{"id":110,"date":"2007-02-08T19:17:00","date_gmt":"2007-02-08T23:17:00","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=110"},"modified":"2007-02-10T08:54:48","modified_gmt":"2007-02-10T12:54:48","slug":"trastorno-dismorfico-corporal-y-necrosis-en-cara","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/110","title":{"rendered":"Trastorno dism\u00f3rfico corporal y necrosis en cara"},"content":{"rendered":"<p><strong>Caso presentado en la reuni\u00f3n mensual de la Sociedad<br \/> Instituto de Biomedicina. 27-01-2007<\/strong><\/p>\n<p><strong>Dur\u00e1n Y, Graterol F, Matamoros G, Piquero-Mart\u00edn J, Per\u00e9z-Alfonzo R, Valecillos S, L\u00f3pez C, Misticone S, Fleury M, Urrestarazu M, Cavallera E, Aranzazu N, Vielma H, P\u00e1ez E.<br \/> Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela&nbsp;<\/strong><\/p>\n<p>Paciente Femenina 50 a\u00f1os, con antecedentes de infiltraci\u00f3n de sustancias de relleno (hace9 a\u00f1os).e infiltraci\u00f3n de s\u00edlice org\u00e1nico y triamcinolona (hace 6 a\u00f1os). Consulta por presentar <strong>Ulceras y necrosis facial<\/strong><\/p>\n<p><!--more--> <\/p>\n<p><strong>Se plantean los siguientes diagnosticos cl\u00ednicos<\/strong><\/p>\n<ul>\n<li><strong>Trastorno somatomorfo<\/strong>:<\/li>\n<li>Trastorno dism\u00f3rfico corporal<\/li>\n<li><strong>Dermatitis granulomatosa<\/strong>:<\/li>\n<li>Granuloma a cuerpo extra\u00f1o<\/li>\n<li>Granuloma por agente vivo<\/li>\n<li>Infecci\u00f3n por micobacterias?<\/li>\n<\/ul>\n<p><strong>Plan de trabajo<\/strong><\/p>\n<ul>\n<li><strong>Hospitalizaci\u00f3n<\/strong>: 23 d\u00edas. <strong>Cultivos : <\/strong>Bacterias, Hongos, Micobacterias<\/li>\n<li><strong>Rx de cr\u00e1neo<\/strong><\/li>\n<\/ul>\n<ul>\n<li><strong>Se indica antibioticoterapia amplio espectro: <\/strong>Imipenem, Amikacina, Claritromicina<\/li>\n<li>Fluconazol. <strong>Curas Diarias Talidomida 300 mg\/d\u00eda<\/strong><\/li>\n<\/ul>\n<ul>\n<li>Para su problema Psicologico: Trastorno Dism\u00f3rfico corporal. Trastorno de ajuste con s\u00edntomas ansiosos<\/li>\n<li>Sertralina<\/li>\n<li>Clonazepam<\/li>\n<\/ul>\n<ul>\n<li>Psicoterapia semanal<\/li>\n<\/ul>\n<table border=\"0\" cellspacing=\"2\" cellpadding=\"2\" width=\"300\" align=\"center\">\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_1.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_1p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_2.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_2p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_3.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_3p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_4.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_4p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<a href=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_5.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/02\/142\/caso_r_2_5p.jpg\" alt=\"caso\" width=\"200\" height=\"150\" \/><\/a><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Caso presentado en la reuni\u00f3n mensual de la Sociedad Instituto de Biomedicina. 27-01-2007 Dur\u00e1n Y, Graterol F, Matamoros G, Piquero-Mart\u00edn J, Per\u00e9z-Alfonzo R, Valecillos S, L\u00f3pez C, Misticone S, Fleury M, Urrestarazu M, Cavallera E, Aranzazu N, Vielma H, P\u00e1ez E. Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela&nbsp; Paciente Femenina 50 a\u00f1os, con antecedentes 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":[2],"tags":[],"class_list":["post-110","post","type-post","status-publish","format-standard","","category-caso-clinico-reto-terapeutico"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/110","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=110"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/110\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}