https://wikem.org/w/index.php?action=history&feed=atom&title=Autoimmune_hepatitis%2Fes 2026-04-18T00:33:40Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Autoimmune_hepatitis/es&diff=384181&oldid=prev 2026-01-25T18:36:51Z

<p>Created page with &quot;==Ver También==&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 18:36, 25 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l59">Line 59:</td> <td colspan="2" class="diff-lineno">Line 59:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Evaluación===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===Evaluación===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/LFTs|<ins style="font-weight: bold; text-decoration: none;">Pruebas de función hepática</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/LFTs|<del style="font-weight: bold; text-decoration: none;">LFTs</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**ALT/AST 1<ins style="font-weight: bold; text-decoration: none;">,</ins>5-50 <ins style="font-weight: bold; text-decoration: none;">veces el valor </ins>normal</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**ALT/AST 1<del style="font-weight: bold; text-decoration: none;">.</del>5-50 <del style="font-weight: bold; text-decoration: none;">times </del>normal</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Elevaciones leves a moderadas en bilirrubina y alcalina fosfatasa</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**<del style="font-weight: bold; text-decoration: none;">Mild to moderate elevations in bilirubin and alk phos</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Hematograma completo</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">CBC</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**+/- <ins style="font-weight: bold; text-decoration: none;">leucopenia leve</ins>,</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**+/- <del style="font-weight: bold; text-decoration: none;">mild [[Special:MyLanguage/leukopenia|leukopenia]]</del>,</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**+/- anemia <ins style="font-weight: bold; text-decoration: none;">normocítica o hemolítica</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**+/- <del style="font-weight: bold; text-decoration: none;">normocytic or hemolytic [[Special:MyLanguage/</del>anemia<del style="font-weight: bold; text-decoration: none;">|anemia]]</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**+/- <ins style="font-weight: bold; text-decoration: none;">trombocitopenia</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**+/- <del style="font-weight: bold; text-decoration: none;">[[Special:MyLanguage/thrombocytopenia|thrombocytopenia]]</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Perfil metabólico básico</ins>: <ins style="font-weight: bold; text-decoration: none;">evaluar alteraciones electrolíticas</ins>, [[Special:MyLanguage/hypoglycemia|<ins style="font-weight: bold; text-decoration: none;">hipoglucemia</ins>]], [[Special:MyLanguage/hepatorenal syndrome|<ins style="font-weight: bold; text-decoration: none;">síndrome </ins>hepatorenal]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">BMP</del>: <del style="font-weight: bold; text-decoration: none;">evaluate for electrolyte derangements</del>, [[Special:MyLanguage/hypoglycemia|<del style="font-weight: bold; text-decoration: none;">hypoglycemia</del>]], [[Special:MyLanguage/hepatorenal syndrome|hepatorenal <del style="font-weight: bold; text-decoration: none;">syndrome</del>]]</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*PT/INR</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>*PT/INR</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*Ammonia <del style="font-weight: bold; text-decoration: none;">if suspect </del>[[Special:MyLanguage/hepatic encephalopathy|<del style="font-weight: bold; text-decoration: none;">hepatic encephalopathy</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Ammonia <ins style="font-weight: bold; text-decoration: none;">si se sospecha </ins>[[Special:MyLanguage/hepatic encephalopathy|<ins style="font-weight: bold; text-decoration: none;">encefalopatía hepática</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Paracentesis|Paracentesis]] <del