{"id":8010,"date":"2009-05-08T23:56:58","date_gmt":"2009-05-09T03:56:58","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8010"},"modified":"2009-05-09T09:08:33","modified_gmt":"2009-05-09T13:08:33","slug":"234-consulte-a-un-colega-n%c2%ba-1-liquen-plano-posterior-a-tratamiento-con-etarnecept-por-psoriasis","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8010","title":{"rendered":"234 &#8211; CONSULTE A UN COLEGA N\u00ba 1: Liquen plano posterior a tratamiento con etarnecept por psoriasis"},"content":{"rendered":"<p><em><strong>Dr. Jaime Piquero Casals Clinica de la piel. Cl\u00ednica Leopoldo Aguerrevere Caracas Venezuela<\/strong><\/em><strong><\/strong><\/p>\n<p>Paciente femenina de 29 a\u00f1os a\u00f1os quien consulto en Abril del 2008 presentando cuadro de Psoriasis severa de cuatro a\u00f1os de evoluci\u00f3n, abarcando un 30% de la superficie corporal ( ver foto cl\u00ednica) por lo que previa evaluacion ( Rx de torax , PPD, examenes de laboratorio y biopsia  ( Ver foto anexa) se comienza tratamiento con Etarnecept (Junio 2008) a la dosis de 50mg subcut\u00e1neo 2 veces por semana.<\/p>\n<p><!--more--><\/p>\n<figure id=\"attachment_8011\" aria-describedby=\"caption-attachment-8011\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-011.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8011\" title=\"caso-clinico-19-abril-liquen-plano2009-011\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-011-300x200.jpg\" alt=\"Liquen-plano\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-011-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-011.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8011\" class=\"wp-caption-text\">Liquen-plano<\/figcaption><\/figure>\n<figure id=\"attachment_8012\" aria-describedby=\"caption-attachment-8012\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-012.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8012\" title=\"caso-clinico-19-abril-liquen-plano2009-012\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-012-300x200.jpg\" alt=\"Liquen-plano\" width=\"300\" height=\"200\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-012-300x200.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/caso-clinico-19-abril-liquen-plano2009-012.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8012\" class=\"wp-caption-text\">Liquen-plano<\/figcaption><\/figure>\n<figure id=\"attachment_8013\" aria-describedby=\"caption-attachment-8013\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8013\" title=\"liquen-plano1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano1-300x105.jpg\" alt=\"Liquen-plano\" width=\"300\" height=\"105\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano1-300x105.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano1.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8013\" class=\"wp-caption-text\">Liquen-plano<\/figcaption><\/figure>\n<figure id=\"attachment_8014\" aria-describedby=\"caption-attachment-8014\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8014\" title=\"liquen-plano2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano2-300x185.jpg\" alt=\"Liquen-plano\" width=\"300\" height=\"185\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano2-300x185.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano2.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8014\" class=\"wp-caption-text\">Liquen-plano<\/figcaption><\/figure>\n<figure id=\"attachment_8015\" aria-describedby=\"caption-attachment-8015\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8015\" title=\"liquen-plano3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/liquen-plano3-300x298.jpg\" alt=\"Liquen-plano\" width=\"300\" height=\"298\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano3-300x298.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano3-150x150.jpg 150w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/liquen-plano3.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8015\" class=\"wp-caption-text\">Liquen-plano<\/figcaption><\/figure>\n<figure id=\"attachment_8016\" aria-describedby=\"caption-attachment-8016\" style=\"width: 225px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8016\" title=\"psoriasis\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis-225x300.jpg\" alt=\"psoriasis\" width=\"225\" height=\"300\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis-225x300.jpg 225w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis.jpg 360w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><\/a><figcaption id=\"caption-attachment-8016\" class=\"wp-caption-text\">psoriasis<\/figcaption><\/figure>\n<figure id=\"attachment_8017\" aria-describedby=\"caption-attachment-8017\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8017\" title=\"psoriasis1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis1-300x229.jpg\" alt=\"psoriasis\" width=\"300\" height=\"229\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis1-300x229.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis1.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8017\" class=\"wp-caption-text\">psoriasis<\/figcaption><\/figure>\n<figure id=\"attachment_8019\" aria-describedby=\"caption-attachment-8019\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-8019\" title=\"psoriasis3\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/psoriasis3-300x228.jpg\" alt=\"psoriasis\" width=\"300\" height=\"228\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis3-300x228.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/05\/psoriasis3.jpg 640w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-8019\" class=\"wp-caption-text\">psoriasis<\/figcaption><\/figure>\n<p><br class=\"spacer_\" \/><\/p>\n<p>A los 7 meses de tratamiento se observa limpieza total de las lesiones de Psoriasis y se disminuye la dosis a 25 mg 2 veces por semana. En enero 2009 consulta por presentar p\u00e1pulas y placas profusamente diseminadas de disposici\u00f3n sim\u00e9trica,   estr\u00edas de Wickham , hiperpigmentadas ( ver foto cl\u00ednica). Biopsia compatible con Liquen Plano<\/p>\n<p><strong>La aparici\u00f3n del liquen plano posterior a una psoriasis t\u00edpica es producto del azar?, inducido por el etarnecept?<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jaime Piquero Casals Clinica de la piel. Cl\u00ednica Leopoldo Aguerrevere Caracas Venezuela Paciente femenina de 29 a\u00f1os a\u00f1os quien consulto en Abril del 2008 presentando cuadro de Psoriasis severa de cuatro a\u00f1os de evoluci\u00f3n, abarcando un 30% de la superficie corporal ( ver foto cl\u00ednica) por lo que previa evaluacion ( Rx de torax &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":[181,162],"class_list":["post-8010","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-liquen-plano","tag-psoriasis"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8010","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=8010"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8010\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8010"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8010"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8010"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}