{"id":255,"date":"2022-10-24T15:06:20","date_gmt":"2022-10-24T15:06:20","guid":{"rendered":"https:\/\/centrodemiastenia.com\/medicos\/?page_id=255"},"modified":"2022-11-16T21:22:46","modified_gmt":"2022-11-16T21:22:46","slug":"diagnostico","status":"publish","type":"page","link":"https:\/\/centrodemiastenia.com\/medicos\/diagnostico\/","title":{"rendered":"Diagn\u00f3stico"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"255\" class=\"elementor elementor-255\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6e2acda8 elementor-section-height-min-height elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"6e2acda8\" data-element_type=\"section\" id=\"miastenia\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-13ac841c\" data-id=\"13ac841c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3980d98c elementor-widget elementor-widget-image\" data-id=\"3980d98c\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1770\" height=\"314\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png 1770w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-300x53.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1024x182.png 1024w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-768x136.png 768w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1536x272.png 1536w\" sizes=\"(max-width: 1770px) 100vw, 1770px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-27b7cc72 elementor-section-height-min-height elementor-section-items-bottom elementor-hidden-mobile elementor-section-boxed elementor-section-height-default\" data-id=\"27b7cc72\" data-element_type=\"section\" id=\"miastenia\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9d8a533\" data-id=\"9d8a533\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f3affe5 elementor-widget elementor-widget-image\" data-id=\"1f3affe5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1770\" height=\"314\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666.png 1770w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-300x53.png 300w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1024x182.png 1024w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-768x136.png 768w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Component-1-\u2013-1-e1666120104666-1536x272.png 1536w\" sizes=\"(max-width: 1770px) 100vw, 1770px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-348588c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"348588c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7da64c4\" data-id=\"7da64c4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cd4cf50 elementor-widget elementor-widget-heading\" data-id=\"cd4cf50\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">DIAGN\u00d3STICO <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c43f5cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c43f5cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-075ff4e\" data-id=\"075ff4e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-416d268 elementor-widget elementor-widget-text-editor\" data-id=\"416d268\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\tEl diagn\u00f3stico se basa en la historia cl\u00ednica, con los s\u00edntomas caracter\u00edsticos y los hallazgos concordantes en el examen f\u00edsico. La fuerza muscular puede ser normal en los m\u00fasculos examinados, pero el ejercicio pone de manifiesto la debilidad fluctuante.<sup>1,4<\/sup>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7afdb9f\" data-id=\"7afdb9f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1569c1b elementor-widget elementor-widget-image\" data-id=\"1569c1b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"545\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Ilus_lab.svg\" class=\"attachment-large size-large\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-6b23d7f2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b23d7f2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-2b5a4789\" data-id=\"2b5a4789\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ec1118 elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"7ec1118\" data-element_type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-7ec1118\" data-accordion-id=\"7ec1118\" data-accordion-type=\"accordion\" data-toogle-speed=\"600\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"prueba-de-edrofonio\" class=\"elementor-tab-title eael-accordion-header active-default\" tabindex=\"1321\" data-tab=\"1\" role=\"tab\" aria-controls=\"elementor-tab-content-1321\"><span class=\"eael-accordion-tab-title\">Prueba de edrofonio<\/span><span class=\"fa-toggle fa-toggle-svg eaa-svg\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"11\" height=\"8\" viewBox=\"0 0 11 8\"><defs><clipPath id=\"clip-path\"><rect id=\"Rectangle_9\" data-name=\"Rectangle 9\" width=\"11\" height=\"8\" transform=\"translate(0 0)\" fill=\"none\"><\/rect><\/clipPath><\/defs><g id=\"Arrow_1_copy\" data-name=\"Arrow_1 copy\" transform=\"translate(-1496 -1222)\"><g id=\"Arrow_1_copy-2\" data-name=\"Arrow_1 copy\" transform=\"matrix(-1, 0, 0, -1, 1507, 1230)\"><g id=\"Group_19\" data-name=\"Group 19\"><g id=\"Group_18\" data-name=\"Group 18\" clip-path=\"url(#clip-path)\"><path id=\"Path_47\" data-name=\"Path 47\" d=\"M10.782,6.311,6.249.328A.788.788,0,0,0,5.632,0a.776.776,0,0,0-.6.309L.234,6.29A1.163,1.163,0,0,0,.256,7.718a.741.741,0,0,0,1.183-.026L5.614,2.483,9.545,7.672A.782.782,0,0,0,10.163,8a.761.761,0,0,0,.565-.264,1.162,1.162,0,0,0,.053-1.425\" fill=\"#7da431\"><\/path><\/g><\/g><\/g><path id=\"Color_Overlay\" data-name=\"Color Overlay\" d=\"M1500.751,1229.672l-4.533-5.982a1.123,1.123,0,0,1-.218-.669V1223a1.112,1.112,0,0,1,.272-.737.757.757,0,0,1,.564-.265.782.782,0,0,1,.618.328l3.931,5.188,4.175-5.208a.74.74,0,0,1,1.183-.026,1.162,1.162,0,0,1,.022,1.427l-4.8,5.981a.777.777,0,0,1-.6.309A.785.785,0,0,1,1500.751,1229.672Z\" fill=\"#fff\"><\/path><\/g><\/svg><\/span><\/div><div id=\"elementor-tab-content-1321\" class=\"eael-accordion-content clearfix active-default\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"prueba-de-edrofonio\"><p><p>\u2022 Consiste en la administraci\u00f3n intravenosa de un inhibidor de la acetilcolinesterasa, de acci\u00f3n breve (edrofonio).<sup>4<\/sup> Es especialmente \u00fatil para evaluar la MG ocular.<sup>1,4<\/sup><\/p><p>\u2022 Existen protocolos para la infusi\u00f3n, que puede repetirse hasta una dosis m\u00e1xima o la aparici\u00f3n de efectos colin\u00e9rgicos. Si la prueba es positiva, los s\u00edntomas\/signos mejoran en pocos minutos, por ejemplo, la ptosis palpebral.<sup>1<\/sup> Tiene elevada sensibilidad (90%) pero baja especificidad.<sup>1,4<\/sup><\/p><p>\u2022 Debe ser realizada por profesionales con experiencia y en un \u00e1mbito con posibilidades de reanimaci\u00f3n inmediata y asistencia ventilatoria, en caso de s\u00edncope o falla respiratoria.<\/p><p>\u2022 La detecci\u00f3n de autoanticuerpos es la principal prueba serol\u00f3gica.<sup>1,4<\/sup> La prueba de anticuerpos AChRA es altamente espec\u00edfica y su positividad confirma el diagn\u00f3stico en presencia de cl\u00ednica compatible.<sup>1,4<\/sup><\/p><p>\u2022 Estas pruebas eval\u00faan espec\u00edficamente la conducci\u00f3n motora en las fibras musculares y pueden ser diagn\u00f3sticas, especialmente si las pruebas serol\u00f3gicas son negativas.<sup>4<\/sup><\/p><\/p><\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"pruebas-serolgicas\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"1322\" data-tab=\"2\" role=\"tab\" aria-controls=\"elementor-tab-content-1322\"><span class=\"eael-accordion-tab-title\">Pruebas serol\u00f3gicas<\/span><span class=\"fa-toggle fa-toggle-svg eaa-svg\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"11\" height=\"8\" viewBox=\"0 0 11 8\"><defs><clipPath id=\"clip-path\"><rect id=\"Rectangle_9\" data-name=\"Rectangle 9\" width=\"11\" height=\"8\" transform=\"translate(0 0)\" fill=\"none\"><\/rect><\/clipPath><\/defs><g