{"id":31643,"date":"2013-06-07T07:10:32","date_gmt":"2013-06-07T11:40:32","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=31643"},"modified":"2013-06-08T07:12:07","modified_gmt":"2013-06-08T11:42:07","slug":"casos-histologicos-para-diagnostico-ed-333","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/31643","title":{"rendered":"Casos histol\u00f3gicos para diagn\u00f3stico Ed.333"},"content":{"rendered":"<p><em><strong>Rolando Hern\u00e1ndez P\u00e9rez <span style=\"font-size: x-small;\">(m\u00e9dico dermat\u00f3logo)<\/span><\/strong><\/em><br \/><em><strong>Rosalba Contreras <span style=\"font-size: x-small;\">(m\u00e9dico reumat\u00f3logo)<\/span><\/strong><\/em><br \/><em><strong>Marisela Acosta Casanova <span style=\"font-size: x-small;\">(m\u00e9dico anatomopat\u00f3logo)<\/span><\/strong><\/em><br \/><span style=\"font-size: x-small;\"><em><strong>Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/strong><\/em><\/span><\/p>\n<p><!--more--><\/p>\n<p>Se trata de una paciente femenina, de 58 a\u00f1os de edad, natural y procedente de la ciudad, secretaria de una instituci\u00f3n del Estado, en control por el Reumat\u00f3logo por : xerostom\u00eda, xeroftalmia y artritis con 30 a\u00f1os de evoluci\u00f3n, diagnosticada como S\u00edndrome de Sj\u00f6gren o Enfermedad de Mikulicz ; actualmente en tratamiento con Prednisona, Hidrocloroquina, lubricantes , gotas oft\u00e1lmicas a base de ciclosporina. Desde el punto de vista dermatol\u00f3gico presenta xerosis generalizada, petequias palpable (p\u00farpuras palpable) p\u00e1pulas edematosas urticarianas y lesiones tipo eritema anular centrifugo en extremidades inferiores y regi\u00f3n gl\u00fatea.<\/p>\n<p>RX de t\u00f3rax: sindrome intersticial respirtaorio.<\/p>\n<p>La paciente refiere una intensa resequedad de las mucosas, bucal, vaginal y conjuntival; la paciente se presenta con lentes oscuros (dice que no soporta la luz) refiere ardor, sensaci\u00f3n de cuerpo extra\u00f1o en los ojos, dice que siente como si tuviera arena en los ojos. Refiere boca seca, con frecuentes aftas en toda la boca, se presenta con una botella de agua mineral y frecuentemente en la entrevista toma agua&#8230; Perleche. Prurito generalizado.<\/p>\n<p>Laboratorio: ant-Ro\/SS-A (+) anti La\/SS-B (+) FR: (+) VSG: 60 mm 1 hora; VDRL: 2 dil. Leucopenia:<\/p>\n<p>Se tomaron tres muestras de la boca para estudio histopatol\u00f3gico.<\/p>\n<p>La presencia de dos o m\u00e1s agregados de c\u00e9lulas inflamatorias (infiltrado) de 50 o m\u00e1s linfocitos en 4 mm2 de tejido-gl\u00e1ndula salival son necesarias s para confirmar el diagnostico.<\/p>\n<p>Agradecemos ver im\u00e1genes histopatol\u00f3gicas.<\/p>\n<div id='gallery-1' class='gallery galleryid-31643 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\/31643\/image645'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image645-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image645-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image645-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image645-260x260.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\/31643\/image646'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image646-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image646-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image646-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image646-260x260.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\/31643\/image647'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image647-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image647-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image647-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image647-260x260.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\/31643\/image648'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image648-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image648-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image648-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image648-260x260.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\/31643\/image649'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image649-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image649-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image649-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image649-260x260.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\/31643\/image650'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image650-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image650-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image650-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image650-260x260.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\/31643\/image651'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image651-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image651-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image651-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image651-260x260.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\/31643\/image652'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/image652-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image652-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image652-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/image652-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Se concluye en un S\u00edndrome de Sj\u00f6gren de evoluci\u00f3n cr\u00f3nica con manifestaciones sist\u00e9micas.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)Rosalba Contreras (m\u00e9dico reumat\u00f3logo)Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/p>\n","protected":false},"author":84,"featured_media":31651,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,606],"tags":[],"class_list":["post-31643","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-la-piel-a-traves-del-microscopio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31643","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\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=31643"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31643\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/31651"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=31643"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=31643"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=31643"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}