{"id":6713,"date":"2020-04-22T20:57:48","date_gmt":"2020-04-22T23:57:48","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/acne-2\/"},"modified":"2020-04-27T17:06:25","modified_gmt":"2020-04-27T20:06:25","slug":"acne-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/","title":{"rendered":"Acne"},"content":{"rendered":"<p><\/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\/wiki\/acne-2\/#%C2%BFQue-es-el-acne\" >\u00bfQu\u00e9 es el acn\u00e9?<\/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\/wiki\/acne-2\/#%C2%BFQuien-tiene-acne\" >\u00bfQui\u00e9n tiene acn\u00e9?<\/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\/wiki\/acne-2\/#%C2%BFQue-causa-el-acne\" >\u00bfQu\u00e9 causa el acn\u00e9?<\/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\/wiki\/acne-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-acne\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas del acn\u00e9?<\/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\/wiki\/acne-2\/#%C2%BFQue-pruebas-son-necesarias-para-el-acne\" >\u00bfQu\u00e9 pruebas son necesarias para el acn\u00e9?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#Acne\" >Acne<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#%C2%BFCual-es-el-tratamiento-para-el-acne\" >\u00bfCu\u00e1l es el tratamiento para el acn\u00e9?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#Acne-leve\" >Mild acne<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#Acne-moderado\" >Moderate acne<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#Acne-severo\" >Severe acne<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/acne-2\/#%C2%BFCual-es-la-perspectiva-para-el-acne\" >\u00bfCu\u00e1l es la perspectiva para el acn\u00e9?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-acne\"><\/span>\u00bfQu\u00e9 es el acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El acn\u00e9 es com\u00fan <span class=\"term\" data-term-id=\"319\">chronic<\/span> trastorno que afecta a la <span class=\"term\" data-term-id=\"122\">hair<\/span> <span class=\"term\" data-term-id=\"1300\">follicle<\/span> and <span class=\"term\" data-term-id=\"262\">sebaceous<\/span> gl\u00e1ndula, en la cual hay expansi\u00f3n y bloqueo del fol\u00edculo y <span class=\"term\" data-term-id=\"148\">inflammation<\/span>. Hay varias variantes<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-tiene-acne\"><\/span>\u00bfQui\u00e9n tiene acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El acn\u00e9 afecta a hombres y mujeres de todas las razas y etnias. Es <span class=\"term\" data-term-id=\"1676\">predominant<\/span> en adolescentes y adultos j\u00f3venes, con un 85% de los afectados de 16 a 18 a\u00f1os. Sin embargo, a veces puede ocurrir en ni\u00f1os y adultos de todas las edades.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-acne\"><\/span>\u00bfQu\u00e9 causa el acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El acn\u00e9 se debe a una combinaci\u00f3n de factores. Los mecanismos exactos no se entienden completamente.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"849\">Family<\/span> trend<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1096\">Endogenous<\/span> and <span class=\"term\" data-term-id=\"1095\">exogenous<\/span> hormonas androg\u00e9nicas\n<\/li>\n<li>Acne <span class=\"term\" data-term-id=\"935\">bacteria<\/span>\n<\/li>\n<li>Activaci\u00f3n inmune innata con <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> mediadores<\/li>\n<li>Distensi\u00f3n y <span class=\"term\" data-term-id=\"969\">occlusion<\/span> del cabello <span class=\"term\" data-term-id=\"1301\">follicles<\/span>\n<\/li>\n<\/ul>\n<p>Los brotes de acn\u00e9 pueden ser provocados por:<\/p>\n<ul>\n<li>Enfermedad de ovario poliqu\u00edstico<\/li>\n<li>F\u00e1rmacos: esteroides, hormonas, anticonvulsivos, <span class=\"term\" data-term-id=\"846\">epidermal<\/span> <span class=\"term\" data-term-id=\"523\">growth factor<\/span> <span class=\"term\" data-term-id=\"782\">receiver<\/span> inhibidores y otros<\/li>\n<li>Application of <span class=\"term\" data-term-id=\"878\">occlusive<\/span> productos cosm\u00e9ticos<\/li>\n<li>Alta ambiental <span class=\"term\" data-term-id=\"711\">humidity<\/span>\n<\/li>\n<li>Dieta rica en productos l\u00e1cteos y alimentos con alto \u00edndice gluc\u00e9mico.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-acne\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas del acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El acn\u00e9 a menudo se limita a la cara, pero puede afectar el cuello, el pecho y la espalda.<\/p>\n<p>Se caracteriza por:<\/p>\n<ul>\n<li>Abierto y cerrado sin inflamaci\u00f3n <span class=\"term\" data-term-id=\"328\">comedones<\/span> (espinillas y puntos blancos)<\/li>\n<li>Angry <span class=\"term\" data-term-id=\"366\">papules<\/span> and <span class=\"term\" data-term-id=\"1016\">pustules<\/span><\/li>\n<li>En el acn\u00e9 severo, <span class=\"term\" data-term-id=\"367\">nodules<\/span> and <span class=\"term\" data-term-id=\"511\">pseudocysts<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1622\">Post-inflammatory<\/span> <span class=\"term\" data-term-id=\"967\">erythematous<\/span> or <span class=\"term\" data-term-id=\"1520\">pigmented<\/span> <span class=\"term\" data-term-id=\"343\">macules<\/span> and scars\n<\/li>\n<li>Efectos sociales y psicol\u00f3gicos adversos.