{"id":11232,"date":"2009-11-06T20:28:30","date_gmt":"2009-11-07T00:28:30","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11232"},"modified":"2009-11-11T09:03:42","modified_gmt":"2009-11-11T13:03:42","slug":"251-consulta-a-un-colega-n%c2%ba2-caso-clinico-patologico-para-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11232","title":{"rendered":"251 &#8211; Consulta a un Colega N\u00ba2: Caso Cl\u00ednico-Patol\u00f3gico para diagn\u00f3stico"},"content":{"rendered":"<p style=\"padding-left: 30px;\"><span style=\"color: #999999;\"><em>Por la amplia discusi\u00f3n de este caso, se mantiene para la edici\u00f3n 252.<\/em><\/span><\/p>\n<p><em><strong>Presentado por Dr. Guillermo Planas Gir\u00f3n<br \/>\n Centro Cl\u00ednico Profesional Caracas<br \/>\n Caracas-Venezuela<\/strong><\/em><\/p>\n<p>Paciente femenino de 47 a\u00f1os de edad, piel tipo I de Fitzpatrick, quien refiere brote similar al actual, hace 1 a\u00f1o, el cual cur\u00f3 con cremas locales con esteroides de baja penetraci\u00f3n. Un a\u00f1o despu\u00e9s (tiene 2 meses de evoluci\u00f3n), presenta la misma afecci\u00f3n discretamente pruriginosa en regi\u00f3n 1\/3 postero-inferior de antebrazos, sim\u00e9trica, suprayacente a los codos. <br \/>\n <!--more--><\/p>\n<figure id=\"attachment_11233\" aria-describedby=\"caption-attachment-11233\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11233\" title=\"251_colega2_1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_1-300x221.jpg\" alt=\"Foto 1\" width=\"300\" height=\"221\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_1-300x221.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_1.jpg 594w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11233\" class=\"wp-caption-text\">Foto 1<\/figcaption><\/figure>\n<figure id=\"attachment_11234\" aria-describedby=\"caption-attachment-11234\" style=\"width: 230px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11234\" title=\"251_colega2_2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_2-230x300.jpg\" alt=\"Foto 2\" width=\"230\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_2-230x300.jpg 230w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_2.jpg 454w\" sizes=\"auto, (max-width: 230px) 100vw, 230px\" \/><\/a><figcaption id=\"caption-attachment-11234\" class=\"wp-caption-text\">Foto 2<\/figcaption><\/figure>\n<figure id=\"attachment_11235\" aria-describedby=\"caption-attachment-11235\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11235\" title=\"251_colega2_3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_3-300x270.jpg\" alt=\"251_colega2_3\" width=\"300\" height=\"270\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_3-300x270.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_3.jpg 417w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11235\" class=\"wp-caption-text\">Foto 3<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11236\" aria-describedby=\"caption-attachment-11236\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11236\" title=\"251_colega2_4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_4-300x262.jpg\" alt=\"Foto 4\" width=\"300\" height=\"262\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_4-300x262.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_4.jpg 421w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11236\" class=\"wp-caption-text\">Foto 4<\/figcaption><\/figure>\n<figure id=\"attachment_11237\" aria-describedby=\"caption-attachment-11237\" style=\"width: 278px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11237\" title=\"251_colega2_5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_5-278x300.jpg\" alt=\"Foto 5\" width=\"278\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_5-278x300.jpg 278w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_5.jpg 381w\" sizes=\"auto, (max-width: 278px) 100vw, 278px\" \/><\/a><figcaption id=\"caption-attachment-11237\" class=\"wp-caption-text\">Foto 5<\/figcaption><\/figure>\n<figure id=\"attachment_11238\" aria-describedby=\"caption-attachment-11238\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11238\" title=\"251_colega2_6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_6-300x258.jpg\" alt=\"Foto 6\" width=\"300\" height=\"258\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_6-300x258.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_6.jpg 425w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11238\" class=\"wp-caption-text\">Foto 6<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11239\" aria-describedby=\"caption-attachment-11239\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11239\" title=\"251_colega2_7\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_7-300x275.jpg\" alt=\"Foto 7\" width=\"300\" height=\"275\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_7-300x275.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_7.jpg 411w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11239\" class=\"wp-caption-text\">Foto 7<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11240\" aria-describedby=\"caption-attachment-11240\" style=\"width: 296px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11240\" title=\"251_colega2_8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_8-296x300.jpg\" alt=\"Foto 8\" width=\"296\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_8-296x300.jpg 296w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_8.jpg 393w\" sizes=\"auto, (max-width: 296px) 100vw, 296px\" \/><\/a><figcaption id=\"caption-attachment-11240\" class=\"wp-caption-text\">Foto 8<\/figcaption><\/figure>\n<figure id=\"attachment_11241\" aria-describedby=\"caption-attachment-11241\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11241\" title=\"251_colega2_9\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_9-300x293.jpg\" alt=\"Foto 9\" width=\"300\" height=\"293\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_9-300x293.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_9.jpg 386w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11241\" class=\"wp-caption-text\">Foto 9<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11242\" aria-describedby=\"caption-attachment-11242\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11242\" title=\"251_colega2_10\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_10-300x225.jpg\" alt=\"foto 10 (DERMIS RETICULAR)\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_10-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_10.jpg 448w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11242\" class=\"wp-caption-text\">foto 10 (DERMIS RETICULAR)<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11243\" aria-describedby=\"caption-attachment-11243\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11243\" title=\"251_colega2_11\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_colega2_11-300x290.jpg\" alt=\"Foto 11 (DERMIS RETICULAR-PROFUNDA)\" width=\"300\" height=\"290\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_11-300x290.