id=\"Arrow_1_copy\" data-name=\"Arrow_1 copy\" transform=\"translate(-1496 -1222)\"><g id=\"Arrow_1_copy-2\" data-name=\"Arrow_1 copy\" transform=\"matrix(-1, 0, 0, -1, 1507, 1230)\"><g id=\"Group_19\" data-name=\"Group 19\"><g id=\"Group_18\" data-name=\"Group 18\" clip-path=\"url(#clip-path)\"><path id=\"Path_47\" data-name=\"Path 47\" d=\"M10.782,6.311,6.249.328A.788.788,0,0,0,5.632,0a.776.776,0,0,0-.6.309L.234,6.29A1.163,1.163,0,0,0,.256,7.718a.741.741,0,0,0,1.183-.026L5.614,2.483,9.545,7.672A.782.782,0,0,0,10.163,8a.761.761,0,0,0,.565-.264,1.162,1.162,0,0,0,.053-1.425\" fill=\"#7da431\"><\/path><\/g><\/g><\/g><path id=\"Color_Overlay\" data-name=\"Color Overlay\" d=\"M1500.751,1229.672l-4.533-5.982a1.123,1.123,0,0,1-.218-.669V1223a1.112,1.112,0,0,1,.272-.737.757.757,0,0,1,.564-.265.782.782,0,0,1,.618.328l3.931,5.188,4.175-5.208a.74.74,0,0,1,1.183-.026,1.162,1.162,0,0,1,.022,1.427l-4.8,5.981a.777.777,0,0,1-.6.309A.785.785,0,0,1,1500.751,1229.672Z\" fill=\"#fff\"><\/path><\/g><\/svg><\/span><\/div><div id=\"elementor-tab-content-1322\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pruebas-serolgicas\"><style>.elementor-307 .elementor-element.elementor-element-fcdc3ef.elementor-column > .elementor-widget-wrap{justify-content:center;}.elementor-307 .elementor-element.elementor-element-fcdc3ef > .elementor-element-populated{padding:0px 0px 0px 0px;}.elementor-307 .elementor-element.elementor-element-fc2b843{text-align:center;width:794px;max-width:794px;}.elementor-307 .elementor-element.elementor-element-fc2b843 .elementor-heading-title{color:#61831E;font-family:\"Lato\", Sans-serif;font-size:19px;font-weight:bold;line-height:26px;}.elementor-307 .elementor-element.elementor-element-96042a5{--spacer-size:1px;}.elementor-307 .elementor-element.elementor-element-66df5e9{font-family:\"Lato\", Sans-serif;font-size:19px;font-weight:300;line-height:26px;}.elementor-307 .elementor-element.elementor-element-b59f899{text-align:center;}.elementor-307 .elementor-element.elementor-element-46c6bd1{text-align:center;font-family:\"Lato\", Sans-serif;font-size:16px;font-weight:normal;line-height:18px;}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"307\" class=\"elementor elementor-307\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e564c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e564c4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fcdc3ef\" data-id=\"fcdc3ef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc2b843 elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"fc2b843\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">La detecci\u00f3n de autoanticuerpos es la principal prueba serol\u00f3gica.<sup>1,4<\/sup> La prueba de anticuerpos AChRA es altamente espec\u00edfica y su positividad confirma el diagn\u00f3stico en presencia de cl\u00ednica compatible.<sup>1,4<\/sup>\n\n<\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96042a5 elementor-widget elementor-widget-spacer\" data-id=\"96042a5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));-ms-flex-item-align:stretch;align-self:stretch;-ms-flex-negative:0;flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66df5e9 elementor-widget elementor-widget-text-editor\" data-id=\"66df5e9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 <strong>AChRA<\/strong>: La prueba m\u00e1s importante es la detecci\u00f3n de Ac fijadores, que son positivos en el 80% de las personas con MG (50% de quienes tienen la forma ocular pura). Si se agrega la detecci\u00f3n de Ac moduladores y bloqueadores, la sensibilidad alcanza el 90%.<sup>1<\/sup><br \/>\u2022 <strong>Anti MuSK:<\/strong> Se detectan en aproximadamente el 25% de los pacientes con AChRA negativos.<sup>1,4<\/sup> Las caracter\u00edsticas fenot\u00edpicas de la miastenia con Ac anti MuSK positivos son diferentes a los casos con AChRA positivos (Ver m\u00e1s adelante).<sup>1,4<\/sup> Un porcentaje bajo de pacientes presenta doble seropositividad, para AChRA y Ac anti MuSK.