<\/li>\n<\/ul>\n<p>La gravedad se clasifica en leve, moderada o grave.<\/p>\n<ul>\n<li>Acn\u00e9 leve: total <span class=\"term\" data-term-id=\"164\">injury<\/span> tell <30<\/li>\n<li>Acn\u00e9 moderado: recuento total de lesiones 30\u2013125<\/li>\n<li>Acn\u00e9 severo: recuento total de lesiones> 125<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-pruebas-son-necesarias-para-el-acne\"><\/span>\u00bfQu\u00e9 pruebas son necesarias para el acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En la mayor\u00eda de los casos, las pruebas son innecesarias. Si las caracter\u00edsticas son <span class=\"term\" data-term-id=\"1395\">atypical<\/span> considerar:<\/p>\n<ul>\n<li>Skin swabs for <span class=\"term\" data-term-id=\"867\">microscopy<\/span> and <span class=\"term\" data-term-id=\"837\">culture<\/span>\n<\/li>\n<li>\n<p>Pruebas hormonales en mujeres.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Acne\"><\/span>Acne<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='comed1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5970482-7748800' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/comed1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5970482.jpg'>\n<\/div>\n<p class=\"p-small\">Comedonal acne<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='acne1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7586003-2793190' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/acne1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7586003.jpg'>\n<\/div>\n<p class=\"p-small\">Common acne<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='conglob2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6913562-6109342' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/conglob2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6913562.jpg'>\n<\/div>\n<p class=\"p-small\">Noulocystic acne<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>Ver m\u00e1s im\u00e1genes del acn\u00e9:<\/p>\n<ul>\n<li>Acne that affects the images of the back.<\/li>\n<li>\n<p>Acne facial images\n<\/li>\n<li>\n<p>Im\u00e1genes de esteroides para el acn\u00e9.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-acne\"><\/span>\u00bfCu\u00e1l es el tratamiento para el acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Acne-leve\"><\/span>Mild acne<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1330\">Current<\/span> agentes antiacnicos, como el per\u00f3xido de benzoilo y \/ o tretino\u00edna o adapaleno <span class=\"term\" data-term-id=\"1123\">gel<\/span>. Las nuevas prote\u00ednas bioactivas tambi\u00e9n pueden ser exitosas.<\/li>\n<li>Anticonceptivo oral combinado de dosis baja<\/li>\n<li>\n<p>Antis\u00e9ptico o <span class=\"term\" data-term-id=\"1572\">keratolytic<\/span> lavados que contienen \u00e1cido salic\u00edlico\n<\/li>\n<li>Ligero\/<span class=\"term\" data-term-id=\"1617\">To be<\/span> therapy<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Acne-moderado\"><\/span>Moderate acne<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>En cuanto al acn\u00e9 leve m\u00e1s una tetraciclina como la doxiciclina 50\u2013200 mg diarios durante aproximadamente 6 meses<\/li>\n<li>\n<p>Eritromicina o trimetoprima si es intolerante a la doxiciclina<\/li>\n<li>\n<p>Se puede considerar la terapia antiandrog\u00e9nica con acetato de ciproterona a largo plazo + etinilestradiol o espironolactona en mujeres que no responden a anticonceptivos orales combinados en dosis bajas, particularmente para mujeres con ovarios poliqu\u00edsticos.\n<\/li>\n<li>\n<p>La isotretino\u00edna se usa a menudo si el acn\u00e9 es persistente o resistente al tratamiento<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Acne-severo\"><\/span>Severe acne<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Referral to a <span class=\"term\" data-term-id=\"54\">dermatologist<\/span>\n<\/li>\n<li>Yes <span class=\"term\" data-term-id=\"1176\">fever<\/span>, <span class=\"term\" data-term-id=\"601\">arthralgia<\/span>, dolor \u00f3seo, lesiones cut\u00e1neas ulceradas o extensas, se debe organizar un recuento sangu\u00edneo y la derivaci\u00f3n es urgente<\/li>\n<li>Los antibi\u00f3ticos orales a menudo se usan en dosis m\u00e1s altas de lo normal<\/li>\n<li>La isotretino\u00edna oral generalmente se recomienda en pacientes adecuados<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-perspectiva-para-el-acne\"><\/span>\u00bfCu\u00e1l es la perspectiva para el acn\u00e9?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>El acn\u00e9 tiende a mejorar despu\u00e9s de los 25 a\u00f1os, pero puede persistir, especialmente en las mujeres.<\/li>\n<\/ul>\n<p>El tratamiento con isotretino\u00edna puede conducir a largo plazo. <span class=\"term\" data-term-id=\"1260\">remission<\/span> en muchos pacientes<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es el acn\u00e9? El acn\u00e9 es com\u00fan cr\u00f3nico trastorno que afecta a la pelo fol\u00edculo y seb\u00e1ceo gl\u00e1ndula, en la cual hay expansi\u00f3n y bloqueo del fol\u00edculo y inflamaci\u00f3n&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6713","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6713"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6713\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}