{"id":5404,"date":"2008-12-12T20:24:14","date_gmt":"2008-12-13T00:24:14","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=5404"},"modified":"2008-12-12T20:24:14","modified_gmt":"2008-12-13T00:24:14","slug":"219-consulta-a-un-colega-no3","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/5404","title":{"rendered":"219 &#8211; Consulta a un Colega No.3"},"content":{"rendered":"<p><em><strong>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (dermat\u00f3logo), Carmen J. Bastidas Montilla (dermat\u00f3logo), Marisela Acosta Casanova (Anatomopat\u00f3logo), Cl\u00ednica Ntra. Se\u00f1ora del Pilar . Barinas\/ Venezuela<\/strong><\/em><\/p>\n<p>Paciente de 50 a\u00f1os de edad, ingeniero civil, quien consulta por ampolla (bolla) no inflamatoria, contenido claro, no dolorosa, de evoluci\u00f3n c\u00edclica, recidivante, crecimiento r\u00e1pido, localizada en el tercio anterior de la cara dorsal del halux derecho,&nbsp; desde hace seis (6) meses . Refiere que se inici\u00f3 bruscamente y que despu\u00e9s de dos d\u00eda aproximadamente drena sola o el paciente drena al romperla con objeto cortante un liquido aceitosos, viscoso, gelatinosos, amarillento, se vac\u00eda y al mes nuevamente aparece la lesi\u00f3n ampollar.<\/p>\n<p><!--more--><\/p>\n<p>(Favor ver foto Cl\u00ednica N&ordm; DSC00183.jpg-DSC00184.jpg-DSC00185.jpg-DSC00186.jpg-DSC00187,jpg)<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00183.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5405\" title=\"dsc00183\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00183-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00183-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00183.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00184.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5406\" title=\"dsc00184\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00184-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00184-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00184.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00185.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5407\" title=\"dsc00185\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00185-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00185-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00185.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00186.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5408\" title=\"dsc00186\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00186-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00186-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00186.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00187.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5409\" title=\"dsc00187\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dsc00187-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00187-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dsc00187.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>No hay antecedente de diabetes ni de otra patolog\u00eda metab\u00f3lica.<\/p>\n<p>Hipertensi\u00f3n arterial leve, obesidad ex\u00f3gena en tratamiento. No antecedente de traumatismo ni medicamentos.<\/p>\n<p>Laboratorio convencional dentro de la normalidad<\/p>\n<p>Se extirp\u00f3 la lesi\u00f3n y se disecaron los m\u00e1rgenes laterales y profundo, el l\u00edmite profundo era trilobulado y al cortarlo hubo salida de un contenido espeso, viscoso amarillento. Se env\u00edo material para anatom\u00eda patol\u00f3gica. En el 2&ordm; dedo del pi\u00e9 derecho neoformaci\u00f3n trinagular, dura al tacto con 4 a\u00f1os de evoluci\u00f3n compatible con fibroma.<\/p>\n<p>Histopatolog\u00eda: ampolla intraepidermica, con formaci\u00f3n de multiples pseudo espacios qu\u00edsticos de contenido seroso-proteinaceo. No se acompa\u00f1a de infiltardo inflamatorio; se observan c\u00e9lulas adosadas a los espacios qu\u00edsticos que dan a la luz,&nbsp; compatibles con queratinocitos apopt\u00f3ticos.<\/p>\n<p>Dermis papilar una marcada dilataci\u00f3n y congesti\u00f3n vascular<\/p>\n<p>(Favor ver imagen histopatol\u00f3gica N&ordm; DSCN4261.jpg-DSCN4262.jpg-DSCN4263.jpg-DSCN4264.jpg-DSCN4265.jpg-DSCN4266.jpg-DSCN4267.jpg)<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4261.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5410\" title=\"dscn4261\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4261-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4261-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4261.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4262.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5411\" title=\"dscn4262\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4262-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4262-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4262.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4263.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5412\" title=\"dscn4263\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4263-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4263-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4263.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4264.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5413\" title=\"dscn4264\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4264-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4264-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4264.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4265.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5414\" title=\"dscn4265\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4265-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4265-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4265.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4266.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5415\" title=\"dscn4266\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4266-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4266-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4266.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4267.jpg\"><img loading=\"lazy\" decoding=\"async\" height=\"225\" width=\"300\" class=\"alignnone size-medium wp-image-5416\" title=\"dscn4267\" alt=\"\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2008\/12\/dscn4267-300x225.jpg\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4267-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2008\/12\/dscn4267.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Cual es su diagnostico?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez (dermat\u00f3logo), Carmen J. Bastidas Montilla (dermat\u00f3logo), Marisela Acosta Casanova (Anatomopat\u00f3logo), Cl\u00ednica Ntra. Se\u00f1ora del Pilar . Barinas\/ Venezuela Paciente de 50 a\u00f1os de edad, ingeniero civil, quien consulta por ampolla (bolla) no inflamatoria, contenido claro, no dolorosa, de evoluci\u00f3n c\u00edclica, recidivante, crecimiento r\u00e1pido, localizada en el tercio anterior de la &hellip;<\/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":[],"class_list":["post-5404","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5404","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=5404"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/5404\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=5404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=5404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=5404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}