style="font-weight: bold; text-decoration: none;">if suspect </del>[[Special:MyLanguage/SBP|<del style="font-weight: bold; text-decoration: none;">SBP</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Paracentesis|Paracentesis]] <ins style="font-weight: bold; text-decoration: none;">si se sospecha </ins>[[Special:MyLanguage/SBP|<ins style="font-weight: bold; text-decoration: none;">peritonitis bacteriana espontánea</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Consider </del>[[Special:MyLanguage/RUQ ultrasound|<del style="font-weight: bold; text-decoration: none;">RUQ ultrasound</del>]] <del style="font-weight: bold; text-decoration: none;">and</del>/<del style="font-weight: bold; text-decoration: none;">or </del>MRCP</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Considerar </ins>[[Special:MyLanguage/RUQ ultrasound|<ins style="font-weight: bold; text-decoration: none;">ecografía del cuadrante superior derecho</ins>]] <ins style="font-weight: bold; text-decoration: none;">y/o [[Special:MyLanguage</ins>/MRCP<ins style="font-weight: bold; text-decoration: none;">|colangiopancreatografía por resonancia magnética]]</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>===<ins style="font-weight: bold; text-decoration: none;">Prónostico</ins>===</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>===<del style="font-weight: bold; text-decoration: none;">Diagnosis===</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Evaluar otras causas de enfermedad hepática</ins>, <ins style="font-weight: bold; text-decoration: none;">si no se ha diagnosticado previamente con </ins>hepatitis <ins style="font-weight: bold; text-decoration: none;">autoinmune</ins>:</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Evaluate for other causes of liver disease</del>, <del style="font-weight: bold; text-decoration: none;">if not previously diagnosed with autoimmune </del>hepatitis:</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Serologías de </ins>[[Special:MyLanguage/Viral hepatitis|hepatitis <ins style="font-weight: bold; text-decoration: none;">viral</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Viral hepatitis|<del style="font-weight: bold; text-decoration: none;">Viral </del>hepatitis]] <del style="font-weight: bold; text-decoration: none;">serologies</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**<ins style="font-weight: bold; text-decoration: none;">Nivel de </ins>[[Special:MyLanguage/Acetaminophen|<ins style="font-weight: bold; text-decoration: none;">acetaminofén</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Acetaminophen|<del style="font-weight: bold; text-decoration: none;">Acetaminophen</del>]] <del style="font-weight: bold; text-decoration: none;">level</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Autoanticuerpos</ins>: <ins style="font-weight: bold; text-decoration: none;">pueden tener </ins>ANA, SMA, LKM-1 <ins style="font-weight: bold; text-decoration: none;">y</ins>/<ins style="font-weight: bold; text-decoration: none;">o </ins>anti-LC1 <ins style="font-weight: bold; text-decoration: none;">positivoshttp</ins>://emedicine.medscape.com/article/172356-overview ; ANA <ins style="font-weight: bold; text-decoration: none;">y </ins>SMA <ins style="font-weight: bold; text-decoration: none;">suelen ser positivos en la hepatitis autoinmune de tipo </ins>1, <ins style="font-weight: bold; text-decoration: none;">LKM</ins>-1 <ins style="font-weight: bold; text-decoration: none;">y </ins>p-ANCA <ins style="font-weight: bold; text-decoration: none;">atípico positivo en el tipo </ins>2 <ins style="font-weight: bold; text-decoration: none;">y el antígeno </ins>soluble <ins style="font-weight: bold; text-decoration: none;">hepático usualmente en el tipo </ins>3</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Autoantibodies</del>: <del style="font-weight: bold; text-decoration: none;">may have positive </del>ANA, SMA, LKM-1<del style="font-weight: bold; text-decoration: none;">, and</del>/<del style="font-weight: bold; text-decoration: none;">or </del>anti-LC1<del style="font-weight: bold; text-decoration: none;">&lt;ref&gt;http</del>://emedicine.medscape.com/article/172356-overview<del style="font-weight: bold; text-decoration: