{"id":7452,"date":"2009-04-17T20:15:27","date_gmt":"2009-04-18T00:15:27","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=7452"},"modified":"2009-04-18T03:12:41","modified_gmt":"2009-04-18T07:12:41","slug":"maculas-hipercromicas-irregulares-de-25-anos-de-evolucion","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/7452","title":{"rendered":"M\u00e1culas hipercr\u00f3micas irregulares de 25 a\u00f1os de evoluci\u00f3n"},"content":{"rendered":"<p>Se trata de una paciente femenina de 52 a\u00f1os de ocupaci\u00f3n secretaria, fototipo V; quien consulta por presenta maculas hipercromicas irregulares de 25 a\u00f1os de evoluci\u00f3n quien ha recibido m\u00faltiples tratamientos t\u00f3picos con hidroquinona, \u00e1cido retinoico,\u00a0 \u00e1cido glic\u00f3lico entre otros adem\u00e1s de una \u00abbuena protecci\u00f3n solar\u00bb, con mejor\u00edas leves y recidivas.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-7452 gallery-columns-3 gallery-size-thumbnail'><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\/04\/dsc02537.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02537-150x150.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\/04\/dsc02540.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02540-150x150.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\/04\/dsc02542.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02542-150x150.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\/04\/dsc02544.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02544-150x150.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\/04\/dsc02546.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02546-150x150.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\/04\/dsc02548.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02548-150x150.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\/04\/dsc02549.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/04\/dsc02549-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p>Nos refiere que quiere algo mas que solo tratamiento t\u00f3pico.<\/p>\n<p>Al examen f\u00edsico con luz de wood el melasma es mixto con mayor\u00eda de componente profundo (ver la foto, que se aprecia poco, disculpenme esa!)<\/p>\n<p><strong><span style=\"font-size: medium;\">Bueno creo que interesante discusi\u00f3n, que hacer con esta paciente? Usar\u00edan peeling qu\u00edmicos o mec\u00e1nicos? usar\u00edan alguna t\u00e9cnica de luz pulsada o l\u00e1ser?, que consejos le dar\u00edan?<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se trata de una paciente femenina de 52 a\u00f1os de ocupaci\u00f3n secretaria, fototipo V; quien consulta por presenta maculas hipercromicas irregulares de 25 a\u00f1os de evoluci\u00f3n quien ha recibido m\u00faltiples tratamientos t\u00f3picos con hidroquinona, \u00e1cido retinoico,\u00a0 \u00e1cido glic\u00f3lico entre otros adem\u00e1s de una \u00abbuena protecci\u00f3n solar\u00bb, con mejor\u00edas leves y recidivas.<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[],"class_list":["post-7452","post","type-post","status-publish","format-standard","","category-dermatocosmetica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7452","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\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=7452"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/7452\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=7452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=7452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=7452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}