{"id":9147,"date":"2009-06-19T20:01:35","date_gmt":"2009-06-20T00:01:35","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9147"},"modified":"2009-06-19T22:20:37","modified_gmt":"2009-06-20T02:20:37","slug":"240-consulta-a-un-colega-no-2-poiquilodermia-de-civatte-fotodano-como-manejarla","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9147","title":{"rendered":"240 &#8211; Consulta a un Colega No 2: Poiquilodermia de Civatte + Fotoda\u00f1o. C\u00f3mo manejarla?"},"content":{"rendered":"<p><em><strong>Dres Dra\u00a0 Zulay M. Rivera P.  (Residente segundo a\u00f1o) Ricardo Perez Alfonzo ( Dermat\u00f3logo) <br \/>\n Instituto de  Biomedicina Caracas Venezuela <\/strong><\/em><\/p>\n<p><span style=\"text-decoration: underline;\">RESUMEN  DE CASO:<\/span><\/p>\n<p><!--more--><\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p>Edad:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>66    a\u00f1os.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p>Sexo:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>Femenino<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p>Natural    y procedente:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>Caracas    San Jos\u00e9<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p>Edo    Civil:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>Viuda<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"170\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"text-decoration: underline;\">ANTECEDENTES  PERSONALES:<\/span> <br \/>\n Niega asma, alergia a medicamentos, DM-2. <br \/>\n IQx: # 01  hace 5 a\u00f1os, hipertrofia de cornetes.<br \/>\n # 02 hace 4 a\u00f1os correcci\u00f3n  de fractura de MSI.<\/p>\n<p><span style=\"text-decoration: underline;\">ANTECEDENTES  FAMILIARES: <\/span><\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"187\" valign=\"top\">Madre<\/td>\n<td width=\"151\" valign=\"top\">\n<p>(+)    Ictus.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Padre:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>(+)    IAM.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Hermanas:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>8, aps.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Hijos:<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>2, 1 ? HTA.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"text-decoration: underline;\">HABITOS  PSICOBIOLOGICOS <\/span><\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"187\" valign=\"top\">Tab\u00e1quicos<\/td>\n<td width=\"151\" valign=\"top\">\n<p>No<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Cafeicos<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>No<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>OH<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>No<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Il\u00edcitas<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>No<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"187\" valign=\"top\">\n<p>Ocupaci\u00f3n<\/p>\n<\/td>\n<td width=\"151\" valign=\"top\">\n<p>No<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><br class=\"spacer_\" \/><\/p>\n<div id='gallery-1' class='gallery galleryid-9147 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-clinicos-13-de-junio-2009-008.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-clinicos-13-de-junio-2009-008-150x150.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-clinicos-13-de-junio-2009-009.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-clinicos-13-de-junio-2009-009-150x150.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-clinicos-13-de-junio-2009-010.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/casos-clinicos-13-de-junio-2009-010-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" \/><\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n\n<\/p>\n<p>ENFERMEDAD  ACTUAL:<\/p>\n<p>\u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0  Se trata  de paciente femenino de 66 a\u00f1os de edad, quien refiere inicio de enfermedad  actual aproximadamente a los 38 a\u00f1os de edad, cuando presenta menopausia  precoz, sin estudio, se automedica premarin y provera, posteriormente presenta  cl\u00ednica de coloraci\u00f3n eritemato-parduzca en cara y cuello en zonas  fotoexpuesta, motivo por el cual consulta a este centro el 03-11-1997  plantenado IDx: hipermelanosis de EAP Vs Fotodermatosis, solicitan laboratorio  (HC, QS, inmunohematol\u00f3gico). \u00a0<br \/>\n \u2022\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0  Recibi\u00f3  m\u00faltiples tratamiento t\u00f3picos, en el 2000 indican IPL 2 veces\/mes x 4 meses en  cuello, y 1 sola vez en rostro , refiere mejor\u00eda de la hiperpigmentaci\u00f3n, mas  en la actualidad se evidencia maculas hipopigmentadas en zona de aplicaci\u00f3n de  spot, motivo por el cual consulta.<\/p>\n<p>Controles:<\/p>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p align=\"center\">Dermatolog\u00eda<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p align=\"center\">Examen f\u00edsico<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p align=\"center\">Proc<\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p align=\"center\">Plan<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>30-01-98<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Hiperpigmentaci\u00f3n    marr\u00f3n gris\u00e1cea en cara y cuello<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>IDx: <br \/>\n Amiloidosis <br \/>\n Poiquilodrmia: <br \/>\n Dermatomiositis amiotrofica. <br \/>\n Micosis fungoide. <br \/>\n Acronosis.    (x blanqueado a medicamentos con contenido de plata) <br \/>\n Plan: Bx + IF <br \/>\n Protector    solar.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>27-02-98<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p align=\"center\">Bx<\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>Protector solar<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>31-03-98<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Maculas    hiperpigmentadas en cara y cuello<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>Discute    caso con Dr Piquero y Dra Nieves, considerando la hipocomplementemia y la    dermatitis de interfase posibilidad de enfermedad del colageno probable:    Dermatomiositis amiotrofica. <br \/>\n Plan:    protector solar. <br \/>\n Enzimas musculares. <br \/>\n Erilon topico.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>07-09-99<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Piel    poiquilod\u00e9rmica en cara y cuello<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p>Bx + IF<\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>Discute    c\/Dr Perez. Plan: 1) IHM, 2) Hidroquinona 3,5 %, Acido kojico 3,5%, Ac    asc\u00f3rbico 2% en gel, 3) Cutacelam crrema OD. 4) protector solar <br \/>\n IDx:    Poiquilodermia.