{"id":11679,"date":"2009-11-20T20:50:59","date_gmt":"2009-11-21T00:50:59","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=11679"},"modified":"2009-11-21T00:02:33","modified_gmt":"2009-11-21T04:02:33","slug":"dermatoscopia-edicion-253","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/11679","title":{"rendered":"Dermatoscopia Edici\u00f3n 253"},"content":{"rendered":"<p>Respuesta al caso: Nevus melanoc\u00edtico cong\u00e9nito en regi\u00f3n geniana izquierda (Edici\u00f3n 251)<br \/>\n Caso nuevo: Nuevo (M\u00e1cula pigmentada de 5 x 3 mm, localizada en cara interna) Edici\u00f3n N\u00ba 253<\/p>\n<p><!--more--><strong><span style=\"font-size: large;\">Respuesta al caso: <\/span><\/strong><span style=\"font-size: large;\"><strong>(Microscopia cut\u00e1nea Superficial) Edici\u00f3n N\u00ba 251<\/strong><\/span><\/p>\n<p>Paciente femnina de 65 a\u00f1os, quien consult\u00f3 por presentar placa pigmentada de aproximadamente 1 cm de di\u00e1metro localizada en regi\u00f3n lumbar derecha, la cual le ha molestado con prurito en los \u00faltimos meses. La lesi\u00f3n ha estado presente desde la infancia. (ver foto 1)<\/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_Foto-1.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11180\" title=\"251_Foto 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_Foto-1-300x225.jpg\" alt=\"251_Foto 1\" width=\"180\" height=\"135\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_Foto-1-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_Foto-1.JPG 1024w\" sizes=\"auto, (max-width: 180px) 100vw, 180px\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_Foto-2.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-11181\" title=\"251_Foto 2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/10\/251_Foto-2-300x225.jpg\" alt=\"251_Foto 2\" width=\"180\" height=\"135\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_Foto-2-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/10\/251_Foto-2.JPG 1024w\" sizes=\"auto, (max-width: 180px) 100vw, 180px\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Dermatoscopia: Se observa una lesi\u00f3n sim\u00e9trica en forma pero asim\u00e9trica en estructura, con una red de pigmento de distribuci\u00f3n irregular y en el centro coloraci\u00f3n gris-azulada. Tambi\u00e9n se observan zonas en las que se han perdido las estructuras.(ver foto 2)<\/p>\n<p><strong>Soluci\u00f3n (Edici\u00f3n 251):<\/strong><br class=\"spacer_\" \/><\/p>\n<p>Diagn\u00f3stico Dermatopatol\u00f3gico: <strong>NEVUS MELANOCITICO CON ATIPIA\u00a0 ARQUITECTURAL Y CELULAR LEVE<\/strong><\/p>\n<p>Dras. Mariela Zamora y Mariana Villavicencio<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-1-Solucion-caso-251.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-11734\" title=\"Foto 1 Solucion caso 251\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-1-Solucion-caso-251-150x150.jpg\" alt=\"Foto 1 Solucion caso 251\" width=\"150\" height=\"150\" \/><\/a><\/p>\n<p>Discusi\u00f3n: En esta\u00a0 lesi\u00f3n la relativa irregularidad de\u00a0 la red de pigmento, la coloraci\u00f3n azulada central y la asimetr\u00eda de estructuras justificaron el estudio histopatol\u00f3gico.<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: large;\"><strong> <\/strong><\/span><\/p>\n<hr style=\"border: 1px solid #cccccc; height: 1px; width: 100%; color: #ffffff;\" size=\"1\" noshade=\"noshade\" \/>\n<p><strong><br \/>\n <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: medium;\"><strong>Caso nuevo: Nuevo (M\u00e1cula pigmentada de 5 x 3 mm, localizada en cara interna) Edici\u00f3n N\u00ba 253<\/strong><\/span><\/p>\n<p>Paciente masculino de 35 a\u00f1os, quien consult\u00f3 a examen de rutina y se evidenci\u00f3 una m\u00e1cula pigmentada de 5 x 3 mm, localizada en cara interna, tercio medio de segundo dedo de pi\u00e9 derecho. El paciente refiere que es de aparici\u00f3n reciente (menos de 2 meses). (Foto 1)<\/p>\n<figure id=\"attachment_11683\" aria-describedby=\"caption-attachment-11683\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-11683\" title=\"Foto 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-1-150x150.jpg\" alt=\"Foto 1\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-11683\" class=\"wp-caption-text\">Foto 1<\/figcaption><\/figure>\n<p>Dermatoscopia: Se observa patr\u00f3n paralelo del surco en la periferia, se observa pigmento en surco y crestas en el centro de la lesi\u00f3n. (Fotos 2 y 3)<\/p>\n<figure id=\"attachment_11684\" aria-describedby=\"caption-attachment-11684\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-2-20x.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-11684\" title=\"Foto 2 20x\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-2-20x-150x150.jpg\" alt=\"Foto 2 20x\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-11684\" class=\"wp-caption-text\">Foto 2 20x<\/figcaption><\/figure>\n<figure id=\"attachment_11685\" aria-describedby=\"caption-attachment-11685\" style=\"width: 150px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-3-50x.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-thumbnail wp-image-11685\" title=\"Foto 3 50x\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/11\/Foto-3-50x-150x150.jpg\" alt=\"Foto 3 50x\" width=\"150\" height=\"150\" \/><\/a><figcaption id=\"caption-attachment-11685\" class=\"wp-caption-text\">Foto 3 50x<\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Respuesta al caso: Nevus melanoc\u00edtico cong\u00e9nito en regi\u00f3n geniana izquierda (Edici\u00f3n 251) Caso nuevo: Nuevo (M\u00e1cula pigmentada de 5 x 3 mm, localizada en cara interna) Edici\u00f3n N\u00ba 253<\/p>\n","protected":false},"author":52,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[375],"tags":[],"class_list":["post-11679","post","type-post","status-publish","format-standard","","category-dermatoscopia-en-el-consultorio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11679","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\/52"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=11679"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/11679\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=11679"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=11679"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=11679"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}