{"id":14628,"date":"2010-04-16T23:21:57","date_gmt":"2010-04-17T03:21:57","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=14628"},"modified":"2010-04-17T22:23:32","modified_gmt":"2010-04-18T02:23:32","slug":"consulte-a-un-colega-no-2-edicion-267-%c2%bfsindrome-de-wells-vs-picadura-de-insecto","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/14628","title":{"rendered":"Consulte a un Colega No.2 Edicion 267: \u00bfS\u00edndrome de Wells vs picadura de insecto?"},"content":{"rendered":"<p><strong><em>Enviado por <br \/>\n Dres. Jaime Piquero-Mart\u00edn <span style=\"font-size: xx-small;\">(Dermat\u00f3logo)<\/span>, <br \/>\n Edgar la Rotta <span style=\"font-size: xx-small;\">(Dermatologo, Dermatopatologo)<\/span><\/em><\/strong><\/p>\n<p>Paciente masculino de 32 a\u00f1os con antecedente de haberse realizado liposucci\u00f3n abdominal y que posteriormente (15 dias despu\u00e9s) le aparece tumoraci\u00f3n\u00a0 tipo plastr\u00f3n inflamatorio en cara anterior de pierna izquierda, la cual, previamente\u00a0 hab\u00eda sido manejada por cirujano pl\u00e1stico que le realizo la liposucci\u00f3n, con Cefalosporina y levofloxacina, no cediendo a estos antibi\u00f3ticos.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 290px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC04888-Copy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14629\" title=\"267-DSC04888 - Copy\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC04888-Copy-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC04889-Copy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14630\" title=\"267-DSC04889 - Copy\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC04889-Copy-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Con la posibilidad de que tuviera un absceso profundo se practica incisi\u00f3n para drenaje de secreci\u00f3n purulenta, al no drenar, se toma muestra de tejido inflamatorio.<\/p>\n<p>Estudio histopatologico: Dermatitis infiltrativa difusa con predominio de eosinofilos. Puede corresponder a Celulitis eosinofilica o S\u00edndrome de Wells vs reaccion a picadura de insecto.<\/p>\n<table style=\"width: 320px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06288.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14616\" title=\"267-DSC06288\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06288-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06289.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14617\" title=\"267-DSC06289\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06289-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06290.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14618\" title=\"267-DSC06290\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06290-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06291.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14619\" title=\"267-DSC06291\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06291-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06292.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14620\" title=\"267-DSC06292\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06292-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06293.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14621\" title=\"267-DSC06293\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06293-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06294.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14622\" title=\"267-DSC06294\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06294-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06295.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14623\" title=\"267-DSC06295\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06295-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06296.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14624\" title=\"267-DSC06296\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06296-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06297.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-14625\" title=\"267-DSC06297\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/04\/267-DSC06297-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><br class=\"spacer_\" \/><\/p>\n<p>Se indica Diproionato de betametasona IM e Aceponato.. con resoluci\u00f3n del cuadro<\/p>\n<p>Existe el s\u00edndrome de Wells<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Dres. Jaime Piquero-Mart\u00edn (Dermat\u00f3logo), Edgar la Rotta (Dermatologo, Dermatopatologo) Paciente masculino de 32 a\u00f1os con antecedente de haberse realizado liposucci\u00f3n abdominal y que posteriormente (15 dias despu\u00e9s) le aparece tumoraci\u00f3n\u00a0 tipo plastr\u00f3n inflamatorio en cara anterior de pierna izquierda, la cual, previamente\u00a0 hab\u00eda sido manejada por cirujano pl\u00e1stico que le realizo la liposucci\u00f3n, &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-14628","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\/14628","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=14628"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/14628\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=14628"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=14628"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=14628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}