{"id":9661,"date":"2009-07-24T22:24:41","date_gmt":"2009-07-25T02:24:41","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9661"},"modified":"2009-07-25T01:12:07","modified_gmt":"2009-07-25T05:12:07","slug":"243-consulta-a-un-colega-n%c2%b03","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9661","title":{"rendered":"243 &#8211; Consulta a un Colega N\u00b03"},"content":{"rendered":"<p><em><strong>Presentado por Rolando Hernandez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Alicia Melo Sacar\u00e1s (m\u00e9dico oftalm\u00f3logo) \u00a0<br \/>\n Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela<\/strong><\/em><\/p>\n<p>Paciente de 57 a\u00f1os de edad, m\u00e9dico veterinario, investigadora de parasitosis en grandes animales, quien consulta por neoformaciones papulosas en cara y p\u00e1rpados,\u00a0 interpretada como siringoma palpebrales; se decide tratarla con Laser Erbium Yag<\/p>\n<p><!--more--><\/p>\n<p>en dos sesiones con 350 mj de energ\u00eda en modo sp (pulso corto)\u00a0hasta \u00a0dermis profunda ( conseguir sangrado) y despu\u00e9s de la segunda sesi\u00f3n (21 d\u00edas despues) present\u00f3 pigmentaci\u00f3n residual (tatuaje herrumbroso u ocre)\u00a0 en sitios de los parpados donde se aplico soluci\u00f3n de monsel (subsulfato f\u00e9rrico) como hemost\u00e1tico.<\/p>\n<p><br class=\"spacer_\" \/><\/p>\n<p>Foto cl\u00ednica a las 3 semanas del procedimiento:<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00436.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9663\" title=\"243_DSC00436\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00436-150x150.jpg\" alt=\"243_DSC00436\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00435.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9662\" title=\"243_DSC00435\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00435-150x150.jpg\" alt=\"243_DSC00435\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00521.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9664\" title=\"243_DSC00521\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00521-150x150.jpg\" alt=\"243_DSC00521\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Este caso fue presentado en III Jornada de Est\u00e9tica y Antienvejecimiento 2009\/febrero\u00a0 (Meli\u00e1 Caracas) y personalmente fue enviado a un n\u00famero seleccionado de expertos en dermatolog\u00eda cosm\u00e9tica en busque de una soluci\u00f3n pr\u00e1ctica.<\/p>\n<p>Decidimos tratarla con microdermoabarsi\u00f3n y aplicaci\u00f3n de peeling de \u00e1cido retinoico al 7% cada 21 d\u00edas (en n\u00famero de tres) luego aplicamos dos sesiones de criocirug\u00eda, la primera spray con aguja fina y una segunda a los 21 d\u00edas\u00a0 con aplicaci\u00f3n intracut\u00e1nea\u00a0\u00a0 de nitrogenos liquido con aguja\u00a0(criocirug\u00eda) por\u00a017\u00a0 segundos en dos tiempos.<\/p>\n<p>Favor ver los resultados<\/p>\n<table style=\"width: 300px;\" border=\"0\">\n<tbody>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00908.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9665\" title=\"243_DSC00908\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00908-150x150.jpg\" alt=\"243_DSC00908\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00909.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9666\" title=\"243_DSC00909\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00909-150x150.jpg\" alt=\"243_DSC00909\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00910.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9667\" title=\"243_DSC00910\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00910-150x150.jpg\" alt=\"243_DSC00910\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00912.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-thumbnail wp-image-9668\" title=\"243_DSC00912\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00912-150x150.jpg\" alt=\"243_DSC00912\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>La aplicaci\u00f3n del monsel\u00a0 ocurri\u00f3 en febrero\/2009<\/p>\n<p>Agradecemos comentarios.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hernandez P\u00e9rez (m\u00e9dico dermat\u00f3logo), Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo), Alicia Melo Sacar\u00e1s (m\u00e9dico oftalm\u00f3logo) \u00a0 Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas. Venezuela Paciente de 57 a\u00f1os de edad, m\u00e9dico veterinario, investigadora de parasitosis en grandes animales, quien consulta por neoformaciones papulosas en cara y p\u00e1rpados,\u00a0 interpretada como siringoma palpebrales; se decide &hellip;<\/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-9661","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\/9661","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=9661"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9661\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}