{"id":140765,"date":"2026-01-12T17:57:18","date_gmt":"2026-01-12T17:57:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/esclerosis-sistemica-clasificacion-y-subtipos-segun-un-analisis-de-los-factores-pronosticos\/"},"modified":"2026-01-12T17:57:18","modified_gmt":"2026-01-12T17:57:18","slug":"esclerosis-sistemica-clasificacion-y-subtipos-segun-un-analisis-de-los-factores-pronosticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/esclerosis-sistemica-clasificacion-y-subtipos-segun-un-analisis-de-los-factores-pronosticos\/","title":{"rendered":"Esclerosis sistemica: clasificacion y subtipos segun un analisis de los factores pronosticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carmen Pilar Simeon Aznar <\/strong><\/h2>\n<p>La esclerosis sistemica (es) se caracteriza por su gran variabilidad en su historia natural y evolucion por lo que la clasificacion y la definicion de subtipos continua siendo tema de discusion. Objetivo: definir los subtipos y la clasificacion de la es segun un analisis de los factores pronosticos. Pacientes y metodos: se incluyen 73 pacientes con es. Se valoran 150 variables. Se utilizan los metodos estadisticos de kaplan meier, mantel cox y regresion multivariable de cox. Resultados: 1) la supervivencia global a los 5a es del 85%. Solo se observan diferencias estadisticamente significativas cuando se comparan las supervivencias de los enfermos con esclerosis distal a codos y rodillas (92%) con la de los enfermos con esclerosis distal y proximal a codos y rodillas (63%). La incidencia de invalidez global es del 21% a los 5a; del 14% en los enfermos con es limitada y del 63% en los pacientes con es difusa con diferencias significativas. 2) los factores pronosticos independientes son la hipertension pulmonar (htp) y la es difusa.  conclusiones: 1) la magnitud de la afeccion cutanea distingue dos grupos con diferente pronostico: la es difusa y la es limitada. 2) la htp predomina en el grupo con es limita da por lo que queda dividido en dos subtipos pronosticos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Esclerosis sistemica: clasificacion y subtipos segun un analisis de los factores pronosticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Esclerosis sistemica: clasificacion y subtipos segun un analisis de los factores pronosticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carmen Pilar Simeon Aznar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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>Miquel Vilardell Tarres<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Manuel Martinez Vazquez <\/li>\n<li> Grau Junyet Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>Antoni Castells Rodellas (vocal)<\/li>\n<li>Francesc Cardellach L\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carmen Pilar Simeon Aznar La esclerosis sistemica (es) se caracteriza por su gran variabilidad en su historia [&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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