{"id":16856,"date":"2010-09-10T14:50:50","date_gmt":"2010-09-10T18:50:50","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=16856"},"modified":"2010-09-10T14:50:50","modified_gmt":"2010-09-10T18:50:50","slug":"consulta-a-un-colega-n%c2%ba2-edicion-276-queloides-opciones-terapeuticas","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/16856","title":{"rendered":"Consulta a un Colega N\u00ba2 Edici\u00f3n 276: Queloides Opciones terap\u00e9uticas"},"content":{"rendered":"<p><strong><em>Rivera I Kanee Carmen E. <br \/>\n <\/em><span style=\"font-size: x-small;\"><em>Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela<\/em><\/span><\/strong><\/p>\n<p>Escolar femenino de 11 a\u00f1os natural y procedente del Oriente de Venezuela: Cuman\u00e1, Edo Sucre<\/p>\n<p>Antecedentes personales: no contributorios<\/p>\n<p>AntecedentesFamiliares<strong>: <\/strong>Padre 51 a\u00f1os, HTA e IRC en di\u00e1lisis, niega historia familiar de queloides<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-16856 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\/09\/Diapositiva5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/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\/09\/Diapositiva4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/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\/09\/Diapositiva3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/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\/09\/Diapositiva2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/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\/09\/Diapositiva1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Refiere que en Septiembre 2008 present\u00f3\u00a0quemadura accidental con gasolina (durante reuni\u00f3n familiar donde utilizaban gasolina para prender una parrilla), al cicatrizar comienzan a aparecer queloides y cicatrices hipertr\u00f3ficas, las cuales en algunas zonas causan retracciones. Actualmente se encuentra ingresada en el Servicio de Cirug\u00eda Pl\u00e1stica de un hospital p\u00fablico de la ciudad de Caracas, donde se le han realizado varias cirug\u00edas para tartameinto de las retracciones. En Agosto 2010 se realiza interconsulta al Instituto de Biomedicina para conocer las sugerencias del Servicio de Dermatolog\u00eda respecto al tratamiento de los queloides, especialmente el de localizaci\u00f3n en la cara (Ver fotos cl\u00ednicas)<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p>Hemos pensado en: Esteroides intralesionales: triamcinolona (10-40mg\/cc). Crioterapia: combinada con esteroides intralesionales, Otros intralesionales: bleomicina, 5-fluorouracilo, tacrolimus, interfer\u00f3n. Cirug\u00eda, Injerto cut\u00e1neo o cirug\u00eda\u00a0\u00e0\u00a0presoterapia + esteroides intralesionales o interfer\u00f3n alfa, Laserterapia<\/p>\n<p>Mrowietz U, Seifert O. Keloid scarring: new treatments ahead<strong>.<\/strong> Actas Dermosifiliogr. 2009;100 Suppl 2:75-83.<\/p>\n<p>Radioterapia ,<\/p>\n<p>Bisbal J., Guix B., Coronel R..Tratamiento combinado de los queloides mediante cirug\u00eda y braquiterapia. Cir. pl\u00e1st. iberolatinoam.\u00a0 2009;35(4): 283-290<\/p>\n<p>Cirug\u00eda:<\/p>\n<p>Bisbal J., Guix B., Coronel R..Tratamiento combinado de los queloides mediante cirug\u00eda y braquiterapia. Cir. pl\u00e1st. iberolatinoam.\u00a0 2009;35(4): 283-290<\/p>\n<p>\u00bfQue sugieren?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rivera I Kanee Carmen E. Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela Escolar femenino de 11 a\u00f1os natural y procedente del Oriente de Venezuela: Cuman\u00e1, Edo Sucre Antecedentes personales: no contributorios AntecedentesFamiliares: Padre 51 a\u00f1os, HTA e IRC en di\u00e1lisis, niega historia familiar de queloides<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[527],"class_list":["post-16856","post","type-post","status-publish","format-standard","","category-generales","tag-queloides"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/16856","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=16856"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/16856\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=16856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=16856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=16856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}