{"id":9683,"date":"2009-07-24T22:22:04","date_gmt":"2009-07-25T02:22:04","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=9683"},"modified":"2009-07-25T01:09:23","modified_gmt":"2009-07-25T05:09:23","slug":"243-consulta-a-un-colega-n%c2%ba-5","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/9683","title":{"rendered":"243 &#8211; Consulta a un Colega N\u00ba 5"},"content":{"rendered":"<p><em><strong>Presentado por Rolando Hern\u00e1ndez P\u00e9rez, Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo)<br \/>\nCl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas Edo. Barinas.<\/strong><\/em><\/p>\n<p>Paciente de 34 a\u00f1os de edad, comerciante, quien refiere la aparici\u00f3n de neoformaci\u00f3n qu\u00edstica, ligeramente ovalado, con 2 cm de longitud mayor, de 2 a\u00f1os de evoluci\u00f3n, localizado en p\u00e1rpado superior izquierdo; en los tres \u00faltimos meses ha experimentado un crecimiento muy r\u00e1pido.<\/p>\n<p><!--more--><\/p>\n<p><br class=\"spacer_\" \/><\/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_DSC00812.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9686\" title=\"243_DSC00812\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00812-150x150.jpg\" alt=\"243_DSC00812\" width=\"150\" height=\"150\" \/><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00811.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9685\" title=\"243_DSC00811\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00811-150x150.jpg\" alt=\"243_DSC00811\" width=\"150\" height=\"150\" \/><\/a><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00848.JPG\"><\/a><\/td>\n<\/tr>\n<tr>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00848.JPG\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-9687\" title=\"243_DSC00848\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00848-150x150.jpg\" alt=\"243_DSC00848\" width=\"150\" height=\"150\" \/><\/a><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00812.JPG\"><\/a><\/td>\n<td><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_DSC00811.JPG\"><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Laboratorio convencional dentro de la normalidad. Examen f\u00edsico dentro de la normalidad<\/p>\n<p>Favor ver fotos histopatol\u00f3gicas:<\/p>\n<figure id=\"attachment_9689\" aria-describedby=\"caption-attachment-9689\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image9.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9689\" title=\"243_image9\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image9-300x225.jpg\" alt=\"image9\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image9-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image9.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-9689\" class=\"wp-caption-text\">image9<\/figcaption><\/figure>\n<p>Imagen9: a mayor aumento se identifican en dermis reticular y profunda y marcado adelgazamiento de la epidermis.<\/p>\n<figure id=\"attachment_9690\" aria-describedby=\"caption-attachment-9690\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image10.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9690\" title=\"243_image10\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image10-300x225.jpg\" alt=\"image10\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image10-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image10.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-9690\" class=\"wp-caption-text\">image10<\/figcaption><\/figure>\n<p>Imagen10: A mayor aumento se identifica lesi\u00f3n inflamatoria en dermis reticular que se encuentra parcialmente destruida.<\/p>\n<figure id=\"attachment_9691\" aria-describedby=\"caption-attachment-9691\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9691\" title=\"243_image11\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image11-300x225.jpg\" alt=\"image11\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image11-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image11.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-9691\" class=\"wp-caption-text\">image11<\/figcaption><\/figure>\n<p>Imagen11tif: A mayor aumento se observa infiltrado inflamatorio linfo-histiocitario con histiocitos modificados en c\u00e9lulas gigantes multinucleadas tipo cuerpo extra\u00f1o.<\/p>\n<figure id=\"attachment_9692\" aria-describedby=\"caption-attachment-9692\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image12.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9692\" title=\"243_image12\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image12-300x225.jpg\" alt=\"243_image12\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image12-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image12.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-9692\" class=\"wp-caption-text\">image12<\/figcaption><\/figure>\n<figure id=\"attachment_9693\" aria-describedby=\"caption-attachment-9693\" style=\"width: 300px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image13.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9693\" title=\"243_image13\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image13-300x225.jpg\" alt=\"image13\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image13-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image13.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><figcaption id=\"caption-attachment-9693\" class=\"wp-caption-text\">image13<\/figcaption><\/figure>\n<p>Imagen12 y 13: A mayor aumento se identifican cantidades de c\u00e9lulas gigantes\u00a0 multinucleadas tipo cuerpo extra\u00f1o alrededor y dentro de la reacci\u00f3n inflamatoria.<\/p>\n<p><a href=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image14.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-9694\" title=\"243_image14\" src=\"http:\/\/piel-l.org\/blog\/wp-content\/uploads\/\/2009\/07\/243_image14-300x225.jpg\" alt=\"243_image14\" width=\"300\" height=\"225\" srcset=\"https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image14-300x225.jpg 300w, https:\/\/piel-l.org\/blog\/wp-content\/uploads\/2009\/07\/243_image14.jpg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>Imagen14: se observan estructuras ovaladas, vac\u00edas, confluyentes, que corresponden a cristales, todo esto rodeado por c\u00e9lulas gigantes tipo cuerpo extra\u00f1o.<\/p>\n<p>Consideramos que se trata de un Quiste de inclusi\u00f3n epid\u00e9rmica con reacci\u00f3n giganto-celular.<br \/>\nAgradecemos comentarios.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Presentado por Rolando Hern\u00e1ndez P\u00e9rez, Carmen J. Bastidas Montilla (m\u00e9dico dermat\u00f3logo) Cl\u00ednica Ntra. Se\u00f1ora del Pilar. Barinas Edo. Barinas. Paciente de 34 a\u00f1os de edad, comerciante, quien refiere la aparici\u00f3n de neoformaci\u00f3n qu\u00edstica, ligeramente ovalado, con 2 cm de longitud mayor, de 2 a\u00f1os de evoluci\u00f3n, localizado en p\u00e1rpado superior izquierdo; en los tres \u00faltimos &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-9683","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\/9683","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=9683"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/9683\/revisions"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=9683"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=9683"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=9683"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}