{"id":2502,"date":"2009-03-08T12:55:28","date_gmt":"2009-03-08T12:55:28","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reusd\/"},"modified":"2025-05-14T19:10:20","modified_gmt":"2025-05-14T19:10:20","slug":"reusd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/reusd\/","title":{"rendered":"Criterios para el Diagn\u00f3stico de Enfermedad de Still"},"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><\/p>\n<p style=\"font-weight: 400;\"><strong>Criterios de Yamaguchi para la clasificaci\u00f3n de enfermedad de Still del adulto<\/strong><\/p>\n<p style=\"font-weight: 400;\">Presencia de 5 o m\u00e1s criterios, de los cuales al menos 2 deben ser Mayores (sensibilidad 96%; especificidad 92%)<\/p>\n<p style=\"font-weight: 400;\">Criterios Mayores<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Temperatura &gt;39\u202f\u00b0C por &gt;1 semana<\/li>\n<li>Leucocitosis &gt;10.000\/mm3 con &gt;80% PMNs<\/li>\n<li>Rash t\u00edpico<\/li>\n<li>Artralgias &gt;2 semanas<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p style=\"font-weight: 400;\">Criterios Menores<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Dolor de garganta<\/li>\n<li>Adenomegalias<\/li>\n<li>Esplenomegalia<\/li>\n<li>Disfunci\u00f3n hep\u00e1tica (elevaci\u00f3n GOT\/GPT)<\/li>\n<li>ANA y FR negativos<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Criterios Cush para la clasificaci\u00f3n de Enfermedad de Still del adulto<\/strong><\/p>\n<p style=\"font-weight: 400;\">Requiere todos de los siguientes:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Fiebre &gt; 39 grados<\/li>\n<li>Artralgias o artritis<\/li>\n<li>Factor reumatoide &lt; 1:80<\/li>\n<li>ANA &lt; 1:100<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">En adici\u00f3n, cualquiera dos de los siguientes:<\/p>\n<ul style=\"font-weight: 400;\">\n<li>Recuento de GB &gt; 15.000<\/li>\n<li>Rash t\u00edpico del Still<\/li>\n<li>Pleuritis o Pericarditis<\/li>\n<li>Hepatomegalia, Esplenomegalia, o Linfadenopat\u00eda<\/li>\n<\/ul>\n<p style=\"font-weight: 400;\">Abreviaturas: GPT, transaminasa glut\u00e1mico-pir\u00favica; ANA, anticuerpo antinuclear; GOT, transminasa glut\u00e1mico-oxalac\u00e9tica; PMN, leucocitos polimorfonucleares; FR, factor reumatoide;\u00a0GB, gl\u00f3bulos blancos<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Criterios de clasificaci\u00f3n de Fautrel para la enfermedad de Still del adulto<\/strong><\/p>\n<p>Se requieren cuatro o m\u00e1s criterios mayores, o 3 criterios mayores y 2 criterios menores<\/p>\n<p><strong>Criterios mayores<\/strong><\/p>\n<ul>\n<li>Fiebre \u226539 \u00b0 C<\/li>\n<li>Artralgia<\/li>\n<li>Eritema transitorio<\/li>\n<li>Faringitis<\/li>\n<li>C\u00e9lulas polimorfonucleares \u226580%<\/li>\n<li>Ferritina glicosilada \u226420%<\/li>\n<\/ul>\n<p><strong>Criterios menores<\/strong><\/p>\n<ul>\n<li>Erupci\u00f3n maculopapular<\/li>\n<li>Leucocitosis \u226510.000 \/ mm3<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\"><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol style=\"font-weight: 400;\">\n<li>Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, Kashiwazaki S, Tanimoto K, Matsumoto Y, Ota T, et al. Preliminary criteria for classification of adult Still&#8217;s disease. J Rheumatol. 1992 Mar;19(3):424-30. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1578458\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Cush JJ, Medsger TA Jr, Christy WC, Herbert DC, Cooperstein LA. Adult-onset Still&#8217;s disease. Clinical course and outcome. Arthritis Rheum. 1987 Feb;30(2):186-94. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3827959\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Lebrun D, Mestrallet S, Dehoux M, Golmard JL, Granger B, Georgin-Lavialle S, Arnaud L, Grateau G, Pouchot J, Fautrel B. Validation of the Fautrel classification criteria for adult-onset Still&#8217;s disease. Semin Arthritis Rheum. 2018 Feb;47(4):578-585. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28760536\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p style=\"font-weight: 400;\">Creado: Nov 25, 2007<br \/>\nActualizado: Sep 17, 2021.<\/p>\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>Criterios de Yamaguchi para la clasificaci\u00f3n de enfermedad de Still del adulto Presencia de 5 o m\u00e1s criterios, de los cuales al menos 2 deben ser Mayores (sensibilidad 96%; especificidad 92%) Criterios Mayores Temperatura &gt;39\u202f\u00b0C por &gt;1 semana Leucocitosis &gt;10.000\/mm3 con &gt;80% PMNs Rash t\u00edpico Artralgias &gt;2 semanas<\/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":[16,15,123,13,51,50,1070,1534],"class_list":["post-2502","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-criteria","tag-criterios","tag-diagnosis","tag-diagnostico","tag-disease","tag-enfermedad","tag-rheumatology","tag-still"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2502","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=2502"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2502\/revisions"}],"predecessor-version":[{"id":9013,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2502\/revisions\/9013"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}