{"id":17534,"date":"2010-10-22T22:08:49","date_gmt":"2010-10-23T02:08:49","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17534"},"modified":"2010-10-23T09:59:20","modified_gmt":"2010-10-23T13:59:20","slug":"a-la-manera-del-close-up-%c2%bfcual-es-su-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17534","title":{"rendered":"A la manera del Close-up  \u00bfCual es su diagn\u00f3stico?"},"content":{"rendered":"<p><em><strong>Enviado por <br \/>\n Antonio Guzman F.  <br \/>\n <span style=\"font-size: x-small;\">La Asuncion Paraguay<\/span><\/strong><\/em><\/p>\n<p>Paciente masculino, de 38 a\u00f1os, ingeniero agr\u00f3nomo, con antecedentes de ros\u00e1cea  tratada anteriormente con  corticoides t\u00f3picos y orales.  El paciente se aquejaba  principalmente de que sus contornos faciales est\u00e1n deformados y no manifiesta  otros s\u00edntomas.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-17534 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-124a.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-124a-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\/10\/10-11-2007-121.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-121-150x150.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-120a.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-120a-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\/10\/10-11-2007-119.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-119-150x150.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-118a.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-118a-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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-117a.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/10-11-2007-117a-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><br class=\"spacer_\" \/><\/p>\n<p>El interrogatorio dirigido revela el antecedente de lesiones papulopustulosas previas desde hace muchos a\u00f1os (20 a\u00f1os), las cuales desaparecieron; y eritema persistente y  empeoramiento paulatino. El d\u00eda de la consulta presenta al examen cl\u00ednico edema indurado que no remite, seg\u00fan sus palabras en \u00e1reas afectadas, como frente, glabela, p\u00e1rpados superiores, nariz, mejillas y labios, sobretodo el inferior, con gran macroquelia. Se evidencia tambien la existencia de eritema facial y marcada seborrea (grasitud y descamaci\u00f3n fina en entrecejo y pliegues nasolabiales). Hay adem\u00e1s una conjuntivitis importante y signos de ros\u00e1cea ocular<\/p>\n<p>Su lengua es normal, no hay par\u00e1lisis facial.<\/p>\n<p>La pr\u00f3xima semana daremos el diagn\u00f3stico<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Antonio Guzman F. La Asuncion Paraguay Paciente masculino, de 38 a\u00f1os, ingeniero agr\u00f3nomo, con antecedentes de ros\u00e1cea tratada anteriormente con corticoides t\u00f3picos y orales. El paciente se aquejaba principalmente de que sus contornos faciales est\u00e1n deformados y no manifiesta otros s\u00edntomas.<\/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-17534","post","type-post","status-publish","format-standard","","category-que-piensa-usted"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17534","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=17534"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17534\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17534"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}