{"id":31572,"date":"2013-06-07T08:03:09","date_gmt":"2013-06-07T12:33:09","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=31572"},"modified":"2013-06-08T07:23:15","modified_gmt":"2013-06-08T11:53:15","slug":"caso-no-3-ed-333-hiperqueratosis-verruciforme-de-hopf","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/31572","title":{"rendered":"Caso No.3 Ed.333:  Hiperqueratosis verruciforme de Hopf"},"content":{"rendered":"<p><em><strong>Rolando Hern\u00e1ndez P\u00e9rez <span style=\"font-size: x-small;\">(m\u00e9dico dermat\u00f3logo)<\/span><br \/>Marta Cubillan La Gruta <span style=\"font-size: x-small;\">(m\u00e9dico pediatra)<\/span><br \/>Marisela Acosta Casanova <span style=\"font-size: x-small;\">(m\u00e9dico anatomopat\u00f3logo)<\/span><br \/><span style=\"font-size: x-small;\">Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/span><\/strong><\/em><\/p>\n<p><!--more--><\/p>\n<p>Caso N\u00b0 1 se trata de una paciente de sexo femenino, natural y procedente de la ciudad de Barinas-Venezuela, de 41 a\u00f1os de edad, administradora de una empresa galletera, quien consulta por lesiones verrugosas, numerosas, m\u00e1s 20 lesiones, localizadas en miembros inferiores y miembros superiores, moderadamente pruriginosas, \u00e1speras al tacto, raz\u00f3n por la que quer\u00eda elimin\u00e1rselas; refiere una evoluci\u00f3n de 12 a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<div id='gallery-1' class='gallery galleryid-31572 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Buena salud general.<\/p>\n<p><strong>ID CLINICA<\/strong><\/p>\n<p>1) Acroqueratosis verruciforme de Hopf<\/p>\n<p>2) Queratosis act\u00ednica<\/p>\n<p>Hipotiroidismo controlado con medicamentos.<\/p>\n<p>Se tom\u00f3 muestra para estudio histopatol\u00f3gico:<\/p>\n<p>&nbsp;<\/p>\n<div id='gallery-2' class='gallery galleryid-31572 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: large;\"><strong>\u00a0Segundo caso<\/strong><\/span><\/p>\n<p>Paciente de 10 a\u00f1os de edad, m\u00faltiples p\u00e1pulas querat\u00f3sicas tipo verruga, puntiforme y otras planas, desde la edad de 5 a\u00f1os, asintom\u00e1ticas, localizadas en dorso mano izquierda.<\/p>\n<p>Buena salud.<\/p>\n<p>No hay otro caso en la familia<\/p>\n<p>No antecedentes de importancia.<\/p>\n<p>Este caso no tiene relaci\u00f3n con el caso presentado (mujer de 41 a\u00f1os de edad), curiosamente ambos caso se presentaron el mismo d\u00eda.<\/p>\n<div id='gallery-3' class='gallery galleryid-31572 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Histopatolog\u00eda:<\/p>\n<div id='gallery-4' class='gallery galleryid-31572 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040161-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040161-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040162-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040162-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040163-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040163-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040164-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040164-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040165-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040165-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image480-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image480-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image481-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image481-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image482-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image482-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image483-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image483-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image484-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image484-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image485-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image485-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image486-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image486-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image487-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image487-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image488-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image488-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image489-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image489-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image490-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image490-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image491-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image491-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040590-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040590-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/P1040591-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/P1040591-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image815-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image815-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image816-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image816-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image817-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image817-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image818-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image818-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image819-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image819-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image820-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image820-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image821-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image821-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: large;\"><strong>Comentario:<\/strong><\/span><\/p>\n<p>La Hiperqueratosis verruciforme de Hopf, es una modalidad de hiperqueratosis caracterizada por p\u00e1pulas o placas querat\u00f3sicas con predilecci\u00f3n en dorso de mano y pi\u00e9; pueden estar presente desde el nacimiento, en otros casos aparecen en el primer a\u00f1o de vida, m\u00e1s tard\u00edamente o incluso en la adolescencia o en la adultez. Se presentan como p\u00e1pulas ligeramente elevadas, peque\u00f1as hasta el tama\u00f1o de 1 o 2 cm; frecuentemente localizadas en dorso de mano, pies, rodillas, codos, antebrazo, cuello, frente y en otros puntos del cuerpo en forma de lesiones aisladas o peque\u00f1os grupos. Puede haber queratodermia (palmas) Excepcionalmente pueden presentarse ampollas al roce o fricci\u00f3n. Las u\u00f1as pueden ser blanquecinas y engrosadas. Herencia: autos\u00f3mica dominantes. Cabe la posibilidad de un \u201clinkage\u201d con la enfermedad de Darier y represente una modalidad monosintom\u00e1tica de la enfermedad de Darier.<\/p>\n<p>Histopatolog\u00eda: Hiperqueratosis sin paraqueratosis, acantosis discreta, papilomatosis leve, presencia de elongaciones circunscritas en forma de torres de iglesia. Hipergranulois importante. No hay vacuolizaci\u00f3n de las c\u00e9lulas epid\u00e9rmicas.<\/p>\n<p>Los dos casos fueron tratados con l\u00e1ser de CO2, excelente resultados.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)Marta Cubillan La Gruta (m\u00e9dico pediatra)Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,573],"tags":[],"class_list":["post-31572","post","type-post","status-publish","format-standard","","category-caso-clinico-reto-terapeutico","category-seccion-interactiva"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31572","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=31572"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31572\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=31572"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=31572"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=31572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}