{"id":12192,"date":"2009-12-04T23:36:24","date_gmt":"2009-12-05T03:36:24","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=12192"},"modified":"2009-12-05T08:55:20","modified_gmt":"2009-12-05T12:55:20","slug":"caso-clinico-n%c2%ba-44-tinea-nigra","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/12192","title":{"rendered":"Caso cl\u00ednico N\u00ba 44. Tinea nigra"},"content":{"rendered":"<p align=\"left\"><em><strong>Presentado por Dra. Hortensia  Garc\u00eda, Lcdo. Fernando G\u00f3mez Daza. Consulta privada de la Dra. Hortensia Garc\u00eda,  Valencia, Venezuela<\/strong><\/em> <br \/>\n <strong> <\/strong><strong>Tipo de  piel:<\/strong> III\/VI  Fitzpatrick.<br \/>\n <strong>Motivo de  consulta: <\/strong>Acn\u00e9.<br \/>\n <strong>Enfermedad  actual: <\/strong>Paciente femenino de 22 a\u00f1os de edad  qui\u00e9n consulta por presentar dermatosis localizada en cara caracterizada por  lesiones papulares eritematosas inflamatorias y comedones abiertos y cerrados  distribuidos en cara (regi\u00f3n frontal y ment\u00f3n). A la exploraci\u00f3n f\u00edsica se  observ\u00f3 a nivel de planta izquierda m\u00e1cula hiperpigmentada color marr\u00f3n no  descamativa ligeramente ovalada de 2,5 x 2 cm y no pruriginosa.<br \/>\n <strong>Impresi\u00f3n diagn\u00f3stica:<\/strong> Ti\u00f1a negra<\/p>\n<p align=\"left\"><!--more--><\/p>\n<p align=\"center\">\u00a0<\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">\n<tbody>\n<tr>\n<td width=\"335\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_01.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12194 alignnone\" title=\"255_01\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_01-300x225.jpg\" alt=\"255_01\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_01-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_01.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 1: Planta izquierda<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"335\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_02.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12195\" title=\"255_02\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_02-300x225.jpg\" alt=\"255_02\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_02-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_02.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 2: M\u00e1cula hipercr\u00f3mica<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"335\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_03.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12196\" title=\"255_03\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_03-300x225.jpg\" alt=\"255_03\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_03-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_03.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 3: M\u00e1cula hipercr\u00f3mica    (detalle)<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Antecedentes  familiares: <\/strong>No contributorios.<br \/>\n <strong>Antecedentes  personales:<\/strong> No contributorios.<br \/>\n <strong>Estudios  paracl\u00ednicos:<\/strong><\/p>\n<ul>\n<li><strong>Laboratorio:<\/strong> Dentro de l\u00edmites  normales.<strong> <\/strong><\/li>\n<li><strong>Estudio micol\u00f3gico: <\/strong>Se  indica directo y cultivo micol\u00f3gico.<\/li>\n<\/ul>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">\n<tbody>\n<tr>\n<td width=\"382\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_04.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12197\" title=\"255_04\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_04-300x225.jpg\" alt=\"255_04\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_04-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_04.JPG 1023w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 4: Toma de muestra<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"382\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_05.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12198\" title=\"255_05\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_05-300x224.jpg\" alt=\"255_05\" width=\"300\" height=\"224\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_05-300x224.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_05.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 5: Examen directo con KOH    20%, filamentos pigmentados(400x)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"382\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_06.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12199\" title=\"255_06\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_06-300x225.jpg\" alt=\"255_06\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_06-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_06.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 6: Cultivo en agar Sabouraud y    Mycosel \u00ae a temperatura ambiente, 15 d\u00edas de incubaci\u00f3n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"382\" valign=\"top\">\n<p align=\"center\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_07.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-12193\" title=\"255_07\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/255_07-300x225.jpg\" alt=\"255_07\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_07-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/255_07.JPG 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n Fig. 7: Microcultivo a temperatura    ambiente, filamentos pigmentados con aneloconidios 400x),<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Tratamiento: <\/strong>Ung\u00fcento de Whitfield \u00a0BID por 1 semana.<\/p>\n<p align=\"center\"><strong>\u00bfCu\u00e1l es la incidencia de esta  dermatomicosis en su consulta y cu\u00e1les ser\u00edan las alternativas terap\u00e9uticas?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Dra. Hortensia Garc\u00eda, Lcdo. Fernando G\u00f3mez Daza. Consulta privada de la Dra. Hortensia Garc\u00eda, Valencia, Venezuela Tipo de piel: III\/VI Fitzpatrick. Motivo de consulta: Acn\u00e9. Enfermedad actual: Paciente femenino de 22 a\u00f1os de edad qui\u00e9n consulta por presentar dermatosis localizada en cara caracterizada por lesiones papulares eritematosas inflamatorias y comedones abiertos y cerrados &hellip;<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-12192","post","type-post","status-publish","format-standard","","category-micopiel"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12192","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\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=12192"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12192\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=12192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=12192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=12192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}