{"id":17102,"date":"2010-09-24T18:02:09","date_gmt":"2010-09-24T22:02:09","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17102"},"modified":"2010-09-24T18:02:09","modified_gmt":"2010-09-24T22:02:09","slug":"consulta-a-un-colega-n%c2%ba3-edicion-277-papulas-bien-delimitadas-desde-hace-mas-de-20-anos","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17102","title":{"rendered":"Consulta a un Colega N\u00ba3 Edici\u00f3n 277: P\u00e1pulas bien delimitadas desde hace m\u00e1s de 20 a\u00f1os"},"content":{"rendered":"<p><span style=\"font-size: x-small;\"><em><strong>Presentado por <br \/>\n Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo)<br \/>\n Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del PilarBarinas\/Venezuela<\/strong><\/em><\/span><\/p>\n<p>Paciente femenina de 51 a\u00f1os de edad, natural y procedente de la ciudad de Barinas\/Venezuela, quien presenta desde hace m\u00e1s de 20 a\u00f1os p\u00e1pulas bien delimitadas (1-5 mm de di\u00e1metro) cubierta por piel de aspecto normal, sin modificaciones evolutivas; concomitantemente piel oleosa, poros abiertos.<\/p>\n<p><!--more--><\/p>\n<p>Fueron interpretados cl\u00ednicamente como Siringomas y sobre este diagnostico se realiz\u00f3 ablaci\u00f3n l\u00e1ser con Erbium, luego delprocedimiento se observa retraso en la cicatrizaci\u00f3n, empeoramiento de las lesiones y presencia de diminutos part\u00edculas\u00a0 calcificados.<\/p>\n<table style=\"width: 220px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-P1000727.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17103\" title=\"277-[P1000727]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-P1000727-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-P1000728.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17104\" title=\"277-[P1000728]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-P1000728-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Se toma muestra para estudio histopatol\u00f3gico<\/p>\n<p>(Favor ver imagen histopatol\u00f3gica N\u00b0image469.jpg-image470.jpg-image471.jpg-image472.jpg)<\/p>\n<table style=\"width: 220px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image469.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17105\" title=\"277-[image469]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image469-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image470.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17106\" title=\"277-[image470]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image470-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image471.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17107\" title=\"277-[image471]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image471-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image472.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17108\" title=\"277-[image472]\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/277-image472-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Ortoqueratosis, discrteta acantosis. Se advierte dep\u00f3sito de calcificaciones\u00a0 en d\u00e9rmica reticular y profunda, bien delimitado. Escaso infiltardo inflamatorio monunuclear linfocitario.<\/p>\n<p>Calcificaci\u00f3n secundaria.<\/p>\n<p><strong> \u00bfQue sugiere usted?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo) Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del PilarBarinas\/Venezuela Paciente femenina de 51 a\u00f1os de edad, natural y procedente de la ciudad de Barinas\/Venezuela, quien presenta desde hace m\u00e1s de 20 a\u00f1os p\u00e1pulas bien delimitadas (1-5 mm de di\u00e1metro) cubierta por piel de aspecto normal, sin &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-17102","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\/17102","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=17102"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17102\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17102"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17102"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}