{"id":47372,"date":"2019-04-26T07:20:42","date_gmt":"2019-04-26T11:50:42","guid":{"rendered":"https:\/\/piel-l.org\/blog\/?p=47372"},"modified":"2019-04-26T14:01:57","modified_gmt":"2019-04-26T18:31:57","slug":"caso-clinico-no-79-malassezia-comensal-o-patogeno","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/47372","title":{"rendered":"Caso cl\u00ednico N\u00ba 79. Malassezia: \u00bfComensal o Pat\u00f3geno?"},"content":{"rendered":"<p>MSc. Fernando G\u00f3mez-Daza. Valencia, Venezuela.<\/p>\n<p><strong>Paciente<\/strong>: I.C.<br \/>\n<strong>Tipo de piel:<\/strong> IV\/VI Fitzpatrick.<br \/>\n<strong>Motivo de consulta:<\/strong> Manchas oscuras en el cuerpo.<br \/>\n<strong>Enfermedad actual:<\/strong> Paciente masculino de 14 a\u00f1os de edad, natural y procedente de Valencia, Venezuela, con dermatosis generalizada con predominio en t\u00f3rax y abdomen anterior, respetando los pliegues axilares, caracterizada por p\u00e1pulas hiperpigmentadas no pruriginosas de a\u00f1os de evoluci\u00f3n.<\/p>\n<div id='gallery-1' class='gallery galleryid-47372 gallery-columns-1 gallery-size-large'><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\/\/2019\/04\/ed441_micopiel__01.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__01-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47384\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__01.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__01-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47384'>\n\t\t\t\tFig. 1\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__02.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"464\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__02-1024x768.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47385\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__02-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__02-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__02-768x576.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__02.jpg 1280w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47385'>\n\t\t\t\tFig. 2\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__03.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"464\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__03-1024x768.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47386\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__03-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__03-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__03-768x576.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__03.jpg 1280w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47386'>\n\t\t\t\tFig. 3\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__04.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"464\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__04-1024x768.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47387\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__04-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__04-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__04-768x576.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__04.jpg 1280w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47387'>\n\t\t\t\tFig. 4\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__05.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__05-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47388\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__05.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__05-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47388'>\n\t\t\t\tFig. 5\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__06.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__06-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47389\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__06.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__06-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47389'>\n\t\t\t\tFig. 6\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__07.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"462\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__07-1024x766.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-1-47390\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__07-1024x766.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__07-390x292.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__07-768x574.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__07.jpg 1280w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-1-47390'>\n\t\t\t\tFig. 7\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<p style=\"text-align: center;\">Caso presentado previo consentimiento informado del representante.<\/p>\n<p><strong>Frotamiento con gasa y alcohol:<\/strong><\/p>\n<div id='gallery-2' class='gallery galleryid-47372 gallery-columns-1 gallery-size-large'><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\/\/2019\/04\/ed441_micopiel__08.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"464\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__08-1024x768.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-2-47391\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__08-1024x768.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__08-390x293.jpg 390w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__08-768x576.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__08.jpg 1280w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-2-47391'>\n\t\t\t\tFig. 8\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__09.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__09-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-2-47392\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__09.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__09-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-2-47392'>\n\t\t\t\tFig. 9\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<p style=\"text-align: center;\"><strong>Estudio micol\u00f3gico:<\/strong><\/p>\n<div id='gallery-3' class='gallery galleryid-47372 gallery-columns-1 gallery-size-large'><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\/\/2019\/04\/ed441_micopiel__10.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__10-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-47393\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__10.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__10-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-47393'>\n\t\t\t\tFig.10: Se tom\u00f3 muestra por impronta con cinta adhesiva transparente (CAT) de las lesiones hiperpigmentadas de t\u00f3rax anterior y se observ\u00f3 al microsopio \u00f3ptico sin colorante (imagen superior) y con azul de metileno (imagen inferior). Se evidenciaron bundantes levaduras unigemantes compatibles con el g\u00e9nero Malassezia. (Objetivo de 10 x).\n\t\t\t\t<\/figcaption><\/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\/\/2019\/04\/ed441_micopiel__11.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"618\" height=\"824\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2019\/04\/ed441_micopiel__11-768x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" aria-describedby=\"gallery-3-47394\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__11.jpg 768w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2019\/04\/ed441_micopiel__11-360x480.jpg 360w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/a>\n\t\t\t<\/div>\n\t\t\t\t<figcaption class='wp-caption-text gallery-caption' id='gallery-3-47394'>\n\t\t\t\tFig. 11: CAT de las lesiones hiperpigmentadas de t\u00f3rax anterior sin colorante (imagen superior) y con azul de metileno (imagen inferior). (Objetivo de 40 x).\n\t\t\t\t<\/figcaption><\/figure>\n\t\t<\/div>\n\n<h3>\n<p style=\"text-align: center;\"><strong>\u00bfQu\u00e9 dermatosis padece el paciente?<\/strong><\/p>\n<\/h3>\n<div class=\"su-spacer\" style=\"height:40px\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Paciente masculino de 14 a\u00f1os de edad, natural y procedente de Valencia, Venezuela, con dermatosis generalizada con predominio en t\u00f3rax y abdomen anterior, respetando los pliegues axilares, caracterizada por p\u00e1pulas hiperpigmentadas no pruriginosas de a\u00f1os de evoluci\u00f3n<\/p>\n","protected":false},"author":7,"featured_media":47376,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":["post-47372","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-micopiel"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/47372","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\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=47372"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/47372\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/47376"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=47372"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=47372"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=47372"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}