{"id":640,"date":"2007-07-27T14:26:05","date_gmt":"2007-07-27T18:26:05","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=640"},"modified":"2007-07-27T14:26:23","modified_gmt":"2007-07-27T18:26:23","slug":"165-consulte-a-un-colega-n-2","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/640","title":{"rendered":"165: CONSULTE A UN COLEGA N\u00b0 2"},"content":{"rendered":"<p>Presentado por :<br \/> Rolando Hern\u00e1ndez P\u00e9rez (dermat\u00f3logo)<br \/> Carmen J. Bastidas Montilla (dermat\u00f3logo)<br \/> Marisela Acosta Casanova (pat\u00f3logo)<br \/> Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/p>\n<p>&ldquo;P\u00fastulas y ves\u00edculas acrales pruriginosas en lactante de siete meses de edad&rdquo;<\/p>\n<p>Paciente masculino de siete (7) meses de edad, con m\u00faltiples ves\u00edculas y algunas p\u00fastulas, pruriginosas, recidivantes, descamaci\u00f3n gruesa y m\u00e1culas hiperpigmentadas, localizados en palma de manos, planta de pi\u00e9 y extensi\u00f3n a cara lateral de los mismos y en pi\u00e9 derecho algunas ves\u00edculas en el dorso del mismo, desde los dos meses de edad. (Favor ver foto cl\u00ednica: DSC01080.jpg &ndash;DSC01082.jpg &ndash; DSC01088.jpg &ndash;DSC01085 &ndash; DSC01086.jpg-DSC01087.jpg) No hay lesiones en los genitales ni en la cara. No hay surcos o galer\u00edas macrosc\u00f3picas, ni con el dermatoscopio. No hay otro miembro de la familia con patolog\u00eda similar ni con prurito.<\/p>\n<p><!--more--><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01080.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01080p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01082.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01082p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01088.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01088p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01085.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01085p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01086.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01086p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01087.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSC01087p.jpg\" alt=\"caso\" width=\"380\" height=\"214\" \/><\/a> <\/p>\n<p>Antecedente paterno de dermatitis at\u00f3pica y asma bronquial.<\/p>\n<p>Laboratorio convencional dentro de la normalidad.<\/p>\n<p>Investigaci\u00f3n de sarcoptes scabiei var. hominis negativo en dos oportunidades por personal de laboratorio con experiencia.<\/p>\n<p>Biopsia de piel: Acantosis regular moderada, ves\u00edcula intraepid\u00e9rmica con abundantes neutr\u00f3filos y muy escasos eosin\u00f3filos, en una maya de fibrina. Queratinocitos con degeneraci\u00f3n vacuolar. Formaci\u00f3n de ves\u00edculas peque\u00f1as en epidermis. Infiltrado mononuclear moderado en dermis superficial. No se visualiza \u00e1caros en la preparaci\u00f3n histopatol\u00f3gica.(Favor ver foto histopatol\u00f3gica: DSCN3889.jpg &ndash; DSCN3881.jpg &ndash;DSCN3882.jpg &ndash; DSCN3884.jpg &ndash;DSCN3885.jpg &ndash;DSCN3886.jpg &ndash;DSCN3887.jpg &ndash;DSCN3888.jpg)<\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3889.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3889p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3881.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3881p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3882.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3882p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3884.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3884p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3885.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3885p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3886.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3886p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a><\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3887.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3887p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a> <\/p>\n<p><a href=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3888.jpg\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" src=\"\/blog\/wp-content\/uploads\/2007\/07\/165\/DSCN3888p.jpg\" alt=\"caso\" width=\"380\" height=\"285\" \/><\/a> <\/p>\n<p>Se piensa en una Acrop<\/p>\n<p>ustulosis infantil o del lactante.<\/p>\n<p>Diagnosticco diferencial cl\u00ednico: Psoriasis pustulosa infantil.<\/p>\n<p><font><strong>\u00bf;Preguntamos: \u00bf;C\u00f3mo lo tratar\u00edan ustedes? Gracias<\/strong><\/font><\/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 (pat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela &ldquo;P\u00fastulas y ves\u00edculas acrales pruriginosas en lactante de siete meses de edad&rdquo; Paciente masculino de siete (7) meses de edad, con m\u00faltiples ves\u00edculas y algunas p\u00fastulas, pruriginosas, recidivantes, descamaci\u00f3n gruesa y m\u00e1culas &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-640","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\/640","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=640"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/640\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=640"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=640"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}