{"id":17620,"date":"2010-10-22T22:39:42","date_gmt":"2010-10-23T02:39:42","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=17620"},"modified":"2010-10-23T07:07:27","modified_gmt":"2010-10-23T11:07:27","slug":"osteoma-cutis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/17620","title":{"rendered":"Osteoma c\u00fatis"},"content":{"rendered":"<p><span style=\"font-size: x-small;\"><em>Minicaso presentado en XLVI REUNION ANUAL | VIII Congreso Venezolano De Dermatolog\u00eda<\/em><\/span><br \/>\n <strong>Presentado por Rivera Z, Oliver M, Ortiz w. <\/strong><br \/>\n<span style=\"font-size: x-small;\"><em> Instituto de Biomedicina. Hospital Vargas. Universidad Central de Venezuela<\/em><\/span><\/p>\n<p>Paciente femenina de 54 a\u00f1os de edad, sin antecedentes personales y familiares contributorios. Acude a nuestro centro por deseo de extirpaci\u00f3n quir\u00fargica de m\u00faltiples p\u00e1pulas color piel  \u201clunares\u201d. Al examen f\u00edsico, fototipo III presenta dos nevus consistencia blanda color piel en regi\u00f3n mentoniana derecha, y del lado izquierdo presenta una p\u00e1pula de consistencia renitente con la presencia de pelos. Se solicitan laboratorios dentro de l\u00edmites normales.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-17620 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\/279-sem-2-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-sem-2-1-150x150.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\/279-sem-2-2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-sem-2-2-150x150.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\/279-sem-2-3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-sem-2-3-150x150.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\/279-sem-2-4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-sem-2-4-150x150.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\/279-sem-2-5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/10\/279-sem-2-5-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Histopatolog\u00eda: Corte de piel capa cornea ortoquerat\u00f3tica en cesta epidermis irregular con leve acantosis. Dermis ocupada por infiltrado linfohistiocitario difuso perivascular superficial e intersticial  y la presencia de fragmento \u00f3seo en dermis profunda el hueso exhibe estructuras laminar fibrosa rodeado por fibras de col\u00e1geno tambi\u00e9n laminares laos osteoclastos se en encuentran el hueso y se observan en el \u00e1rea no mineralizada.<\/p>\n<p>Diagnostico: Osteoma cutis.<\/p>\n<p><strong>Breve revisi\u00f3n<\/strong><\/p>\n<ul>\n<li>Lesiones benignas, asintom\u00e1ticas.<\/li>\n<li>Frecuente:<\/li>\n<li>Tercera d\u00e9cada de edad.<\/li>\n<li>Sexo femenino.<\/li>\n<li>Cara.<\/li>\n<li>\u00danicos o m\u00faltiples<\/li>\n<li>Son redondeados u ovales y los rodea una c\u00e1psula de tejido fibroso, su superficie es lisa.<\/li>\n<li>Localizan profundamente en la dermis o tejido subcut\u00e1neo.<\/li>\n<\/ul>\n<p><strong>Histol\u00f3gicamente<\/strong>:<\/p>\n<ul>\n<li>Masas intrad\u00e9rmicas o subcut\u00e1neas de tejido \u00f3seo maduro compacto y esponjoso, con disposici\u00f3n en canales de Havers caracter\u00edsticos del hueso ortot\u00f3pico; tambi\u00e9n se observan vasos sangu\u00edneos y tejido conectivo.<\/li>\n<\/ul>\n<p><strong>Clasifican<\/strong>:<\/p>\n<ul>\n<li>Primarios: ausencia de lesiones cut\u00e1neas preexistentes demostrables<\/li>\n<li>Secundarios: lesiones secundarias como ocasionadas o debidas a acn\u00e9 vulgar, pilomatricomas, CBC.<\/li>\n<\/ul>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>Bibliograf\u00eda Consultada<\/strong><\/p>\n<ul>\n<li>\u00d1uten E, et.al. Osteoma cutis  as a sequela to facial acne: a case report. Cutis 2010;86 (2):100-2<\/li>\n<li>Boschert MT, Puckett CL. Osteoma cutis of the hand. Plast Reconstr Surg 2000;105(3):1017-8.<\/li>\n<li>Fazeli P, Harvell J, Jacobs MB. Osteoma cutis (cutaneous ossificatio). West J Med 1999;171(4):243-5.<\/li>\n<li>Levell NJ, Lawrence CM. Multiple papules on the face. Multiple miliary osteoma cutis. Arch Dermatol. 1994 Mar;130(3):370, 373-4.<\/li>\n<li>Darling MJ, Bauer A. Picture of the month. Diagnosis: Osteoma cutis associated with pseudohypoparathyroidism Type 1a. Arch Pediatr Adolesc Med 2008;162(11):1091;discussion 1092<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Minicaso presentado en XLVI REUNION ANUAL | VIII Congreso Venezolano De Dermatolog\u00eda Presentado por Rivera Z, Oliver M, Ortiz w. Instituto de Biomedicina. Hospital Vargas. Universidad Central de Venezuela Paciente femenina de 54 a\u00f1os de edad, sin antecedentes personales y familiares contributorios. Acude a nuestro centro por deseo de extirpaci\u00f3n quir\u00fargica de m\u00faltiples p\u00e1pulas color &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[469],"class_list":["post-17620","post","type-post","status-publish","format-standard","","category-caso-de-la-semana","tag-osteoma"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17620","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=17620"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/17620\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=17620"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=17620"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=17620"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}