{"id":9307,"date":"2009-06-26T22:01:16","date_gmt":"2009-06-27T02:01:16","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9307"},"modified":"2009-06-28T10:34:27","modified_gmt":"2009-06-28T14:34:27","slug":"como-lo-hago-n%c2%b0-32","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9307","title":{"rendered":"COMO LO HAGO N\u00b0 32"},"content":{"rendered":"<p>El caso cuya soluci\u00f3n mostramos esta semana  corresponde al de la foto 32. Se trata de un paciente de 26 a\u00f1os, fototipo II, quien presenta m\u00f9ltiples  lesiones p\u00e0pulo-nodulares en cara de varios a\u00f1os de evoluci\u00f2n.   <br \/>\n DIAGNOSTICO CLINICO: acne n\u00f2dulo qu\u00ecstico severo.<\/p>\n<p><!--more--><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" title=\"32\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/32.jpg\" alt=\"\" width=\"204\" height=\"226\" \/><\/p>\n<p>PROCEDIMIENTO EMPLEADO: el paciente de 71 Kg. de peso,  con acn\u00e8 n\u00f2dulo qu\u00ecstico de 4 a\u00f1os de evoluci\u00f2n (foto 1a), previamente manejado  con multiples tratamientos t\u00f2picos y sist\u00e8micos sin resultados satisfactorios,  lo tratamos mediante Isotretinoina.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9308\" title=\"1a\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/1a.jpg\" alt=\"1a\" width=\"200\" height=\"250\" \/><\/p>\n<p>Se emplearon 40 mg. al d\u00eca los primeros 4  meses y concomitantemente se inyect\u00f2 1 ampolla de 40 mg de triamcinolona  intramuscular cada 2 semanas por 3 veces. Desde el 5\u00b0 al 10\u00b0 mes el paciente  recibi\u00f2 20 mg. de Isotretinoina al d\u00eca. El resultado a los 10 meses del  tratamiento, cuando se suspendi\u00f2 el tratamiento, lo vemos en la foto 1b.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9309\" title=\"1b\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/1b.jpg\" alt=\"1b\" width=\"200\" height=\"250\" \/><\/p>\n<p>La  foto 1c nos muestra el resultado 2 a\u00f1os despu\u00e8s de haber terminado el  tratamiento.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9310\" title=\"1c\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/1c.jpg\" alt=\"1c\" width=\"207\" height=\"250\" \/><\/p>\n<p>La foto 2a nos muestra la otra hemicara antes y la 2b, a los 2 a\u00f1os  de terminado el tratamiento.<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9311\" title=\"2a\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/2a.jpg\" alt=\"2a\" width=\"200\" height=\"250\" \/><\/td>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9312\" title=\"2b\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/2b.jpg\" alt=\"2b\" width=\"200\" height=\"250\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>C\u00f2mo lo habr\u00ecas tratado?<br \/>\n Qu\u00e8 esquema habr\u00ecas empleado?<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<hr style=\"border: 1px solid #cccccc; height: 1px; width: 100%; color: #ffffff;\" size=\"1\" noshade=\"noshade\" \/>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong>Y AHORA\u2026.. LA FOTO\u00a0  PARA EL PROXIMO COMO LO HAGO.<\/strong><\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9313\" title=\"nueva\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/nueva.jpg\" alt=\"nueva\" width=\"282\" height=\"200\" \/><\/strong><\/p>\n<p>Se trata de una paciente de 42 a\u00f1os, quien presenta 2 lesiones  qu\u00ecsticas en el canto externo del ojo derecho, de varios a\u00f1os de evoluci\u00f2n.<\/p>\n<p><strong>\u00bfCu\u00e0l es tu diagn\u00f2stico?<br \/>\n <\/strong><\/p>\n<p><strong>\u00bfC\u00f3mo la tratar\u00ecas?<\/strong><\/p>\n<p>\u2026.en la pr\u00f3xima entrega el COMO LO HICE.<\/p>\n<p>Cordiales saludos,<br \/>\n <strong>Vito Abrusci Ventura<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El caso cuya soluci\u00f3n mostramos esta semana corresponde al de la foto 32. Se trata de un paciente de 26 a\u00f1os, fototipo II, quien presenta m\u00f9ltiples lesiones p\u00e0pulo-nodulares en cara de varios a\u00f1os de evoluci\u00f2n. DIAGNOSTICO CLINICO: acne n\u00f2dulo qu\u00ecstico severo.<\/p>\n","protected":false},"author":30,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40],"tags":[],"class_list":["post-9307","post","type-post","status-publish","format-standard","","category-como-lo-hago"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9307","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\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=9307"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9307\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}