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>18-10-99<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Maculas    hipopigmentadas en confetti en cara y cuello. <br \/>\n LW:    hiperpigmentaci\u00f3n profunda<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>IDx:    Acrocianosis<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>29-03-00<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Caso    discutido en Reuni\u00f3n de Servicio, planteandose el Dx cl\u00ednico de    Poiquilodermia, de etiolog\u00eda no precisada, probablemente asociada al Premarin    seg\u00fan cuenta el DR JJ Henriquez y Dr Battan, sin embargo el Dr Rond\u00f3n plantea    la posibilidadque ante un CH50 ? (leve), cambios histopatologicos y de IFD,    es conveniente iniciar terapia con Cloroquina, base de maquillaje, PS. El Dr    Piquero sugiere no administrar antimalarico estudiar\u00a0 mas, al igual que    el Dr P\u00e9rez igualmente la posibilidad que dicha Poiquilodermia amiop\u00e1tica o    micosis fungoide, en estos momentos no hay evidencias.<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>Plan:    omitir Premarin <br \/>\n Base de    maquillaje. <br \/>\n Protector    solar.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p>21-05-02<\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p>Macula    hiperpigmentada con atrofia en confetti en cara y cuello a predominiode este    ultimo y en antebrazos.<\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p>Discute    c\/Dr Piquero: <br \/>\n Nueva    Bx. <br \/>\n Ac.    Retinoico 0,05% <br \/>\n P.S.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"145\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"241\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"3\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td colspan=\"2\" valign=\"top\">\n<p align=\"right\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"85\"><\/td>\n<td width=\"145\"><\/td>\n<td width=\"87\"><\/td>\n<td width=\"1\"><\/td>\n<td width=\"241\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Lab<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">16-09-99<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">09-02-00<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">17-02-00<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">02-03-00<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">30-04-02<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Hb\/HTO<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">13\/41%<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">13,1\/40,9 %<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>GB<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">6.500<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">7.500<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>PMN<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">59,3%<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">64<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>LIN<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">30,2%<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">26<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>MON<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">7,7<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>EOS<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">2 %<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">1.7<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Plaq<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">174.000<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">194.000<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>VSG<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">12 mm<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">5 mm<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>PCR<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Glu<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">83 mg\/dl<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">83<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Urea<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">16<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">17<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Cre<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">0.8<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">0,9<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>TGO\/TGP<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">16,5\/14,3<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">21\/13<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>GGT<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>BT\/D\/I<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">0,4\/0,1\/0.3<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">1.1\/0.1\/1<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>FA<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">47<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">58<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>LDH<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Col T<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">244?<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">266?<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>TGL<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">151<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">69<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>HDL<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">53<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>LDL<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">198<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>VLDL<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">13,8<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Ac Urico<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">3.3<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">4,9<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>PT\/PTT<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">1\/-1<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>ProT\/Alb\/Glob<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">7.8\/4,1<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>CKT\/CKMb<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">98\/7<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Na\/K\/Cl<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">142\/4\/110<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>Ca\/Mg\/P<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">8 ?