{"id":6156,"date":"2013-05-11T10:20:46","date_gmt":"2013-05-11T09:20:46","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6156"},"modified":"2013-05-11T10:20:46","modified_gmt":"2013-05-11T09:20:46","slug":"solucion-caso-clinico-8-mayo-2013-anemia-megaloblastica-y-enfermedad-de-graves","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-05-11\/solucion-caso-clinico-8-mayo-2013-anemia-megaloblastica-y-enfermedad-de-graves\/","title":{"rendered":"Soluci\u00f3n caso cl\u00ednico 8 mayo 2013: anemia megalobl\u00e1stica y enfermedad de Graves-Basedow."},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/05\/image.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-6157\" alt=\"image\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/05\/image.jpeg\" width=\"160\" height=\"136\" \/><\/a>Var\u00f3n de 46 a\u00f1os de edad, fumador, que presenta anemia macroc\u00edtica, trombopenia, hiperbilirrubinemia indirecta y LDH de 2828. Adem\u00e1s exoftalmos, hiperreflexia e indurac\u00f3n cut\u00e1nea tibial.<\/p>\n<p>El Dr. Joaqu\u00edn Llorente Garc\u00eda (R2 MI) hizo el diagn\u00f3stico diferencial que se puede visualizar en el siguiente <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaQ052N0pNNnpRWGc\/edit?usp=sharing\"><span style=\"color:#0000ff;\">enlace.<\/span><\/a><\/span><\/strong><br \/>\nLa Dra. Rosario de Castro Loza (adjunta MI) facilit\u00f3 el diagn\u00f3stico. Def\u00edcit severo de B12, anticuerpos anti-factor intr\u00ednseco negativos, niveles de gastrina altos y biopsia g\u00e1strica antral normal. Se debat\u00edo acerca de la gastrina y que la toma de biopsias deber\u00edan de ser del cuerpo g\u00e1strico. Adem\u00e1s hab\u00eda un hipertiroidismo en contexto de un Graves-Basedow sin bocio y TSI elevados. Mejor\u00eda notable con tratamiento, con normalizaci\u00f3n, a los dos meses, de los distintos par\u00e1metros.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Var\u00f3n de 46 a\u00f1os de edad, fumador, que presenta anemia macroc\u00edtica, trombopenia, hiperbilirrubinemia indirecta y LDH de 2828. Adem\u00e1s exoftalmos, hiperreflexia e indurac\u00f3n cut\u00e1nea tibial. El Dr. Joaqu\u00edn Llorente Garc\u00eda (R2 MI) hizo el diagn\u00f3stico diferencial que se puede visualizar en el siguiente enlace. La Dra. Rosario de Castro Loza (adjunta MI) facilit\u00f3 el diagn\u00f3stico. [&hellip;]<\/p>\n","protected":false},"author":6,"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":[],"class_list":["post-6156","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas"],"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\/6156","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\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=6156"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6156\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}