{"id":2205,"date":"2008-02-29T20:18:27","date_gmt":"2008-03-01T00:18:27","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=2205"},"modified":"2008-02-29T20:18:27","modified_gmt":"2008-03-01T00:18:27","slug":"consulta-a-un-colega-n-2-2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/2205","title":{"rendered":"Consulta a un colega N\u00b0 2"},"content":{"rendered":"

Presentado por:
Rolando Hern\u00e1ndez P\u00e9rez (Dermat\u00f3logo)
Carmen J. Bastidas Montilla (Dermat\u00f3logo)
Virginia  Contreras de Tabares (Anatomopat\u00f3logo)
Marisela Acosta Casanova (Anatomopat\u00f3logo)
Hospital General "Dr. Luis Razetti"
Barinas. Venezuela.   <\/strong>                <\/p>\n

Paciente de 62 a\u00f1os de edad, chofer de gandola, natural y procedente de la ciudad de Barinas, quien refiere enfermedad dermatol\u00f3gica con 6-7 a\u00f1os de evoluci\u00f3n, cuando present\u00f3 m\u00e1cula rojiza y  p\u00farpurica, dos a\u00f1os y medio despu\u00e9s (2 1\/2  a\u00f1os despu\u00e9s) aparecen hiperqueratosis, pigmentaci\u00f3n, p\u00e1pulas y n\u00f3dulos que se exulceran y sangran con facilidad  en el dorso y entrededos del segundo y tercer dedo del pi\u00e9 derecho. (Favor ver foto cl\u00ednica DSCO1744.jpg -DSCO1745.jpg -DSCO1746.jpg)<\/strong><\/p>\n

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DSCO1744.jpg <\/strong><\/td>\nDSCO1745.jpg<\/strong><\/td>\nDSCO1746.jpg<\/strong><\/td>\n<\/tr>\n<\/table>\n

LAUDO HISTOPATOLOG\u00cdA: Hiperqueratosis compacta, con acantosis irregular, con acantosis irregular, infiltrado inflamatorio linfo-plasmocitario perivascular superficial en parche. En dermis reticular y profunda se observa una lesi\u00f3n nodular, bien delimetada de aspecto tumoral que se extiende hasta el margen de resecci\u00f3n profunda; a mayor aumento se evidencia la proliferaci\u00f3n de hendiduras o canales vasculares irregulares, algunos dilatados, con marcada hiperplasia endotelial que rodean a los vasos sangu\u00ednio pre-existentes -signo del promontorio- Presencia de numerosas c\u00e9lulas fusiforme en el estroma. Mitosis aisladas. Se advierte marcada extravasaci\u00f3n eritrocitaria dentro de las hendiduras, moderada hemosiderina. (Favor ver foto histopatol\u00f3gica N° DSCO1744.jpg-DSCO1745.jpg- DSCO4100.jpg-DSCO4087.jpg-DSCN4088.jpg- DSCN4089.jpg- DSCN4090.jpg- DSCN4091.jpg- DSCN4092.jpg- DSCN4093.jpg- DSCN4094.jpg-DSCN4095.jpg-DSCN4096,jpg-DSCN4097.jpg-DSCN4098.jpg-DSCN4099.jpg)<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
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  DSCO4087.jpg<\/strong><\/td>\nDSCN4088.jpg<\/strong><\/strong><\/td>\n DSCN4089.jpg<\/strong><\/td>\n<\/tr>\n
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DSCN4093.jpg<\/strong><\/td>\nDSCN4094.jpg<\/strong><\/td>\nDSCN4095.jpg<\/strong><\/td>\n<\/tr>\n
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DSCN4096,jpg<\/strong><\/td>\nDSCN4097.jpg<\/strong><\/td>\nDSCN4098.jpg<\/strong><\/td>\n<\/tr>\n
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\u00bf;Cu\u00e1l es su diagnostico?<\/p>\n

¡Cual es su tratamiento?<\/p>\n","protected":false},"excerpt":{"rendered":"

Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (Dermat\u00f3logo) Carmen J. Bastidas Montilla (Dermat\u00f3logo) Virginia  Contreras de Tabares (Anatomopat\u00f3logo) Marisela Acosta Casanova (Anatomopat\u00f3logo) Hospital General "Dr. Luis Razetti" Barinas. Venezuela.                    Paciente de 62 a\u00f1os de edad, chofer de gandola, natural y procedente de la ciudad de Barinas, quien refiere enfermedad dermatol\u00f3gica con 6-7 a\u00f1os de evoluci\u00f3n, cuando present\u00f3 …<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-2205","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/2205","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=2205"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/2205\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=2205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=2205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=2205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}