{"id":18130,"date":"2010-01-14T22:59:29","date_gmt":"2010-01-15T03:29:29","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=18130"},"modified":"2011-01-15T00:17:38","modified_gmt":"2011-01-15T04:47:38","slug":"caso-clinico-patologico-n%c2%ba-13-para-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/18130","title":{"rendered":"caso cl\u00ednico-patol\u00f3gico N\u00ba 13 para Diagn\u00f3stico"},"content":{"rendered":"<p>Paciente de 68 a\u00f1os, sexo femenino, ocupaci\u00f3n labores del hogar quien consulta por presentar n\u00f3dulo prirforme de aspecto fibromatoso a nivel de tercio proximal de la primera falange del 5\u00ba dedo de mano derecha, cara infero-interna (interdigital), de base de implantaci\u00f3n ancha. Color piel con finas telangiestasias en su superficie, de crecimiento lento, discretamente doloroso a la presi\u00f3n digital del examinador; evoluci\u00f3n aproximada 10 a\u00f1os.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/foto-foro-13-clinico.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-18131\" title=\"foto-foro-13-clinico\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/foto-foro-13-clinico.jpg\" alt=\"\" width=\"400\" height=\"330\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/foto-foro-13-clinico.jpg 500w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/foto-foro-13-clinico-300x247.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/a><\/p>\n<p><strong>\u00bfEn qu\u00e9 entidades pensar\u00eda Ud.?<\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>Dr. Guillermo Planas Gir\u00f3n<\/strong><strong><br \/>\n Caracas-Venezuela<br \/>\n 26\u00a0 de Noviembre de 2010<\/strong><\/p>\n<p><strong> <\/strong><\/p>\n<hr \/>\n<p><strong> <\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: large;\"><strong>Actualizaci\u00f3n 03\/12\/2010<\/strong><\/span><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18258\" aria-describedby=\"caption-attachment-18258\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18258\" title=\"Foto-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-21-300x244.jpg\" alt=\"\" width=\"300\" height=\"244\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-21-300x244.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-21-1024x834.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-21.jpg 1048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-18258\" class=\"wp-caption-text\">Foto-2<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18259\" aria-describedby=\"caption-attachment-18259\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-31.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18259\" title=\"Foto-3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-31-300x298.jpg\" alt=\"\" width=\"300\" height=\"298\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-31-300x298.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-31-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-31-1024x1018.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-31.jpg 1048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-18259\" class=\"wp-caption-text\">Foto-3<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18260\" aria-describedby=\"caption-attachment-18260\" style=\"width: 276px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-41.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18260\" title=\"Foto-4\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-41-276x300.jpg\" alt=\"\" width=\"276\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-41-276x300.jpg 276w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-41-943x1024.jpg 943w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-41.jpg 1048w\" sizes=\"auto, (max-width: 276px) 100vw, 276px\" \/><\/a><figcaption id=\"caption-attachment-18260\" class=\"wp-caption-text\">Foto-4<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18261\" aria-describedby=\"caption-attachment-18261\" style=\"width: 271px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-51.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18261\" title=\"Foto-5\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/Foto-51-271x300.jpg\" alt=\"\" width=\"271\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-51-271x300.jpg 271w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-51-927x1024.jpg 927w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/Foto-51.jpg 1028w\" sizes=\"auto, (max-width: 271px) 100vw, 271px\" \/><\/a><figcaption id=\"caption-attachment-18261\" class=\"wp-caption-text\">Foto-5<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18262\" aria-describedby=\"caption-attachment-18262\" style=\"width: 262px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-6.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18262\" title=\"FOTO-6\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-6-262x300.jpg\" alt=\"\" width=\"262\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-6-262x300.jpg 262w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-6-894x1024.jpg 894w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-6.jpg 1048w\" sizes=\"auto, (max-width: 262px) 100vw, 262px\" \/><\/a><figcaption id=\"caption-attachment-18262\" class=\"wp-caption-text\">FOTO-6<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18263\" aria-describedby=\"caption-attachment-18263\" style=\"width: 286px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-7.