{"id":7382,"date":"2020-02-27T20:34:14","date_gmt":"2020-02-27T20:34:14","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7382"},"modified":"2026-01-09T19:17:01","modified_gmt":"2026-01-09T19:17:01","slug":"cystic-fibrosis","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/cystic-fibrosis\/","title":{"rendered":"Criterios Diagn\u00f3stico para Fibrosis Qu\u00edstica (FQ)"},"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 fibrosis qu\u00edstica (FQ) es un trastorno multisist\u00e9mico causado por mutaciones en el gen del regulador de conductancia transmembrana de la FQ (CFTR), que codifica una prote\u00edna del canal i\u00f3nico, con m\u00e1s de 2000 mutaciones identificadas hasta la fecha. Un diagn\u00f3stico de FQ se basa inicialmente en el fenotipo, con reconocimiento cl\u00ednico de signos y s\u00edntomas caracter\u00edsticos.<!--more--><\/p>\n<p><strong>Criterios Diagn\u00f3stico para Fibrosis Qu\u00edstica (FQ)<\/strong><\/p>\n<p>Se deben cumplir AMBOS de los siguientes criterios para diagnosticar la fibrosis qu\u00edstica (FQ):<\/p>\n<ul>\n<li>S\u00edntomas cl\u00ednicos consistentes con FQ en al menos un sistema de \u00f3rganos, o ex\u00e1menes positivos de reci\u00e9n nacidos o pruebas gen\u00e9ticas para hermanos de pacientes con FQ<\/li>\n<\/ul>\n<p style=\"padding-left: 40px;\">Y<\/p>\n<ul>\n<li>Evidencia de disfunci\u00f3n del regulador de conductancia transmembrana de la fibrosis qu\u00edstica (CFTR) (cualquiera de los siguientes):\n<ul style=\"list-style-type: circle;\">\n<li>Cloruro de sudor elevado \u226560 mmol\/L<\/li>\n<li>Presencia de dos variantes causantes de enfermedad en CFTR, una de cada alelo parental<\/li>\n<li>Diferencia de potencial nasal anormal<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>La precisi\u00f3n de las mediciones de cloruro de sudor y diferencia de potencial nasal dependen del operador, por lo que es fundamental que las pruebas se realicen en centros experimentados, siguiendo las pautas est\u00e1ndar.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Farrell PM, White TB, Ren CL, Hempstead SE, Accurso F, Derichs N, Howenstine M, McColley SA, Rock M, Rosenfeld M, Sermet-Gaudelus I, Southern KW, Marshall BC, Sosnay PR. Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation.\u00a0J Pediatr. 2017 Feb;181S:S4-S15.e1. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28129811\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Castellani C, Duff AJA, Bell SC, Heijerman HGM, Munck A, Ratjen F, Sermet-Gaudelus I, Southern KW, Barben J, Flume PA, Hodkov\u00e1 P, Kashirskaya N, Kirszenbaum MN, Madge S, Oxley H, Plant B, Schwarzenberg SJ, Smyth AR, Taccetti G, Wagner TOF, Wolfe SP, Drevinek P. ECFS best practice guidelines: the 2018 revision. J Cyst Fibros. 2018 Mar;17(2):153-178. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29506920\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Ong T, Ramsey BW. Cystic Fibrosis: A Review. JAMA. 2023 Jun 6;329(21):1859-1871. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37278811\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Feb 27, 2020.<br \/>\nActualizado Ene 09.2026.<\/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 fibrosis qu\u00edstica (FQ) es un trastorno multisist\u00e9mico causado por mutaciones en el gen del regulador de conductancia transmembrana de la FQ (CFTR), que codifica una prote\u00edna del canal i\u00f3nico, con m\u00e1s de 2000 mutaciones identificadas hasta la fecha. Un diagn\u00f3stico de FQ se basa inicialmente en el fenotipo, con reconocimiento cl\u00ednico de signos y [&hellip;]<\/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":[441],"tags":[16,15,1800,14,13,236,1802],"class_list":["post-7382","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-criteria","tag-criterios","tag-cystic","tag-diagnostic","tag-diagnostico","tag-fibrosis","tag-quistica"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7382","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=7382"}],"version-history":[{"count":7,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7382\/revisions"}],"predecessor-version":[{"id":10583,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/7382\/revisions\/10583"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=7382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=7382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=7382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}