2013, Número 3
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Alerg Asma Inmunol Pediatr 2013; 22 (3)
Linfohistiocitosis hemofagocítica y otros trastornos asociados. Pertinencia del uso de gamaglobulina
Canell PR, Suárez AR, Rodríguez TJ, Hernández BVM, Vázquez GRE, Cerda RS
Idioma: Español
Referencias bibliográficas: 63
Paginas: 114-120
Archivo PDF: 133.87 Kb.
RESUMEN
Las enfermedades autoinmunes se encuentran caracterizadas por una disregulación inmunológica. Éstas, en esencia, se presentan por la errónea interpretación del sistema inmune del paciente hacia un antígeno propio en donde se monta una respuesta de hipersensibilidad que puede involucrar prácticamente a cualquiera de los mecanismos de Gel-Coombs. Existen diversos tipos de síndromes hemofagocíticos; esta entidad, independientemente de su origen, posee una alta mortalidad y no existe una terapéutica estandarizada a nivel mundial. Diversos elementos han sido utilizados para tratar de detener la hemofagocitosis, tales como: etopósido, glucocorticoides, ciclosporina e incluso gammaglobulina, por mencionar algunos. En la práctica, algunos modelos de enfermedad son más proclives que otros, como es el caso de la enfermedad de Still que puede derivar en un síndrome hemofagocítico, por lo que es importante en el abordaje de estos pacientes tomar en cuenta su comportamiento y las posibilidades terapéuticas.
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