{"id":12302,"date":"2009-12-11T23:41:41","date_gmt":"2009-12-12T03:41:41","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=12302"},"modified":"2009-12-11T23:41:35","modified_gmt":"2009-12-12T03:41:35","slug":"256-consulta-a-un-colega-n%c2%ba-1-lesiones-tipo-papulas-eritematosas-escasas-en-torax-pruriginosas-de-2-3-mm-aprox","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/12302","title":{"rendered":"256 &#8211; Consulta a un Colega N\u00ba 1: Lesiones tipo papulas eritematosas escasas en torax, pruriginosas  de 2-3 mm aprox."},"content":{"rendered":"<p><em><strong>Presentado por Magaly Araujo <br \/>\n Dermatologo Hospital Universitario Angel Larralde Valencia Venezuela<\/strong><\/em><\/p>\n<p>Paciente masculino de 18 a\u00f1os de edad quien refiere inicio de su enfermedad\u00a0 1 mes antes, cuando presenta lesiones tipo papulas eritematosas escasas en torax, pruriginosas\u00a0 de 2-3 mm aprox, las cuales aumentaron en numero y abarcaron la totalidad del cuerpo. Al\u00a0 principio respetando solo cara pero al transcurrir los dias se aprecian en parpados.<\/p>\n<p><!--more--><\/p>\n<figure id=\"attachment_12303\" aria-describedby=\"caption-attachment-12303\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-2-a.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12303\" title=\"dia 2 a\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-2-a-300x200.jpg\" alt=\"dia 2 a\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-2-a-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-2-a.JPG 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-12303\" class=\"wp-caption-text\">dia 2a<\/figcaption><\/figure>\n<figure id=\"attachment_12304\" aria-describedby=\"caption-attachment-12304\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-2b.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12304\" title=\"dia 2b\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-2b-300x200.jpg\" alt=\"dia 2b\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-2b-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-2b.JPG 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-12304\" class=\"wp-caption-text\">dia 2b<\/figcaption><\/figure>\n<figure id=\"attachment_12305\" aria-describedby=\"caption-attachment-12305\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12305\" title=\"dia 3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3-300x200.jpg\" alt=\"dia 3\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3.JPG 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-12305\" class=\"wp-caption-text\">dia 3<\/figcaption><\/figure>\n<figure id=\"attachment_12307\" aria-describedby=\"caption-attachment-12307\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3b.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12307\" title=\"dia 3b\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3b-300x200.jpg\" alt=\"dia 3b\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3b-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3b.JPG 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-12307\" class=\"wp-caption-text\">dia 3b<\/figcaption><\/figure>\n<figure id=\"attachment_12306\" aria-describedby=\"caption-attachment-12306\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3-c.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12306\" title=\"dia 3 c\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/12\/dia-3-c-300x200.jpg\" alt=\"dia 3c\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3-c-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/12\/dia-3-c.JPG 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-12306\" class=\"wp-caption-text\">dia 3c<\/figcaption><\/figure>\n<p><strong>Antecedente de importancia :<\/strong> Contacto con soda caustica, (ya que se encuentra este material en su sitio de <strong>trabajo)<\/strong><\/p>\n<p><strong>Biopsia de piel\u00a0 reporta:<\/strong> \u00abdermatitis perivascular superficial con eosinofilia y cambios vasculares epidermicos marcados, compatibles con quemadura por agente quimico\u00bb (Dr Cupertino Navas).<\/p>\n<p><strong>Terapia<\/strong>: Antibioticoterapia y prednisona 50 mg dia, el paciente no mejora, aparecen mas lesiones por lo que se decide\u00a0 hospitalizacion, se pidio interconsulta con infectologia la cual descarta ETS, y sugiere el uso de solumedrol, 1 gr dia por tres dias,<\/p>\n<p>Actualmente en mejores condiciones pero persisten las lesiones, ahora con costra en su superficie.<\/p>\n<p><strong>\u00bf Cual ser\u00eda el diagn\u00f3stico?<br \/>\n \u00bf Pudo el qu\u00edmico contactante tener alguna ingerencia?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Magaly Araujo Dermatologo Hospital Universitario Angel Larralde Valencia Venezuela Paciente masculino de 18 a\u00f1os de edad quien refiere inicio de su enfermedad\u00a0 1 mes antes, cuando presenta lesiones tipo papulas eritematosas escasas en torax, pruriginosas\u00a0 de 2-3 mm aprox, las cuales aumentaron en numero y abarcaron la totalidad del cuerpo. Al\u00a0 principio respetando &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-12302","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\/12302","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=12302"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/12302\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=12302"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=12302"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=12302"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}