{"id":26875,"date":"2025-12-03T10:14:00","date_gmt":"2025-12-03T09:14:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26875"},"modified":"2025-11-30T11:25:03","modified_gmt":"2025-11-30T10:25:03","slug":"sesion-clinica-22-2025-hemorragia-alveolar-en-paciente-con-saf","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-12-03\/sesion-clinica-22-2025-hemorragia-alveolar-en-paciente-con-saf\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 22\/2025: hemorragia alveolar en paciente con SAF"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-1024x683.jpg\" alt=\"\" class=\"wp-image-26877\" style=\"width:170px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-1024x683.jpg 1024w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-300x200.jpg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-768x512.jpg 768w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-1536x1024.jpg 1536w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-2048x1365.jpg 2048w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/4197188-624x416.jpg 624w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n\n\n<p>Continuamos con la sesi\u00f3n del pasado 12 de noviembre, que trataba sobre una paciente con disnea, anemia y m\u00faltiples antecedentes protromb\u00f3ticos, con estudio radiol\u00f3gico con derrames plurales bilaterales y patr\u00f3n en vidrio deslustrado central, con mala evoluci\u00f3n e ingreso en UCI. El diagn\u00f3stico diferencial fue realizado por la Dra. Sevilla (R3 de Medicina Interna). La soluci\u00f3n y evoluci\u00f3n del paciente la aport\u00f3 la Dra. Romero, orientando el caso hacia un s\u00edndrome antifosfol\u00edpido (SAF) por resultados positivos de anticoagulante l\u00fapico y antecedentes tromb\u00f3ticos previos. Recibi\u00f3 tratamiento con pulsos de metilprednisolona y posteriormente azatioprina y corticoides orales junto con anticoagulaci\u00f3n y antiagregaci\u00f3n, con buena evoluci\u00f3n cl\u00ednica. Su presentaci\u00f3n conjunta se encuentra a continuaci\u00f3n.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-f6cfa456-b438-4c9e-a81d-6444bef4ce26\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/Dras-Sevilla-y-Romero-sesbibl-Nov25.pdf\">Dras Sevilla y Romero sesbibl Nov25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/11\/Dras-Sevilla-y-Romero-sesbibl-Nov25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-f6cfa456-b438-4c9e-a81d-6444bef4ce26\">Descarga<\/a><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Continuamos con la sesi\u00f3n del pasado 12 de noviembre, que trataba sobre una paciente con disnea, anemia y m\u00faltiples antecedentes protromb\u00f3ticos, con estudio radiol\u00f3gico con derrames plurales bilaterales y patr\u00f3n en vidrio deslustrado central, con mala evoluci\u00f3n e ingreso en UCI. El diagn\u00f3stico diferencial fue realizado por la Dra. Sevilla (R3 de Medicina Interna). La [&hellip;]<\/p>\n","protected":false},"author":4,"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":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[1087,1133],"class_list":["post-26875","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-romero","tag-sevilla"],"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\/26875","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\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=26875"}],"version-history":[{"count":1,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26875\/revisions"}],"predecessor-version":[{"id":26878,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26875\/revisions\/26878"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26875"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26875"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}