{"id":6892,"date":"2009-03-20T20:33:25","date_gmt":"2009-03-21T00:33:25","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=6892"},"modified":"2009-03-20T21:44:40","modified_gmt":"2009-03-21T01:44:40","slug":"228-consulta-a-un-colega-n-4-liquen-like-medicamentoso-vs-liquen-plano-vs-ledc-semejando-tinea-corporis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/6892","title":{"rendered":"228 &#8211; Consulta a un Colega N\u00ba 4: Liquen-like medicamentoso vs liquen plano vs LEDC semejando Tinea corporis"},"content":{"rendered":"<p><em><strong>Dres  Jaime Piquero Martin ( Dermat\u00f3logo). Edgar la Rotha ( dermatopatologo) \u00a0Clinica de La Piel. Clinica  Sanatrix <\/strong><\/em><\/p>\n<p>Paciente femenina de 64 a\u00f1os qui\u00e9n refiere  presentar placa circinada en cara lateral derecha de cuello desde hace 6 meses.  Otros facultativos hicieron diagn\u00f3stico de Herpes Zoster indicando  Valaciclovir, adem\u00e1s Dermosupril y antimic\u00f3ticos t\u00f3picos. Hipertensa\u00a0 con osteoporosis, toma Ziac\u00ae, Calcibon\u00ae  Fosamax\u00ae y Aspirina\u00ae<\/p>\n<p><!--more--><\/p>\n<p>Examen directo micol\u00f3gico: negativo<\/p>\n<p>Biopsia (6183): Fragmento de piel  ortoqueratotica, con zonas de degeneraci\u00f3n vacuolar de la camada basal con  queratinocitos apoptoticos. Presencia de vasos dilatados, extravasamiento  eritrocitario. En dermis superficial y profunda infiltrado inflamatorio  linfomononuclear en banda y derrame pigmentario<\/p>\n<p>Resultado de inmunofluorescencia de piel en  espera<\/p>\n<div id='gallery-1' class='gallery galleryid-6892 gallery-columns-3 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\/03\/28-de-febrero-2009-001.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/28-de-febrero-2009-001-150x150.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\/03\/28-de-febrero-2009-002.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/28-de-febrero-2009-002-150x150.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\/03\/28-de-febrero-2009-003.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/28-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\/03\/vanesa-y-edgar-043.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/vanesa-y-edgar-043-150x150.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\/03\/vanesa-y-edgar-045.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/vanesa-y-edgar-045-150x150.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\/03\/vanesa-y-edgar-047.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/03\/vanesa-y-edgar-047-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><strong>\u00bf Como creen que debe ser  enfocado desde el punto de vista diagn\u00f3stico?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dres Jaime Piquero Martin ( Dermat\u00f3logo). Edgar la Rotha ( dermatopatologo) \u00a0Clinica de La Piel. Clinica Sanatrix Paciente femenina de 64 a\u00f1os qui\u00e9n refiere presentar placa circinada en cara lateral derecha de cuello desde hace 6 meses. Otros facultativos hicieron diagn\u00f3stico de Herpes Zoster indicando Valaciclovir, adem\u00e1s Dermosupril y antimic\u00f3ticos t\u00f3picos. Hipertensa\u00a0 con osteoporosis, toma &hellip;<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[289,290,291],"class_list":["post-6892","post","type-post","status-publish","format-standard","","category-generales","tag-liquen","tag-medicamentoso","tag-plano"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6892","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=6892"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/6892\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=6892"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=6892"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=6892"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}