{"id":16309,"date":"2010-07-09T23:34:14","date_gmt":"2010-07-10T03:34:14","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=16309"},"modified":"2010-07-10T09:29:06","modified_gmt":"2010-07-10T13:29:06","slug":"consulta-a-un-colega-n%c2%ba4-edicion-273-%c2%bferupcion-medicamentosa","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/16309","title":{"rendered":"Consulta a un Colega N\u00ba4 Edici\u00f3n 273: \u00bfErupci\u00f3n medicamentosa?"},"content":{"rendered":"<p><strong><em>Enviado por <br \/>\n Jaime Piquero-Martin <span style=\"font-size: x-small;\">( Dermatologo)<\/span>, <br \/>\n Carmen L\u00f3pez <span style=\"font-size: x-small;\">( Dermatologo- Dermatopatologo)<\/span>. <br \/>\n <span style=\"font-size: x-small;\">Caracas Venezuela<\/span><\/em><\/strong><\/p>\n<p>Paciente de 55 a\u00f1os quien consulta por presentar resequedad en todo el cuerpo (desde 1 a\u00f1o antes) tratado en diversas oportunidades con esteroides t\u00f3picos y sist\u00e9micos. Hipertenso tratado con Enalapril y la combinaci\u00f3n amilorida+hidroclorotiazida.<\/p>\n<p>Con el diagn\u00f3stico cl\u00ednico de Xerosis cutis como manifestaci\u00f3n paraneopl\u00e1sica o Micosis fungoide epidermotropica se toman biopsias y se solicitan ex\u00e1menes de laboratorio y radiograf\u00eda de t\u00f3rax.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-16309 gallery-columns-4 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\/07\/DSC05098.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05098-150x150.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\/07\/DSC05099.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05099-150x150.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\/07\/DSC05100.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05100-150x150.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\/07\/DSC05101.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05101-150x150.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\/07\/DSC05102.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05102-150x150.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\/07\/DSC05103.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05103-150x150.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\/07\/DSC05104.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05104-150x150.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\/07\/DSC05105.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05105-150x150.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\/07\/DSC05106.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05106-150x150.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\/07\/DSC05107.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05107-150x150.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\/07\/DSC05108.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05108-150x150.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\/07\/DSC05109.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05109-150x150.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\/07\/DSC05110.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05110-150x150.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\/07\/DSC05111.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/07\/DSC05111-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Hematologia, qu\u00edmica sangu\u00ednea y pruebas serologicas incluyendo antigeno prost\u00e1tico dentro de l\u00edmites normales. Rx de torax dentro de limites normales.<\/p>\n<p>Biopsia tomada en dos oportunidades: Primera biopsia 3615: Dermatitis perivascular superficial espongiotica; hallazgos histologicos compatibles con erupci\u00f3n medicamentosa vs. Dermatitis por contacto\/eczematosa. Segunda biopsia: Dermatitis perivascular superficial; hallazgos histologicos sugestivos de erupcion medicamentosa .<\/p>\n<p>Se env\u00eda nota a cardi\u00f3logo para cambiar agentes antihipertensivos y se indica\u00a0 lubricaci\u00f3n de la piel as\u00ed como tacrolimus al 0.03%<\/p>\n<p><strong>\u00bfPiensan que\u00a0 se trata de una\u00a0erupci\u00f3n medicamentosa?<\/strong><\/p>\n<p><strong>\u00bfQu\u00e9 conducta sugieren?<\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Jaime Piquero-Martin ( Dermatologo), Carmen L\u00f3pez ( Dermatologo- Dermatopatologo). Caracas Venezuela Paciente de 55 a\u00f1os quien consulta por presentar resequedad en todo el cuerpo (desde 1 a\u00f1o antes) tratado en diversas oportunidades con esteroides t\u00f3picos y sist\u00e9micos. Hipertenso tratado con Enalapril y la combinaci\u00f3n amilorida+hidroclorotiazida. Con el diagn\u00f3stico cl\u00ednico de Xerosis cutis como &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-16309","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\/16309","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=16309"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/16309\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=16309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=16309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=16309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}