\/-\/2,5<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">9,4\/-\/2,5<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>VDRL<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">No reactivo<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">No reactivo<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">No reactivo<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"96\" valign=\"top\">\n<p><strong>VIH<\/strong><\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"76\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"95\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"72\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<td width=\"71\" valign=\"top\">\n<p align=\"center\">negativo<\/p>\n<\/td>\n<td width=\"56\" valign=\"top\">\n<p align=\"center\">\u00a0<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"299\" valign=\"top\">\n<p align=\"center\"><strong>Examen de orina<\/strong><\/p>\n<\/td>\n<td width=\"240\" valign=\"top\">\n<p align=\"center\"><strong>Examen de heces<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"299\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"240\" valign=\"top\">\n<p>17-01-00    \u00e0 no se    obs parasitos.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"299\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"240\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"299\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<td width=\"240\" valign=\"top\">\n<p><br class=\"spacer_\" \/><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\"><strong>PARACLINICO<\/strong><\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\"><strong>FECHA<\/strong><\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p align=\"center\"><strong>HALLAZGO<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">IHM<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">03-04-98<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>AAN:    (-)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">IHM<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">23-09-99<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Anti Sm: negativo. <br \/>\n Anti RNP: negativo. <br \/>\n IgA: 191 mg\/dl (68-423) <br \/>\n IgG: 1288 mg\/dl (844-1912) <br \/>\n IgM: 134 mg\/dl (50-196) <br \/>\n CH50: 32,26\u00a0 ?    UCH\/50ml. <br \/>\n C3: 162\u00a0 mg\/dl. (VN: 80-187) <br \/>\n C4: 27.2 mg\/dl (VN:    16-40) <br \/>\n AAN: negativo.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">IF<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">22-09-09<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Se    observan cuerpos citoides, relativamente escasos, y un precipitado fino muy    escaso en la uni\u00f3n dermo-epid\u00e9rmica; dermis y epidermis negativas.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Bx # 72586<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">10-03-98<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Corte    histol\u00f3gico de piel.<br \/>\n Hiperqueratosis    en cesta ortoquerat\u00f3tica.<br \/>\n Hiperplasia    epitelial leve. Vacuolizaci\u00f3n de la capa de c\u00e9lulas basales focalmente.    Disqueratosis focal.<br \/>\n Infiltrado    inflamatorio perivascular superficial predominante predominantemente    linfo-historio de moderada intensidad.<br \/>\n Presencia    de abundantes melanofagos.<br \/>\n Dx:    Dermatitis superficial de interfase. Hallazgos histologicos compatibles con    Eritema Discr\u00f3mico Perstans Vs Erupci\u00f3n Medicamentosa y menos probablemente    Lupus Eritematoso.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Bx # 78018<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">05-01-00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Corto    de piel.<br \/>\n Hiperqueratosis    laminar ortoqueratotica.<br \/>\n Epitelio    muy adelgazada y rectificado con\u00a0 vacuolizaci\u00f3n acentuada de la capa de    celulas basales, disqueretosis y caida de pigmento.<br \/>\n Vasos    dilatados.<br \/>\n Leve    infiltrado inflamatorio intersticial y perivascula superficial    linfo-histiocitario.<br \/>\n Dx:    Dermatitis de interfase vacuolizante.<br \/>\n Hallazgos    histol\u00f3gicos indicativos de Poiquilodermia atr\u00f3fica vascular.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">IHM<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">09-02-00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Anti DNA: negtivo <br \/>\n AAN: positivo (+). <br \/>\n C3: 284 mg\/dl ? (101-186) <br \/>\n C4: 54 mg\/dl \u00a0? (16-47)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Perfil tiroideo<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">09-02-00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>T3 L: 4,8 pg\/ml (2,79 \u2013    4,97) <br \/>\n T4 L: 0,87 ng\/dl ?    (0,91-2,18) <br \/>\n TSH: 1,20 mUI\/l (0,167 \u2013    2,87)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Pruebas hormonales<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">14\/02\/00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Estradiol    4.8 pg\/ml (2,79 \u2013 4,97)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Pruebas hormonales<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">22-02-00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Estradiol:    &lt; 10 pg\/ml.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"127\" valign=\"top\">\n<p align=\"center\">Bx # 79456<br \/>\n cuello<\/p>\n<\/td>\n<td width=\"84\" valign=\"top\">\n<p align=\"center\">13-03-00<\/p>\n<\/td>\n<td width=\"328\" valign=\"top\">\n<p>Corte    de piel.<br \/>\n Hiperqueratosis    ortoquerat\u00f3tica.<br \/>\n Dermis    papilar con leve infiltrado inflamatorio perivascular a predominio linfocitario    con presencia de melan\u00f3fagos.<br \/>\n Dx:    Melanodermia residual.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dres Dra\u00a0 Zulay M. Rivera P. (Residente segundo a\u00f1o) Ricardo Perez Alfonzo ( Dermat\u00f3logo) Instituto de Biomedicina Caracas Venezuela RESUMEN DE CASO:<\/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":[],"class_list":["post-9147","post","type-post","status-publish","format-standard","","category-consulte-a-un-colega"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9147","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=9147"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9147\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9147"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9147"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}