{"id":3817,"date":"2008-08-15T15:46:36","date_gmt":"2008-08-15T19:46:36","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=3817"},"modified":"2008-08-15T16:54:23","modified_gmt":"2008-08-15T20:54:23","slug":"consulte-a-un-colega-n1-histiocitosis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/3817","title":{"rendered":"Consulte a un Colega N\u00b01: histiocitosis"},"content":{"rendered":"<p><strong>Dr. Edgar La Rotta Higueras . Clinica de la piel Centro Medico Buenaventura Guatire Edo Miranda <\/strong><br \/>\nPaciente de sexo femenino\u00a0 de 34 a\u00f1os de edad que presenta desde hace 5 a\u00f1os\u00a0 aparicion s\u00fabita de papulas y placas eritemato-acasta\u00f1adas con diseminaci\u00f3n cefalo-caudal permaneciendo casi inalteradas desde su inicio hasta la actualidad, son asintomaticas y ha realizado multiples tratamientos m\u00e9dicos emp\u00edricos por otro facultativo sin mejor\u00eda.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-3817 gallery-columns-3 gallery-size-thumbnail'><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\/3817\/dsc01474'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc01474-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc01476'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc01476-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc01478'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc01478-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc01480'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc01480-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc06136'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc06136-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc06138'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc06138-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/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\/3817\/dsc06139'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/08\/dsc06139-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\nLa paciente solicita ayuda desde el punto de vista estetico, desea realizarse (peelings \u00bf?).<\/p>\n<p>Con sospecha de enfermedad granulomatosa infecciosa vs sarcoidosis vs linfoma tomamos una biopsia que muestra un denso infiltrado linfohistiocitario con presencia de celulas gigantes de tipo Touton con imagen de vidrio esmerilado en su citoplasma y ausencia de compromiso epidermico sugestiva de una histiocitosis probablemente no langerhans.<\/p>\n<p>Nuestro diagnostico es de un un Xantogranuloma diseminado<\/p>\n<p>Preguntas:<br \/>\n<strong>1-\u00a0\u00a0\u00a0\u00a0 Es este el diagnostico mas acertado.<br \/>\n2-\u00a0\u00a0\u00a0\u00a0 Que marcadores inmonohistoquimicos solicitarian?<br \/>\n3-\u00a0\u00a0\u00a0\u00a0 Que terapeutica ofrecemos a esta paciente?<br \/>\n<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Edgar La Rotta Higueras . Clinica de la piel Centro Medico Buenaventura Guatire Edo Miranda Paciente de sexo femenino\u00a0 de 34 a\u00f1os de edad que presenta desde hace 5 a\u00f1os\u00a0 aparicion s\u00fabita de papulas y placas eritemato-acasta\u00f1adas con diseminaci\u00f3n cefalo-caudal permaneciendo casi inalteradas desde su inicio hasta la actualidad, son asintomaticas y ha realizado &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[214],"class_list":["post-3817","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-histiocitosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/3817","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=3817"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/3817\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=3817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=3817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=3817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}