{"id":2450,"date":"2010-06-23T03:00:00","date_gmt":"2010-06-23T03:00:00","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reupd\/"},"modified":"2025-05-14T19:08:33","modified_gmt":"2025-05-14T19:08:33","slug":"reupd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/reupd\/","title":{"rendered":"Criterios de Clasificaci\u00f3n de Dermatomiositis y Polimiositis\u00a0"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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><span class=\"long_text\">La dermatomiositis es una enfermedad idiop\u00e1tica, que incluye miopat\u00eda inflamatoria y manifestaciones cut\u00e1neas caracter\u00edsticas; la polimiositis incluye la miopat\u00eda inflamatoria sin signos cut\u00e1neos.<\/span><br \/>\n<!--more--><br \/>\n<span class=\"long_text\"><strong>Clasificaci\u00f3n de la Dermatomiositis\/Polimiositis\u00a0<\/strong><br \/>\n<\/span><\/p>\n<p><span class=\"long_text\"><strong>Dermatomiositis\u00a0<\/strong><br \/>\n* Sin debilidad muscular (dermatomiositis\u00a0<\/span><span class=\"long_text\">amiop\u00e1tica\u00a0<\/span><span class=\"long_text\">o dermatomiositis\u00a0<\/span><span class=\"long_text\">sin miositis)<br \/>\n* Con debilidad muscular\u00a0<\/span><\/p>\n<ul>\n<li><span class=\"long_text\">Adultos<\/span><\/li>\n<\/ul>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol style=\"list-style-type: upper-alpha;\">\n<li>Asociado con c\u00e1ncer<\/li>\n<li>No asociado con c\u00e1ncer<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ul>\n<li><span class=\"long_text\">Pedi\u00e1trica<\/span><\/li>\n<\/ul>\n<p><span class=\"long_text\"><strong>Polimiositis<\/strong><br \/>\n* Adultos<br \/>\n* Pedi\u00e1trica<br \/>\n* Miositis por cuerpos de inclusi\u00f3n<br \/>\n*\u00a0<\/span>Superposici\u00f3n<span class=\"long_text\">\u00a0(miositis asociada con una enfermedad del tejido conectivo)<br \/>\n<\/span><\/p>\n<p><span class=\"long_text\"><strong>Criterios de Clasificaci\u00f3n para Polimiositis y Dermatomiositis\u00a0<\/strong><br \/>\n1.\u00a0Lesiones en piel<br \/>\n<\/span><\/p>\n<ul>\n<li><span class=\"long_text\">Heliotropo: eritema edematoso de color rojo-p\u00farpura en el p\u00e1r<\/span><span class=\"long_text\">pado<\/span><span class=\"long_text\">\u00a0superior<br \/>\n<\/span><\/li>\n<li><span class=\"long_text\">Signo de Gottron: eritema<\/span><span class=\"long_text\">\u00a0<\/span><span class=\"long_text\">atr\u00f3fico<\/span><span class=\"long_text\">, querat\u00f3sicas<\/span><span class=\"long_text\">\u00a0<\/span><span class=\"long_text\">rojo-p\u00farpura<\/span><span class=\"long_text\">,\u00a0<\/span><span class=\"long_text\">o m\u00e1culas<\/span><span class=\"long_text\">\u00a0en la superficie extensora de articulaciones de dedos<\/span><\/li>\n<li><span class=\"long_text\">Eritema en la superficie extensora de articulaciones de las extremidades,\u00a0<\/span><span class=\"long_text\">rojo-p\u00farpura<\/span><span class=\"long_text\">\u00a0levemente sobreelevadas en codos o rodillas<\/span><\/li>\n<\/ul>\n<p><span class=\"long_text\">2.\u00a0Debilidad muscular proximal (de las extremidades\u00a0<\/span><span class=\"long_text\">superiores o\u00a0<\/span><span class=\"long_text\">inferiores y del tronco)<br \/>\n3.\u00a0<\/span><span class=\"long_text\">Niveles s<\/span><span class=\"long_text\">\u00e9ricos elevados de creatina quinasa (CK) o aldolasa<br \/>\n4.\u00a0Dolor muscular espont\u00e1neo o al tomar objetos<br \/>\n5.\u00a0Cambios\u00a0<\/span><span class=\"long_text\">miog\u00e9nicos\u00a0<\/span><span class=\"long_text\">en la electromiograf\u00eda (<\/span><span class=\"long_text\">potenciales\u00a0<\/span><span class=\"long_text\">de unidades motoras<\/span><span class=\"long_text\">\u00a0polif\u00e1sicas<\/span><span class=\"long_text\">, de corta duraci\u00f3n, con potenciales de fibrilaci\u00f3n espont\u00e1neos)<br \/>\n6.