{"id":8770,"date":"2009-06-05T18:02:29","date_gmt":"2009-06-05T22:02:29","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=8770"},"modified":"2009-06-05T18:02:29","modified_gmt":"2009-06-05T22:02:29","slug":"238-consulta-a-un-colega-n%c2%ba-6-rosacea-granulomatosa-sugerencia-de-tratamiento","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/8770","title":{"rendered":"238 &#8211; Consulta a un Colega N\u00ba 6: Rosacea Granulomatosa. Sugerencia de tratamiento."},"content":{"rendered":"<p><em><strong>Dr. Jaime Piquero Martin Clinica de la piel Clinica Sanatrix Caracas Venezuela<\/strong><\/em><\/p>\n<p>Paciente masculino de 30 a\u00f1os, quien refiere acne desde la adolescencia, manejado con\u00a0 dos ciclos de isotretinoina a la dosis de 40 mg al dia durante 8 meses en ambas oportunidades<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-8770 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\/06\/casos-31-mayo-2009-030.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-030-150x150.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-2009-033.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-033-150x150.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-2009-036.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-31-mayo-2009-036-150x150.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>Desde el mes de Marzo refiere nueva crisis, vive en alemania y viene de vacaciones.<\/p>\n<p>Papulo-p\u00fastulas localizadas en regi\u00f3n nasal y una lesion en parpado inferior izquierdoTrae ex\u00e1menes realizados: Hematol\u00f3gia, quimica y serologia dentro de l\u00edmites normales. Cultivo de secreci\u00f3n, sin crecimiento bacteriano. Biopsia de piel (informe): Reacci\u00f3n nodular granulomatosa abscedada compatible con rosacea. Le han indicado Metronidazol t\u00f3pico y sist\u00e9mico<\/p>\n<p>Con el diagn\u00f3stico de ros\u00e1cea variante granulomatosa ( \u00bfFACE?), le indicamos Isotretinoina 20 mg al dia, Bactrimel oral. Ac. Azelaico y bloqueador solar<\/p>\n<p><strong>\u00bfAlguna sugerencia de otras terapias? <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jaime Piquero Martin Clinica de la piel Clinica Sanatrix Caracas Venezuela Paciente masculino de 30 a\u00f1os, quien refiere acne desde la adolescencia, manejado con\u00a0 dos ciclos de isotretinoina a la dosis de 40 mg al dia durante 8 meses en ambas oportunidades<\/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":[381],"class_list":["post-8770","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega","tag-rosacea-granulomatosa"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8770","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=8770"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/8770\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=8770"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=8770"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=8770"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}