{"id":44394,"date":"2017-03-31T14:03:32","date_gmt":"2017-03-31T18:33:32","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=44394"},"modified":"2017-03-31T20:54:17","modified_gmt":"2017-04-01T01:24:17","slug":"acantosis-nigricans-e-insulinoresistencia","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/44394","title":{"rendered":"Acantosis nigricans e insulinoresistencia"},"content":{"rendered":"<p><strong>Insulinoresistencia<\/strong><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Es la respuesta disminuida a la insulina por una c\u00e9lula u \u00f3rgano al cual esta expuesto<\/span><\/li>\n<li class=\"li1\"><span class=\"s2\">Se asocia a una respuesta anormal a la glucosa<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Se han descrito 4 tipos: A, B, C y Secundaria<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><strong><span class=\"s1\">Tipos de insulinoresistencia<\/span><\/strong><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Tipo A: disminuci\u00f3n o disfunci\u00f3n de los receptores de insulina<\/span><\/li>\n<li class=\"li1\"><span class=\"s2\">Tipo B: presencia de anticuerpos contra los receptores de insulina<\/span><\/li>\n<li class=\"li1\"><span class=\"s2\">Tipo C: defectos post-receptores<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Secundaria: alteraci\u00f3n de la tolerancia a la glucosa, diabetes, stress, embarazo, otras<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><strong><span class=\"s1\">Acantosis nigricans<\/span><\/strong><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Forma parte del grupo de marcadores cut\u00e1neos de insulinoresistencia<\/span><\/li>\n<li class=\"li1\"><span class=\"s2\">Otros de los marcadores en piel son: acrocordones, acn\u00e9, alopecia androgen\u00e9tica hirsutismo<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Puede ser manifestaci\u00f3n de otras patolog\u00edas\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/03\/acantosis-ed-408.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-44395\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/03\/acantosis-ed-408.jpg\" alt=\"\" width=\"340\" height=\"454\" \/><\/a><\/span><\/li>\n<\/ul>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Se caracteriza por ser \u00e1reas o placas aterciopeladas, sim\u00e9tricas, hiperpigmentadas, generalmente en pliegues, piel luce engrosada<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Variantes: benigna, asociada a obesidad, sindromica, asociada a malignidad, acral, unilateral, inducida por drogas y mixta<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><strong><span class=\"s1\">Caracteristicas<\/span><\/strong><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Acantosis nigricans benigna: generalmente cong\u00e9nita o aparece en la infancia, puede ser hereditaria transmitida por un gen autos\u00f3mico dominante <\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Asociada a obesidad : conocida como pseudoacantosis nigricans, es la mas frecuente a nivel mundial<\/span><\/li>\n<\/ul>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Sindr\u00f3mica: incluye<span class=\"Apple-converted-space\">\u00a0 <\/span>resistencia a la insulina tipo A y B, por ejemplo el s\u00edndrome de Berardinelli-Seip; s\u00edndrome de Crouzon, otros<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\">Asociada a malignidad: la mas frecuente es la asociada al adenocarcinoma gastrointestinal, de aparici\u00f3n brusca, involucra mucosas<\/span><\/li>\n<\/ul>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/03\/acantosis-ed-408-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-44396\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/03\/acantosis-ed-408-2-768x1024.jpg\" alt=\"\" width=\"618\" height=\"824\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/03\/acantosis-ed-408-2-768x1024.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/03\/acantosis-ed-408-2-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/03\/acantosis-ed-408-2.jpg 1022w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul class=\"ul1\">\n<li class=\"li1\"><span class=\"s2\">Asociada a drogas: acido nicot\u00ednico, anticonceptivas, hero\u00edna, derivados de similares a la hadantoina, corticosteroides y metiltestosterona.<\/span><\/li>\n<li class=\"li2\"><span class=\"s2\"> Involuciona con la suspensi\u00f3n del medicamento<\/span><\/li>\n<\/ul>\n<p class=\"p1\"><strong><span class=\"s1\">Conclusi\u00f3n<\/span><\/strong><\/p>\n<p class=\"p1\"><span class=\"s1\"> Ante todo paciente con Acantosis nigricans debe tomarse en cuenta edad de aparici\u00f3n, tipo de evoluci\u00f3n, medidas antropom\u00e9tricas, antecedentes familiares, medicaci\u00f3n y presencia o no de s\u00edntomas relacionados con diabetes<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La Acantosis nigricans forma parte del grupo de marcadores cut\u00e1neos de insulinoresistencia<\/p>\n","protected":false},"author":104,"featured_media":44395,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[620],"tags":[],"class_list":["post-44394","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-psoriasis-en-nino"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/44394","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\/104"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=44394"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/44394\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/44395"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=44394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=44394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=44394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}