{"id":11325,"date":"2009-10-30T20:40:17","date_gmt":"2009-10-31T00:40:17","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11325"},"modified":"2009-10-31T17:20:36","modified_gmt":"2009-10-31T21:20:36","slug":"251-consulta-a-un-colega-n%c2%ba-6-queratosis-seborreica","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11325","title":{"rendered":"251- Consulta a un Colega N\u00ba 6: Queratosis seborreica"},"content":{"rendered":"<p><em><strong>Presentado por Rolando  Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)<br \/>\n Carmen  J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo)<br \/>\n Virginia Contreras de Tabares (anatomopat\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/strong><\/em><\/p>\n<p>Paciente de 54 a\u00f1os de edad,  fototipo IV Fitzpatrick , quien consulta por placa grande, bien delimitada,  ligeramente ovalada, de longitud mayor de 13 cm, borde pigmentado, con lesi\u00f3n  central tipo verrugosa marr\u00f3n oscura sobre base eritematosa, blanda,  depreciable y f\u00e1cilmente desprendible, localizada en mejilla derecha desde hace  6 a\u00f1os, crecimiento progresivo. La lesi\u00f3n central presenta escamas adherentes,  grasosas, y con olor a grasa descompuesta.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01197.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11326\" title=\"251_DSC01197\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01197-150x150.jpg\" alt=\"251_DSC01197\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01199.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11333\" title=\"251_DSC01199\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01199-150x150.jpg\" alt=\"251_DSC01199\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01400.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11330\" title=\"251_DSC01400\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01400-150x150.jpg\" alt=\"251_DSC01400\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01398.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11328\" title=\"251_DSC01398\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01398-150x150.jpg\" alt=\"251_DSC01398\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01399.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11329\" title=\"251_DSC01399\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01399-150x150.jpg\" alt=\"251_DSC01399\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01479.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11331\" title=\"251_DSC01479\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01479-150x150.jpg\" alt=\"251_DSC01479\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01480.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11332\" title=\"251_DSC01480\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_DSC01480-150x150.jpg\" alt=\"251_DSC01480\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Laboratorio convencional  dentro de la normalidad.<\/p>\n<p>RX de t\u00f3rax dentro de la  normalidad.<\/p>\n<p>Se pens\u00f3 en a) Queratosis  seborreica b) Lentigo maligno C) Carcinoma basocelular d) Bowen<\/p>\n<p>Se decide tomar muestra con cureta  y punch para estudio histopatol\u00f3gico y tratamiento curativo<\/p>\n<p>Histopatolog\u00eda: revestimiento  pavimentoso, estratificado, maduro, con moderada hiperqueratosis laminar,  discreta a moderada acantosis con hiperpigmentaci\u00f3n de las c\u00e9lulas basales, en  el espesor de de la misma quiste de queratina, en el escaso cori\u00f3n un discreto  infiltrado inflamatorio de c\u00e9lulas redondas. ID: Queratosis seborreica<\/p>\n<p><strong>F<\/strong><strong>oto histopatol\u00f3gica N\u00ba  image113.tif-image111.tif-image112.tif)<\/strong><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image111.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11334\" title=\"251_image111\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image111-150x150.jpg\" alt=\"251_image111\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image112.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11335\" title=\"251_image112\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image112-150x150.jpg\" alt=\"251_image112\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image113.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11336\" title=\"251_image113\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_image113-150x150.jpg\" alt=\"251_image113\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Evaluaci\u00f3n por medicina  interna y ginecolog\u00eda dentro de la normalidad.<\/p>\n<p><strong>Comentarios: se concluy\u00f3 en  una queratosis seborreica . Cu\u00e1l es su comentario.<\/strong><\/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) Virginia Contreras de Tabares (anatomopat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente de 54 a\u00f1os de edad, fototipo IV Fitzpatrick , quien consulta por placa grande, bien delimitada, ligeramente ovalada, de longitud mayor de 13 cm, borde pigmentado, con lesi\u00f3n central tipo &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-11325","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\/11325","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=11325"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11325\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}