\u00a0<\/span><span class=\"long_text\">Anticuerpos\u00a0<\/span><span class=\"long_text\">anti-Jo-1\u00a0<\/span><span class=\"long_text\">positivo<\/span><span class=\"long_text\">\u00a0(histidil-tRNA sintetasa)<br \/>\n7.\u00a0Artritis o artralgias no destructivas<br \/>\n8.\u00a0Signos sist\u00e9micos inflamatorios (temperatura: m\u00e1s de 37 \u00b0C [98,6 \u00b0F] axilar,\u00a0<\/span><span class=\"long_text\">prote\u00edna C reactiva<\/span><span class=\"long_text\">\u00a0(PCR) s\u00e9rica elevada o sedimentaci\u00f3n globular acelerada de m\u00e1s de 20 mm por hora por Westergren)<br \/>\n9.\u00a0Hallazgos patol\u00f3gicos compatibles con miositis inflamatoria (<\/span><span class=\"long_text\">evidencia<\/span><span class=\"long_text\">\u00a0en m\u00fasculo esquel\u00e9tico de infiltraci\u00f3n inflamatoria o regeneraci\u00f3n activa)<br \/>\n<\/span><br \/>\n<span class=\"long_text\">Los pacientes que presentan al menos un hallazgo del \u00edtem 1 y cuatro hallazgos de los items 2 al 9 se dice que presentan dermatomiositis (sensibilidad 94,1 por ciento y <\/span><span class=\"long_text\">especificidad\u00a0<\/span><span class=\"long_text\">de lesiones en piel contra el lupus eritematoso lupus\u00a0<\/span><span class=\"long_text\">sist\u00e9mico\u00a0<\/span><span class=\"long_text\">y esclerosis sist\u00e9mica, del 90,3 por ciento). Los pacientes que presentan al menos cuatro\u00a0hallazgos de los items 2 al 9 se dice que presentan polimiositis (sensibilidad 98,9 por ciento y especificidad de polimiositis y dermatomiositis contra todas las enfermedades de control combinado, 95,2 por ciento).<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Koler RA, Montemarano A. Dermatomyositis. Am Fam Physician. 2001 Nov 1;64(9):1565-72.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11730311\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Drake LA, Dinehart SM, Farmer ER, Goltz RW, Graham GF, Hordinsky MK, Lewis CW, Pariser DM, Skouge JW, Webster SB, Whitaker DC, Butler B, Lowery BJ, Sontheimer RD, Callen JP,Camisa C, Provost TT, Tuffanelli DL.\u00a0Guidelines of care for dermatomyositis. American Academy of Dermatology. J Am Acad Dermatol. 1996 May;34(5 Pt 1):824-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8632081\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Tanimoto K, Nakano K, Kano S, Mori S, Ueki H, Nishitani H, Sato T, Kiuchi T, Ohashi Y.\u00a0Classification criteria for polymyositis and dermatomyositis. J Rheumatol. 1995 Apr;22(4):668-74.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7791161\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Jun 23, 2010<\/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 dermatomiositis es una enfermedad idiop\u00e1tica, que incluye miopat\u00eda inflamatoria y manifestaciones cut\u00e1neas caracter\u00edsticas; la polimiositis incluye la miopat\u00eda inflamatoria sin signos cut\u00e1neos.<\/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":[45],"tags":[166,167,16,15,1308,1307,1306,1305,1070],"class_list":["post-2450","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-clasificacion","tag-classification","tag-criteria","tag-criterios","tag-dermatomiositis","tag-dermatomyositis","tag-polimiositis","tag-polymyositis","tag-rheumatology"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2450"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2450\/revisions"}],"predecessor-version":[{"id":9351,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2450\/revisions\/9351"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}