<sup>4<\/sup><br \/>\u2022 <strong>Anti LRP-4, anti agrina<\/strong>: Un porcentaje de los pacientes seronegativos para AChRA o anti MuSK, presentan Ac dirigidos contra la prote\u00edna 4 unida al receptor de lipoprote\u00ednas (LPR-4) o agrina.<sup>1,4<\/sup><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b59f899 elementor-widget elementor-widget-image\" data-id=\"b59f899\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"493\" height=\"322\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Foto_Inmuno.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Foto_Inmuno.png 493w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Foto_Inmuno-300x196.png 300w\" sizes=\"(max-width: 493px) 100vw, 493px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46c6bd1 elementor-widget elementor-widget-text-editor\" data-id=\"46c6bd1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Inmunoprecipitaci\u00f3n: t\u00e9cnica muy usada para detectar autoanticuerpos<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><div class=\"eael-accordion-list\">\n                <div id=\"pruebas-electrofisiolgicas\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"1323\" data-tab=\"3\" role=\"tab\" aria-controls=\"elementor-tab-content-1323\"><span class=\"eael-accordion-tab-title\">Pruebas electrofisiol\u00f3gicas<\/span><span class=\"fa-toggle fa-toggle-svg eaa-svg\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" width=\"11\" height=\"8\" viewBox=\"0 0 11 8\"><defs><clipPath id=\"clip-path\"><rect id=\"Rectangle_9\" data-name=\"Rectangle 9\" width=\"11\" height=\"8\" transform=\"translate(0 0)\" fill=\"none\"><\/rect><\/clipPath><\/defs><g id=\"Arrow_1_copy\" data-name=\"Arrow_1 copy\" transform=\"translate(-1496 -1222)\"><g id=\"Arrow_1_copy-2\" data-name=\"Arrow_1 copy\" transform=\"matrix(-1, 0, 0, -1, 1507, 1230)\"><g id=\"Group_19\" data-name=\"Group 19\"><g id=\"Group_18\" data-name=\"Group 18\" clip-path=\"url(#clip-path)\"><path id=\"Path_47\" data-name=\"Path 47\" d=\"M10.782,6.311,6.249.328A.788.788,0,0,0,5.632,0a.776.776,0,0,0-.6.309L.234,6.29A1.163,1.163,0,0,0,.256,7.718a.741.741,0,0,0,1.183-.026L5.614,2.483,9.545,7.672A.782.782,0,0,0,10.163,8a.761.761,0,0,0,.565-.264,1.162,1.162,0,0,0,.053-1.425\" fill=\"#7da431\"><\/path><\/g><\/g><\/g><path id=\"Color_Overlay\" data-name=\"Color Overlay\" d=\"M1500.751,1229.672l-4.533-5.982a1.123,1.123,0,0,1-.218-.669V1223a1.112,1.112,0,0,1,.272-.737.757.757,0,0,1,.564-.265.782.782,0,0,1,.618.328l3.931,5.188,4.175-5.208a.74.74,0,0,1,1.183-.026,1.162,1.162,0,0,1,.022,1.427l-4.8,5.981a.777.777,0,0,1-.6.309A.785.785,0,0,1,1500.751,1229.672Z\" fill=\"#fff\"><\/path><\/g><\/svg><\/span><\/div><div id=\"elementor-tab-content-1323\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pruebas-electrofisiolgicas\"><style>.elementor-316 .elementor-element.elementor-element-fcdc3ef.elementor-column > .elementor-widget-wrap{justify-content:center;}.elementor-316 .elementor-element.elementor-element-fcdc3ef > .elementor-element-populated{padding:0px 0px 0px 0px;}.elementor-316 .elementor-element.elementor-element-fc2b843{text-align:center;width:794px;max-width:794px;}.elementor-316 .elementor-element.elementor-element-fc2b843 .elementor-heading-title{color:#61831E;font-family:\"Lato\", Sans-serif;font-size:19px;font-weight:bold;line-height:26px;}.elementor-316 .elementor-element.elementor-element-96042a5{--spacer-size:1px;}.elementor-316 .elementor-element.elementor-element-66df5e9{font-family:\"Lato\", Sans-serif;font-size:19px;font-weight:300;line-height:26px;}.elementor-316 .elementor-element.elementor-element-b59f899{text-align:center;}.elementor-316 .elementor-element.elementor-element-46c6bd1{text-align:center;font-family:\"Lato\", Sans-serif;font-size:16px;font-weight:normal;line-height:18px;}.elementor-316 .elementor-element.elementor-element-a2b0309{font-family:\"Lato\", Sans-serif;font-size:19px;font-weight:300;line-height:26px;}.elementor-316 .elementor-element.elementor-element-7e65ac1{text-align:center;}.elementor-316 .elementor-element.elementor-element-5d94724{text-align:center;font-family:\"Lato\", Sans-serif;font-size:16px;font-weight:normal;line-height:18px;}.elementor-316 .elementor-element.elementor-element-5d94724 > .elementor-widget-container{margin:-60px 0px 0px 0px;}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"316\" class=\"elementor elementor-316\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e564c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e564c4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fcdc3ef\" data-id=\"fcdc3ef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc2b843 elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"fc2b843\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Estas pruebas eval\u00faan espec\u00edficamente la conducci\u00f3n motora en las fibras musculares y pueden ser diagn\u00f3sticas, especialmente si las pruebas serol\u00f3gicas son negativas.<sup>4<\/sup><\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96042a5 elementor-widget elementor-widget-spacer\" data-id=\"96042a5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66df5e9 elementor-widget elementor-widget-text-editor\" data-id=\"66df5e9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 <b>Electromiograf\u00eda con estimulaci\u00f3n repetitiva<\/b>: Es una prueba ampliamente disponible. Su sensibilidad es variable, en general del 50%; es menor en los pacientes con MG leve u ocular pura, y mayor si se eval\u00faan m\u00fasculos m\u00e1s afectados o se usan maniobras de provocaci\u00f3n apropiadas.<sup>1<\/sup><br \/>La estimulaci\u00f3n repetitiva consiste en la estimulaci\u00f3n de un nervio perif\u00e9rico seleccionado, mientras se registran los potenciales de acci\u00f3n postsin\u00e1pticos complejos producidos durante las contracciones recurrentes del m\u00fasculo inervado por dicho nervio.<br \/>La estimulaci\u00f3n repetitiva de un nervio depleta de acetilcolina a la uni\u00f3n neuromuscular y se observan potenciales post sin\u00e1pticos de menor amplitud. Una disminuci\u00f3n \u2265 10% en la amplitud del potencial de acci\u00f3n motor entre el primero y el quinto est\u00edmulos es diagn\u00f3stico de miastenia.<sup>4<\/sup><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b59f899 elementor-widget elementor-widget-image\" data-id=\"b59f899\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"629\" height=\"272\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/vector.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/vector.png 629w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/vector-300x130.png 300w\" sizes=\"(max-width: 629px) 100vw, 629px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46c6bd1 elementor-widget elementor-widget-text-editor\" data-id=\"46c6bd1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Disminuci\u00f3n caracter\u00edstica del potencial de acci\u00f3n post sin\u00e1ptico con la estimulaci\u00f3n repetitiva en la miastenia.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a2b0309 elementor-widget elementor-widget-text-editor\" data-id=\"a2b0309\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>\u2022 <strong>Electromiograf\u00eda de fibra \u00fanica (EMGFU)<\/strong>: Es una t\u00e9cnica muy sensible, que permite detectar alteraciones en m\u00e1s del 90% de los pacientes miast\u00e9nicos1. Debe ser realizado e interpretado por un especialista con entrenamiento debido a que otras enfermedades de las fibras motoras pueden tambi\u00e9n causar alteraciones.<sup>1<\/sup><br \/>\u2022 Se eval\u00faa el potencial de acci\u00f3n de fibras musculares \u00fanicas y puede registrarse en simult\u00e1neo la respuesta de fibras inervadas por una sola neurona motora. El tiempo que separa ambos potenciales de acci\u00f3n se denomina jitter.<sup>4<\/sup><br \/>\u2022 En la MG, el jitter aumenta debido a la alteraci\u00f3n de la transmisi\u00f3n en la uni\u00f3n neuromuscular.