{"id":31701,"date":"2013-06-07T06:59:43","date_gmt":"2013-06-07T11:29:43","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=31701"},"modified":"2013-06-08T07:07:21","modified_gmt":"2013-06-08T11:37:21","slug":"dermatoscopia-en-el-consultorio-ed-333","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/31701","title":{"rendered":"Dermatoscopia en el consultorio Ed.333"},"content":{"rendered":"<p>En esta Edici\u00f3n:<\/p>\n<p><!--more--><\/p>\n<p><strong>1. Soluci\u00f3n al caso anterior<\/strong><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/31020\" target=\"_blank\">Ver presentaci\u00f3n completa del caso &gt;&gt;<\/a><\/p>\n<p><em><strong>Diagn\u00f3stico: lesiones 1 y 2: LENTIGO MALIGNO (MELANOMA MALIGNO in situ)<\/strong><\/em><\/p>\n<p>Discusi\u00f3n: este es un ejemplo cl\u00e1sico de los hallazgos que nos deben alarmar al evaluar lesiones pigmentadas en cara, son evidentes la hiperpigmentaci\u00f3n perifolicular asim\u00e9trica, la invasi\u00f3n de algunos orificios foliculares, la granularidad gris y la presencia de estructuras romboidales. El color gris con granularidad y el comportamiento irregular del pigmento alrededor de los orificios foliculares son hallazgos claves a tomar en cuenta para lograr diagnosticar con mayor eficiencia los melanomas faciales.<\/p>\n<p><strong>2. Caso Nuevo<\/strong><\/p>\n<p>Paciente femenina de 75 a\u00f1os quien consulta por presentar placa ulcerada en cara interna de antebrazo derecho, de meses de evoluci\u00f3n. (ver foto 1)<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_31702\" aria-describedby=\"caption-attachment-31702\" style=\"width: 360px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/Foto-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-31702\" alt=\"Foto 1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/Foto-1-360x480.jpg\" width=\"360\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/Foto-1-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/Foto-1-768x1024.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/Foto-1.jpg 900w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><figcaption id=\"caption-attachment-31702\" class=\"wp-caption-text\">Foto 1<\/figcaption><\/figure>\n<p>A la dermatoscopia tomando en cuenta todas esas estructuras vasculares y pigmentadas \u00bfcual ser\u00eda su diagn\u00f3stico? (ver foto 2)<\/p>\n<figure id=\"attachment_31703\" aria-describedby=\"caption-attachment-31703\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/foto-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-31703\" alt=\"Foto 2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/06\/foto-2-390x292.jpg\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/foto-2-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/foto-2-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/06\/foto-2.jpg 1200w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-31703\" class=\"wp-caption-text\">Foto 2<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En esta Edici\u00f3n:<\/p>\n","protected":false},"author":52,"featured_media":31703,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,375],"tags":[],"class_list":["post-31701","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-dermatoscopia-en-el-consultorio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31701","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\/52"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=31701"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/31701\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/31703"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=31701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=31701"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=31701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}