2017, Número 5
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Med Int Mex 2017; 33 (5)
Fiebres recurrentes
Salado-Burbano JC, Eskenazi-Betech R, Halabe-Cherem J
Idioma: Español
Referencias bibliográficas: 51
Paginas: 634-647
Archivo PDF: 483.85 Kb.
RESUMEN
Las fiebres recurrentes corresponden a una proporción significativa
pero menospreciada (18-42%) de las fiebres de origen desconocido.
Un grupo de fiebres recurrentes, conocidas como enfermedades
autoinflamatorias o síndromes hereditarios de fiebre periódica ocurren
debido a una respuesta disregulada de la inmunidad innata, en
donde ocurre una reacción autoinflamatoria que causa daño tisular.
A diferencia de las enfermedades autoinmunitarias, las enfermedades
autoinflamatorias no se asocian con autoanticuerpos específicos o
complejos mayores de histocompatibilidad (CMHs), pero ocurren
debido a la activación aberrante de las células de la inmunidad innata,
como macrófagos y neutrófilos. Aunque la mayoría de los casos inicia
durante la infancia, varios suelen ser diagnosticados años después
de su inicio o comienzan durante la edad adulta, lo que justifica
la necesidad de que el internista esté familiarizado con estas afecciones.
En esta revisión discutimos la epidemiología, fisiopatología,
manifestación clínica, diagnóstico y tratamiento de las principales
enfermedades autoinflamatorias.
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