{"id":35985,"date":"2014-05-23T09:11:27","date_gmt":"2014-05-23T13:41:27","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=35985"},"modified":"2014-05-23T18:05:32","modified_gmt":"2014-05-23T22:35:32","slug":"caso-no-259-mayo-20-2014","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/35985","title":{"rendered":"Caso N\u00ba 259 Mayo 20, 2014"},"content":{"rendered":"<p><strong><em>Dr Francisco Gonzalez ( Dermat\u00f3logo Pediatra )<\/em><\/strong><br \/>\n<strong><em>Dr Luis Emiro Brice\u00f1o ( Neur\u00f3logo infantil)<\/em><\/strong><br \/>\n<strong><em>Dr Ram Cohem ( Otorrinolaring\u00f3logo)<\/em><\/strong><br \/>\n<strong><em>Dr O Solis \/ Dra M Sanchez ( Radi\u00f3logos )<\/em><\/strong><br \/>\n<span style=\"color: #999999;\"><em>Hospital de Cl\u00ednica Caracas<\/em><\/span><\/p>\n<p><!--more--><\/p>\n<p>Paciente femenina de 2 a\u00f1os y 9 meses de edad , fue evaluada en febrero del 2014 por presentar desde el nacimiento macular pigmentada en la distribuci\u00f3n que pueden observar en la iconograf\u00edas y en algunas zonas las lesiones son verrugosa. Las lesiones est\u00e1n distribuidas por toda la econom\u00eda pero con predominio en cara, cuello , tronco y cuero cabelludo con alopecia siguiendo un patr\u00f3n caracter\u00edstico. Tiene lesiones verrugosas en 1 y 2 dedo de pie izquierdo .<\/p>\n<p><strong>Estudios Complementarios<\/strong><\/p>\n<ol>\n<li>Se realiz\u00f3 RM cerebral con resultado DLN con conclusi\u00f3n de sinusopatia inflamatoria etmoidal derecha y mastoiditis derecha y se concluy\u00f3 como Sinusopat\u00eda.<\/li>\n<li>Evaluaci\u00f3n Neurol\u00f3gica : No tiene patolog\u00eda neurol\u00f3gica<\/li>\n<li>Evaluaci\u00f3n por ORL : Sinusopatia inflamatoria , le indica antial\u00e9rgicos<\/li>\n<li>RX de Columna Cervico cocc\u00edgea DLN<\/li>\n<li>Perfil de Laboratorio : DLN<\/li>\n<\/ol>\n<div id='gallery-1' class='gallery galleryid-35985 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\/\/2014\/05\/caso-259.001.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.001-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.001-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.001-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.001-260x260.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\/\/2014\/05\/caso-259.002.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.002-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.002-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.002-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.002-260x260.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\/\/2014\/05\/caso-259.003.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.003-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.003-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.003-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.003-260x260.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\/\/2014\/05\/caso-259.004.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.004-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.004-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.004-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.004-260x260.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\/\/2014\/05\/caso-259.005.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.005-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.005-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.005-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.005-260x260.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\/\/2014\/05\/caso-259.006.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.006-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.006-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.006-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.006-260x260.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\/\/2014\/05\/caso-259.007.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.007-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.007-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.007-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.007-260x260.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\/\/2014\/05\/caso-259.008.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.008-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.008-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.008-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.008-260x260.jpg 260w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.009.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-35994\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/05\/caso-259.009.jpg\" alt=\"caso-259.009\" width=\"720\" height=\"540\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.009.jpg 720w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/05\/caso-259.009-390x292.jpg 390w\" sizes=\"auto, (max-width: 720px) 100vw, 720px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Que otro estudio solicitar\u00eda ?<\/strong><\/em><\/p>\n<p><em><strong>Cual es su Impresi\u00f3n Diagn\u00f3stica<\/strong><\/em><\/p>\n<p><em><strong>Que tratamiento indicar\u00eda<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr Francisco Gonzalez ( Dermat\u00f3logo Pediatra ) Dr Luis Emiro Brice\u00f1o ( Neur\u00f3logo infantil) Dr Ram Cohem ( Otorrinolaring\u00f3logo) Dr O Solis \/ Dra M Sanchez ( Radi\u00f3logos ) Hospital de Cl\u00ednica Caracas<\/p>\n","protected":false},"author":11,"featured_media":35986,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,20],"tags":[],"class_list":["post-35985","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\/35985","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=35985"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/35985\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/35986"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=35985"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=35985"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=35985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}