{"id":16940,"date":"2010-09-10T14:50:16","date_gmt":"2010-09-10T18:50:16","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=16940"},"modified":"2010-09-10T14:50:16","modified_gmt":"2010-09-10T18:50:16","slug":"consulta-a-un-colega-n%c2%ba-3-edicion-276-papulas-eritematosas-en-cara","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/16940","title":{"rendered":"Consulta a un Colega N\u00ba 3 Edici\u00f3n 276: P\u00e1pulas eritematosas en cara"},"content":{"rendered":"<p><strong><em>Rivera I, Oliver M, Kanee C <br \/>\n <span style=\"font-size: x-small;\">Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela<\/span><\/em><\/strong><\/p>\n<p>Paciente de sexo: femenino. 9 a\u00f1os de edad, natural y procedentede Cagua. Antecedentes familiares: abuela paterna diabetes, abuela materna: asma. Antecedentes personales: asma mal controlada, sinusitis.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16941\" title=\"Diapositiva1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva11-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva11-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva11.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16942\" title=\"Diapositiva2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva21-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva21-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva21.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16943\" title=\"Diapositiva3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva31-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva31-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva31.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16944\" title=\"Diapositiva4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva41-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva41-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva41.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva51.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16945\" title=\"Diapositiva5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva51-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva51-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva51.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-16946\" title=\"Diapositiva6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/Diapositiva6-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva6-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/Diapositiva6.jpg 720w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Enfermedad actual: Hace 8 meses presenta papulas eritematosas en cara, luego aparecen otras papulas hipocromicas que conforman placa eritematosa pruriginosa (Ver fotos cl\u00ednicas)<\/p>\n<p>Impresi\u00f3n diagn\u00f3stica<\/p>\n<ul>\n<li>Dermatitis granulomatosa periorificial de la infancia<\/li>\n<li>Granuloma por agente vivo<\/li>\n<li>Con el diagn\u00f3stico cl\u00ednico se indica<\/li>\n<li>Claritromicina 15mg\/kg\/d\u00eda por 14 d\u00edas<\/li>\n<li>Omeprazol<\/li>\n<li>Metronidazol t\u00f3pico<\/li>\n<li>Fotoprotecci\u00f3n con pantalla f\u00edsica<\/li>\n<\/ul>\n<p>Se solicita revisi\u00f3n de l\u00e1mina del estudio histopatologico que se realiz\u00f3 previamente a consultar al instituto, reportando Dermatitis de interfase vacuolar,  hallazgos histol\u00f3gicos compatibles con enfermedad del col\u00e1geno, lupus eritematoso. (Ver fotos histologicas). Por discreta mejor\u00eda con el tratamiento indicado, se repite el mismo sin evidenciar cambios.<\/p>\n<p>Examen de laboratorio:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-16955\" title=\"examenes-laboratorio\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/examenes-laboratorio.jpg\" alt=\"\" width=\"490\" height=\"392\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/examenes-laboratorio.jpg 490w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/09\/examenes-laboratorio-300x240.jpg 300w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>\u00bfCual diagn\u00f3stico sugieren?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rivera I, Oliver M, Kanee C Instituto de Biomedicina. Hospital Vargas. Caracas Venezuela Paciente de sexo: femenino. 9 a\u00f1os de edad, natural y procedentede Cagua. Antecedentes familiares: abuela paterna diabetes, abuela materna: asma. Antecedentes personales: asma mal controlada, sinusitis.<\/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":[],"class_list":["post-16940","post","type-post","status-publish","format-standard","","category-generales"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/16940","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=16940"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/16940\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=16940"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=16940"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=16940"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}