{"id":10016,"date":"2009-09-18T12:42:57","date_gmt":"2009-09-18T16:42:57","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=10016"},"modified":"2009-09-19T05:23:19","modified_gmt":"2009-09-19T09:23:19","slug":"245-consulta-a-un-colega-n%c2%ba-4-lesion-de-angulo-interno-parpados-superior-e-inferior","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/10016","title":{"rendered":"245 &#8211; Consulta a un Colega N\u00ba 4: Lesi\u00f3n de \u00e1ngulo interno, parpados superior e inferior"},"content":{"rendered":"<p><em><strong>Presentado por:<br \/>\n Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)<br \/>\n Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo)<br \/>\n Miguel Manrique Camejo (m\u00e9dico oftalm\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/strong><\/em><\/p>\n<p>Se trata de un paciente de 30 a\u00f1os de edad, de origen espa\u00f1ol (canario) quien consulta por lesi\u00f3n de \u00e1ngulo interno, parpados superior e inferior tercio interno del ojo izquierdo, de l\u00edmites imprecisos, con 5\u00a0 meses de evoluci\u00f3n, p\u00e1pula perlacea discretamente umbilicada en car\u00fancula lagrimal del mismo lado ; para el momento del examen m\u00e1cula eritemato-purp\u00farica, pruriginosa en la localizaci\u00f3n arriba mencionada; refiere el paciente que en el inicio y algunos d\u00edas es francamente descamativa y muy pruriginosa.<\/p>\n<p><!--more--><\/p>\n<p>Eritema y aumento de la trama vascular de la conjuntiva bulbar y tarsal del ojo correspondiente. Refiere secreci\u00f3n.(Favor ver foto cl\u00ednica : DSC01358.JPG-DSC01354.JPG-DSC01355.JPG-DSC01356.JPG-DSC01357.JPG)<\/p>\n<div id='gallery-1' class='gallery galleryid-10016 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01354.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01354-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01355.JPG'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01355-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01356.JPG'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01356-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01357.JPG'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01357-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01358.JPG'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/09\/245_colega_4_DSC01358-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><br class=\"spacer_\" \/><\/p>\n<p>Evaluaci\u00f3n por m\u00e9dico oftalm\u00f3logo: blefaroqueratoconjuntivitis cr\u00f3nicas. Se tom\u00f3 muestra para estudio microbiol\u00f3gico.<\/p>\n<p>Tratamiento con Ciprofloxacina t\u00f3pica (preparaci\u00f3n magistral)<\/p>\n<p>Antecedente de deficiencia de la prote\u00edna S y C (descubierta a los 18 a\u00f1os de edad a ra\u00edz de un cuadro de obstrucci\u00f3n arterial de miembro inferior izquierdo (intervenido quir\u00fargicamente)<\/p>\n<p>Toma Warfarina s\u00f3dica (Coumadin) y Aspirina desde hace 12 a\u00f1os.<\/p>\n<p>Controlado por cardi\u00f3logo, no se controla con hemat\u00f3logo, ni medicina interna ni\u00a0 cardiovascular.<\/p>\n<p>Aparentemente asintom\u00e1tico<\/p>\n<p>ID: Erupci\u00f3n fija medicamentosa cont\u00ednua<\/p>\n<p>Dermatitis de contacto slergica (DCA)<\/p>\n<p>P\u00farpura (Farmacodermia) &#8212; Warfarina<\/p>\n<p>Blefaroconjuntivitis cr\u00f3nica infecciosa<\/p>\n<p>Cual es su conducta<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo) Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo) Miguel Manrique Camejo (m\u00e9dico oftalm\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Se trata de un paciente de 30 a\u00f1os de edad, de origen espa\u00f1ol (canario) quien consulta por lesi\u00f3n de \u00e1ngulo interno, parpados superior e inferior tercio interno del ojo izquierdo, de &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[406],"class_list":["post-10016","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-parpados"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/10016","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=10016"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/10016\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=10016"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=10016"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=10016"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}