{"id":9336,"date":"2009-06-26T21:39:28","date_gmt":"2009-06-27T01:39:28","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9336"},"modified":"2009-06-26T21:39:28","modified_gmt":"2009-06-27T01:39:28","slug":"241-desafio-diagnostico","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9336","title":{"rendered":"241 &#8211; Desaf\u00edo diagn\u00f3stico"},"content":{"rendered":"<p>Var\u00f3n de 14 a\u00f1os que se presenta a la consulta con dermatosis localizada en puente de nar\u00edz y dorso de ambas manos de tres meses de evoluci\u00f3n<\/p>\n<p><!--more--><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/241_base_desafio_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9337\" title=\"241_base_desafio_1\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/241_base_desafio_1-300x174.jpg\" alt=\"241_base_desafio_1\" width=\"300\" height=\"174\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/06\/241_base_desafio_1-300x174.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/06\/241_base_desafio_1.jpg 900w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>\u00bfQu\u00e9 s\u00edntomas investiga en el interrogatorio?<\/strong><\/p>\n<p>A. Prurito<br \/>\n B. Artralgias<br \/>\n C. Coluria<br \/>\n D. Fotosensibilidad<\/p>\n<p><strong>\u00bfQu\u00e9 estudios solicita en la primera consulta?<\/strong><\/p>\n<p>A. Biopsia de piel<br \/>\n B. Examen micol\u00f3gico de las lesiones cut\u00e1neas<br \/>\n C. Ecograf\u00eda abdominal<br \/>\n D. Enzimas musculares<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/241_base_desafio_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9338\" title=\"241_base_desafio_2\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/06\/241_base_desafio_2-300x122.jpg\" alt=\"241_base_desafio_2\" width=\"300\" height=\"122\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/06\/241_base_desafio_2-300x122.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/06\/241_base_desafio_2-1024x417.jpg 1024w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/06\/241_base_desafio_2.jpg 1087w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n <strong>Observando el lecho periungueal detenidamente y con magnificaci\u00f3n 200X, dir\u00eda que son cambios:<\/strong><\/p>\n<p>A. Ocacionados por traumatismo<br \/>\n B. Ocacionados por dermatitis al\u00e9rgica<br \/>\n C. Ocacionados por vasculopat\u00eda relacionada a enfermedad base<br \/>\n D. Por infecci\u00f3n mic\u00f3tica<br \/>\n <strong><br \/>\n Su impresi\u00f3n diaagn\u00f3stica es:<\/strong><\/p>\n<p>A. Lupus eritematoso sist\u00e9mico<br \/>\n B. Vasculitis cut\u00e1neo sist\u00e9mica<br \/>\n C. Dermatomiositis<br \/>\n D. Dermatitis al\u00e9rgica<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong><em>Las respuestas las publicaremos en la pr\u00f3xima edici\u00f3n<\/em><\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><strong><em><br \/>\n <\/em><\/strong><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p><br class=\"spacer_\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Var\u00f3n de 14 a\u00f1os que se presenta a la consulta con dermatosis localizada en puente de nar\u00edz y dorso de ambas manos de tres meses de evoluci\u00f3n<\/p>\n","protected":false},"author":51,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[317],"tags":[],"class_list":["post-9336","post","type-post","status-publish","format-standard","","category-colagenopatia-al-dia"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9336","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\/51"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=9336"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9336\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}