<sup>4<\/sup><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e65ac1 elementor-widget elementor-widget-image\" data-id=\"7e65ac1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"670\" height=\"361\" src=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Vector-Smart-Objecsst.png\" class=\"attachment-full size-full\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Vector-Smart-Objecsst.png 670w, https:\/\/centrodemiastenia.com\/medicos\/wp-content\/uploads\/sites\/3\/2022\/10\/Vector-Smart-Objecsst-300x162.png 300w\" sizes=\"(max-width: 670px) 100vw, 670px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d94724 elementor-widget elementor-widget-text-editor\" data-id=\"5d94724\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Electromiograma de fibra \u00fanica (EMGFU) donde se aprecia el <em>jitter<\/em> aumentado entre dos potenciales de acci\u00f3n.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43797fec elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43797fec\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7a96613c\" data-id=\"7a96613c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3d27483b elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3d27483b\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.8.1 - 13-11-2022 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#2c2c2c;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:-webkit-box;display:-ms-flexbox;display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);-ms-flex-negative:0;flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:-webkit-box;display:-ms-flexbox;display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{-webkit-box-align:center;-ms-flex-align:center;align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-bottom:0;-webkit-box-flex:1;-ms-flex-positive:1;flex-grow:1;border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2e330d elementor-widget elementor-widget-text-editor\" data-id=\"d2e330d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<strong>Referencias: 1<\/strong>. . Pascuzzi R, Bodkin CL. Chapter 53. Disorders of the neuromuscular junction. En: Jos\u00e9 Biller. Practical Neurology Fifth edition. Philadelphia: Wolters Kluwer; 2017. p. 685-696. <strong>2.<\/strong> Hoch W, McConville J, Helms S, et al. Auto-antibodies to the receptor tyrosine kinase MuSK in patients with myasthenia gravis without acetylcholine receptor antibodies. Nature Medicine 2001;7(3):365-8.<b> 3. <\/b>Bubuiok AM, Kudebayeva A, Turuspekova S, et al. The epidemiology of myasthenia gravis. J Med Life 2021;14:7-16. <b>4. <\/b>Beloor Suresh A, Asuncion RMD. Myasthenia Gravis. [Actualizado en agosto de 2021]. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. En: <a href=\"https:\/\/www.statpearls.com\/ArticleLibrary\/viewarticle\/25411\" target=\"black_\"><span style=\"color: #5b82f0;\">https:\/\/www.statpearls.com\/ArticleLibrary\/viewarticle\/25411<\/span><\/a>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>DIAGN\u00d3STICO El diagn\u00f3stico se basa en la historia cl\u00ednica, con los s\u00edntomas caracter\u00edsticos y los hallazgos concordantes en el examen f\u00edsico. La fuerza muscular puede ser normal en los m\u00fasculos examinados, pero el ejercicio pone de manifiesto la debilidad fluctuante.1,4 Prueba de edrofonio \u2022 Consiste en la administraci\u00f3n intravenosa de un inhibidor de la acetilcolinesterasa, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"_links":{"self":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/255"}],"collection":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/comments?post=255"}],"version-history":[{"count":76,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/255\/revisions"}],"predecessor-version":[{"id":1033,"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/pages\/255\/revisions\/1033"}],"wp:attachment":[{"href":"https:\/\/centrodemiastenia.com\/medicos\/wp-json\/wp\/v2\/media?parent=255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}