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Crioglobulinemia - Treatment

Tratamiento:

El tratamiento de la crioglobulinemia de leve a moderada depende de la causa subyacente. El tratamiento de la causa lleva a menudo al tratamiento de la crioglobulinemia.

Los casos leves se pueden tratar evitando las temperaturas frías.

El tratamiento estándar para la hepatitis C generalmente funciona para pacientes que tengan este tipo de hepatitis y crioglobulinemia de leve a moderada. Sin embargo, la afección puede retornar cuando se suspende el tratamiento.

La crioglobulinemia severa, que compromete órganos vitales o grandes áreas de piel, se trata con corticosteroides y otros medicamentos que inhiben el sistema inmunitario.

El tratamiento también puede involucrar plasmaféresis, un procedimiento en el cual se extrae plasma sanguíneo de la circulación y se reemplaza con líquido, proteína o plasma donado.

Expectativas (pronóstico):

La crioglobulinemia generalmente no es mortal. Sin embargo, si los riñones están afectados, el pronóstico es desalentador.

Complicaciones:

Las complicaciones abarcan:

  • Sangrado en el tubo digestivo (poco común)
  • Cardiopatía (poco común)
  • Infecciones de las úlceras
  • Insuficiencia renal
  • Muerte de la piel
  • Muerte

Situaciones que requieren asistencia médica:

Consulte con el médico si:

  • Presenta síntomas de crioglobulinemia.
  • Tiene hepatitis C y presenta síntomas de crioglobulinemia.
  • Tiene crioglobulinemia y presenta síntomas nuevos o los síntomas empeoran
  • Reviewed last on: 1/24/2011
  • Todd Gersten, M.D., Hematology/Oncology, Palm Beach Cancer Institute, West Palm Beach, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Goldman L, Ausiello D. Cecil Textbook of Medicine. 22nd ed. Philadelphia, Pa: WB Saunders; 2004:1193.

Rakel P, ed. Conn’s Current Therapy 2006. 58th ed. Philadelphia, Pa: WB Saunders; 2006:980, 1164.

Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB. Kelley's Textbook of Rheumatology. 7th ed. St. Louis, Mo: WB Saunders; 2005:1392-1393.

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