{"id":4848,"date":"2019-07-29T09:20:35","date_gmt":"2019-07-29T12:20:35","guid":{"rendered":"https:\/\/doctorhoogstra.com\/?p=4848"},"modified":"2025-03-04T16:35:18","modified_gmt":"2025-03-04T19:35:18","slug":"porokeratosis","status":"publish","type":"post","link":"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/","title":{"rendered":"Poroqueratosis"},"content":{"rendered":"<p>Porokeratosis is a hereditary disorder of keratinization, described by Mibelli.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Cuadro-clinico\" >Clinical picture<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Tratamiento\" >Treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Tratamientos-Sistemicos\" >Systemic Treatments<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Tratamientos-Quirurgicos\" >Surgical Treatments<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Terapeutica-laser\" >Laser therapy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/poroqueratosis\/#Dudas-y-consultas\" >Doubts and queries<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2><span class=\"ez-toc-section\" id=\"Cuadro-clinico\"><\/span>Clinical picture<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is characterized by the appearance of one or more round-shaped hyperkeratotic plaques. Skin lesions are persistent alternating periods of improvement and recurrence. There are multiple clinical variants, but the hyperkeratotic papule is present in all. The diagnosis is confirmed with histopathology, where the cornoid lamella is appreciated.<\/p>\n<p>The poor response to therapy, the frequent recurrence and its potential pre-neoplastic nature make this pathology a complex problem for the dermatologist.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento\"><\/span>Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are many therapies suggested for porokeratosis, but most are disappointing. The ablation with the Erbium Lotus Laser opens up an effective, safe, painless therapeutic possibility, without adverse effects and immediate recovery.<br \/>\nEmollients and sun protection are the basis of any treatment.<\/p>\n<p>Other topical treatments are:<br \/>\n1.5-Fluorouracil: due to the high irritation it produces on the skin, it cannot be used in large areas.<br \/>\n2. Local corticosteroids: for its anti-inflammatory effect relieving itching.<br \/>\n3.Diclofenac: it is one more non-steroidal anti-inflammatory in the long list of treatments for porokeratosis.<br \/>\n4.Imiquimod 5%: it is particularly useful in dermatosis where the immune system plays an important role.<br \/>\n5.Retinoids: like tretinoin, they function as keratolytics, which do not heal lesions but only produce cosmetic improvement.<br \/>\n6. Keratolytics: salicylic acid, ammonium lactate. They produce cosmetic improvement and slight relief of symptoms, without cure.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Sistemicos\"><\/span>Systemic Treatments<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Oral retinoids: isotretinoin, etretinate and acitretin.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Quirurgicos\"><\/span>Surgical Treatments<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Electrocoagulation and Cryosurgery: They are effective, but they hurt and leave sequelae and it takes time for the treated area to recover.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Terapeutica-laser\"><\/span>Laser therapy<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>CO2, Nd-YAG, Q-switched and Erbium lasers can be used. All our centers have this technology, of which we prefer, as we said before, the Erbium Lotus Laser for its speed to treat large areas of the body and immediate recovery. In addition, it is not painful and does not leave sequelae.<\/p>\n<p>The laser treatment is also combined with local treatments at home that are alternated according to the evolutionary moment of the disease.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dudas-y-consultas\"><\/span>Doubts and queries<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you have any medical questions, send an email to\u00a0<\/span><a href=\"mailto:consulta@doctorhoogstra.com\"><b>consulta@doctorhoogstra.com\u00a0<\/b><\/a>\u00a0. In this mail\u00a0<span style=\"font-weight: 400;\">Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">0054 11 4 901 6690<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 3434<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 0880<\/span><\/li>\n<\/ul>\n\n\t\t<div id=\"fws_6abb54b8d974d\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-fancy-box using-img\" data-style=\"default\" data-animation=\"\" data-hover-o=\"default\" data-border-radius=\"default\" data-border=\"\" data-box-color-opacity=\"1\" data-delay=\"\" data-alignment=\"left\" data-color=\"accent-color\" ><div class=\"box-bg\" role=\"presentation\"  style=\"background-image: url('https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/06\/caballito.jpg'); \"><\/div> <div class=\"inner\" style=\"min-height: 200px\"><i class=\"icon-default-style fa fa-calendar\" data-color=\"accent-color\" style=\"font-size: 40px!important; line-height: 40px!important;\"><\/i>\n<h2>Schedule consultation<\/h2>\n<p>Book a consultation at our medical centers located in <strong>Rocking horse <\/strong>and <strong>Belgrano<\/strong><\/div> <div class=\"link-text\">Schedule consultation<span class=\"arrow\"><\/span><\/div> <a target=\"_blank\" href=\"https:\/\/doctorhoogstra.com\/en\/shifts\/\" class=\"box-link\"><\/a> <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>La poroqueratosis es un trastorno hereditario de la queratinizaci\u00f3n, descrita por Mibelli. Cuadro cl\u00ednico Se caracteriza por la aparici\u00f3n de una o varias placas hiperquerat\u00f3sicas de forma redondeada. Las lesiones&#8230;<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[74],"tags":[],"class_list":["post-4848","post","type-post","status-publish","format-standard","category-tumores-de-la-piel"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/posts\/4848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=4848"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/posts\/4848\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=4848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=4848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=4848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}