{"id":15819,"date":"2010-06-11T23:33:21","date_gmt":"2010-06-12T03:33:21","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=15819"},"modified":"2010-06-11T23:33:21","modified_gmt":"2010-06-12T03:33:21","slug":"consulta-a-un-colega-n%c2%ba1-edicion-271-consistentes-en-placas-y-nodulos-eritemato-parduzcos-asintomaticos","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/15819","title":{"rendered":"Consulta a un Colega N\u00ba1 Edici\u00f3n 271: Consistentes en placas y nodulos eritemato parduzcos asintomaticos"},"content":{"rendered":"<p><em><strong>Presentado por:<br \/>\n Angela Seidel, Danilo  Alvarez<br \/>\n Ateneo  de Dermatologia en dic del 2009<\/strong><\/em><\/p>\n<p>Hombre  de profesion agricultor, de 49 a\u00f1os de edad, quien presenta lesiones desde hace 2 a\u00f1os, consistentes en placas y nodulos eritemato parduzcos asintomaticos, multiples y confluentes en cara y en algunas zonas de tronco.\u00a0 Las lesiones nunca se han ulcerado.\u00a0 A veces disminuyen de tama\u00f1o pero no desaparecen.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-15819 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\/Diapositiva1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva1-150x150.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\/Diapositiva2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva2-150x150.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\/Diapositiva3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva3-150x150.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\/Diapositiva4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva4-150x150.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\/Diapositiva5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva5-150x150.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\/Diapositiva6.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva6-150x150.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\/Diapositiva7.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva7-150x150.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\/Diapositiva8.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/06\/Diapositiva8-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>No tiene Antecedentes de enfermedades previas,\u00a0 no toma medicamentos.\u00a0 <br \/>\n Paraclinicos incluyen Elisa HIV, Hemo leucograma, Glicemia, Creatinina,\u00a0 BK en moco y linfa negativos.\u00a0Igualmente fueron normales los  Trigliceridos y el VDRL.\u00a0 Solo se encontro\u00a0Colesterol total 280 mg\/dl.<\/p>\n<p>La biopsia se adjunta, y llama la atencion la gran cantidad de Celulas  gigantes tipo Touton, en este infiltrado denso y difuso de Histiocitos.\u00a0 <br \/>\n Este paciente fue visto hace 6 meses,\u00a0 y sus lesiones persisten sin mayores modificaciones.<\/p>\n<p><strong>Cual es su diagnostico??<br \/>\n Alguien tiene experiencia con pacientes similares ?<br \/>\n Que tratamiento instauraria??<\/strong><\/p>\n<p>Cordial Saludo a todos.\u00a0 <br \/>\n ATENEO DE DERMATOLOGIA DE ARMENIA QUINDIO<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por: Angela Seidel, Danilo Alvarez Ateneo de Dermatologia en dic del 2009 Hombre de profesion agricultor, de 49 a\u00f1os de edad, quien presenta lesiones desde hace 2 a\u00f1os, consistentes en placas y nodulos eritemato parduzcos asintomaticos, multiples y confluentes en cara y en algunas zonas de tronco.\u00a0 Las lesiones nunca se han ulcerado.\u00a0 A &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":[207,101],"class_list":["post-15819","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-nodulos","tag-ulceras"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15819","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=15819"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/15819\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=15819"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=15819"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=15819"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}