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Urticaria Vasculítica
Urticarial Vasculitis
Ana María Rivas González1, Carlos Jaime Velásquez Franco2, Luis Fernando Pinto Peñaranda2, Javier Darío Márquez2
1 RII Dermatología, Universidad Pontificia Bolivariana. Medellín, Colombia
2 Docente, Profesor de Reumatología, Universidad Pontificia Bolivariana. Internista Reumatólogo HPTU. Hospital Pablo Tobón Uribe, Medellín, Colombia
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La urticaria vascul&#237;tica &#40;UV&#41; es una entidad clinicopatol&#243;gica caracterizada por episodios recurrentes de urticaria y vasculitis leucocitocl&#225;stica en la histopatolog&#237;a&#46; Una minor&#237;a de pacientes con urticaria cr&#243;nica tiene urticaria vascul&#237;tica &#40;aproximadamente un 5&#37;&#41;&#46; Aunque la definici&#243;n de vasculitis ha cambiado de un estudio a otro&#44; en este art&#237;culo nos adherimos a los autores que consideran que la leucocitoclasia y los dep&#243;sitos de fibrina son indispensables para definir la entidad&#46; Cl&#225;sicamente la UV se manifiesta con habones eritematosos recurrentes por m&#225;s de cuatro a seis semanas&#44; que duran m&#225;s de 24 horas y desaparecen dejando hiperpigmentaci&#243;n residual&#46; Como las caracter&#237;sticas de la urticaria vascul&#237;tica pueden sobreponerse con las de la urticaria com&#250;n&#44; su diagn&#243;stico siempre debe apoyarse en un estudio histopatol&#243;gico&#46; Seg&#250;n los niveles de complemento esta entidad puede subdividirse en urticaria vascul&#237;tica normocomplement&#233;mica e hipocomplement&#233;mica&#46; Una minor&#237;a de pacientes con urticaria vascul&#237;tica hipocomplement&#233;mica cumple con criterios diagn&#243;sticos de s&#237;ndrome de urticaria vascul&#237;tica hipocomplement&#233;mica&#46; Aquellos pacientes con hipocomplementemia tienen mayor riesgo de desarrollar compromiso multiorg&#225;nico y frecuentemente desarrollan lupus eritematoso sist&#233;mico &#40;LES&#41; durante el seguimiento&#44; especialmente los que cursan con anticuerpos anti-C1q&#46;</p>"
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2016 Julio 12 153 165
2016 Junio 9 288 297
2016 Mayo 15 236 251
2016 Abril 8 214 222
2016 Marzo 12 145 157
2016 Febrero 7 97 104
2016 Enero 13 63 76
2015 Diciembre 15 80 95
2015 Noviembre 8 85 93
2015 Octubre 13 32 45
2015 Septiembre 11 13 24
2015 Agosto 0 3 3
2015 Julio 6 1 7
2015 Junio 4 2 6
2015 Mayo 2 1 3
2015 Abril 6 5 11
2015 Marzo 5 2 7
2015 Febrero 6 1 7
2015 Enero 6 0 6
2014 Diciembre 16 2 18
2014 Noviembre 4 5 9
2014 Octubre 10 1 11
2014 Septiembre 3 1 4
2014 Agosto 15 2 17
2014 Julio 9 3 12
2014 Junio 8 1 9
2014 Mayo 11 4 15
2014 Abril 8 4 12
2014 Marzo 9 1 10
2014 Febrero 6 3 9
2014 Enero 3 2 5
2013 Diciembre 7 2 9
2013 Noviembre 10 4 14
2013 Octubre 9 7 16
2013 Septiembre 2 1 3
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