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_colega2_11.jpg 404w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11243\" class=\"wp-caption-text\">Foto 11 (DERMIS RETICULAR-PROFUNDA)<\/figcaption><\/figure>\n<p><strong>Favor emitir su impresi\u00f3n diagn\u00f3stica despu\u00e9s de observar la cl\u00ednica e histopatolog\u00eda?<\/strong><\/p>\n<p><strong><br \/>\n <\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<hr style=\"border: 1px solid #cccccc; height: 1px; width: 100%; color: #ffffff;\" size=\"1\" noshade=\"noshade\" \/>\n<p><strong> <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: medium;\"><strong>Actualizaci\u00f3n de la presentaci\u00f3n del caso (04-10-2009)<\/strong><\/span><\/p>\n<p><strong>Informe Histopatol\u00f3gico: <\/strong><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/Informe-Histopatologico.doc\">Informe Histopatologico.doc<\/a><strong><br \/>\n <\/strong><\/p>\n<p><strong>Informe Inmunohistoqu\u00edmico:<\/strong> <a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/INFORME-INMUNOHISTOQUIMICO.pdf\">INFORME INMUNOHISTOQUIMICO.pdf<\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<hr style=\"border: 1px solid #cccccc; height: 1px; width: 100%; color: #ffffff;\" size=\"1\" noshade=\"noshade\" \/>\n<p><span style=\"font-size: medium;\"><strong>Actualizaci\u00f3n de la presentaci\u00f3n del caso (11-11-2009)<\/strong><\/span><\/p>\n<p><span style=\"font-size: medium;\"><strong><\/p>\n<figure id=\"attachment_11495\" aria-describedby=\"caption-attachment-11495\" style=\"width: 300px\" class=\"wp-caption alignnone\"><strong><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11495\" title=\"251_colega2_1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_1-300x175.jpg\" alt=\"FOTO N\u00ba 1- BIOPSIA N\u00ba 2\" width=\"300\" height=\"175\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_1-300x175.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_1-1024x599.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_1.jpg 1277w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/strong><figcaption id=\"caption-attachment-11495\" class=\"wp-caption-text\">FOTO N\u00ba 1- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><\/strong><\/span><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11496\" aria-describedby=\"caption-attachment-11496\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11496\" title=\"251_colega2_2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_2-300x228.jpg\" alt=\"FOTO N\u00ba 2- BIOPSIA N\u00ba 2\" width=\"300\" height=\"228\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_2-300x228.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_2.jpg 871w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11496\" class=\"wp-caption-text\">FOTO N\u00ba 2- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11497\" aria-describedby=\"caption-attachment-11497\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11497\" title=\"251_colega2_3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_3-300x208.jpg\" alt=\"FOTO N\u00ba 3- BIOPSIA N\u00ba 2\" width=\"300\" height=\"208\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_3-300x208.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_3-1024x713.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_3.jpg 1071w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11497\" class=\"wp-caption-text\">FOTO N\u00ba 3- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11498\" aria-describedby=\"caption-attachment-11498\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11498\" title=\"251_colega2_4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_4-300x194.jpg\" alt=\"FOTO N\u00ba 4- BIOPSIA N\u00ba 2\" width=\"300\" height=\"194\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_4-300x194.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_4-1024x664.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_4.jpg 1149w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11498\" class=\"wp-caption-text\">FOTO N\u00ba 4- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11499\" aria-describedby=\"caption-attachment-11499\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11499\" title=\"251_colega2_5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_5-300x269.jpg\" alt=\"FOTO N\u00ba 5- BIOPSIA N\u00ba 2\" width=\"300\" height=\"269\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_5-300x269.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_5.jpg 812w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11499\" class=\"wp-caption-text\">FOTO N\u00ba 5- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11500\" aria-describedby=\"caption-attachment-11500\" style=\"width: 217px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11500\" title=\"251_colega2_6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_6-217x300.jpg\" alt=\"FOTO N\u00ba 6- BIOPSIA N\u00ba 2\" width=\"217\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_6-217x300.jpg 217w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_6.jpg 533w\" sizes=\"auto, (max-width: 217px) 100vw, 217px\" \/><\/a><figcaption id=\"caption-attachment-11500\" class=\"wp-caption-text\">FOTO N\u00ba 6- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11501\" aria-describedby=\"caption-attachment-11501\" style=\"width: 283px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11501\" title=\"251_colega2_7\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_7-283x300.jpg\" alt=\"FOTO N\u00ba 7- BIOPSIA N\u00ba 2\" width=\"283\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_7-283x300.jpg 283w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_7.jpg 689w\" sizes=\"auto, (max-width: 283px) 100vw, 283px\" \/><\/a><figcaption id=\"caption-attachment-11501\" class=\"wp-caption-text\">FOTO N\u00ba 7- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_11502\" aria-describedby=\"caption-attachment-11502\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11502\" title=\"251_colega2_8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/251_colega2_8-300x296.jpg\" alt=\"FOTO N\u00ba 8- BIOPSIA N\u00ba 2\" width=\"300\" height=\"296\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_8-300x296.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/11\/251_colega2_8.jpg 691w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-11502\" class=\"wp-caption-text\">FOTO N\u00ba 8- BIOPSIA N\u00ba 2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: medium;\"><strong><br \/>\n<\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Por la amplia discusi\u00f3n de este caso, se mantiene para la edici\u00f3n 252. Presentado por Dr. Guillermo Planas Gir\u00f3n Centro Cl\u00ednico Profesional Caracas Caracas-Venezuela Paciente femenino de 47 a\u00f1os de edad, piel tipo I de Fitzpatrick, quien refiere brote similar al actual, hace 1 a\u00f1o, el cual cur\u00f3 con cremas locales con esteroides de baja &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":[],"class_list":["post-11232","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11232","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=11232"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11232\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}