{"id":32937,"date":"2013-09-20T19:56:03","date_gmt":"2013-09-21T00:26:03","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=32937"},"modified":"2013-09-20T20:18:08","modified_gmt":"2013-09-21T00:48:08","slug":"caso-no-240-septiembre-19-2013","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/32937","title":{"rendered":"Caso N\u00ba 240 Septiembre 19, 2013"},"content":{"rendered":"<p>Se evalu\u00f3 el 5 de septiembre 2013 a la paciente femenina de 6 a\u00f1os de edad, por presentar desde hace aproximadamente 2 a\u00f1os erupci\u00f3n p\u00e1pulo escamosa extensa, localizada en cara , tronco y extremidades llamando la atenci\u00f3n el mayor compromiso palmo plantar bilateral y sim\u00e9trico, con queratoderma palmo plantar.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-32937 gallery-columns-3 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.23.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.23-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.23-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.23-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.23-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.31.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.31-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.31-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.31-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.31-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.52.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.57.52-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.52-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.52-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.57.52-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.00.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.00-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.00-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.00-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.00-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.11.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.11-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.11-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.11-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.11-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.23.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.23-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.23-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.23-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.23-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.31.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.31-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.31-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.31-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.31-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.46.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.58.46-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.46-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.46-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.58.46-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.10.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.10-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.10-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.10-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.10-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.32.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.32-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.32-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.32-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.32-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.50.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-12.59.50-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.50-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.50-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-12.59.50-260x260.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 portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-13.00.14.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-13.00.14-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.14-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.14-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.14-260x260.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\/09\/2013-09-12-13.00.27.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-13.00.27-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.27-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.27-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.27-260x260.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\/09\/2013-09-12-13.00.41.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2013\/09\/2013-09-12-13.00.41-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.41-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.41-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2013\/09\/2013-09-12-13.00.41-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<ul>\n<li>La paciente ha recibido multiples esquemas terap\u00e9uticos t\u00f3picos y sist\u00e9micos , metotrexate sin mejor\u00eda, motivo por el cual nos<\/li>\n<li>consulta para evaluaci\u00f3n y tratamiento<\/li>\n<li>El resto del examen f\u00edsico y control de laboratorio son normales<\/li>\n<li>La biopsia reporta Dermatitis Psoriasiforme .<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Cual es su diagn\u00f3stico ?.<\/strong><\/p>\n<p><strong>Que tratamiento indicar\u00eda ?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se evalu\u00f3 el 5 de septiembre 2013 a la paciente femenina de 6 a\u00f1os de edad, por presentar desde hace aproximadamente 2 a\u00f1os erupci\u00f3n p\u00e1pulo escamosa extensa, localizada en cara , tronco y extremidades llamando la atenci\u00f3n el mayor compromiso palmo plantar bilateral y sim\u00e9trico, con queratoderma palmo plantar.<\/p>\n","protected":false},"author":11,"featured_media":32948,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,20],"tags":[],"class_list":["post-32937","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-secciones-de-colaboradores","category-dermatologia-pediatrica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/32937","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\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=32937"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/32937\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/32948"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=32937"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=32937"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=32937"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}