{"id":3168,"date":"2008-07-04T23:27:04","date_gmt":"2008-07-05T03:27:04","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=3168"},"modified":"2008-07-05T10:32:35","modified_gmt":"2008-07-05T14:32:35","slug":"consulte-a-un-colega-n2-melanoniquia-estriada","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/3168","title":{"rendered":"Consulte a un Colega N\u00b02: (melanoniquia estriada)"},"content":{"rendered":"<p><strong>Dra. Raquel M Ramos M<br \/> Centro Policl\u00ednico Valencia La Vi\u00f1a<\/strong><\/p>\n<p>Se trata de escolar de 7 a\u00f1os quien&nbsp; es tra\u00eddo por su madre por presentar dermatosis localizada a nivel de dedo pulgar de mano derecha, caracterizada por l\u00ednea negra que atravieza la u\u00f1a de extremo a extremo, observ\u00e1ndose m\u00e1cula hiperpigmentada que sigue el mismo trayecto a nivel del pliegue proximal de la u\u00f1a, de tres semanas de evoluci\u00f3n.<\/p>\n<p><!--more--> <\/p>\n<p>\u00bf;Cu\u00e1l es tu diagn\u00f3stico?<br \/> \u00bf;C\u00f3mo proceder\u00edas ante este caso?<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image002.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3169\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image002-300x225.jpg\" title=\"clip_image002\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image002-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image002.jpg 504w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Esto fue lo que yo hice, no sin antes consultarlos con mis libros gordos de petete. Dr. Jaime Piquero, Dr .Guillermo Planas, DR. Jairo Mesa, Dr. Vito Abrusci.  &nbsp;<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image004.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3170\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image004-300x225.jpg\" title=\"clip_image004\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image004-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image004.jpg 504w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image006.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3171\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image006-300x225.jpg\" title=\"clip_image006\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image006-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image006.jpg 504w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image008.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3172\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image008-300x225.jpg\" title=\"clip_image008\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image008-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image008.jpg 504w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image010.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3173\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image010-300x225.jpg\" title=\"clip_image010\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image010-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/06\/202\/clip_image010.jpg 504w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><u>Reporte Histopatol\u00f3gico Dra. Nelly Vigil Quirce.<\/u><\/p>\n<p>Se analiza fragmento de plato ungueal y lecho , los cuales&nbsp; muestran:<\/p>\n<ul>\n<li>En Plato Ungueal, queratina compacta y eliminaci\u00f3n de pigmento mel\u00e1nico.<\/li>\n<li>En lecho, epitelio con leve balonamiento y aumento y elongaci\u00f3n de redes de crestas con abundante pigmento mel\u00e1nico. Capilares normales y presencia de pigmento mel\u00e1nico aislado. No se observan signos de malignidad.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Dra. Raquel M Ramos M Centro Policl\u00ednico Valencia La Vi\u00f1a Se trata de escolar de 7 a\u00f1os quien&nbsp; es tra\u00eddo por su madre por presentar dermatosis localizada a nivel de dedo pulgar de mano derecha, caracterizada por l\u00ednea negra que atravieza la u\u00f1a de extremo a extremo, observ\u00e1ndose m\u00e1cula hiperpigmentada que sigue el mismo trayecto &hellip;<\/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":[120],"class_list":["post-3168","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-melanoniquia-estriada"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/3168","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=3168"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/3168\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=3168"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=3168"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=3168"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}