{"id":18027,"date":"2002-03-07T00:00:00","date_gmt":"2002-03-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-suprarrenales-en-la-infeccion-por-el-virus-de-la-inmunodeficiencia-humana\/"},"modified":"2002-03-07T00:00:00","modified_gmt":"2002-03-07T00:00:00","slug":"alteraciones-suprarrenales-en-la-infeccion-por-el-virus-de-la-inmunodeficiencia-humana","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-suprarrenales-en-la-infeccion-por-el-virus-de-la-inmunodeficiencia-humana\/","title":{"rendered":"Alteraciones suprarrenales en la infeccion por el virus de la inmunodeficiencia humana"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Barril Vicente <\/strong><\/h2>\n<p>Se realiza una revisi\u00f3n bibliogr\u00e1fica de las alteraciones endocrinol\u00f3gicas que aparecen en los individuos infectados por el vih.  objetivos  evaluar la funci\u00f3n cortisolicosuprarrenal en pacientes vih+, en diferentes estadios de la infecci\u00f3n (clasificaci\u00f3n cdc-1993), correlacionando la situaci\u00f3n inmunol\u00f3gica y cl\u00ednica.  pacientes y m\u00e9todo  estudio transversal en 41 pacientes (31 varones y 10 mujeres) vih + en seguimiento en nuestra unidad y agrupados seg\u00fan la clasificaci\u00f3n del cdc de 1993, en tres grupos cl\u00ednicos: grupo a (categor\u00eda a, 16 pacientes), grupo b (categor\u00eda b, 12 pacientes) y grupo c (categor\u00eda c, 13 pacientes) y en tres grupos inmunol\u00f3gicos: grupo 1 (cd4+&gt;500 cels\/mm3, 9 pacientes), grupo 2 (cd4+ 200-500 cels\/mm3, 15 pacientes) y grupo 3 (cd4+&lt;200 cels\/mm3, 17 pacientes). Se les determin\u00f3 en suero (mediante ria) y en situaci\u00f3n basal acth, cortisol, actividad de renina plasm\u00e1tica (arp), aldosterona y dihidroepiandrosterona sulfato (dhea-s) y a los 30 y 60 minutos tras el est\u00edmulo con acth (synacthen 0,25 mg intravenoso) se determin\u00f3 cortisol, aldosterona y dhea-s. El an\u00e1lisis estad\u00edstico se realiz\u00f3 con el programa rsigma.  resultados  la secrecci\u00f3n basal de acth fue normal en el 95%, mientras que el cortisol, aldosterona, arp y dheas estaban alterados en cerca de la mitad de los pacientes. Los hallazgos mas frecuentes fueron: descenso de la dhea-s (39%), aumento del cortisol (34%), descenso de la aldosterona (31%) y aumento de la arp (27%). Al comparar las medias en los grupos cl\u00ednicos e inmunol\u00f3gicos: 1-grupo b: aumento no significativo del cortisol b y 60, y aldosterona 30 y 60; 2-grupo c; aumento de aldosterona b, arp y descenso de dhea-s b no significativos y descenso significativo de dhea-s 30 y 60 con el grupo a; 3-grupo 1: aumento no significativo de cortisol b, 30 y 60; 4-grupo 2: descenso significativo de aldosterona b y arp con grupo 2 y descenso no significativo de dhe-s b y<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alteraciones suprarrenales en la infeccion por el virus de la inmunodeficiencia humana<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones suprarrenales en la infeccion por el virus de la inmunodeficiencia humana <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Barril Vicente <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 03\/07\/2002<\/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>Carlos Antonio P\u00e9rez De Oteyza<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: rafael Enr\u00edquez de salamanca <\/li>\n<li>Luis felipe Pallardo sanchez (vocal)<\/li>\n<li>julio De la morena fern\u00e1ndez (vocal)<\/li>\n<li>ramon Perez maeztu (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Barril Vicente Se realiza una revisi\u00f3n bibliogr\u00e1fica de las alteraciones endocrinol\u00f3gicas que aparecen en los individuos [&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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