{"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\/pt\/wiki\/sindrome-de-lofgren\/","title":{"rendered":"S\u00edndrome de L\u00f6fgren"},"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\">Conte\u00fado<\/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=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFQue-es-Lofgren-sindrome\" >O que \u00e9 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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFQuien-contrae-el-sindrome-de-Lofgren\" >Quem contrai a 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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFQue-causa-el-sindrome-de-Lofgren\" >O que causa a 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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\" >Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da 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\/pt\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso\" >Eritema nodoso<\/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\/pt\/wiki\/sindrome-de-lofgren\/#Eritema-nudoso-2\" >Eritema nodoso<\/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\/pt\/wiki\/sindrome-de-lofgren\/#Artritis-de-tobillo\" >Artrite no tornozelo<\/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\/pt\/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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\" >Como \u00e9 feito o diagn\u00f3stico da 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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-tratamiento-para-el-sindrome-de-Lofgren\" >Qual \u00e9 o tratamento para a 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\/pt\/wiki\/sindrome-de-lofgren\/#%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\" >Qual \u00e9 o progn\u00f3stico da 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>O que \u00e9 L\u00f6fgren? <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A s\u00edndrome de L\u00f6fgren \u00e9 uma <span class=\"term\" data-term-id=\"349\">agudo<\/span> forma de sarcoidose A sarcoidose \u00e9 um dist\u00farbio multissist\u00eamico caracterizado <span class=\"term\" data-term-id=\"1669\">histologicamente<\/span> de <span class=\"term\" data-term-id=\"1718\">granulomas<\/span> (um tipo espec\u00edfico de <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span>)<\/p>\n<p>A s\u00edndrome de L\u00f6fgren apresenta uma combina\u00e7\u00e3o de sintomas e achados:<\/p>\n<ul>\n<li><span class=\"term\" data-term-id=\"90\">Eritema<\/span> complicado<\/li>\n<li>\n<span class=\"term\" data-term-id=\"23\">Bilateral<\/span> girar <span class=\"term\" data-term-id=\"503\">linfadenopatia<\/span> (ampliado <span class=\"term\" data-term-id=\"1775\">g\u00e2nglios linf\u00e1ticos<\/span> no centro do peito)<\/li>\n<li>Tornozelo bilateral <span class=\"term\" data-term-id=\"1578\">artrite<\/span> ou tornozelos dolorosos<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1176\">Febre<\/span> e <span class=\"term\" data-term-id=\"1211\">desconforto<\/span>\n<\/li>\n<\/ul>\n<p>A s\u00edndrome recebeu o nome do pesquisador sueco Sven L\u00f6fgren (1910-1978), que descreveu os sintomas em uma s\u00e9rie de 113 pacientes (1953).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-el-sindrome-de-Lofgren\"><\/span>Quem contrai a s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Algumas popula\u00e7\u00f5es correm maior risco de desenvolver a s\u00edndrome de L\u00f6fgren para <span class=\"term\" data-term-id=\"558\">gen\u00e9tico<\/span> e raz\u00f5es ambientais.<\/p>\n<ul>\n<li>Existe uma forte predomin\u00e2ncia feminina<\/li>\n<li>Afeta pacientes jovens e de meia idade, com idade m\u00e9dia de in\u00edcio de 35 anos.<\/li>\n<li>A s\u00edndrome de L\u00f6fgren \u00e9 mais comum e mais grave na Escandin\u00e1via e na Irlanda.<\/li>\n<li>Existe uma forte associa\u00e7\u00e3o com <span class=\"term\" data-term-id=\"1245\">HLA<\/span>-DRB1 <span class=\"term\" data-term-id=\"529\">alelo<\/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>O que causa a s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Apesar de intensa pesquisa, a causa da s\u00edndrome de L\u00f6fgren e outras formas de <span class=\"term\" data-term-id=\"47\">cut\u00e2neo<\/span> Sarcoidose \u00e9 desconhecida. A sarcoidose \u00e9 reconhecida como uma resposta imune mediada por c\u00e9lulas a uma doen\u00e7a desconhecida. <span class=\"term\" data-term-id=\"410\">ant\u00edgeno<\/span>, em que ativado <span class=\"term\" data-term-id=\"457\">macr\u00f3fagos<\/span> e CD4 T-<span class=\"term\" data-term-id=\"421\">linf\u00f3citos<\/span> lan\u00e7amento <span class=\"term\" data-term-id=\"434\">citocinas<\/span> que desencadeiam a forma\u00e7\u00e3o de granulomas.<\/p>\n<p>Pelo menos alguns casos de sarcoidose cut\u00e2nea podem ser devidos a uma <span class=\"term\" data-term-id=\"1313\">hospedeiro<\/span> rea\u00e7\u00e3o a um ou mais agentes infecciosos, como Mycobacterium paratuberculosis, histoplasmose e outros fungos. A sarcoidose aguda n\u00e3o \u00e9 infecciosa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-sindrome-de-Lofgren\"><\/span>Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A s\u00edndrome de L\u00f6fgren ocorre geralmente durante os meses da primavera.