{"id":6533,"date":"2009-02-27T17:40:48","date_gmt":"2009-02-27T21:40:48","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=6533"},"modified":"2009-02-27T19:15:16","modified_gmt":"2009-02-27T23:15:16","slug":"226-consulta-a-un-colega-n1-vasculitis-leucocitoclastica-a-investigar","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/6533","title":{"rendered":"226 &#8211; Consulta a un Colega N\u00ba1: Vasculitis leucocitoclastica a investigar"},"content":{"rendered":"<p><strong><em>Dres Jaime Piquero Martin , Edgar La Rotta Clinica de la Piel ( Clinica Sanatrix) Caracas Venezuela <\/em><\/strong><\/p>\n<p>Paciente masculino de 53 a\u00f1os, mecanico dental, quien consulta por primera vez en Agosto del 2006 con papulas de aspecto psoriasiforme en codos y rodilla, as\u00ed como prurito en genitales. Se indica terapia con antihistam\u00ednicos y esteroides topicos. El paciente no acude a nuestra consulta hasta Enero del 2009, con m\u00faltiples p\u00e1pulas de intenso prurito en varias partes del cuerpo. Refiere que durante estos a\u00f1os ha recorrido a diversos dermat\u00f3logos y alergologos sin encontrar mejoria.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-6533 gallery-columns-2 gallery-size-thumbnail'><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/23-de-febrero-2009-003.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/23-de-febrero-2009-003-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/23-de-febrero-2009-004.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/23-de-febrero-2009-004-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-007.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-007-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-008.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/casos-clinicos-1-2-2009-008-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/dsc03394.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/dsc03394-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/dsc03395.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/dsc03395-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-1.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-1-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-2-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure><figure class='gallery-item'>\n\t\t\t<div class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/02\/vasculitis-3-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>De los estudios que trae se encuentra una f\u00f3rmula blanca con 7% de eosinofilos, TGP 102 ( Diagnosticado como enfermedad hepatocelular), Inmunoglobulinas: DLN. Refiere tomar analgesicos por lumbalgia cr\u00f3nica. Informe de biopsia anterior como: Dermatitis perivascular superficial y profunda con espongiosis y eosinofilos .Pruebas de parche: Negativas<\/p>\n<p>Con el diagn\u00f3stico cl\u00ednico de Dermatitis herpetiforme vs Erupcion medicamentosa le tomamos nueva biopsia para HE e IF. En el estudio histologico se observa denso infiltrado mixto linfohistiocitario con PMN neutrofilos y algunos eosinofilos, discreto a moderado alrededor de vasos y anexos con cariorrexis focal, necrosis fibrinoide en la pared de algunos vasos y extravasaci\u00f3n de hemacias. Fite Faraco negativo<\/p>\n<p>Inmnofluorescencia : Banda de complemento periferico C3 (++) deposito granular continuo en union dermo epidermica. Glucosa 6 Fosfato deshidrogenada 3.8 (4.6 \u2013 13.5)<\/p>\n<p><strong>\u00bfEs una erupcion medicamentosa?<\/strong><\/p>\n<p><strong>\u00bfQue otra patolog\u00eda sugieren?<\/strong><\/p>\n<p><strong>\u00bfPodria hacerse una prueba terap\u00e8utica con Dapsona a pesar que la G-6- P esta algo baja? <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dres Jaime Piquero Martin , Edgar La Rotta Clinica de la Piel ( Clinica Sanatrix) Caracas Venezuela Paciente masculino de 53 a\u00f1os, mecanico dental, quien consulta por primera vez en Agosto del 2006 con papulas de aspecto psoriasiforme en codos y rodilla, as\u00ed como prurito en genitales. Se indica terapia con antihistam\u00ednicos y esteroides topicos. &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-6533","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\/6533","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=6533"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6533\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=6533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=6533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=6533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}