{"id":344,"date":"2007-04-20T16:29:03","date_gmt":"2007-04-20T20:29:03","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=344"},"modified":"2007-04-20T17:02:55","modified_gmt":"2007-04-20T21:02:55","slug":"placas-verrugosas-pruriginosas-localizadas-en-manos-pies-piernas-y-muslos-con-4-meses-de-evolucion","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/344","title":{"rendered":"Placas verrugosas, pruriginosas localizadas en manos, pies, piernas y muslos con 4 meses de evoluci\u00f3n"},"content":{"rendered":"<p><strong>Presentado por:<br \/> Presentdo por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo)<br \/> Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<br \/> Hospital General &quot;Dr. Luis Razetti&middot; Barinas. Venezuela.<\/strong> <\/p>\n<p>Se trata de una paciente de 56 a\u00f1os de edad, docente de aula, natural y procedente del Estado Apure, quien consulta por placas verrugosas, oscuras, muy pruriginosas, con superficie reticulada y lineal, de limites bien definidos, otras lesiones arciformes y lineales localizados en dorso y cara lateral de los pies, pierna, muslos y dorso de ambas manos, con 4 meses de evoluci\u00f3n.<\/p>\n<p><!--more--> <\/p>\n<p><font color=\"#009900\">(Favor ver foto cl\u00ednica N&ordm;: DS00728.jpg &#8211; DSC00724.jpg &#8211; DSC00725.jpg &#8211; DSC00726.jpg &#8211; DSC00727.jpg -)<\/font><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00728.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00728p.jpg\" alt=\"caso\" width=\"250\" height=\"141\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00724.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00724p.jpg\" alt=\"caso\" width=\"169\" height=\"300\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00725.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00725p.jpg\" alt=\"caso\" width=\"250\" height=\"141\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00726.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00726p.jpg\" alt=\"caso\" width=\"250\" height=\"141\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00727.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSC00727p.jpg\" alt=\"caso\" width=\"250\" height=\"141\" \/><\/a> <\/p>\n<p>No refiere antecedentes contributorios con la enfermedad.<\/p>\n<p>No antecedentes familiares importantes.<\/p>\n<p>No historia de medicamentos.<\/p>\n<p>Laboratorio convencional: Triglic\u00e9ridos 502 mg\/dl y Colesterol: 229 mg\/dl, resto e los ex\u00e1menes dentro de la normalidad.  RX t\u00f3rax dentro de la normalidad.<\/p>\n<p>Se solicit\u00f3 interconsulta con nutrici\u00f3n e endocrinolog\u00eda.<\/p>\n<p>Histopatolog\u00eda: 1) hiperqueratosis 2) Acantosis irregular  con redes de crestas puntiagudas, hipergranulosis em focos. 3) Queratinositos apopt\u00f3ticos (cuerpso basof\u00edlicos) 4) Focos de degeneraci\u00f3n vacuolar de la capa basal 5) Infiltrado mononuclear en banda en dermis papilar y reticular y presencia de melan\u00f3fagos en dermis .<\/p>\n<p><font color=\"#009900\">(Favor ver foto histopatol\u00f3gica: DSCN3753.jpg &#8211; DSCN3754.jpg &#8211; DSCN3755.jpg &#8211; DSCN3756.jpg &#8211; DSCN3758.jpg)<\/font><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3753.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3753p.jpg\" alt=\"caso\" width=\"250\" height=\"188\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3754.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3754p.jpg\" alt=\"caso\" width=\"250\" height=\"188\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3755.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3755p.jpg\" alt=\"caso\" width=\"250\" height=\"188\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3756.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3756p.jpg\" alt=\"caso\" width=\"250\" height=\"188\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3757.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/04\/151\/DSCN3757p.jpg\" alt=\"caso\" width=\"250\" height=\"188\" \/><\/a> <\/p>\n<p><font><strong>\u00bf;Qu\u00e9 piensa usted?<\/strong><\/font><\/p>\n<p><font><strong>\u00bf;C\u00f3mo lo tratar\u00eda usted?<\/strong><\/font><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por: Presentdo por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo) Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Hospital General &quot;Dr. Luis Razetti&middot; Barinas. Venezuela. Se trata de una paciente de 56 a\u00f1os de edad, docente de aula, natural y procedente del Estado Apure, quien consulta por placas verrugosas, oscuras, muy pruriginosas, con superficie reticulada y lineal, de limites &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[29],"tags":[],"class_list":["post-344","post","type-post","status-publish","format-standard","","category-caso-de-la-semana"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/344","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=344"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/344\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=344"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=344"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=344"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}