{"id":2781,"date":"2008-05-17T00:04:03","date_gmt":"2008-05-17T04:04:03","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=2781"},"modified":"2008-05-17T00:04:03","modified_gmt":"2008-05-17T04:04:03","slug":"197-consulte-a-un-colega-n-2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/2781","title":{"rendered":"197 – Consulte a un Colega N\u00ba 2"},"content":{"rendered":"

Presentado por
Rolando Hern\u00e1ndez P\u00e9rez (Dermat\u00f3logo)
Carmen Bastidas Montilla (Dermat\u00f3logo)
Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/strong><\/p>\n

Se trata de un paciente de 34 a\u00f1os de edad, peque\u00f1o productor agropecuario, procedente del Estado Trujillo quien consulta por la aparici\u00f3n de m\u00faltiples p\u00e1pulas amarrillas, algunas con halo eritematosas, que aparecieron abruptamente en la piel, principalmente en zonas de extensi\u00f3n, codos, rodillas, nalgas, tronco y abdomen<\/p>\n

<\/p>\n

(Favor ver foto cl\u00ednica: DSC01874.jpg-DSC01875.jpg-DSCO1876.jpg-DSCO1877.jpg-DSCO1878.jpg- DSC01879.jpg)<\/strong><\/p>\n\n\n\n\n\n
\"dsc01874.jpg\"<\/a><\/td>\n \"dsc01875.jpg\"<\/a><\/td>\n \"dsc01876.jpg\"<\/a><\/td>\n<\/tr>\n
 DSC01874.jpg<\/strong><\/td>\nDSC01875.jpg<\/strong> <\/td>\n DSCO1876.jpg<\/strong><\/td>\n<\/tr>\n
 \"dsc01877.jpg\"<\/a><\/td>\n \"dsc01878.jpg\"<\/a><\/td>\n \"dsc01879.jpg\"<\/a><\/td>\n<\/tr>\n
 DSCO1877.jpg<\/strong><\/td>\n DSCO1878.jpg<\/strong><\/td>\n DSC01879.jpg<\/strong><\/td>\n<\/tr>\n<\/table>\n

Antecedente de Diabetes Mellitus no controlada. Hipertensi\u00f3n Arterial. P\u00e9rdida del ojo izquierdo por accidente de tr\u00e1nsito.<\/p>\n

Glicemia 200 mg\/dl<\/p>\n

Colesterol: 550 mg\/dl (hasta 220)<\/p>\n

Triglic\u00e9ridos: 1030 mg\/dl  (70-170)<\/p>\n

H:D:L: 30  (30-80 mg\/dl)<\/p>\n

LDL: 190 mg\/dl  (hasta 150 mg\/dl)<\/p>\n

L\u00edpidos totales : 1850 mg\/dl (500-800 mg\/dl)<\/p>\n

Hipertrigliceridemia y niveles elevados de quilomicrones y\/o lipoprote\u00ednas de densidad muy baja (Electrofloresis de lipo-prote\u00ednas) . Hiperlipoproteinemia tipo I (Hay aumento de los quilomicrones y triglic\u00e9ridos . Suero refrigerado claro con sobrenadante cremoso.<\/p>\n

Anemia moderada.<\/p>\n

Colesterol elevado.<\/strong><\/p>\n

Histopatolog\u00eda: (Favor ver foto histopatol\u00f3gica HLR-BRS222.jpg-HLR.BRS223.jpg-HLR-BRS224)<\/strong> Numerosas c\u00e9lulas espumosas en dermis papilar y superior<\/p>\n\n\n\n
 \"hlr-bns222.jpg\"<\/a><\/td>\n \"hlr-bns223.jpg\"<\/a><\/td>\n \"hlr-bns224.jpg\"<\/a><\/td>\n<\/tr>\n
 HLR-BRS222.jpg<\/strong><\/td>\n HLR.BRS223.jpg<\/strong><\/td>\n HLR-BRS224<\/strong><\/td>\n<\/tr>\n<\/table>\n

\u00bf;Cu\u00e1l es su conducta?<\/p>\n","protected":false},"excerpt":{"rendered":"

Presentado por Rolando Hern\u00e1ndez P\u00e9rez (Dermat\u00f3logo) Carmen Bastidas Montilla (Dermat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela Se trata de un paciente de 34 a\u00f1os de edad, peque\u00f1o productor agropecuario, procedente del Estado Trujillo quien consulta por la aparici\u00f3n de m\u00faltiples p\u00e1pulas amarrillas, algunas con halo eritematosas, que aparecieron abruptamente en la piel, principalmente en …<\/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-2781","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\/2781","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=2781"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/2781\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=2781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=2781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=2781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}