{"id":16674,"date":"2020-04-29T05:56:08","date_gmt":"2020-04-29T08:56:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/sindrome-de-lofgren\/"},"modified":"2020-05-03T10:30:12","modified_gmt":"2020-05-03T13:30:12","slug":"sindrome-de-lofgren","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/","title":{"rendered":"L\u00f6fgren&#039;s syndrome"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFQue-es-Lofgren-sindrome\" >\u00bfQu\u00e9 es L\u00f6fgren? s\u00edndrome?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFQuien-contrae-el-sindrome-de-Lofgren\" >\u00bfQui\u00e9n contrae el s\u00edndrome de L\u00f6fgren?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFQue-causa-el-sindrome-de-Lofgren\" >\u00bfQu\u00e9 causa el s\u00edndrome de L\u00f6fgren?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas del s\u00edndrome de L\u00f6fgren?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso\" >Erythema nodosum<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso-2\" >Erythema nodosum<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#Artritis-de-tobillo\" >Artritis de tobillo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#Sistemico-sintomas\" >Sist\u00e9mico s\u00edntomas<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\" >\u00bfC\u00f3mo se hace el diagn\u00f3stico del s\u00edndrome de L\u00f6fgren?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Lofgren\" >\u00bfCu\u00e1l es el tratamiento para el s\u00edndrome de L\u00f6fgren?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\" >\u00bfCu\u00e1l es el pron\u00f3stico para el s\u00edndrome de L\u00f6fgren?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Lofgren-sindrome\"><\/span>\u00bfQu\u00e9 es L\u00f6fgren? <span class=\"term\" data-term-id=\"350\">syndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El s\u00edndrome de L\u00f6fgren es un <span class=\"term\" data-term-id=\"349\">acute<\/span> forma de sarcoidosis La sarcoidosis es un trastorno multisist\u00e9mico caracterizado <span class=\"term\" data-term-id=\"1669\">histologically<\/span> by <span class=\"term\" data-term-id=\"1718\">granulomas<\/span> (a specific type of <span class=\"term\" data-term-id=\"148\">inflammation<\/span>)<\/p>\n<p>El s\u00edndrome de L\u00f6fgren se presenta con una combinaci\u00f3n de s\u00edntomas y hallazgos:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"90\">Erythema<\/span> knotty<\/li>\n<li>\n<span class=\"term\" data-term-id=\"23\">Bilateral<\/span> hilar <span class=\"term\" data-term-id=\"503\">lymphadenopathy<\/span> (engrandecido <span class=\"term\" data-term-id=\"1775\">lymph nodes<\/span> en el centro del cofre)<\/li>\n<li>Tobillo bilateral <span class=\"term\" data-term-id=\"1578\">arthritis<\/span> o tobillos dolorosos<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1176\">Fever<\/span> and <span class=\"term\" data-term-id=\"1211\">discomfort<\/span>\n<\/li>\n<\/ul>\n<p>El s\u00edndrome lleva el nombre del investigador sueco, Sven L\u00f6fgren (1910-1978), quien describi\u00f3 los s\u00edntomas en una serie de 113 pacientes (1953).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-el-sindrome-de-Lofgren\"><\/span>\u00bfQui\u00e9n contrae el s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Algunas poblaciones tienen mayor riesgo de desarrollar el s\u00edndrome de L\u00f6fgren para <span class=\"term\" data-term-id=\"558\">genetic<\/span> y razones ambientales.<\/p>\n<ul>\n<li>Hay un fuerte predominio femenino<\/li>\n<li>Afecta a pacientes j\u00f3venes y de mediana edad, con una edad media de inicio de 35 a\u00f1os.<\/li>\n<li>El s\u00edndrome de L\u00f6fgren es m\u00e1s com\u00fan y m\u00e1s grave en Escandinavia e Irlanda.<\/li>\n<li>Existe una fuerte asociaci\u00f3n con <span class=\"term\" data-term-id=\"1245\">HLA<\/span>-DRB1 <span class=\"term\" data-term-id=\"529\">allele<\/span>.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-sindrome-de-Lofgren\"><\/span>\u00bfQu\u00e9 causa el s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A pesar de la intensa investigaci\u00f3n, la causa del s\u00edndrome de L\u00f6fgren y otras formas de <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> La sarcoidosis es desconocida. La sarcoidosis se reconoce como una respuesta inmune mediada por c\u00e9lulas a un desconocido <span class=\"term\" data-term-id=\"410\">antigen<\/span>, in which activated <span class=\"term\" data-term-id=\"457\">macrophages<\/span> and CD4 T-<span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> launching <span class=\"term\" data-term-id=\"434\">cytokines<\/span> that trigger the formation of granulomas.<\/p>\n<p>At least some cases of cutaneous sarcoidosis may be due to an unusual <span class=\"term\" data-term-id=\"1313\">host<\/span> reacci\u00f3n a uno o m\u00e1s agentes infecciosos, como Mycobacterium paratuberculosis, histoplasmosis y otros hongos. La sarcoidosis aguda no es infecciosa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas del s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El s\u00edndrome de L\u00f6fgren se presenta com\u00fanmente durante los meses de primavera.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Eritema-nudoso\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>El eritema nudoso se observa predominantemente entre las mujeres.