{"id":45260,"date":"2017-09-08T09:03:33","date_gmt":"2017-09-08T13:33:33","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=45260"},"modified":"2017-09-08T16:43:07","modified_gmt":"2017-09-08T21:13:07","slug":"erupcion-acneiforme","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/45260","title":{"rendered":"Erupci\u00f3n acneiforme"},"content":{"rendered":"<p>Se caracteriza por ser lesiones p\u00e1pulo-pustulosas que se localizan generalmente en cara, cuero cabelludo, cuello, tercio superior de tronco<\/p>\n<p>Otras localizaciones menos frecuentes, son abdomen, regi\u00f3n lumbar, gl\u00fateos, y extremidades superiores e inferiores<\/p>\n<p>Las lesiones son monomorfas, ausencia de comedones cerrados y abiertos, lo cual es caracter\u00edsticos de Acn\u00e9 vulgar, su diagn\u00f3stico diferencial m\u00e1s importante<\/p>\n<ul>\n<li>Siempre es secundario a causas t\u00f3picas o sist\u00e9micas (medicamentos, infecciosas)<\/li>\n<li>T\u00f3picas: esteroides, cosm\u00e9ticos, hidrocarburos<\/li>\n<li>Sist\u00e9micos: medicamentos como esteroides, anticonvulsivantes, vitamina B, anti TNF, drogas antituberculosas, antineopl\u00e1sicas, anticonvulsivantes, antipsic\u00f3ticos<\/li>\n<li>Entre causas infecciosas: Pityrosporum sp, Candida sp. Viral, treponema (s\u00edfilis), histoplasma<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><strong><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/09\/ed414-psoriasis-01.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-45261\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/09\/ed414-psoriasis-01-359x480.jpg\" alt=\"\" width=\"359\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/09\/ed414-psoriasis-01-359x480.jpg 359w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/09\/ed414-psoriasis-01.jpg 587w\" sizes=\"auto, (max-width: 359px) 100vw, 359px\" \/><\/a>Erupci\u00f3n acneiforme: histoplasmosis<\/strong><\/p>\n<p><strong>En presencia de erupci\u00f3n acneiforme:<\/strong><\/p>\n<ul>\n<li>Descartar Acn\u00e9 vulgar<\/li>\n<li>Interrogatorio exhaustivo para suspender<\/li>\n<\/ul>\n<p><strong>La causa<\/strong><\/p>\n<ul>\n<li>Examen cl\u00ednico en b\u00fasqueda de otros signos cl\u00ednicos que nos ayuden a descartar causa infecciosa<\/li>\n<li>Solicitar VDRL, VIH, VSG<\/li>\n<\/ul>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/09\/ed414-psoriasis-02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-45262\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2017\/09\/ed414-psoriasis-02-360x480.jpg\" alt=\"\" width=\"360\" height=\"480\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/09\/ed414-psoriasis-02-360x480.jpg 360w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2017\/09\/ed414-psoriasis-02.jpg 587w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><strong>Secundarismo sifil\u00edtico &#8211; HIV<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Una vez confirmado diagn\u00f3stico de Erupci\u00f3n acneiforme y descartado Acn\u00e9 vulgar, es mandatorio investigar causa subyacente, ya que esta pudiera ser manifestaci\u00f3n cl\u00ednica de secundarismo sifil\u00edtico, histoplasmosis por ejemplo.<\/p>\n<p>La conducta terap\u00e9utica depender\u00e1 de causa subyacente, en general en presencia de este tipo de erupci\u00f3n es importante el interrogatorio, la edad del paciente, la localizaci\u00f3n de las lesiones, su aspecto cl\u00ednico para poder establecer un diagn\u00f3stico e indicar la conducta terap\u00e9utica adecuada.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se caracteriza por ser lesiones p\u00e1pulo-pustulosas que se localizan generalmente en cara, cuero cabelludo, cuello, tercio superior de tronco<\/p>\n<p>Otras localizaciones menos frecuentes, son abdomen, regi\u00f3n lumbar, gl\u00fateos, y extremidades superiores e inferiores<\/p>\n","protected":false},"author":104,"featured_media":45262,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[252],"tags":[],"class_list":["post-45260","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-psicodermatosis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/45260","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=45260"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/45260\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/45262"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=45260"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=45260"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=45260"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}