{"id":6364,"date":"2013-07-06T11:03:36","date_gmt":"2013-07-06T10:03:36","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6364"},"modified":"2013-07-06T11:03:36","modified_gmt":"2013-07-06T10:03:36","slug":"solucion-caso-clinico-3-julio-2013-dermatomiositis","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-07-06\/solucion-caso-clinico-3-julio-2013-dermatomiositis\/","title":{"rendered":"Soluci\u00f3n caso cl\u00ednico 3 julio 2013: dermatomiositis"},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/07\/imagen1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-6365\" alt=\"imagen\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/07\/imagen1.jpg\" width=\"149\" height=\"148\" \/><\/a>Mujer de 52 a\u00f1os de edad sin antecedentes de inter\u00e9s que presenta desde hace dos meses ligera elevaci\u00f3n en transaminasas y lesiones cut\u00e1neas.<\/p>\n<p style=\"text-align:justify;\">El diagn\u00f3stico diferencial lo hizo la Dra. Elena Aguirre Alastuey (R2 MI) en base a las alteraciones en las transaminasas. Su presentaci\u00f3n se puede descargar en el siguiente <strong><span style=\"color:#0000ff;\"><a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaenlPX2JMV0FNOFE\/edit?usp=sharing\"><span style=\"color:#0000ff;\">enlace.<\/span><\/a><\/span><\/strong><\/p>\n<p style=\"text-align:justify;\">El Dr. Carlos Mart\u00ednez Ramos (adjunto MI) coment\u00f3 la soluci\u00f3n. Las lesiones cut\u00e1neas sugirieron una dermatomiositis (no se dispone de imagenes del caso). La CK estaba elevada (&gt;4000), en EMG patr\u00f3n miop\u00e1tico y la biopsia muscular compatible con una miositis inflamatoria. Adem\u00e1s el titulo de ANAs era alto (1\/2048) con resto de autoinmunidad negativa. Se instaur\u00f3 tratamiento inmunosupresor con esteroides y azatioprina. No se objetiv\u00f3 neoplasia asociada.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mujer de 52 a\u00f1os de edad sin antecedentes de inter\u00e9s que presenta desde hace dos meses ligera elevaci\u00f3n en transaminasas y lesiones cut\u00e1neas. El diagn\u00f3stico diferencial lo hizo la Dra. Elena Aguirre Alastuey (R2 MI) en base a las alteraciones en las transaminasas. Su presentaci\u00f3n se puede descargar en el siguiente enlace. El Dr. Carlos [&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-6364","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\/6364","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=6364"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6364\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6364"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6364"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6364"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}