{"id":74,"date":"2009-02-27T02:28:33","date_gmt":"2009-02-27T02:28:33","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reugout\/"},"modified":"2025-05-14T20:58:57","modified_gmt":"2025-05-14T20:58:57","slug":"reugout","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reugout\/","title":{"rendered":"Criterios para la Clasificaci\u00f3n de Artritis Gotosa Aguda"},"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 artritis gotosa aguda es un ataque repentino de dolor en las articulaciones, especialmente en los pies y las piernas, que ocurre cuando el \u00e1cido \u00farico se acumula en las articulaciones.<br \/>\n<!--more--><br \/>\n<strong>Criterios para la Clasificaci\u00f3n de la Artritis Gotosa Aguda<\/strong><br \/>\nA- Presencia de cristales de urato caracter\u00edsticos en el l\u00edquido articular, o<br \/>\nB- Presencia de un tofo objetivado que contiene cristales de uratos por m\u00e9todos qu\u00edmicos o microscop\u00eda con luz polarizada, o<br \/>\nC- Presencia de 6 de los siguientes fen\u00f3menos cl\u00ednicos, de laboratorio, y radiogr\u00e1ficos:<\/p>\n<ol style=\"font-weight: 400;\">\n<li>M\u00e1s de 1 ataque de artritis aguda.<\/li>\n<li>Desarrollo de inflamaci\u00f3n m\u00e1xima dentro de 1 d\u00eda.<\/li>\n<li>Ataque\u00a0de\u00a0artritis monarticular.<\/li>\n<li>Observaci\u00f3n\u00a0de\u00a0enrojecimiento articular.<\/li>\n<li>Dolor o hinchaz\u00f3n en la primera articulaci\u00f3n metatarsofal\u00e1ngica.<\/li>\n<li>Ataque unilateral comprometiendo la primera articulaci\u00f3n metatarsofal\u00e1ngica.<\/li>\n<li>Ataque unilateral comprometiendo el tobillo.<\/li>\n<li>Tofo sospechado.<\/li>\n<li>Hiperuricemia.<\/li>\n<li>Hinchaz\u00f3n asim\u00e9trica en una articulaci\u00f3n en los rayos x.<\/li>\n<li>Quistes subcorticales sin erosiones en los rayos x.<\/li>\n<li>Cultivo negativo del l\u00edquido articular para microorganismos durante el ataque de inflamaci\u00f3n articular.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Comparaci\u00f3n entre Gota\u00a0y\u00a0Pseudogota<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"199\"><\/td>\n<td width=\"200\"><strong>Gota<\/strong><\/td>\n<td width=\"200\"><strong>Pseudogota<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Relaci\u00f3n\u00a0hombre \/\u00a0mujer<\/td>\n<td width=\"200\">7:1<\/td>\n<td width=\"200\">1:1,5<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Grupo et\u00e1reo afectado<\/td>\n<td width=\"200\">Hombres &gt;40\u00a0a\u00f1os<br \/>\nMujeres postmenop\u00e1usicas<\/td>\n<td width=\"200\">Ancianos<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Urato s\u00e9rico<\/td>\n<td width=\"200\">Elevado<\/td>\n<td width=\"200\">Normal<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Articulaciones comprometidas<\/td>\n<td width=\"200\">Primera articulaci\u00f3n metatarsofal\u00e1ngica (MTF), arco del pie, rodilla, mu\u00f1eca, dedos, bursa del ol\u00e9cranon<\/td>\n<td width=\"200\">Rodilla,\u00a0mu\u00f1eca,\u00a0tobillo<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Compromiso de la primera MTF (podagra)<\/td>\n<td width=\"200\">Com\u00fan<\/td>\n<td width=\"200\">Raro<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Tofo<\/td>\n<td width=\"200\">Presente<\/td>\n<td width=\"200\">Raros dep\u00f3sitos s\u00edmil tofo<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Hallazgos radiogr\u00e1ficos<\/td>\n<td width=\"200\">Erosiones\u00a0con\u00a0m\u00e1rgenes esclerosos<\/td>\n<td width=\"200\">Condrocalcinosis<\/td>\n<\/tr>\n<tr>\n<td width=\"199\">Cristales<\/td>\n<td width=\"200\">Forma de agujas, birrefringencia fuerte negativa<\/td>\n<td width=\"200\">Forma\u00a0romboidal,\u00a0birrefringencia d\u00e9bilmente positiva<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Wallace SL, Robinson H, Masi AT, Decker JL, McCarty DJ, Yu TF. Preliminary criteria for the classification of the acute arthritis of primary gout. Arthritis Rheum. 1977 Apr;20(3):895-900.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/856219\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Schlesinger N. Diagnosis of gout: clinical, laboratory, and radiologic findings. Am J Manag Care. 2005 Nov;11(15 Suppl):S443-50.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16300458\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Mar 27, 2006<\/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 artritis gotosa aguda es un ataque repentino de dolor en las articulaciones, especialmente en los pies y las piernas, que ocurre cuando el \u00e1cido \u00farico se acumula en las articulaciones.<\/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":[45],"tags":[231,230,1069,1068,166,167,16,15,1768,1767,1665,1070],"class_list":["post-74","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-acute","tag-aguda","tag-arthritis","tag-artritis","tag-clasificacion","tag-classification","tag-criteria","tag-criterios","tag-gotosa","tag-gouty","tag-metabolism","tag-rheumatology"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/74","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=74"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/74\/revisions"}],"predecessor-version":[{"id":9082,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/74\/revisions\/9082"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=74"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=74"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=74"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}