{"id":4202,"date":"2008-09-26T08:28:38","date_gmt":"2008-09-26T12:28:38","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=4202"},"modified":"2008-09-27T08:28:50","modified_gmt":"2008-09-27T12:28:50","slug":"dermlist-n-2520-caso-de-atrofoderma-de-pasini-pierini","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/4202","title":{"rendered":"DERMLIST N\u00b0 2520: caso de atrofoderma de pasini-pierini??"},"content":{"rendered":"<p>Prezados colegas,<\/p>\n<p>esta paciente tem 12 anos, apresenta quadro de esclerodermia localizada no braco, diagnosticada ha uns 5 anos. Chegou a apresentar fan 1\/1280 (salpicado, pontilhado grosso), e ja tomou Trolovol (d penicilamina), depois o reumato administrou difosfato de cloroquina e metotrexato, com boa evolucao.<\/p>\n<p><!--more--><\/p>\n<p>De maneira geral esta&#8217;\u00a0 bem controlada, a placa no braco teve otima evolucao, mas ultimamente surgiram estas lesoes no dorso. Sao placas melanizadas, que parecem deprimidas de longe, principalmente se observadas tangencialmente, mas a palpacao nao tem a sensacao de depressao como pressupunha&#8230;nao sao endurecidas como se esperaria na esclerodermia. Assintomaticas. Ai vao, para vossa observacao:<\/p>\n<div id='gallery-1' class='gallery galleryid-4202 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\/4202\/bfg8s1'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/09\/bfg8s1-150x150.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\/4202\/bfg8s3'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/09\/bfg8s3-150x150.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\/4202\/bfg8s5'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/09\/bfg8s5-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>O que pensam, colegas?? seria atrofodermia de Pasini-Pierini inicial? esclerodermia mesmo?? Como abordariam este caso??<br \/>\n Obrigado e um abraco em todos,<\/p>\n<p><strong>george<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prezados colegas, esta paciente tem 12 anos, apresenta quadro de esclerodermia localizada no braco, diagnosticada ha uns 5 anos. Chegou a apresentar fan 1\/1280 (salpicado, pontilhado grosso), e ja tomou Trolovol (d penicilamina), depois o reumato administrou difosfato de cloroquina e metotrexato, com boa evolucao.<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-4202","post","type-post","status-publish","format-standard","","category-brasilero-venezolana"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/4202","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\/26"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=4202"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/4202\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=4202"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=4202"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=4202"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}