none;">&lt;/ref&gt; </del>; ANA <del style="font-weight: bold; text-decoration: none;">&amp; </del>SMA <del style="font-weight: bold; text-decoration: none;">usually positive in type </del>1 <del style="font-weight: bold; text-decoration: none;">autoimmune hepatitis</del>, <del style="font-weight: bold; text-decoration: none;">LJM</del>-1 <del style="font-weight: bold; text-decoration: none;">and atypical </del>p-ANCA <del style="font-weight: bold; text-decoration: none;">positive in type </del>2 <del style="font-weight: bold; text-decoration: none;">and liver </del>soluble <del style="font-weight: bold; text-decoration: none;">antigen usually in type </del>3</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Diagnóstico definitivo generalmente mediante biopsia hepática</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Definitive diagnosis usually by liver biopsy</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Manejo</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=Management==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Corticosteroids|<ins style="font-weight: bold; text-decoration: none;">Corticosteroides</ins>]] +/- [[Special:MyLanguage/Azathioprine|<ins style="font-weight: bold; text-decoration: none;">Azatioprina</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Corticosteroids|<del style="font-weight: bold; text-decoration: none;">Corticosteroids</del>]] +/- [[Special:MyLanguage/Azathioprine|<del style="font-weight: bold; text-decoration: none;">Azathioprine</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Tratar las complicaciones</ins>, <ins style="font-weight: bold; text-decoration: none;">ver</ins>:</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Manage complications</del>, <del style="font-weight: bold; text-decoration: none;">see</del>:</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Ascites|Ascites]], [[Special:MyLanguage/SBP|<ins style="font-weight: bold; text-decoration: none;">peritonitis bacteriana espontánea</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Ascites|Ascites]], [[Special:MyLanguage/SBP|<del style="font-weight: bold; text-decoration: none;">SBP</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Upper gastrointestinal bleed|<ins style="font-weight: bold; text-decoration: none;">Hemorragia </ins>gastrointestinal <ins style="font-weight: bold; text-decoration: none;">superior</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Upper gastrointestinal bleed|<del style="font-weight: bold; text-decoration: none;">Upper </del>gastrointestinal <del style="font-weight: bold; text-decoration: none;">bleed</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Hepatorenal syndrome|<ins style="font-weight: bold; text-decoration: none;">Síndrome hepatorenal</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Hepatorenal syndrome|<del style="font-weight: bold; text-decoration: none;">Hepatorenal syndrome</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Hepatic encephalopathy|<ins style="font-weight: bold; text-decoration: none;">Encefalopatía hepática</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Hepatic encephalopathy|<del style="font-weight: bold; text-decoration: none;">Hepatic encephalopathy</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">En última instancia</ins>, <ins style="font-weight: bold; text-decoration: none;">puede requerir trasplante</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Ultimately</del>, <del style="font-weight: bold; text-decoration: none;">may require transplant</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Se debe realizar una consulta con Hepatología</ins>/<ins style="font-weight: bold; text-decoration: none;">Gastroenterología</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*<del style="font-weight: bold; text-decoration: none;">Hepatology/Gastroenterology consult should be made</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;</del>/<del style="font-weight: bold; text-decoration: none;">div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Disposición</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=Disposition==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Ver