Hiperuricemia, enfermedad renal crónica y trasplante renal (parte II)

  • Liliana Miriam Obregón Servicio de Trasplante Renal. CRAI Sur-HIGA Gral. San Martín, La Plata, Buenos Aires
  • Carlos Cobeñas Servicio de Nefrología, Hospital de Niños Sup. Sor María Ludovica, La Plata, Buenos Aires
  • Carlos Díaz Servicio de Nefrología, CEMIC, Buenos Aires
  • Gabriela Greco Programa de Abordaje Integral de la Enfermedad Renal Crónica (PAIERC), INCUCAI, Buenos Aires
  • Rosana Groppa Servicio de Nefrología, Hospital Italiano de Buenos Aires
  • Nora Imperiali Servicio de Nefrología, Hospital Italiano de Buenos Aires
  • Hugo Sergio Petrone Servicio de Trasplante Renal. CRAI Sur-HIGA Gral. San Martín, La Plata, Buenos Aires
  • Gervasio Soler Pujol Servicio de Nefrología, CEMIC, Buenos Aires
  • Marcelo Fabián Taylor Servicio de Trasplante Renal. CRAI Sur-HIGA Gral. San Martín, La Plata, Buenos Aires
  • Alicia Ester Elbert Centro de Enfermedades Renales e Hipertensión Arterial (CEREHA), Buenos Aires

Resumen

La hiperuricemia (HU) en el trasplante renal (TR) ha sido definida igual que en la población general en las Guías KDIGO como valores por encima de 6 mg/dl en mujeres y 7 mg/dl en hombres. La incidencia de HU en algunas poblaciones es de 28%1, alcanzando el 80% en la era Ciclosporina (CSA)2. La HU se observa precozmente luego del TR, los factores de riesgo asociados con su desarrollo incluyen: edad avanzada al momento del TR; historia de gota o HU pre-existente; obesidad; presencia de síndrome metabólico (SM); deterioro de la función del injerto; uso de inmunosupresores, principalmente ciclosporina (CSA); uso de diuréticos.

Citas

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Publicado
2016-06-01
Cómo citar
1.
Obregón LM, Cobeñas C, Díaz C, Greco G, Groppa R, Imperiali N, Petrone HS, Soler Pujol G, Taylor MF, Elbert AE. Hiperuricemia, enfermedad renal crónica y trasplante renal (parte II). Rev Nefrol Dial Traspl. [Internet]. 1 de junio de 2016 [citado 20 de abril de 2024];36(2):124-36. Disponible en: http://revistarenal.org.ar/index.php/rndt/article/view/67
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