{"id":114070,"date":"2018-03-11T10:41:54","date_gmt":"2018-03-11T10:41:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/induccion-de-tolerancia-oral-en-pacientes-con-alergia-persistente-a-proteina-de-leche-de-vaca\/"},"modified":"2018-03-11T10:41:54","modified_gmt":"2018-03-11T10:41:54","slug":"induccion-de-tolerancia-oral-en-pacientes-con-alergia-persistente-a-proteina-de-leche-de-vaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/medicina-interna\/induccion-de-tolerancia-oral-en-pacientes-con-alergia-persistente-a-proteina-de-leche-de-vaca\/","title":{"rendered":"Inducci\u00f3n de tolerancia oral en pacientes con alergia persistente a proteina de leche de vaca"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Monica Rodriguez Alvarez <\/strong><\/h2>\n<p>Introducci\u00f3n. la desensibilizaci\u00f3n ha demostrado ser eficaz como tratamiento de la alergia persistente a prote\u00ednas de leche de vaca. Sin embargo, existe  un porcentaje de pacientes  que no alcanzan la tolerancia tras el tratamiento.  objetivos.  desarrollar un nuevo protocolo de desensibilizaci\u00f3n e identificar marcadores pron\u00f3sticos del resultado de la desensibilizaci\u00f3n.  pacientes y m\u00e9todos. 35 pacientes mayores de 4 a\u00f1os diagnosticados de alergia persistente a prote\u00ednas de leche de vaca mediante podccp. 25 pacientes grupo activo, 10 pacientes  grupo control.   el resultado de la desensibilizaci\u00f3n se defini\u00f3 como,  -\u00e9xito. Tolerancia a 200 ml tras el tratamiento; con proceso de  bajo riesgo (n\u00famero de reacciones y duraci\u00f3n menor o igual a la mediana sin necesidad de premedicaci\u00f3n)  o  proceso de alto riesgo (n\u00famero de reacciones y o duraci\u00f3n, mayor a  la mediana y o necesidad de premedicaci\u00f3n).  -fracaso. No alcanzar la tolerancia a 200 ml tras tratamiento.  la ige espec\u00edfica para leche y prote\u00ednas de la leche al inicio, la dosis umbral  en la podccp y los s\u00edntomas en la podccp se evaluaron como factores pron\u00f3sticos.  resultados. la ige espec\u00edfica a leche  5,80 ku l (s igual 0,76 e igual 0,88) ige espec\u00edfica a case\u00edna 2,29 ku l (s igual 0,94 , e igual 0,87), la dosis  20 ml  y el broncoespasmo como manifestaci\u00f3n  en la podccp , presentan un rr para desensibilizaci\u00f3n de alto riesgo de, rr igual 2,55 (ci 95 por ciento,1,15-5,65) ige espec\u00edfica a leche, rr igual 9 (ci 95 por ciento,1,42-57) ige espec\u00edfica a case\u00edna,  rr igual  1,88 (ci 95 por ciento,1.20,2.97) broncoespasmo y rr igual 2,33  (ci 95 por ciento,1,27- 4,27) dosis  20 ml  (p menor que 0.05).  conclusiones. los niveles de ige espec\u00edfica a leche y case\u00edna al inicio, el broncoespamo y la dosis con la que se produce el resultado positivo en la podccp, se comportan como factores pron\u00f3sticos del resultado de la desensibilizaci\u00f3n.  palabras clave. alergia a prote\u00ednas de leche de vaca, desensibilizaci\u00f3n, inducci\u00f3n de tolerancia oral. Factores pron\u00f3sticos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Inducci\u00f3n de tolerancia oral en pacientes con alergia persistente a proteina de leche de vaca<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Inducci\u00f3n de tolerancia oral en pacientes con alergia persistente a proteina de leche de vaca <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Monica Rodriguez Alvarez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/04\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Consuelo Mart\u00ednez C\u00f3cera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: arturo Fern\u00e1ndez-cruz p\u00e9rez <\/li>\n<li>tom\u00e1s Chivato p\u00e9rez (vocal)<\/li>\n<li>bel\u00e9n De la hoz caballer (vocal)<\/li>\n<li>concepci\u00f3n L\u00f3pez serrano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Monica Rodriguez Alvarez Introducci\u00f3n. la desensibilizaci\u00f3n ha demostrado ser eficaz como tratamiento de la alergia persistente a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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