También</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=See Also==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Acute hepatitis|<ins style="font-weight: bold; text-decoration: none;">Hepatitis aguda</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Acute hepatitis|<del style="font-weight: bold; text-decoration: none;">Acute hepatitis</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Cirrhosis|<ins style="font-weight: bold; text-decoration: none;">Cirrosis</ins>]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Cirrhosis|<del style="font-weight: bold; text-decoration: none;">Cirrhosis</del>]]</div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Enlaces Externos</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=External Links==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang</del>=<del style="font-weight: bold; text-decoration: none;">&quot;en&quot; dir</del>=<del style="font-weight: bold; text-decoration: none;">&quot;ltr&quot; class</del>=<del style="font-weight: bold; text-decoration: none;">&quot;mw-content-ltr&quot;&gt;</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Referencias</ins>==</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>=<del style="font-weight: bold; text-decoration: none;">=References==</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div&gt;</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang="en" dir="ltr" class="mw-content-ltr"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;references/&gt;</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>&lt;references/&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;div lang="en" dir="ltr" class="mw-content-ltr"></del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:GI]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:GI]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">&lt;/div></del></div></td><td colspan="2" class="diff-side-added"></td></tr> </table>

Jhattery https://wikem.org/w/index.php?title=Autoimmune_hepatitis/es&diff=384168&oldid=prev 2026-01-25T18:33:48Z

<p>Created page with &quot;==Antecedentes==&quot;</p> <p><b>New page</b></p><div>&lt;languages/&gt;<br /> <br /> ==Antecedentes==<br /> <br /> *Inflamación hepatocelular causada por patología autoinmune, que en última instancia conduce a la necrosis y la cirrosis<br /> *La presentación puede ser aguda o crónica, rara vez se presenta como [[Special:MyLanguage/hepatic failure|insuficiencia hepática]] fulminante<br /> *Por lo general, afecta a mujeres (~70%http://www.liverfoundation.org/abouttheliver/info/aihep/ entre 15 y 40 años<br /> *A menudo ocurre de forma comórbida con otros trastornos autoinmunes (por ejemplo, [[Special:MyLanguage/diabetes|diabetes]] tipo 1, [[Special:MyLanguage/thyroid disease|enfermedad tiroidea]], [[Special:MyLanguage/inflammatory bowel disease|enfermedad inflamatoria intestinal]], [[Special:MyLanguage/Sjögren|enfermedad de Sjögren]])<br /> *3 subtipos de hepatitis autoinmune: tipos 1-3, siendo el tipo 1 el más común<br /> <br /> <br /> ==Características Clínicas==<br /> <br /> [[File:Jaundice08.jpg|thumb|Ictericia de la piel]]<br /> [[File:Jaundice.jpg|thumb|Ictericia pediátrica con ictericia de la esclera.]]<br /> ''Hallazgos de enfermedad hepática y signos/síntomas sistémicos de trastornos autoinmunes''<br /> *[[Special:MyLanguage/Nausea/vomiting| Náuseas/vómitos]], diarrea<br /> *[[Special:MyLanguage/Epigastric pain|Dolor epigástrico]], [[Special:MyLanguage/RUQ pain|dolor en el cuadrante superior derecho]]<br /> *Anorexia<br /> *[[Special:MyLanguage/Jaundice|Ictericia]]<br /> *[[Special:MyLanguage/Ascites|Ascites]], [[Special:MyLanguage/SBP|hipertensión portal]], edema<br /> *[[Special:MyLanguage/Pruritus|Prurito]]<br /> *[[Special:MyLanguage/Fatigue|Fatiga]], malestar, [[Special:MyLanguage/weakness|debilidad]]<br /> *[[Special:MyLanguage/Arthralgia|Artralgia]], mialgia<br /> *Angiomatas en forma de araña, hirsutismo, amenorrea<br /> *[[Special:MyLanguage/Chest pain|Dolor en el pecho]] debido a pleuritis<br /> *Pérdida de peso<br /> *[[Special:MyLanguage/hepatomegaly|Hepatosplenomegalia]]<br /> *[[Special:MyLanguage/Hepatic encephalopathy|Encefalopatía hepática]]<br /> *[[Special:MyLanguage/liver disease induced coagulopathy|Coagulopatía]] inducida