<\/li>\n<li>Offer <span class=\"term\" data-term-id=\"367\">nodules<\/span> se localizan con mayor frecuencia en las extremidades inferiores, pero ocasionalmente tambi\u00e9n pueden ocurrir en los antebrazos<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritema-nudoso-2\"><\/span>Erythema nodosum<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='en1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkilde1nv0-3471622-9442619' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDE1NV0-3471622.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='en2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3824807-6913097' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/en2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3824807.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='pannic3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-3123179-1557270' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pannic3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-3123179.jpg'>\n<\/div>\n<p class=\"p-small\">Erythema nodosum<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>M\u00e1s im\u00e1genes de eritema nudoso &#8230;<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Artritis-de-tobillo\"><\/span>Artritis de tobillo<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>La artritis bilateral de tobillo se observa con mayor frecuencia en hombres.<\/li>\n<li>Produce dolor y \/ o hinchaz\u00f3n.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Sistemico-sintomas\"><\/span>\n<span class=\"term\" data-term-id=\"380\">Systemic<\/span> symptoms<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Fiebre y malestar general<\/li>\n<li>S\u00edntomas respiratorios: dificultad para respirar leve y disminuci\u00f3n de la tolerancia al ejercicio.<\/li>\n<li>Acute <span class=\"term\" data-term-id=\"505\">uveitis<\/span> o iridociclitis (inflamaci\u00f3n del ojo)<\/li>\n<li>Parotiditis<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\"><\/span>\u00bfC\u00f3mo se hace el diagn\u00f3stico del s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Los pacientes con s\u00edndrome de L\u00f6fgren pueden presentar una <span class=\"term\" data-term-id=\"54\">dermatologist<\/span>m\u00e9dico respiratorio <span class=\"term\" data-term-id=\"980\">ophthalmologist<\/span>, reumat\u00f3logo o m\u00e9dico general debido a la variedad de s\u00edntomas posibles.<\/p>\n<p>El diagn\u00f3stico puede sospecharse debido a las caracter\u00edsticas cl\u00ednicas t\u00edpicas. Aunque no siempre es necesario para el diagn\u00f3stico, el diagn\u00f3stico de sarcoidosis se confirma al encontrar granulomas no caseificantes en <span class=\"term\" data-term-id=\"24\">biopsy<\/span> de ganglios linf\u00e1ticos. La biopsia de eritema nudoso revela septo <span class=\"term\" data-term-id=\"213\">panniculitis<\/span>.<\/p>\n<p>La radiograf\u00eda de t\u00f3rax revela bilateral <span class=\"term\" data-term-id=\"1433\">linfadenopat\u00eda hiliar<\/span> es decir, ganglios linf\u00e1ticos agrandados en el centro del t\u00f3rax.<\/p>\n<p>Los an\u00e1lisis de sangre pueden encontrar niveles elevados de:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"946\">C-reactive protein<\/span> (<span class=\"term\" data-term-id=\"947\">CRP<\/span>), calcio, acetilcolinesterasa (ACE), fosfatasa alcalina, gammaglobulina (policlonal)<\/li>\n<\/ul>\n<p>It is important to exclude tuberculosis. The Tuberculin Skin Test and the QuantiFERON\u00ae Gold Blood Test are negative for sarcoidosis.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Lofgren\"><\/span>\u00bfCu\u00e1l es el tratamiento para el s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La mayor\u00eda de los pacientes con s\u00edndrome de L\u00f6fgren son tratados con anti-esteroides no esteroideos.<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> drugs (<span class=\"term\" data-term-id=\"635\">NSAID<\/span>), que reducen las molestias y la inflamaci\u00f3n del eritema nudoso y la artritis. Otros medicamentos ocasionalmente utilizados para el s\u00edndrome de L\u00f6fgren incluyen:<\/p>\n<ul>\n<li>\n<p>Esteroides sist\u00e9micos, por ejemplo, prednisona oral, utilizados para casos severos.<\/li>\n<li>Colchicine<\/li>\n<\/ul>\n<p>Los calcetines de compresi\u00f3n pueden reducir la hinchaz\u00f3n y la incomodidad del eritema nudoso.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\"><\/span>\u00bfCu\u00e1l es el pron\u00f3stico para el s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>the <span class=\"term\" data-term-id=\"241\">forecast<\/span> del s\u00edndrome de L\u00f6fgren es bueno, con resoluci\u00f3n completa con o sin tratamiento dentro de los 6 meses a 2 a\u00f1os.<\/p>\n<p>Es habitual repetir las radiograf\u00edas de t\u00f3rax de vez en cuando hasta que la linfadenopat\u00eda se haya resuelto por completo.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es L\u00f6fgren? s\u00edndrome? El s\u00edndrome de L\u00f6fgren es un agudo forma de sarcoidosis La sarcoidosis es un trastorno multisist\u00e9mico caracterizado histol\u00f3gicamente por granulomas (un tipo espec\u00edfico de inflamaci\u00f3n) El&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-16674","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=16674"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/16674\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=16674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=16674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=16674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}