad intersticial pulmonar;<br \/>\nP(A\u2013a)O<sub>2<\/sub>\u00a0= diferencia de presi\u00f3n alveolar\u2013arterial de O<sub>2<\/sub>;<br \/>\nCV =\u00a0capacidad\u00a0vital.<br \/>\nEn el adulto inmunocompetente, la presencia de todos los criterios diagn\u00f3stico mayores y de al menos 3 de los 4 criterios menores incrementa la probabilidad de un correcto diagn\u00f3stico cl\u00ednico de FPI.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Demedts M, Costabel U. ATS\/ERS international multidisciplinary consensus classification of the idiopathic interstitial pneumonias. Eur Respir J. 2002 May;19(5):794-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12030715\/\">[Medline]<\/a><\/li>\n<li>Demedts M, Wells AU, Anto JM, Costabel U, Hubbard R, Cullinan P, Slabbynck H, Rizzato G, Poletti V, Verbeken EK, Thomeer MJ, Kokkarinen J, Dalphin JC, Taylor\u00a0 AN.Interstitial lung diseases: an epidemiological overview. Eur Respir J Suppl. 2001 Sep;32:2s-16s. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11816822\/\">[Medline]<\/a><\/li>\n<li>American Thoracic Society; European Respiratory Society. American Thoracic Society\/European Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. This joint statement of the American Thoracic Society (ATS), and the European Respiratory Society (ERS) was adopted by the ATS board of directors, June 2001 and by the ERS Executive Committee, June 2001. Am J Respir Crit Care Med. 2002 Jan 15;165(2):277-304. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11790668\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Jun 04, 2006<\/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>Las neumon\u00edas intersticiales idiop\u00e1ticas (NII) forman parte de un grupo amplio y heterog\u00e9neo de enfermedades pulmonares intersticiales que engloba m\u00e1s de 200 enfermedades agudas o cr\u00f3nicas con diversos grados de inflamaci\u00f3n o fibrosis.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","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":[233],"tags":[1798,1797,1796,1589,1590,16,15,123,13,1795,236,65,64,235,588,234,29,774],"class_list":["post-67","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-absence","tag-ats","tag-ausencia","tag-biopsia","tag-biopsy","tag-criteria","tag-criterios","tag-diagnosis","tag-diagnostico","tag-ers","tag-fibrosis","tag-idiopathic","tag-idiopatica","tag-ipf","tag-lung","tag-pulmonar","tag-pulmonary","tag-surgical"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/67","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=67"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/67\/revisions"}],"predecessor-version":[{"id":9065,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/67\/revisions\/9065"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=67"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=67"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=67"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}