por enfermedad hepática<br /> *[[Special:MyLanguage/GI bleed|Hemorragia gastrointestinal]]<br /> <br /> <br /> ==Diagnóstico Diferencial==<br /> <br /> *[[Special:MyLanguage/Viral hepatitis|Hepatitis viral]]<br /> *[[Special:MyLanguage/Acute alcoholic hepatitis|Hepatitis alcohólica aguda]], enfermedad hepática alcohólica<br /> *[[Special:MyLanguage/Acetaminophen toxicity|Toxicidad por acetaminofén]] y otras hepatotoxicidades inducidas por fármacos<br /> *[[Special:MyLanguage/Mushroom toxicity|Toxicidad por setas]]<br /> *[[Special:MyLanguage/Ischemic hepatitis|Hepatitis isquémica]]<br /> *[[Special:MyLanguage/Non-alcoholic steatohepatitis|Esteohepatitis no alcohólica]]<br /> *Cirrosis cardíaca<br /> *[[Special:MyLanguage/Primary biliary cirrhosis|Cirrosis biliar primaria]]<br /> *[[Special:MyLanguage/primary sclerosing cholangitis|Colangitis esclerosante primaria]]<br /> *[[Special:MyLanguage/Budd-Chiari|Síndrome de Budd-Chiari]]<br /> *Deficiencia de alfa1 anti-tripsina<br /> *[[Special:MyLanguage/Cystic Fibrosis|Fibrosis quística]]<br /> *[[Special:MyLanguage/Wilson's disease|Enfermedad de Wilson]]<br /> *[[Special:MyLanguage/Sarcoidosis|Sarcoidosis]]<br /> <br /> {{Acute hepatitis causes}}<br /> <br /> {{Hepatomegaly DDX}}<br /> <br /> <br /> ==Evaluación==<br /> <br /> <br /> ===Evaluación===<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/LFTs|LFTs]]<br /> **ALT/AST 1.5-50 times normal<br /> **Mild to moderate elevations in bilirubin and alk phos<br /> *CBC<br /> **+/- mild [[Special:MyLanguage/leukopenia|leukopenia]],<br /> **+/- normocytic or hemolytic [[Special:MyLanguage/anemia|anemia]]<br /> **+/- [[Special:MyLanguage/thrombocytopenia|thrombocytopenia]]<br /> *BMP: evaluate for electrolyte derangements, [[Special:MyLanguage/hypoglycemia|hypoglycemia]], [[Special:MyLanguage/hepatorenal syndrome|hepatorenal syndrome]]<br /> *PT/INR<br /> *Ammonia if suspect [[Special:MyLanguage/hepatic encephalopathy|hepatic encephalopathy]]<br /> *[[Special:MyLanguage/Paracentesis|Paracentesis]] if suspect [[Special:MyLanguage/SBP|SBP]]<br /> *Consider [[Special:MyLanguage/RUQ ultrasound|RUQ ultrasound]] and/or MRCP<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ===Diagnosis===<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *Evaluate for other causes of liver disease, if not previously diagnosed with autoimmune hepatitis:<br /> **[[Special:MyLanguage/Viral hepatitis|Viral hepatitis]] serologies<br /> **[[Special:MyLanguage/Acetaminophen|Acetaminophen]] level<br /> *Autoantibodies: may have positive ANA, SMA, LKM-1, and/or anti-LC1&lt;ref&gt;http://emedicine.medscape.com/article/172356-overview&lt;/ref&gt; ; ANA &amp; SMA usually positive in type 1 autoimmune hepatitis, LJM-1 and atypical p-ANCA positive in type 2 and liver soluble antigen usually in type 3<br /> *Definitive diagnosis usually by liver biopsy<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Management==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Corticosteroids|Corticosteroids]] +/- [[Special:MyLanguage/Azathioprine|Azathioprine]]<br /> *Manage complications, see:<br /> **[[Special:MyLanguage/Ascites|Ascites]], [[Special:MyLanguage/SBP|SBP]]<br /> **[[Special:MyLanguage/Upper gastrointestinal bleed|Upper gastrointestinal bleed]]<br /> **[[Special:MyLanguage/Hepatorenal syndrome|Hepatorenal syndrome]]<br /> **[[Special:MyLanguage/Hepatic encephalopathy|Hepatic encephalopathy]]<br /> *Ultimately, may require transplant<br /> *Hepatology/Gastroenterology consult should be made<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==Disposition==<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==See Also==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> *[[Special:MyLanguage/Acute hepatitis|Acute hepatitis]]<br /> *[[Special:MyLanguage/Cirrhosis|Cirrhosis]]<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==External Links==<br /> &lt;/div&gt;<br /> <br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> ==References==<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> &lt;references/&gt;<br /> &lt;/div&gt;<br /> <br /> &lt;div lang=&quot;en&quot; dir=&quot;ltr&quot; class=&quot;mw-content-ltr&quot;&gt;<br /> [[Category:GI]]<br /> &lt;/div&gt;</div>

Jhattery