{"id":8690,"date":"2009-06-05T18:04:14","date_gmt":"2009-06-05T22:04:14","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8690"},"modified":"2009-06-05T18:04:14","modified_gmt":"2009-06-05T22:04:14","slug":"consulta-a-un-colega-n%c2%ba-4-telangiectasias-del-embarazo","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8690","title":{"rendered":"Consulta a un Colega N\u00ba 4: Telangiectasias del Embarazo"},"content":{"rendered":"<p><strong><em>Dr.   Giovani Guerra (Residente) Instituto de Biomedicina Hospital Vargas. Caracas   Venezuela<\/em><\/strong><strong> <\/strong><\/p>\n<p>Paciente de 34 a\u00f1os con 30 semanas   de embarazo quien consulta por presentar desde el segundo trimestre del   embarazo, m\u00faltiples telangiectasias (spiders) y angiomas en parte superior de   tronco, acompa\u00f1ado de\u00a0   inflamaci\u00f3n\u00a0 conjuntival y   angiomas en mucosa gingival ( no hiperplasia).<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-8690 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\/06\/casos-31-mayo-2009-001.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-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\/06\/casos-31-mayo-2009-003.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-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\/06\/casos-31-mayo-2009-004.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-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\/06\/casos-31-mayo-2009-005.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-005-150x150.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\/06\/casos-31-mayo-2009-006.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-006-150x150.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\/06\/casos-31-mayo-2009-007.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-007-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<p><br class=\"spacer_\" \/><\/p>\n<p>Aparicion s\u00fabita. Examenes \u00a0paracl\u00ednicos: Leucocitosis de 14.300 con   neutrofilia de 78.5% y linfopenia de 14.7%. Velocidad de sedimentaci\u00f3n elevada (      46 mm   3), colesterol 354 mg\/Dl y triglic\u00e9ridos en 163 mg\/Dl, resto de examenes   hemnatologicos bioquimicos y serologicos dentro de limites normales. Ex de   tiroides normal. Progesterona 116.8 ng\/ml y Estradiol 19.000   ng\/ml<\/p>\n<p>Es conocido los cambios vasculares   durante el embarazo, los cuales se han asociado a elevaci\u00f3n de estr\u00f3genos,   cambios tiroideos o hep\u00e1ticos?, pero en esta paciente han sido algo   exagerados<\/p>\n<p>\u00bfDebe hacerse investigaci\u00f3n en otros   \u00f3rganos, por ejemplo v\u00edas digestivas para descartar aparici\u00f3n de lesiones   angiomatosas y eventual sangramiento?<\/p>\n<p>\u00bfEsos niveles de Estr\u00f3genos son   factibles en el embarazo?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Giovani Guerra (Residente) Instituto de Biomedicina Hospital Vargas. Caracas Venezuela Paciente de 34 a\u00f1os con 30 semanas de embarazo quien consulta por presentar desde el segundo trimestre del embarazo, m\u00faltiples telangiectasias (spiders) y angiomas en parte superior de tronco, acompa\u00f1ado de\u00a0 inflamaci\u00f3n\u00a0 conjuntival y angiomas en mucosa gingival ( no hiperplasia).<\/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":[378],"class_list":["post-8690","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-telangiectasias"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8690","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=8690"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8690\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}