{"id":7236,"date":"2013-07-23T19:00:20","date_gmt":"2013-07-24T00:00:20","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/?p=7236"},"modified":"2013-07-23T19:00:20","modified_gmt":"2013-07-24T00:00:20","slug":"criterios-diagnosticos-de-mieloma-multiple","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=7236","title":{"rendered":"Criterios Diagn\u00f3sticos de Mieloma Multiple."},"content":{"rendered":"

<\/h3>\n\n\n\n\n\n\n\n\n\n\n
Mayores<\/td>\n1. Plasmocitoma en biopsia de alg\u00fan tejido.<\/td>\n<\/tr>\n
 <\/td>\n2. M\u00e1s de 30% de c\u00e9lulas plasm\u00e1ticas en la m\u00e9dula \u00f3sea.<\/td>\n<\/tr>\n
 <\/td>\n3. Pico monoclonal en electroforesis de prote\u00ednas s\u00e9ricas.<\/p>\n

IgG > 3.5 g\/dL.<\/p>\n

IgA > 2 g\/dL.<\/p>\n

Cadenas ligeras >1 g\/24 h, en electrofor\u00e9sis de proteinas en orina.<\/td>\n<\/tr>\n

Menores<\/td>\na. c\u00e9lulas plasmaticas en m\u00e9dula \u00f3sea entre 10 y 30%.<\/td>\n<\/tr>\n
 <\/td>\nb. Pico monoclonal presente en electroforesis de proteinas, pero en niveles menores a los se\u00f1alados antes.<\/td>\n<\/tr>\n
 <\/td>\nc. Lesiones l\u00edticas en hueso.<\/td>\n<\/tr>\n
 <\/td>\nd. Inmunoglobulinas en suero:<\/p>\n

IgM > 500 mg\/L<\/p>\n

IgA > 1 g\/L<\/p>\n

IgG > 6 g\/L.<\/td>\n<\/tr>\n

Se requiere como m\u00ednimo un criterio mayor y uno menor o tres criterios menores que incluyan a + b.<\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Fuente: Consenso Internacional de Criterios preliminares para clasificar el SAAF. Majluf Cruz, Abraham. Hematologia b\u00e1sica.<\/p>\n","protected":false},"excerpt":{"rendered":"

Mayores 1. Plasmocitoma en biopsia de alg\u00fan tejido.   2. M\u00e1s de 30% de c\u00e9lulas plasm\u00e1ticas en la m\u00e9dula \u00f3sea.   3. Pico monoclonal en electroforesis de prote\u00ednas s\u00e9ricas. IgG > 3.5 g\/dL. IgA > 2 g\/dL. Cadenas ligeras >1 g\/24 h, en electrofor\u00e9sis de proteinas en orina. Menores a. c\u00e9lulas plasmaticas en m\u00e9dula \u00f3sea … Continue reading “Criterios Diagn\u00f3sticos de Mieloma Multiple.”<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[9],"tags":[],"class_list":["post-7236","post","type-post","status-publish","format-standard","hentry","category-hematologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7236"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/7236\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}