{"id":2206,"date":"2008-02-29T20:18:41","date_gmt":"2008-03-01T00:18:41","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=2206"},"modified":"2008-02-29T20:18:41","modified_gmt":"2008-03-01T00:18:41","slug":"consulta-a-un-colega-n-1-2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/2206","title":{"rendered":"Consulta a un colega N\u00b0 1"},"content":{"rendered":"

Presentado por:<\/strong><\/p>\n

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 77 a\u00f1os de edad, referido por medicina interna por erupci\u00f3n cut\u00e1nea.<\/p>\n

Al examen placas infiltradas eritematosas, placas anulares con borde interno n\u00edtido y externo poco definido, que compromet\u00edan todo el dorso del cuerpo. No hay un compromiso franco de la sensibilidad (hipoestesia \u00bf?) P\u00e9rdida del vello.(Favor ver foto cl\u00ednica N°DSCO1691.jpg – DSCO1693.jpg)<\/strong><\/p>\n

<\/p>\n\n\n\n
\"dsc01691-large.JPG\"<\/a><\/td>\n \"dsc01693-large.JPG\"<\/a><\/td>\n<\/tr>\n
DSCO1691.jpg<\/strong><\/td>\nDSCO1693.jpg<\/strong><\/td>\n<\/tr>\n<\/table>\n

Antecedente de infecci\u00f3n prost\u00e1tica  y quiste renal en tratamiento con medicina interna y urolog\u00eda.<\/p>\n

Aparentemente las lesiones dermatol\u00f3gicas son un hallazgo del m\u00e9dico internista  y por ese motivo fue enviado a dermatolog\u00eda.<\/p>\n

Laudo Histopatol\u00f3gico<\/strong>: Hiperqueratosis ortoquerat\u00f3sica, hiperplasia regular psoriasiforme. Colageno d\u00e9rmico engrosado; estructuras nerviosas en dermis reticular y profunda rodeada de denso infiltrado inflamatorio mixto, con tendencia a la destrucci\u00f3n del mismo-nervio- \u00e1reas de necrosis focal. Infiltrado mixto perivascular  con discreta exocitosis. ZN negativo.(Favor ver foto histopatol\u00f3gica N° HLR-BNS131.jpg -HLR-BRS138.jpg -HLR-BNS132.jpg -HLR-BRS133.jpg – HLR-BNS134.jpg – HLR-BNS135.jpg- HLR-BNS136.jpg-HLR-BNS137.jpg)<\/strong><\/p>\n\n\n\n\n\n\n\n
\"hlr-bns131-large.jpg\"<\/a><\/td>\n\"hlr-bns138-large.jpg\"<\/a><\/td>\n \"hlr-bns132-large.jpg\"<\/a><\/td>\n<\/tr>\n
 HLR-BNS131.jpg<\/strong><\/td>\n HLR-BRS138.jpg<\/strong><\/td>\n HLR-BNS132.jpg<\/strong><\/td>\n<\/tr>\n
 \"hlr-bns133-large.jpg\"<\/a><\/td>\n\"hlr-bns134-large.jpg\"<\/a><\/td>\n \"hlr-bns135-large.jpg\"<\/a><\/td>\n<\/tr>\n
HLR-BRS133.jpg<\/strong><\/td>\nHLR-BNS134.jpg<\/strong><\/td>\nHLR-BNS135.jpg<\/strong><\/td>\n<\/tr>\n
 \"hlr-bns136-large.jpg\"<\/a><\/td>\n \"hlr-bns137-large.jpg\"<\/a><\/td>\n <\/td>\n<\/tr>\n
HLR-BNS136.jpg<\/strong><\/td>\nHLR-BNS137.jpg<\/strong><\/td>\n <\/td>\n<\/tr>\n<\/table>\n

Cuadro cl\u00ednico-patol\u00f3gico compatible con Enfermedad de Hansen.<\/p>\n

Nos gustar\u00eda saber si comparten este diagnostico.<\/p>\n

\u00bf;Como la clasifica?<\/p>\n

\u00bf;C\u00f3mo lo tratar\u00eda?<\/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 77 a\u00f1os de edad, referido por medicina interna por erupci\u00f3n cut\u00e1nea. Al examen placas infiltradas eritematosas, placas anulares con borde interno n\u00edtido y externo poco …<\/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-2206","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\/2206","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=2206"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/2206\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=2206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=2206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=2206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}