{"id":15727,"date":"2010-06-11T23:32:19","date_gmt":"2010-06-12T03:32:19","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=15727"},"modified":"2010-06-12T06:14:05","modified_gmt":"2010-06-12T10:14:05","slug":"consulta-a-un-colega-n%c2%ba2-edicion-271-prurito-generalizado-con-6-meses-de-evolucion","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/15727","title":{"rendered":"Consulta a un Colega N\u00ba2 Edici\u00f3n 271: Prurito generalizado con 6 meses de evoluci\u00f3n"},"content":{"rendered":"<p><em><strong>Presentado por Rolando Hern\u00e1ndez P\u00e9rez<br \/>\n Carmen J. Bastidas Montilla <span style=\"font-size: x-small;\">(m\u00e9dico dermat\u00f3logo)<\/span>,<br \/>\n Jes\u00fas Ricardo R\u00edos <span style=\"font-size: x-small;\">(m\u00e9dico internista)<\/span>,<br \/>\n Marisela Acosta Casanova <span style=\"font-size: x-small;\">(m\u00e9dico anatomopat\u00f3logo)<\/span>.<br \/>\n <span style=\"font-size: x-small;\">Cl\u00ednica Ntra. Se\u00f1ora del PilarBarinas\/Venezuela<\/span><\/strong><\/em><\/p>\n<p>Paciente de 22 a\u00f1os de edad, estudiante universitario de Educaci\u00f3n, natural y procedente de la ciudad de Barinas\/Venezuela quien consulta por prurito generalizado con 6 meses de evoluci\u00f3n.<\/p>\n<p><!--more--><\/p>\n<p>Al examen cl\u00ednico p\u00e1pulas, redondas u ovaladas con descamaci\u00f3n, muy pruriginosas, localizadas en tronco, regi\u00f3n gl\u00fatea y muslos. Refiere que la enfermedad actual\u00a0 es precedida por prurito intenso sin lesi\u00f3n.<\/p>\n<div id='gallery-1' class='gallery galleryid-15727 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000475.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000475-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000474.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000474-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000473.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000473-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000472.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000472-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000471.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-P1000471-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image381.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image381-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image380.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image380-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image379.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image379-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image378.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image378-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image377.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image377-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image376.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/271-image376-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>No refiere antecedentes contributorios.<\/p>\n<p>No ingiere medicaci\u00f3n.<\/p>\n<p>Inv<\/p>\n<p>Parapsoriasis peque\u00f1as placas.<\/p>\n<p>Micosis Fungoide \u00bf?<\/p>\n<p>Dermatitis de contacto<\/p>\n<p>Pitiriasis liquenoide<\/p>\n<p>Investigaci\u00f3n directa de Sarcoptes scabiei negativo (-) en varias oportunidades<\/p>\n<p>KOH y cultivo negativo\u00a0 (-)<\/p>\n<p>Laboratorio convencional e inmunol\u00f3gico dentro de la normalidad. VDRL y HIV negativo (-)<\/p>\n<p>RX T\u00f3rax: s\u00edndrome intersticial leve.<\/p>\n<p>Evaluaci\u00f3n por medicina interna dentro de la normalidad para su edad.<\/p>\n<p>Primera biopsia compatible con: discreta dermatitis cr\u00f3nica\u00a0 superficial inespec\u00edfica.<\/p>\n<p>Se tomaron tres muestras para estudios histopatol\u00f3gicos: compatible con Dermatitis espongi\u00f3tica liquenoide psoriasiforme superficial VS. Dermatitis espongi\u00f3tica psoriasiforme superficial.<\/p>\n<p>La primera biopsia fue tomada hace tres meses sin ninguna conclusi\u00f3n diagnostica. Regresa nuevamente a la consulta y se toma nueva biopsia que es la que presentamos<\/p>\n<p>Responde a los esteroides sist\u00e9mico y a los antihistam\u00ednicos, recidiva al suspenderlos.<\/p>\n<p>Actualmente recibe Tetraciclina dosis anti-inflamatoria.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Jes\u00fas Ricardo R\u00edos (m\u00e9dico internista), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo). Cl\u00ednica Ntra. Se\u00f1ora del PilarBarinas\/Venezuela Paciente de 22 a\u00f1os de edad, estudiante universitario de Educaci\u00f3n, natural y procedente de la ciudad de Barinas\/Venezuela quien consulta por prurito generalizado con 6 meses de evoluci\u00f3n.<\/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":[405],"class_list":["post-15727","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-prurito"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15727","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=15727"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15727\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=15727"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=15727"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=15727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}