{"id":39458,"date":"2015-04-10T09:07:17","date_gmt":"2015-04-10T13:37:17","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=39458"},"modified":"2015-04-27T22:29:26","modified_gmt":"2015-04-28T02:59:26","slug":"dermatoscopia-ed-369","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/39458","title":{"rendered":"Dermatoscopia Ed. 369"},"content":{"rendered":"<p>En esta edici\u00f3n presentamos: Repuesta al <a href=\"http:\/\/piel-l.org\/blog\/38847\" target=\"_blank\">caso presentado en la Ed.366 <\/a>y un nuevo caso.<\/p>\n<p><strong>RESPUESTA AL CASO\u00a0<\/strong><\/p>\n<p><strong>Diagn\u00f3stico histopatol\u00f3gico: QUERATOSIS SEBORREICA ACANTOTICA<\/strong><\/p>\n<p>Discusi\u00f3n: Se trata de una lesi\u00f3n dif\u00edcil desde el punto de vista dermatosc\u00f3pico, cl\u00ednicamente sugiere el diagn\u00f3stico de queratosis seborreica pero a la dermatoscopia se observan estructuras que parecen gl\u00f3bulos marrones de distribuci\u00f3n irregular y con \u00e1reas homog\u00e9neas con coloraci\u00f3n gris azulada, adem\u00e1s no se observaron otras estructuras dermatosc\u00f3picas que nos orienten al diagn\u00f3stico. Ante la duda lo mejor fu\u00e9 tomar una muestra para estudio histopatol\u00f3gico, lo que despej\u00f3 todas nuestras dudas.<\/p>\n<p><strong>CASO NUEVO<\/strong><\/p>\n<div class=\"gmail_quote\"><strong><em>Miguel A. L\u00f3pez Blanco<\/em><\/strong><\/div>\n<div class=\"gmail_quote\"><strong><em>Rolando Hern\u00e1ndez P\u00e9rez<\/em><\/strong><\/div>\n<div class=\"gmail_quote\"><strong><em>Marisela Acosta Casanova<\/em><\/strong><\/div>\n<div class=\"gmail_quote\"><em>Hospital Dr. Carlos \u00c1rvelo de Caracas<\/em><\/div>\n<div class=\"gmail_quote\"><em>Cl\u00edbica Ntra. Se\u00f1ora del Pilar &#8211; Barinas<\/em><\/div>\n<div class=\"gmail_quote\"><em>Venezuela<\/em><\/div>\n<div class=\"gmail_quote\">\n<div dir=\"ltr\">\n<div>\n<div>\n<ul>\n<li>Paciente femeina<\/li>\n<li>19 a\u00f1os de edad<\/li>\n<\/ul>\n<\/div>\n<p>Refiere aparici\u00f3n de lesi\u00f3n nodular , cupuliforme, bilobulda, superficie lisa, color morada claro, consistencia como de pelota de goma, de aproximadamente 1 cm de di\u00e1metro, en piel del mal\u00e9olo externo izquierdo con 10 meses de evoluci\u00f3n, asint\u00f3m\u00e1tica.<\/p>\n<\/div>\n<div>\n<div id='gallery-1' class='gallery galleryid-39458 gallery-columns-2 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\/wp-content\/uploads\/\/2015\/04\/ed369-dermatoscopia-3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/ed369-dermatoscopia-3-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-3-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-3-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-3-100x100.jpg 100w\" 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\/\/2015\/04\/ed369-dermatoscopia-4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/ed369-dermatoscopia-4-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-4-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-4-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-4-100x100.jpg 100w\" 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\/\/2015\/04\/ed369-dermatoscopia-2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/ed369-dermatoscopia-2-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-2-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-2-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-2-100x100.jpg 100w\" 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\/\/2015\/04\/ed369-dermatoscopia-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/ed369-dermatoscopia-1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-1-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-1-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/ed369-dermatoscopia-1-100x100.jpg 100w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<\/div>\n<div><strong>ID. Dermatofibroma Vs. Queloide VS. Angioqueratoma VS Melanoma nodular<\/strong><\/div>\n<p>Refiere aumento de tama\u00f1o en los dos \u00faltimos meses y episodios de inflamaci\u00f3n.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<hr \/>\n<\/div>\n<h3><\/h3>\n<div class=\"gmail_quote\">\n<a name=\"actualizacion\"><\/a><\/p>\n<h3>Actualizaci\u00f3n 27-04-2015<\/h3>\n<p>Rectificaci\u00f3n y atrofia de la epidermis, hiperqueratosis ortoquerat\u00f3sica.<br \/>\nInfiltrado en parche de l\u00edmites imprecisos en dermis superior y media; principalmente dermis media&#8230;<br \/>\nAbundantes c\u00e9lulas fusiformes, histiocitos redondos, poligonales, con abundante citoplasma claros. C\u00e9lulas gigantes con n\u00facleos desordenados; en algunos campos esbozos de c\u00e9lulas gigante tipo Tooton.<br \/>\nCuadro compatible con HISTIOCITOMA FIBROSO EPITELIODE VS. XANTOGRANULOMA JUVENIL<br \/>\nSe piensa solicitar inmunohistoqu\u00edmica principalmente XIIIa que expresa entre el 50% y 70% de las c\u00e9lulas del Histiocitosis Fibroso epitelial<\/p>\n<\/div>\n<div id='gallery-2' class='gallery galleryid-39458 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\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_1-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_1-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_1-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_2-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_2-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_2-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_2-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_3-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_3-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_3-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_3-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_4-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_4-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_4-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_4-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_5.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_5-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_5-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_5-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_5-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_6.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_6-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_6-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_6-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_6-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_7.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_7-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_7-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_7-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_7-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_8.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_8-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_8-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_8-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_8-100x100.jpg 100w\" 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\/\/2015\/04\/XANTOGRANULOMA_Page_9.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2015\/04\/XANTOGRANULOMA_Page_9-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_9-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_9-25x25.jpg 25w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2015\/04\/XANTOGRANULOMA_Page_9-100x100.jpg 100w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>En esta edici\u00f3n presentamos: Repuesta al caso presentado en la Ed.366 y un nuevo caso. RESPUESTA AL CASO\u00a0 Diagn\u00f3stico histopatol\u00f3gico: QUERATOSIS SEBORREICA ACANTOTICA Discusi\u00f3n: Se trata de una lesi\u00f3n dif\u00edcil desde el punto de vista dermatosc\u00f3pico, cl\u00ednicamente sugiere el diagn\u00f3stico de queratosis seborreica pero a la dermatoscopia se observan estructuras que parecen gl\u00f3bulos marrones de &hellip;<\/p>\n","protected":false},"author":52,"featured_media":39459,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[375],"tags":[],"class_list":["post-39458","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-dermatoscopia-en-el-consultorio"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/39458","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=39458"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/39458\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/39459"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=39458"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=39458"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=39458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}