2019, Número 4
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Rev Clin Esc Med 2019; 9 (4)
Las citopenias en el lupus eritematoso sistémico
León CC, Rojas SR, Fuentes AF, Hernández VA
Idioma: Español
Referencias bibliográficas: 28
Paginas: 14-23
Archivo PDF: 460.41 Kb.
RESUMEN
El lupus eritematoso sistémico es una enfermedad
multisistémica, prototipo de las enfermedades
autoinmunes, en la que las manifestaciones
hematológicas son comunes y algunas incluso forman
parte de sus criterios clasificatorios. La presencia de
citopenias en estos pacientes es frecuente, siendo
la anemia la principal. También puede observarse
leucopenia y trombocitopenia. Todas tienen múltiples
etiologías, aunque comúnmente resultan de destrucción
mediada inmunológicamente. En algunos casos estas
manifestaciones pueden deberse a otras etiologías,
como causas infecciosas o farmacológicas, por lo que es
adecuado descartarlas. El manejo de cada una de estas
manifestaciones depende de su respectiva etiología, en
algunas la vigilancia expectante puede ser suficiente y
en otras se requiere la instauración de terapia específica
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