{"id":15457,"date":"2010-05-28T08:32:09","date_gmt":"2010-05-28T12:32:09","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=15457"},"modified":"2010-05-29T08:25:19","modified_gmt":"2010-05-29T12:25:19","slug":"%c2%bfque-piensa-usted-n%c2%ba1-edicion-270-tres-pacientes-con-sida-hay-que-pensar-en-hiv-sida","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/15457","title":{"rendered":"\u00bfQu\u00e9 piensa Usted? N\u00ba1 Edici\u00f3n 270: Tres pacientes con SIDA, Hay que pensar en HIV +\/ Sida"},"content":{"rendered":"<p><strong>Dr. Jaime Piquero Martin (Dermatologo) Carmen Lopez (dermatopatologo y patologo)<\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<p>Presentamos tres pacientes que llegaron con lesiones de piel poco precisas en las \u00faltimas dos semanas\u00a0 y en los tres se les solicito examenes de laboratorio incluyendo HIV resultando positivo, por lo que las lesiones de piel pudieron de alguna forma relacionarse con la positividad del examen.<\/p>\n<p><!--more--><\/p>\n<p><strong>Paciente 1<\/strong> Empresario de 56 a\u00f1os heterosexual, diab\u00e9tico en tratamiento quien consulta por erupcion papulo-habonosa que semejaban picaduras de \u201cpulga\u201d o erupci\u00f3n medicamentosa. Concomitantemente placas blanquecinas en mucosa oral, examen micologico (positivo para levadura gemante con pseudomicelio). Se indica examenes de laboratorio incluyendo HIV ( positivo). Biopsia de lesion: Dermatitis perivascular superficial y profunda perianexial e intersticial a predominio de linfocitos y eosinofilos, hallazgos histologicos compatibles con prurigo (picadura de artropodo).<\/p>\n<table style=\"width: 310px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15458\" title=\"paciente 1 (2)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-2-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15459\" title=\"paciente 1 (3)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15460\" title=\"paciente 1 (4)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-4-150x150.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\/05\/paciente-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15461\" title=\"paciente 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-1-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva51.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15474\" title=\"Diapositiva5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva51-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva61.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15475\" title=\"Diapositiva6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva61-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Paciente 2<\/strong> Paciente de 48 a\u00f1os artista, homosexual HIV (+) y haber sufrido de Hepatitis B, actualmente sin tratamiento, quien consulta por papulas foliculares que dejan pigmentaci\u00f3n residual localizadas en tronco. Se solicitan examenes de laboratorio y biopsia: dermatitis perivascular superficial y media; hallazgos histologicos sugestivos de Eritema figurado vs. Urticaria cronica vs erupcion medicamentosa<\/p>\n<table style=\"width: 310px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15462\" title=\"paciente 2 (2)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2-2-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15463\" title=\"paciente 2 (3)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2-3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15464\" title=\"paciente 2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-2-150x150.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\/05\/Diapositiva3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15472\" title=\"Diapositiva3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15473\" title=\"Diapositiva4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva41-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Paciente 3<\/strong> Paciente de 39 a\u00f1os comerciante heterosexual quien presenta lesiones en placas eritematosas de disposici\u00f3n irregular en antebrazo y tronco luego de haber visitado zona monta\u00f1osa en el estado Yaracuy. Con el diagn\u00f3stico cl\u00ednico de Dermatitis por Paederus se indica tratamiento con dosis bajas de prednisona oral + desloratadine + aceponato topico no logrando mejoria, luego de una semana, por lo que se toma muestra para estudio histologico y se solicitan examenes de laboratorio incluyendo HIV<\/p>\n<table style=\"width: 310px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15465\" title=\"paciente 3 (2)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-2-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15466\" title=\"paciente 3 (3)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-4.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15467\" title=\"paciente 3 (4)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-4-150x150.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\/05\/paciente-3-5.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15468\" title=\"paciente 3 (5)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-5-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15469\" title=\"paciente 3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/paciente-3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15470\" title=\"Diapositiva1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva1-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-15471\" title=\"Diapositiva2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/05\/Diapositiva21-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Biopsia: Hallazgos histologicos sugestivos de erupcion medicamentosa vs erupcion papular asociada al VIH<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>Esta presentacion de tres casos consultados solo en dos semanas sirven de alerta para que no olvidemos que esta pandemia a\u00fan esta activa<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jaime Piquero Martin (Dermatologo) Carmen Lopez (dermatopatologo y patologo) Presentamos tres pacientes que llegaron con lesiones de piel poco precisas en las \u00faltimas dos semanas\u00a0 y en los tres se les solicito examenes de laboratorio incluyendo HIV resultando positivo, por lo que las lesiones de piel pudieron de alguna forma relacionarse con la positividad &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[424],"tags":[],"class_list":["post-15457","post","type-post","status-publish","format-standard","","category-que-piensa-usted"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15457","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=15457"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15457\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=15457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=15457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=15457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}