INTERPRETACION DEL UROANALISIS PDF

Curso Taller “Interpretacion Clinica De Hemograma Y Uroanalisis”. Public. · Hosted by Enfermeria Enae and 5 others. Interested. CROPOLÓGICO El diagnostico definitivo en la mayoría de las infecciones parasitarias intestinales del hombre, se basa rutinariamente en la. La interpretación visual de los resultados depende de diversos factores: La variabilidad de la percepción del color, la presencia o ausencia de.

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Clinical presentation, classification and treatment. Lupus nephritis LN is a major cause of morbility and mortality in patients with systemic lupus erythematosus SLE. It is important that combinations of membranous and proliferative glomerulonephritis should be reported individually in the diagnosis line, as well as the diagnosis should also include notations for any concomitant vascular or tubolointersticial lesions, therefore, one of the main advantages of this classification is that it provides a clear and unequivocal description of the various lesions and classes of lupus nephritis, allowing a better standardization and giving a basis for further clinicopathologic studies.

Otherwise, despite the development of new modalities of treatment in LN, cyclophosphamide remains the preferred initial treatment for severe forms of LN like proliferative and membranous glomerulonephritis associated with both, lesions of class III or class IV; nevertheless, the optimal treatment remains challenging because of the adverse effects interpretacuon with cyclophosphamide like sustained amenorrhea, infertility, increased susceptibility to infection, bone marrow suppression, hemorrhagic cystitis, and malignancy.

Finally, due to dl adverse effects new alternative approaches to the treatment of LN are desirable and also for some patients who fail to achieve remission with standar cytotoxic therapy and for who relapse when therapy is reduced.

For refractory disease, new immunosuppressive and immunomodulating agents, immunoablative high dose of cyclophosphamide, apheresis and the biological response modifiers can be consider. Al menos uno de los siguientes debe estar presente Biopsia renal que demuestre glomerulonefritis mesangial clase IIb, proliferativa focal, proliferativa difusa o membranosa.

Cuerpos ovales grasos o cilindros granulosos, hialinos o eritrocitarios en orina.

Curso Taller “Interpretacion Clinica De Hemograma Y Uroanalisis”

Por cada uno de los criterios mencionado se deben excluir otras causas. La raza es un factor de riesgo independiente para el desarrollo de falla renal progresiva debido a NL proliferativa difusa. En ambos centros interpretacin riesgo de enfermedad renal terminal fue significativamente mayor para los afro-americanos, a pesar del tratamiento intensivo con esteroides y pulsos de ciclofosfamida.

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Las manifestaciones interpretaciion del LES son tan variadas como las manifestaciones extrarrenales de la enfermedad.

UROANALISIS PDF

Los cilindros en orina se presentan en un tercio de los pacientes 3. Ocasionalmente, la NL se presenta como una insuficiencia renal aguda, explicable por diferentes causas: En general, en pacientes con sospecha de NL la biopsia renal puede ser utilizada para: Estos patrones se dividen en tres grupos En este caso la biopsia puede ayudar a decidir si descontinuar o no el tratamiento. No obstante, las recomendaciones hechas son Esta clase se divide en: En la NL clase V, puede presentarse cualquier grado de hipercelularidad mesangial.

Algunos autores han clasificado las lesiones vasculares intrarrenales de la NL en cinco grupos Nefritis mesangial clase II: El manejo establecido para la nefritis proliferativa consta de dos fases: Tabla 7 70, Debido a los efectos adversos y la baja tolerancia a los esquemas que uroanlaisis pulsos de ciclofosfamida a altas dosis, se ha estudiado la eficacia de pulsos venosos de ciclofosfamida a bajas dosis.

En otro estudio, Appel y cols. Recientemente, Ginzler y cols. Debido a la alta toxicidad asociada con una terapia prolongada con pulsos de ciclofosfamida, se han utilizado otros inmunosupresores como la azatioprina y el MMF como terapia de mantenimiento.

En otro estudio, Chan y cols. Se han utilizado diferentes medidas para evaluar la eficacia del tratamiento inmunosupresor en NL: Anticuerpo monoclonal contra el CD40 ligando: Clinical and laboratory features of lupus nephritis. J Am Soc Nephrol ; Clinical manifestations of lupus nephritis. drl

Morbidity and mortality in systemic lupus erythematosus during a 5-year period. A multicenter prospective study of patients.

Lupus nephritis. Clinical presentation, classification and treatment

Morbidity and mortality in systemic lupus erythematosus during a year period. A comparison of early and late manifestations in a cohort of patients.

Am J Med ; End-stage renal disease and systemic lupus erythematosus. Outcome of silent lupus nephritis. Uroanalsiis Artritis Rheum ; Silent nephritis in systemic lupus erythematosus. Experience with patients in a private practice from to The revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum ; Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus [letter].

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Epiemiology of systemic lupus erythematosus.

UROANALISIS PDF

Baillieres Clin Rheumatol intdrpretacion Estudio de casos. Pathology of the kidney, 5th ed. Philadelphia, Lippincott-Raven, ; A study of Latin American patients.

Rev Col Reumatol ; 1: Clinical and immunological factors associated with lupus nephritis in patients from northwestern Colombia. Natural History and treatment of lupus nephritis. Semin Nephrol ; Estes D, Christian CL. The natural history of systemic lupus erythematosus by prospective analysis. Medicine Baltimore ; The delayed appearance of an antinuclear facto and the diagnosis of systemic lupus erythematosus in glomerulonephritis.

Postgrad Med J ; Observations on clinical renal involvement and follow up of renal function: Dutch experience with patients studied prospectively. Ann Rheum Dis ; How to alter the course of lupus nephritis.

J Musculoskeletal Dis ; 5: Occurrence of renal tubular dysfunction in lupus nephritis. Arch Jnterpretacion Med ; Q J Med ; Significance of isolated pyuria in SLE. Arthritis Rheum ; S abstract. Significance of isolated hematuria in SLE.

A review of the current status of discoid and systemic lupus erythematosus and their variants. Acute renal failure as the initial manifestation of systemic lupus erythematosus in children. J Pediatr ; Glomerular thrombosis in systemic lupus erythematosus: Renal vein trombosis and inferior vena cava trombosis in systemic lupus erythematosus: How to manage patients with lupus nephritis.

Ostensen M, Villager PM. Nonsteroidal anti-inflammatory drugs in systemic lupus erythematosus. The mother in systemic lupus erythematosus.

Erkan D, Sammaritano L. New insights into pregnancy-related complications in systemic lupus erythematosus. Curr Rheumatol Rep ; 5: Lupus nephritis and pregnancy. Pregnancy in lupus nephropaty.

Acta Ostet Gynecol Scand ; Pregnancy in Lupus nephritis. Am J Kidney Dis ; Lupus nephritis in children. Systemic lupus erythematosus in childhood: Clin Immunol Immunopathol ; Platt JF, et al.

Systemic lupus erythematosus in the first two decades of life. Am J Kidney Dis ; 2 Suppl 1: Lupus nephritis in childhood and adolescence. Pediatr Nephrol ; 8: