{"id":6746,"date":"2013-10-13T20:12:36","date_gmt":"2013-10-13T19:12:36","guid":{"rendered":"http:\/\/mileon.wordpress.com\/?p=6746"},"modified":"2013-10-13T20:12:36","modified_gmt":"2013-10-13T19:12:36","slug":"sesion-clinica-semana-41-poliangeitis-microscopica","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2013-10-13\/sesion-clinica-semana-41-poliangeitis-microscopica\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica Semana 41: Poliangeitis microsc\u00f3pica"},"content":{"rendered":"<p><a href=\"https:\/\/mileon.files.wordpress.com\/2013\/10\/273v06n05-13155295fig2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-6747\" alt=\"273v06n05-13155295fig2\" src=\"https:\/\/mileon.files.wordpress.com\/2013\/10\/273v06n05-13155295fig2.jpg\" width=\"189\" height=\"142\" \/><\/a>El caso del pasado mi\u00e9rcoles trataba de un paciente con un cuadro respiratorio, hemoptisis e insuficiencia renal aguda con proteinuria en rango nefr\u00f3tico. La Dra. S\u00e1nchez Mahave (R1 de nuestro servicio) realiz\u00f3 el diagn\u00f3stico diferencial, centr\u00e1ndose principalmente en las patolog\u00edas sist\u00e9micas que podr\u00edan justificar dicha cl\u00ednica. Su presentaci\u00f3n se encuentra disponible en el siguiente\u00a0<a href=\"https:\/\/docs.google.com\/file\/d\/0BxXYCqMXR4ZaRUZCaWhReDU2dUE\/edit?usp=sharing\">enlace<\/a>.<\/p>\n<p>La soluci\u00f3n la aport\u00f3 el Dr. Borrego; se practic\u00f3 un TACAR tor\u00e1cico que no aport\u00f3 mucha m\u00e1s informacion, y en el panel de anticuerpos aparec\u00edan t\u00edtulos altos de pANCA, patr\u00f3n mieloperoxidasa. Una biopsia renal confirm\u00f3 el diagn\u00f3stico de poliangeitis microsc\u00f3pica, iniciando tratamiento con bolus de ciclofosfamida y esteroides y posteriormente azatioprina con mejor\u00eda del cuadro.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El caso del pasado mi\u00e9rcoles trataba de un paciente con un cuadro respiratorio, hemoptisis e insuficiencia renal aguda con proteinuria en rango nefr\u00f3tico. La Dra. S\u00e1nchez Mahave (R1 de nuestro servicio) realiz\u00f3 el diagn\u00f3stico diferencial, centr\u00e1ndose principalmente en las patolog\u00edas sist\u00e9micas que podr\u00edan justificar dicha cl\u00ednica. Su presentaci\u00f3n se encuentra disponible en el siguiente\u00a0enlace. 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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[],"class_list":["post-6746","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\/6746","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=6746"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/6746\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=6746"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=6746"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=6746"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}