{"id":10410,"date":"2016-08-28T13:47:17","date_gmt":"2016-08-28T12:47:17","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=10410"},"modified":"2016-08-28T13:47:17","modified_gmt":"2016-08-28T12:47:17","slug":"solucion-al-caso-clinico-del-17-de-agosto-de-2016","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2016-08-28\/solucion-al-caso-clinico-del-17-de-agosto-de-2016\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 24\/2016: Lupus y probable neumonitis l\u00fapica"},"content":{"rendered":"<p style=\"text-align:justify;\">Recordamos que se trataba del caso de un paciente var\u00f3n de 70 a\u00f1os que ingresaba por malestar general y fiebre. En la enfermedad actual destacaban una erupci\u00f3n purp\u00farica en <img loading=\"lazy\" decoding=\"async\" class=\" wp-image-10417 alignright\" src=\"https:\/\/mileon.files.wordpress.com\/2016\/08\/imagen14.jpg\" alt=\"Imagen1\" width=\"216\" height=\"119\" \/>MMII similar a la de un ingreso previo, una bicitopenia leve, insuficiencia respiratoria e insuficiencia renal con proteinuria y microhematuria y elevaci\u00f3n de los reactantes de fase aguda. En la Rx t\u00f3rax un patr\u00f3n intersticial reticulo nodular. El diagn\u00f3stico diferencial lo realiz\u00f3 la Dra. Elena Aguirre incluyendo entre las alternativas diagn\u00f3sticas un LES, una PAM o una vasculitis s\u00e9ptica. Para ver su presentaci\u00f3n completa pinchar <em><strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaT3Z5bl8xYnQ2Zms\/view?usp=sharing\">AQU\u00cd<\/a><\/strong><\/em><\/p>\n<p style=\"text-align:justify;\">El diagn\u00f3stico final lo aport\u00f3 el Dr. Luis Arto: LES en base a unos ANA positivos a t\u00edtulo bajo (1\/160) y unos antiDNA positivos con criterios de linfopenia, insuficiencia renal, hematuria, proteinuria no nefr\u00f3tica, sedimento patol\u00f3gico y ANA y anti DNA positivos. Adem\u00e1s,\u00a0 Neumon\u00eda neumoc\u00f3cica y Probable neumonitis l\u00fapica. Para ver su presentaci\u00f3n pinchar <em><strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaWGhUMHlETUhRTkU\/view?usp=sharing\">AQU\u00cd<\/a><\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recordamos que se trataba del caso de un paciente var\u00f3n de 70 a\u00f1os que ingresaba por malestar general y fiebre. En la enfermedad actual destacaban una erupci\u00f3n purp\u00farica en MMII similar a la de un ingreso previo, una bicitopenia leve, insuficiencia respiratoria e insuficiencia renal con proteinuria y microhematuria y elevaci\u00f3n de los reactantes de [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[756],"class_list":["post-10410","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-arto"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/10410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=10410"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/10410\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=10410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=10410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=10410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}