{"id":36456,"date":"2014-06-20T21:16:45","date_gmt":"2014-06-21T01:46:45","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=36456"},"modified":"2014-06-20T21:58:19","modified_gmt":"2014-06-21T02:28:19","slug":"dermatoscopia-ed-354","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/36456","title":{"rendered":"Dermatoscopia Ed.354"},"content":{"rendered":"<p><span style=\"color: #252324;\">En esta edici\u00f3n presentamos: Repuesta al caso presentado en la Ed.351 y un nuevo caso.<\/span><\/p>\n<p><!--more--><\/p>\n<p><strong style=\"color: #252324;\">RESPUESTA AL CASO Dermatoscopia Ed.351<\/strong><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/35751\" target=\"_blank\"><span style=\"color: #252324;\">(<\/span><em>Clic aqu\u00ed para ver la presentaci\u00f3n del caso<\/em><span style=\"color: #252324;\">)<\/span><\/a><\/p>\n<p><strong>\u00a0<span style=\"color: #222222;\">Diagn\u00f3stico: MELANONIQUIA RACIAL<\/span><\/strong><br style=\"color: #222222;\" \/><br style=\"color: #222222;\" \/><span style=\"color: #222222;\">Discusi\u00f3n: del lado derecho de la foto se observa lesi\u00f3n melanoc\u00edtica con lineas paralelas, puntos y gr\u00e1nulos marrones, en algunas zonas da la impresi\u00f3n que el paralelismo se pierde, lo cual se considera un signo dermatosc\u00f3pico de alarma para lesiones en esta localizaci\u00f3n, sin embargo el color y la distribuci\u00f3n tienden a ser uniformes. Ante estos hallazgos mi decisi\u00f3n fue realizar biopsia de la lesi\u00f3n que origin\u00f3 la melanoniquia.<\/span><br style=\"color: #222222;\" \/><span style=\"color: #222222;\">Del lado izquierdo se observan gl\u00f3bulos viol\u00e1ceos que son caracter\u00edsticos de un hematoma sub-ungueal. Considero que en el caso de la melanoniquia estaba indicada la biopsia.<\/span><br style=\"color: #222222;\" \/><span style=\"color: #222222;\">Nota: la dermatopat\u00f3loga encargada del caso solicit\u00f3 nuevos cortes.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong style=\"color: #252324;\">CASO NUEVO<\/strong><\/p>\n<p><span style=\"color: #222222;\">Paciente masculino de 82 a\u00f1os en quien como hallazgo del examen f\u00edsico se evidenci\u00f3 lesi\u00f3n pigmentada plantar derecha (foto 1), desconoce evoluci\u00f3n.<\/span><\/p>\n<figure id=\"attachment_36457\" aria-describedby=\"caption-attachment-36457\" style=\"width: 360px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/ed354-dermatoscopia-01.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-36457 size-medium\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/ed354-dermatoscopia-01-360x480.jpg\" alt=\"ed354-dermatoscopia-01\" width=\"360\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/ed354-dermatoscopia-01-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/ed354-dermatoscopia-01.jpg 750w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><figcaption id=\"caption-attachment-36457\" class=\"wp-caption-text\">FOTO 1<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_36458\" aria-describedby=\"caption-attachment-36458\" style=\"width: 390px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/ed354-dermatoscopia-02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-36458 size-medium\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2014\/06\/ed354-dermatoscopia-02-390x292.jpg\" alt=\"ed354-dermatoscopia-02\" width=\"390\" height=\"292\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/ed354-dermatoscopia-02-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2014\/06\/ed354-dermatoscopia-02.jpg 1000w\" sizes=\"auto, (max-width: 390px) 100vw, 390px\" \/><\/a><figcaption id=\"caption-attachment-36458\" class=\"wp-caption-text\">FOTO 2<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #222222;\"><strong>Con estos hallazgos dermatosc\u00f3picos cual seria su diagn\u00f3stico y conducta?<\/strong> (foto 2)<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En esta edici\u00f3n presentamos: Repuesta al caso presentado en la Ed.351 y un nuevo caso.<\/p>\n","protected":false},"author":52,"featured_media":36458,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11,375],"tags":[],"class_list":["post-36456","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\/36456","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=36456"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/36456\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/36458"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=36456"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=36456"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=36456"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}