{"id":21492,"date":"2011-07-01T01:05:50","date_gmt":"2011-07-01T05:35:50","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=21492"},"modified":"2011-07-02T01:06:07","modified_gmt":"2011-07-02T05:36:07","slug":"caso-clinico-edicion-294","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/21492","title":{"rendered":"Caso cl\u00ednico Edici\u00f3n 294"},"content":{"rendered":"<p><em><strong>Patricia Chang<\/strong><\/em><br \/><span style=\"font-size: x-small;\"><em><strong>Servicio  Dermatolog\u00eda<\/strong><\/em><\/span><br \/><span style=\"font-size: x-small;\"><em><strong>Hospital General de Enfermedades IGSS<\/strong><\/em><\/span><\/p>\n<ul>\n<li>Masculino 64 a\u00f1os<\/li>\n<li>Artritis reumatoidea 15 a\u00f1os<\/li>\n<li>Lunulas rojas\u00a0 en ambos pulgares <\/li>\n<li>Hallazgo casual al revisar las u\u00f1as estudiando otra onicopat\u00eda<\/li>\n<li>Ademas surco de Beau Onicosquicia<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<table style=\"width: 320px;\" border=\"0\" cellspacing=\"2\" cellpadding=\"2\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-21493\" title=\"caso-ch-295-1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-1-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-21494\" title=\"caso-ch-295-2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-2-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-21495\" title=\"caso-ch-295-3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2011\/06\/caso-ch-295-3-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>La l\u00fanula es la parte visible de la matriz ungueal distal <br \/>Es blanca, en forma de media luna <br \/>La\u00a0 discrom\u00eda de la l\u00fanula puede indicar enfermedad cut\u00e1nea, sist\u00e9mica o reacci\u00f3n medicamentosa.<br \/>La discrom\u00eda puede ser confluente, moteada o en bandas longitudinales de colores que pueden atravesarla<\/p>\n<p>Puede asociarse ha:<\/p>\n<p>Artritis reumatoidea,\u00a0 lupus eritematoso sist\u00e9mico, alopecia areata, insuficiencia card\u00edaca, cirrosis hep\u00e1tica, linfogranuloma ven\u00e9reo, psoriasis, intoxicaci\u00f3n por mon\u00f3xido de carbono, distrofia de las 20 u\u00f1as\u00a0 reticulosarcoma ,dermatomiositis, polimialgia reum\u00e1tica, vitiligo,\u00a0 al tratamiento con prednisona en pacientes con\u00a0 artritis reumatoidea.<\/p>\n<p>Urticaria cr\u00f3nica, psoriasis vulgar,\u00a0 liquen escleroso y atr\u00f3fico,\u00a0\u00a0 enfermedades card\u00edacas, endocrinas, hep\u00e1ticas, gastrointestinales, hematol\u00f3gicas, neurol\u00f3gi cas, reumatol\u00f3gicas, renales, neopl\u00e1sicas, infecciosas, pulmonares\u00a0 y miscel\u00e1neas<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Patricia ChangServicio Dermatolog\u00edaHospital General de Enfermedades IGSS Masculino 64 a\u00f1os Artritis reumatoidea 15 a\u00f1os Lunulas rojas\u00a0 en ambos pulgares Hallazgo casual al revisar las u\u00f1as estudiando otra onicopat\u00eda Ademas surco de Beau Onicosquicia<\/p>\n","protected":false},"author":47,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[258],"tags":[],"class_list":["post-21492","post","type-post","status-publish","format-standard","","category-los-casos-de-patricia"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/21492","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\/47"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=21492"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/21492\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=21492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=21492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=21492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}