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Eritema-nudoso\"><\/span>Eritema nodoso<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>O eritema nodoso \u00e9 observado predominantemente em mulheres.<\/li>\n<li>Oferta <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span> eles est\u00e3o localizados com mais frequ\u00eancia nas extremidades inferiores, mas ocasionalmente tamb\u00e9m podem ocorrer nos antebra\u00e7os<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Eritema-nudoso-2\"><\/span>Eritema nodoso<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\">Eritema nodoso<\/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\">Eritema nodoso<\/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\">Eritema nodoso<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Mais imagens de eritema nodoso ...<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Artritis-de-tobillo\"><\/span>Artrite no tornozelo<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>A artrite bilateral do tornozelo \u00e9 vista com mais frequ\u00eancia nos homens.<\/li>\n<li>Produz dor e \/ ou incha\u00e7o.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Sistemico-sintomas\"><\/span>\n<span class=\"term\" data-term-id=\"380\">Sist\u00eamico<\/span> sintomas<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Febre e mal-estar geral<\/li>\n<li>Sintomas respirat\u00f3rios: falta de ar leve e diminui\u00e7\u00e3o da toler\u00e2ncia ao exerc\u00edcio.<\/li>\n<li>Agudo <span class=\"term\" data-term-id=\"505\">uve\u00edte<\/span> ou iridociclite (inflama\u00e7\u00e3o do olho)<\/li>\n<li>Parotite<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-hace-el-diagnostico-del-sindrome-de-Lofgren\"><\/span>Como \u00e9 feito o diagn\u00f3stico da s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Pacientes com s\u00edndrome de L\u00f6fgren podem ter uma <span class=\"term\" data-term-id=\"54\">dermatologista<\/span>m\u00e9dico respirat\u00f3rio <span class=\"term\" data-term-id=\"980\">oftalmologista<\/span>, reumatologista ou cl\u00ednico geral devido \u00e0 variedade de poss\u00edveis sintomas.<\/p>\n<p>Pode-se suspeitar de diagn\u00f3stico devido a caracter\u00edsticas cl\u00ednicas t\u00edpicas. Embora nem sempre seja necess\u00e1rio para o diagn\u00f3stico, o diagn\u00f3stico de sarcoidose \u00e9 confirmado por encontrar granulomas n\u00e3o <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> de linfonodos. Bi\u00f3psia de eritema nodoso revela septo <span class=\"term\" data-term-id=\"213\">paniculite<\/span>.<\/p>\n<p>Radiografia de t\u00f3rax revela bilateral <span class=\"term\" data-term-id=\"1433\">linfadenopatia hilar<\/span> isto \u00e9, linfonodos aumentados no centro do peito.<\/p>\n<p>Os exames de sangue podem encontrar n\u00edveis elevados de:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"946\">prote\u00edna C-reativa<\/span> (<span class=\"term\" data-term-id=\"947\">CRP<\/span>), c\u00e1lcio, acetilcolinesterase (ECA), fosfatase alcalina, gama globulina (policlonal)<\/li>\n<\/ul>\n<p>\u00c9 importante excluir a tuberculose. O teste tubercul\u00ednico e o exame de sangue com ouro QuantiFERON\u00ae s\u00e3o negativos para sarcoidose.<\/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>Qual \u00e9 o tratamento para a s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A maioria dos pacientes com s\u00edndrome de L\u00f6fgren \u00e9 tratada com anti-ester\u00f3ides n\u00e3o ester\u00f3ides.<span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> drogas (<span class=\"term\" data-term-id=\"635\">AINE<\/span>), que reduzem o desconforto e a inflama\u00e7\u00e3o do eritema nodoso e da artrite. Outros medicamentos usados ocasionalmente para a s\u00edndrome de L\u00f6fgren incluem:<\/p>\n<ul>\n<li>\n<p>Ester\u00f3ides sist\u00eamicos, por exemplo, prednisona oral, usados em casos graves.<\/li>\n<li>Colchicina<\/li>\n<\/ul>\n<p>As meias de compress\u00e3o podem reduzir o incha\u00e7o e o desconforto do eritema nodoso.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-el-sindrome-de-Lofgren\"><\/span>Qual \u00e9 o progn\u00f3stico da s\u00edndrome de L\u00f6fgren?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>a <span class=\"term\" data-term-id=\"241\">previs\u00e3o<\/span> A s\u00edndrome de L\u00f6fgren \u00e9 boa, com resolu\u00e7\u00e3o completa com ou sem tratamento dentro de 6 meses a 2 anos.<\/p>\n<p>\u00c9 comum repetir radiografias de t\u00f3rax de tempos em tempos at\u00e9 que a linfadenopatia esteja completamente resolvida.<\/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\/pt\/wp-json\/wp\/v2\/wiki\/16674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=16674"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16674\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=16674"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=16674"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=16674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}