{"id":6258,"date":"2009-02-06T19:50:49","date_gmt":"2009-02-06T23:50:49","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=6258"},"modified":"2009-02-06T21:51:41","modified_gmt":"2009-02-07T01:51:41","slug":"consulta-a-un-colega-no-5-acne-inverso","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/6258","title":{"rendered":"Consulta a un Colega No 5: Acne inverso."},"content":{"rendered":"<p><em><strong>Enviado por Dr. Jaime Piquero Martin. Edgar la Rotta. Clinica de la Piel. Clinica Sanatrix Caracas Venezuela<\/strong><\/em><\/p>\n<p>Paciente femenina de 28 a\u00f1os con diagn\u00f3stico de Hidradenitis supurativa de axila y perineogl\u00fatea, ademas de ca\u00edda del cabello, desde hace varios a\u00f1os manejada con polifarmacia si mejor\u00eda. Nos consulta por presentar abscesos y cicatrices localizadas en regi\u00f3n inguinal y axilas asi como \u00e1reas de alopecia cicatrizal sin zonas de inflamaci\u00f3n perifolicular. Obesidad moderada con ovario poliquistico.<\/p>\n<p><!--more--><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-001.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6259\" title=\"casos-clinicos-1-2-2009-001\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-001-300x200.jpg\" alt=\"casos-clinicos-1-2-2009-001\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-001-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-001.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-002.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6260\" title=\"casos-clinicos-1-2-2009-002\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-002-300x200.jpg\" alt=\"casos-clinicos-1-2-2009-002\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-002-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-002.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-003.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6261\" title=\"casos-clinicos-1-2-2009-003\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-003-300x200.jpg\" alt=\"casos-clinicos-1-2-2009-003\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-003-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-003.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-004.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6262\" title=\"casos-clinicos-1-2-2009-004\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-004-300x200.jpg\" alt=\"casos-clinicos-1-2-2009-004\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-004-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/casos-clinicos-1-2-2009-004.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p>Con los diagn\u00f3sticos de <span class=\"nfakPe\">Acne<\/span> inversa, con hidrosadenitis axilar e inguinal, asi como abscesos en gluteos y piernas y Perifoliculitis \u00a0capitis abscedens et suffodiens ( Se toma biopsia de \u00e9sta, apreciandose una dermatitis fibrosante, compatible con alopecia cicatricial). Examenes paracl\u00ednicos: positivo: Proteina C reactiva Inmunoglobulina E elevada 591 UI\/ml, Eosinofilia de 6 %, Testosterona libre, Androstenediona e indice LH\/FSH elevado<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/fibrosis-del-foliculo-piloso.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6263\" title=\"fibrosis-del-foliculo-piloso\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/fibrosis-del-foliculo-piloso-141x300.jpg\" alt=\"fibrosis-del-foliculo-piloso\" width=\"141\" height=\"300\" \/><\/a><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/panoramica-alopecia-cicatricial.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6264\" title=\"panoramica-alopecia-cicatricial\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/panoramica-alopecia-cicatricial-300x237.jpg\" alt=\"panoramica-alopecia-cicatricial\" width=\"300\" height=\"237\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/panoramica-alopecia-cicatricial-300x237.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/02\/panoramica-alopecia-cicatricial.jpg 715w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Se plantea utilizar infliximab, o adalimumab, pero luego de ponderar la patolog\u00eda y la paciente, planteo volver a recorrer el camino de Doxiciclina, Dapsona y anticonceptivo antiandrogenico.<\/p>\n<p> \u00bfCreen que los resultados serian mas favorables utilizando anticuerpos monoclonales?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enviado por Dr. Jaime Piquero Martin. Edgar la Rotta. Clinica de la Piel. Clinica Sanatrix Caracas Venezuela Paciente femenina de 28 a\u00f1os con diagn\u00f3stico de Hidradenitis supurativa de axila y perineogl\u00fatea, ademas de ca\u00edda del cabello, desde hace varios a\u00f1os manejada con polifarmacia si mejor\u00eda. Nos consulta por presentar abscesos y cicatrices localizadas en regi\u00f3n &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-6258","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\/6258","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=6258"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6258\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=6258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=6258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=6258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}