{"id":8460,"date":"2009-05-29T23:49:17","date_gmt":"2009-05-30T03:49:17","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8460"},"modified":"2009-05-31T20:50:42","modified_gmt":"2009-06-01T00:50:42","slug":"237-consulta-a-un-colega-n%c2%ba-3-maculas-en-miembros-superiores","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8460","title":{"rendered":"237 &#8211; Consulta a un Colega N\u00ba 3: M\u00e1culas en miembros superiores"},"content":{"rendered":"<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00684-1600x1200.jpg\"><br \/>\n <\/a><\/p>\n<p><em><strong>Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo)<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela<\/strong><\/em><\/p>\n<p>Paciente de 72 a\u00f1os de edad, natural y procedente de la ciudad de Barinas (Edo. Barinas) de oficios del hogar, quien consulta por m\u00e1culas gris pizarra, azuladas, de l\u00edmites imprecisos con 2meses de evoluci\u00f3n, asintom\u00e1ticas, localizadas en miembros superiores.<\/p>\n<p><!--more--><\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00684-1600x1200.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8467\" title=\"dsc00684-1600x1200\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00684-1600x1200-150x150.jpg\" alt=\"dsc00684-1600x1200\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00685-1600x1200.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8468\" title=\"dsc00685-1600x1200\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00685-1600x1200-150x150.jpg\" alt=\"dsc00685-1600x1200\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00686-1600x1200.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8469\" title=\"dsc00686-1600x1200\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/dsc00686-1600x1200-150x150.jpg\" alt=\"dsc00686-1600x1200\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Antecedente de hipertensi\u00f3n arterial controlada con hipotensores orales (Valsartan 80\/ Vasatan-Antagonistas de los receptores de la Angiotensina II) Cor-aspirina y Calcio oral. Estos medicamentos los toma desde hace 3 meses.<\/p>\n<p>Examen f\u00edsico dentro de la normalidad<\/p>\n<p>Laboratorio convencional dentro de la normalidad<\/p>\n<p>Estudio histopatol\u00f3gico:<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image44-1600x1200.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8464\" title=\"image44-1600x1200\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image44-1600x1200-150x150.jpg\" alt=\"image44-1600x1200\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image46-1600x1200.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-8465\" title=\"image46-1600x1200\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/05\/image46-1600x1200-150x150.jpg\" alt=\"image46-1600x1200\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Hiperqueratosis en cesta.<\/p>\n<p>Adelgazamiento y rectificaci\u00f3n de las redes de cresta.<\/p>\n<p>Vacuolizaci\u00f3n capa basal<\/p>\n<p>Exocitosis de linfocitos al epitelio<\/p>\n<p>Infiltrado mononuclear\u00a0 y aislados melan\u00f3fagos.<\/p>\n<p>Algunos linfocitos moderados perivascular<\/p>\n<p>Edema importante de la dermis reticular.<\/p>\n<p>Preguntamos:<br \/>\n <strong><br \/>\n \u00bfEs esto un Eritema Discr\u00f3mico Perstan (Dermatitis Cenicienta) o es una Erupci\u00f3n Fija medicamentosa m\u00faltiple relacionada con el valsartan?<\/strong><\/p>\n<p><strong>\u00bfC\u00f3mo lo tratar\u00eda usted?<\/strong><\/p>\n<p>Muchas gracias<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por: Rolando Hern\u00e1ndez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Marisela Acosta Casanova (m\u00e9dico anatomopat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas\/Venezuela Paciente de 72 a\u00f1os de edad, natural y procedente de la ciudad de Barinas (Edo. Barinas) de oficios del hogar, quien consulta por m\u00e1culas gris pizarra, azuladas, de l\u00edmites imprecisos con 2meses de evoluci\u00f3n, asintom\u00e1ticas, localizadas en &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":[367],"class_list":["post-8460","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-maculas"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8460","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=8460"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8460\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}