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18263\" title=\"FOTO-7\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-7-286x300.jpg\" alt=\"\" width=\"286\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-7-286x300.jpg 286w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-7-976x1024.jpg 976w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-7.jpg 1048w\" sizes=\"auto, (max-width: 286px) 100vw, 286px\" \/><\/a><figcaption id=\"caption-attachment-18263\" class=\"wp-caption-text\">FOTO-7<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18264\" aria-describedby=\"caption-attachment-18264\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-8.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18264\" title=\"FOTO-8\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-8-300x292.jpg\" alt=\"\" width=\"300\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-8-300x292.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-8-1024x999.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-8.jpg 1048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-18264\" class=\"wp-caption-text\">FOTO-8<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18265\" aria-describedby=\"caption-attachment-18265\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18265\" title=\"FOTO-9\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-9-300x279.jpg\" alt=\"\" width=\"300\" height=\"279\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-9-300x279.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-9-1024x952.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-9.jpg 1048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-18265\" class=\"wp-caption-text\">FOTO-9<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18266\" aria-describedby=\"caption-attachment-18266\" style=\"width: 255px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18266\" title=\"FOTO-10\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-10-255x300.jpg\" alt=\"\" width=\"255\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-10-255x300.jpg 255w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-10-871x1024.jpg 871w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-10.jpg 1048w\" sizes=\"auto, (max-width: 255px) 100vw, 255px\" \/><\/a><figcaption id=\"caption-attachment-18266\" class=\"wp-caption-text\">FOTO-10<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18267\" aria-describedby=\"caption-attachment-18267\" style=\"width: 254px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18267\" title=\"FOTO-11\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-11-254x300.jpg\" alt=\"\" width=\"254\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-11-254x300.jpg 254w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-11-868x1024.jpg 868w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-11.jpg 1048w\" sizes=\"auto, (max-width: 254px) 100vw, 254px\" \/><\/a><figcaption id=\"caption-attachment-18267\" class=\"wp-caption-text\">FOTO-11<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<figure id=\"attachment_18268\" aria-describedby=\"caption-attachment-18268\" style=\"width: 290px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18268\" title=\"FOTO-12\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/11\/FOTO-12-290x300.jpg\" alt=\"\" width=\"290\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-12-290x300.jpg 290w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-12-991x1024.jpg 991w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/11\/FOTO-12.jpg 1048w\" sizes=\"auto, (max-width: 290px) 100vw, 290px\" \/><\/a><figcaption id=\"caption-attachment-18268\" class=\"wp-caption-text\">FOTO-12<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<hr \/>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><span style=\"font-size: medium;\"><strong> Actualizacion 17\/12\/2010<\/strong><\/span><\/p>\n<p>Informe inmunohistoqu\u00edmico<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/12\/IH-del-supuesto-Angiolehiomioma-Colagenoma.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-18528\" title=\"IH del supuesto Angiolehiomioma (Colagenoma)\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2010\/12\/IH-del-supuesto-Angiolehiomioma-Colagenoma-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/12\/IH-del-supuesto-Angiolehiomioma-Colagenoma-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2010\/12\/IH-del-supuesto-Angiolehiomioma-Colagenoma.jpg 720w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente de 68 a\u00f1os, sexo femenino, ocupaci\u00f3n labores del hogar quien consulta por presentar n\u00f3dulo prirforme de aspecto fibromatoso a nivel de tercio proximal de la primera falange del 5\u00ba dedo de mano derecha, cara infero-interna (interdigital), de base de implantaci\u00f3n ancha. Color piel con finas telangiestasias en su superficie, de crecimiento lento, discretamente doloroso &hellip;<\/p>\n","protected":false},"author":56,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[445],"tags":[],"class_list":["post-18130","post","type-post","status-publish","format-standard","","category-foro-dermatopatologico"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/18130","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\/56"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=18130"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/18130\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=18130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=18130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=18130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}