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UNIVERSIDAD NACIONAL EXPERIMENTAL “FRANCISCO DE MIRANDA” PROGRAMA DE MEDICINA PRÁCTICA MÉDICA I ,[object Object],[object Object],[object Object]

ENFERMEDADES DEL COLÁGENO ,[object Object],[object Object],[object Object],[object Object],[object Object]

ENFERMEDADES DEL COLÁGENO ,[object Object],[object Object],[object Object]

LUPUS ERITEMATOSO SISTÉMICO ,[object Object],[object Object],[object Object],[object Object]

CLASIFICACIÓN DEL LUPUS ACUERDO A LA SEVERIDAD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES MUCOCUTÁNEAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES MUSCOLOESQUELÉTICAS ,[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES RENALES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CARDIOPULMONARES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES NEUROPSIQUIÁTRICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES HEMATOLÓGICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÒSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRUEBAS DE LABORATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO DIFERENCIAL ,[object Object],[object Object],[object Object],[object Object],[object Object]

ENFERMEDADES INFLAMATORIAS DEL MÚSCULO ESTRIADO

ENFERMEDADES INFLAMATORIAS DEL MÚSCULO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ENFERMEDADES INFLAMATORIAS DEL MÚSCULO ESTRIADO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATOGENIA ,[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACIÓN PARA PACIENTES CON MIOPATÍAS INFLAMATORIAS ,[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CRITERIOS DE BOHAN Y PETER CRITERIO DERMATOMIOSITIS POLIMIOSITIS Debilidad muscular proximal simétrica + + Elevación Enzimas musculares + + Cambios EMG + + Rash típico + - Biopsia: miositis inflamatoria + +

DIAGNÓSTICO DIFERENCIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ARTRITIS REUMATOIDEA ,[object Object],[object Object],[object Object],[object Object]

ETIOLOGIA ,[object Object],[object Object],[object Object]

MANIFESTACIONES CLÍNICAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES EXTRAARTICULARES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANIFESTACIONES EXTRAARTICULARES

Clasificación Funcional ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO ,[object Object],[object Object]

CRITERIOS DIAGNÓSTICOS DE ARTRITIS REUMATOIDE (ARA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRUEBAS COMPLEMENTARIAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNÓSTICO DIFERENCIAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESCLERODERMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESCLERODERMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACION DE LA ESCLERODERMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ESCLERODERMIA SISTÉMICA DIFUSA LIMITADA Compromiso de piel Extremidades distal y proximal, cara, tronco Distal de los codos, cara Fenómeno de Raynaud Comienzo dentro de 1 año o al tiempo de los cambios cutáneos Puede preceder la enfermedad dérmica por años Compromiso Orgánico Pulmonar (fibrosis intersticial); renal (crisis hipertensiva renovascular); gastrointestinal; cardiaco Gastrointestinal; hipertensión arterial pulmonar después de 10-15 años de enfermedad en <10% de pacientes; cirrosis biliar Capilares ungueales Dilatación y pérdida capilar Dilatación sin significativa pérdida capilar Anticuerpos Antinucleares Anti-topoisomerasa 1 Anticentrómero

MANIFESTACIONES CLINICAS ,[object Object]

ESCLERODERMA ,[object Object],[object Object],[object Object],[object Object],[object Object]

CRITERIOS DIAGNOSTICOS PARA LA CRISIS RENAL ESCLERODERMICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios Diagnósticos de la Esclerodermia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSTICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSTICO DIFERENCIAL ,[object Object],[object Object],[object Object]

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