{"id":17196,"date":"2010-09-24T18:00:47","date_gmt":"2010-09-24T22:00:47","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17196"},"modified":"2010-09-24T18:00:47","modified_gmt":"2010-09-24T22:00:47","slug":"%c2%bfque-piensa-usted-n%c2%ba2-edicion-277-distrofia-ungueal-ambos-pulgares-con-2-anos-d-evolucion","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17196","title":{"rendered":"\u00bfQu\u00e9 piensa Usted N\u00ba2? Edici\u00f3n 277: Distrofia ungueal  (ambos pulgares) con 2 a\u00f1os d evoluci\u00f3n"},"content":{"rendered":"<p><strong><em><span style=\"font-size: x-small;\">Presentado por <br \/>\n Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)<br \/>\n Mar\u00eda Dolores Petro Castillo (m\u00e9dico traumat\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar &#8211;\u00a0Barinas\/Venezuela<\/span><\/em><\/strong><\/p>\n<p>Paciente de 16 a\u00f1os de edad quien consulta por distrofia ungueal\u00a0 (ambos pulgares) con 2 a\u00f1os d evoluci\u00f3n. Al examen se aprecia destrucci\u00f3n de las cut\u00edculas y una depresi\u00f3n en forma de canal longitudinal en ambos pulgares. El paciente niega traumatismo, infecciones, ni enfermedad sist\u00e9mica; refiere que viene a la consulta para que le trate el hongo.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 300px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/P1000914.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17197\" title=\"P1000914\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/P1000914-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/P1000915.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-17198\" title=\"P1000915\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/09\/P1000915-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Durante la consulta observamos reiteradamente movimientos involuntarios autom\u00e1ticos de ambos pulgares sobre los \u00edndices.<\/p>\n<p>El paciente es acompa\u00f1ado por el padre, quien se muerde el dorso de las manos y los dedos compulsivamente.<\/p>\n<p>Laboratorio convencional dentro de la normalidad.<\/p>\n<p>Micol\u00f3gico directo y cultivo en Sabouraud.<\/p>\n<p>ID: Distrofia canicular lamina ungueal de ambos pulgares.<\/p>\n<p>Enfermedad obsesiva \u2013compulsiva.<\/p>\n<p><strong>\u00bfc\u00f3mo lo manejar\u00eda usted?<\/strong><\/p>\n<p><strong>\u00bfC\u00f3mo lo tratar\u00eda usted?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo) Mar\u00eda Dolores Petro Castillo (m\u00e9dico traumat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar &#8211;\u00a0Barinas\/Venezuela Paciente de 16 a\u00f1os de edad quien consulta por distrofia ungueal\u00a0 (ambos pulgares) con 2 a\u00f1os d evoluci\u00f3n. Al examen se aprecia destrucci\u00f3n de las cut\u00edculas y una depresi\u00f3n en forma de canal longitudinal en ambos &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[424],"tags":[],"class_list":["post-17196","post","type-post","status-publish","format-standard","","category-que-piensa-usted"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17196","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=17196"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17196\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17196"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17196"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17196"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}