{"id":9149,"date":"2009-06-19T19:56:02","date_gmt":"2009-06-19T23:56:02","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9149"},"modified":"2009-06-19T19:59:04","modified_gmt":"2009-06-19T23:59:04","slug":"240-consulta-a-un-colega-no-6-linfangitis-post-infiltracion-de-triancinolona","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9149","title":{"rendered":"240 &#8211; Consulta a un Colega No 6: Linfangitis post infiltraci\u00f3n de triancinolona"},"content":{"rendered":"<p><em><strong>Dr. Jaime Piquero Martin. Clinica Sanatrix. Clinica de la Piel Caracas Venezuela<\/strong><\/em><\/p>\n<p>Paciente de 60 a\u00f1os tratada por n\u00f3dulos inflamatorios aislados\u00a0 de acn\u00e9 desde hace 30 a\u00f1os, con terapias en crisis e infiltraciones de triancinolona diluida a partes iguales aisladas.<\/p>\n<p><!--more--><\/p>\n<div id='gallery-1' class='gallery galleryid-9149 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-2009-001.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-2009-001-150x150.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-clinicos-13-de-junio-2009-002.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-2009-002-150x150.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-2009-003.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-2009-003-150x150.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><br class=\"spacer_\" \/><\/p>\n<p>El 19 de mayo se infiltro un n\u00f3dulo en regi\u00f3n frontal. Doce d\u00edas despu\u00e9s retorna por presentar tumoraci\u00f3n nodular de aspecto lineal que\u00a0 iba desde el sitio del n\u00f3dulo infiltrado ascendiendo verticalmente hasta la raiz del cuero cabelludo ( La paciente refiere que adem\u00e1s lo manipulo tratando de evacuar el contenido).<\/p>\n<p>Con el diagn\u00f3stico cl\u00ednico de flebitis vs linfangitis se pr\u00e1ctica Eco Doppler de la zona, siendo \u00e9ste negativo para proceso flebitico o trombotico\u00a0 y cultivo de secreci\u00f3n serosa, sin crecimiento bacteriano.<\/p>\n<p>Se indica Cefuroxima, Diclofenac y luego Levofloxacina. La paciente se drena algo de linfa en una evacuaci\u00f3n logrando disminuci\u00f3n parcial del aumento de volumen<\/p>\n<p>\u00bf Que hacer?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jaime Piquero Martin. Clinica Sanatrix. Clinica de la Piel Caracas Venezuela Paciente de 60 a\u00f1os tratada por n\u00f3dulos inflamatorios aislados\u00a0 de acn\u00e9 desde hace 30 a\u00f1os, con terapias en crisis e infiltraciones de triancinolona diluida a partes iguales aisladas.<\/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-9149","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\/9149","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=9149"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9149\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9149"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9149"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9149"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}