{"id":490,"date":"2007-06-08T20:03:40","date_gmt":"2007-06-09T00:03:40","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=490"},"modified":"2007-06-09T09:45:40","modified_gmt":"2007-06-09T13:45:40","slug":"lepra-lepromatosa-simulando-lepra-histioide","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/490","title":{"rendered":"Lepra Lepromatosa, simulando lepra histioide"},"content":{"rendered":"

Autores:
Dur\u00e1n S;
Sunico N;
Rodr\u00edguez Z;
Perez Alfonso R,
Oliver M;
Aranzazu N.
Instituto de Biomedicina Hospital Vargas Caracas.Venezuela<\/strong><\/p>\n

Paciente  masculino de  70 a\u00f1os de edad, natural y procedente: Santa Teresa del Tuy. Edo. Miranda inicio enfermedad actual el 10 de octubre caracterizado por n\u00f3dulos hipercr\u00f3micos, renitentes,  en torax y abdomen oscilaban 0,5 y 0,8 cm de di\u00e1metro, luego aparecen en mu\u00f1eca, tobillos normocr\u00f3micos indurados de 0,7-1 cm de di\u00e1metro<\/p>\n

<\/p>\n

Antecedente: Diabetes mellitus tipo 2  tratamiento irregular Diamicron®<\/p>\n

Se realiza test de sensibilidad y discapacidad anestesia calor en manos y pies con discapacidad grado 1<\/p>\n

Linfas<\/p>\n

OD: 5+        OI: 5+<\/p>\n

CD: 5+        CI: 5+<\/p>\n

RD: 5+        RI: 5+<\/p>\n

Pruebas intr\u00e1dermicas<\/p>\n

PPD:   Ø<\/p>\n

AS:      Ø<\/p>\n

Examen de laboratorio<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\n

GB<\/p>\n<\/td>\n

\n

4900<\/p>\n<\/td>\n<\/tr>\n

\n

Seg<\/p>\n<\/td>\n

\n

46%<\/p>\n<\/td>\n<\/tr>\n

\n

Linf<\/p>\n<\/td>\n

\n

37%<\/p>\n<\/td>\n<\/tr>\n

\n

Eosinofilos<\/p>\n<\/td>\n

\n

15%<\/p>\n<\/td>\n<\/tr>\n

\n

Hb<\/p>\n<\/td>\n

\n

14,8 gr\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

Hto<\/p>\n<\/td>\n

\n

45,7%<\/p>\n<\/td>\n<\/tr>\n

\n

Reticulocitos<\/p>\n<\/td>\n

\n

1,3 %<\/p>\n<\/td>\n<\/tr>\n

\n

Glic<\/p>\n<\/td>\n

\n

159 gr\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

BUN<\/p>\n<\/td>\n

\n

16 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

Creat<\/p>\n<\/td>\n

\n

1 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

AST<\/p>\n<\/td>\n

\n

20UI\/l<\/p>\n<\/td>\n<\/tr>\n

\n

ALT<\/p>\n<\/td>\n

\n

22UI\/l<\/p>\n<\/td>\n<\/tr>\n

\n

Col Total<\/p>\n<\/td>\n

\n

167 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

HDL<\/p>\n<\/td>\n

\n

31 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

LDL<\/p>\n<\/td>\n

\n

112 mg\/dl<\/p>\n<\/td>\n<\/tr>\n

\n

HIV<\/p>\n<\/td>\n

\n

No  reactivo<\/p>\n<\/td>\n<\/tr>\n

\n

VDRL<\/p>\n<\/td>\n

\n

No  reactivo<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

Se realiza biopsia de piel:<\/p>\n

Compatible con Enfermedad de Hansen: Lepra lepromatosa<\/p>\n

Tratamiento: PQMTMBA, Vitamina C, Vitamina E, Protecci\u00f3n solar<\/p>\n

 Favor click para abrir revisi\u00f3n en Power Point elaborada por la Dra. Sof\u00eda Dur\u00e1n:<\/strong><\/p>\n

\"Tropicales\" <\/p>\n

Adem\u00e1s en art\u00edculos cient\u00edficos podr\u00e1 ver revisi\u00f3n de la Biblioteca virtual de la Universida Central de Venezuela <\/p>\n","protected":false},"excerpt":{"rendered":"

Autores: Dur\u00e1n S; Sunico N; Rodr\u00edguez Z; Perez Alfonso R, Oliver M; Aranzazu N. Instituto de Biomedicina Hospital Vargas Caracas.Venezuela Paciente  masculino de  70 a\u00f1os de edad, natural y procedente: Santa Teresa del Tuy. Edo. Miranda inicio enfermedad actual el 10 de octubre caracterizado por n\u00f3dulos hipercr\u00f3micos, renitentes,  en torax y abdomen oscilaban 0,5 y …<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-490","post","type-post","status-publish","format-standard","","category-enfermedades_tropicales"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/490","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=490"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/490\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=490"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=490"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=490"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}