{"id":5208,"date":"2008-12-05T23:14:21","date_gmt":"2008-12-06T03:14:21","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=5208"},"modified":"2008-12-05T23:25:40","modified_gmt":"2008-12-06T03:25:40","slug":"consulte-a-un-colega-n5-lupus-eritematoso-cutaneo-remedando-queratosis-actinica","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/5208","title":{"rendered":"Consulte a un Colega N\u00ba5: Lupus Eritematoso cut\u00e1neo remedando Queratosis act\u00ednica"},"content":{"rendered":"<p><strong>Dr Edgar La Rotha  Cl\u00ednica de la piel (Clinica Sanatrix)<\/strong><\/p>\n<p>Paciente que consulta por presentar lesiones en cara manejadas por otro colega con el diagn\u00f3stico cl\u00ednico e histol\u00f3gico de queratosis act\u00ednica desde 9 meses antes. Al evaluar se aprecian p\u00e1pulas eritematosas localizadas en pabell\u00f3n auricular, pir\u00e1mide nasal y mejilla.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-006.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" class=\"alignnone size-medium wp-image-5209\" title=\"26-de-septiembre-006\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-006-300x200.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-006-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-006.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-007.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" class=\"alignnone size-medium wp-image-5210\" title=\"26-de-septiembre-007\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-007-300x200.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-007-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-007.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-008.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" class=\"alignnone size-medium wp-image-5211\" title=\"26-de-septiembre-008\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-008-300x200.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-008-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-008.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-009.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"200\" width=\"300\" class=\"alignnone size-medium wp-image-5212\" title=\"26-de-septiembre-009\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/26-de-septiembre-009-300x200.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-009-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/26-de-septiembre-009.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Se toma nueva biopsia  en donde se aprecia dermatitis de interfase vacuolar y perivascular superficial y profunda compatible con Lupus eritematoso discoideo cr\u00f3nico. Se solicitan l\u00e1minas de biopsia anterior las cuales tambi\u00e9n sustentan el diagn\u00f3stico de LEC, aunque se aprecia atipia de queratinocitos, lo que sugiere un lupus sobre piel actinica.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/agresion-con-vacuolizacion-del-epitelio-folicular.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"300\" width=\"173\" class=\"alignnone size-medium wp-image-5213\" title=\"agresion-con-vacuolizacion-del-epitelio-folicular\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/agresion-con-vacuolizacion-del-epitelio-folicular-173x300.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/agresion-con-vacuolizacion-del-epitelio-folicular-173x300.jpg 173w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/agresion-con-vacuolizacion-del-epitelio-folicular.jpg 422w\" sizes=\"auto, (max-width: 173px) 100vw, 173px\" \/><\/a><br \/>\nagresion con vacuolizacion del epitelio folicular<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/epitelio-rectificado-con-atipia-de-queratinocitos.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"237\" width=\"300\" class=\"alignnone size-medium wp-image-5214\" title=\"epitelio-rectificado-con-atipia-de-queratinocitos\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/epitelio-rectificado-con-atipia-de-queratinocitos-300x237.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/epitelio-rectificado-con-atipia-de-queratinocitos-300x237.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/epitelio-rectificado-con-atipia-de-queratinocitos.jpg 604w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\nepitelio rectificado con atipia de queratinocitos<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/infiltrado-profundo-con-paniculitis.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"256\" width=\"300\" class=\"alignnone size-medium wp-image-5215\" title=\"infiltrado-profundo-con-paniculitis\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/infiltrado-profundo-con-paniculitis-300x256.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/infiltrado-profundo-con-paniculitis-300x256.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/infiltrado-profundo-con-paniculitis.jpg 596w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\ninfiltrado profundo con paniculitis<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/lupus-cutaneo-discoide.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"300\" width=\"169\" class=\"alignnone size-medium wp-image-5216\" title=\"lupus-cutaneo-discoide\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/lupus-cutaneo-discoide-169x300.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/lupus-cutaneo-discoide-169x300.jpg 169w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/lupus-cutaneo-discoide.jpg 433w\" sizes=\"auto, (max-width: 169px) 100vw, 169px\" \/><\/a><br \/>\nlupus cutaneo discoide<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/panoramica-de-dermatitis-vacuolar-y-perivascular-perianexial-superficial-y-profunda-super.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"227\" width=\"300\" class=\"alignnone size-medium wp-image-5217\" title=\"panoramica-de-dermatitis-vacuolar-y-perivascular-perianexial-superficial-y-profunda-super\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/panoramica-de-dermatitis-vacuolar-y-perivascular-perianexial-superficial-y-profunda-super-300x227.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/panoramica-de-dermatitis-vacuolar-y-perivascular-perianexial-superficial-y-profunda-super-300x227.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/panoramica-de-dermatitis-vacuolar-y-perivascular-perianexial-superficial-y-profunda-super.jpg 644w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\npanoramica de dermatitis vacuolar y perivascular perianexial&nbsp; superficial y profunda<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/tapon-corneo-en-ldc.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"300\" width=\"192\" class=\"alignnone size-medium wp-image-5218\" title=\"tapon-corneo-en-ldc\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/tapon-corneo-en-ldc-192x300.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/tapon-corneo-en-ldc-192x300.jpg 192w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/tapon-corneo-en-ldc.jpg 563w\" sizes=\"auto, (max-width: 192px) 100vw, 192px\" \/><\/a><br \/>\ntapon corneo en LDC<br \/>\n&nbsp;<\/p>\n<p>Se solicitan ex\u00e1menes paracl\u00ednicos e inmunol\u00f3gicos los cuales se encuentran dentro de l\u00edmites normales. Se solicita campimetria de colores para indicar Hidroxicloroquina asociado a buena protecci\u00f3n solar.<\/p>\n<p><strong>\u00bf;Est\u00e1n de acuerdo con el diagn\u00f3stico cl\u00ednico e histol\u00f3gico?<\/strong><\/p>\n<p><strong>\u00bf;Que otros medicamentos pueden ofrecerse?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr Edgar La Rotha Cl\u00ednica de la piel (Clinica Sanatrix) Paciente que consulta por presentar lesiones en cara manejadas por otro colega con el diagn\u00f3stico cl\u00ednico e histol\u00f3gico de queratosis act\u00ednica desde 9 meses antes. Al evaluar se aprecian p\u00e1pulas eritematosas localizadas en pabell\u00f3n auricular, pir\u00e1mide nasal y mejilla.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[257,61],"class_list":["post-5208","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-lupus-eritematoso-cutaneo","tag-queratosis-actinica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5208","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\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=5208"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5208\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=5208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=5208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=5208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}