{"id":7966,"date":"2020-04-26T14:44:13","date_gmt":"2020-04-26T17:44:13","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-la-enfermedad-de-dowling-degos\/"},"modified":"2020-04-30T21:33:54","modified_gmt":"2020-05-01T00:33:54","slug":"pathology-of-dowling-degos-disease","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-dowling-degos\/","title":{"rendered":"Pathology of Dowling-Degos disease"},"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\/patologia-de-la-enfermedad-de-dowling-degos\/#Introduccion\" >Introduction<\/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\/patologia-de-la-enfermedad-de-dowling-degos\/#Histologia-de-la-enfermedad-de-Dowling-Degos\" >Histology of Dowling-Degos disease<\/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-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-dowling-degos\/#Patologia-de-la-enfermedad-de-Dowling-Degos\" >Pathology of Dowling-Degos disease<\/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-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-dowling-degos\/#Diagnostico-diferencial-de-la-enfermedad-de-Dowling-Degos\" >Differential diagnosis of Dowling-Degos disease<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dowling-Degos disease is a <span class=\"term\" data-term-id=\"828\">autosomal<\/span> dominant skin disorder characterized by <span class=\"term\" data-term-id=\"1759\">progressive<\/span> <span class=\"term\" data-term-id=\"1521\">pigmentation<\/span> of the skin within the folds of the body. Association with loss of function <span class=\"term\" data-term-id=\"871\">mutations<\/span> in KRT5 (encoding <span class=\"term\" data-term-id=\"155\">curb<\/span> 5) is documented.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-la-enfermedad-de-Dowling-Degos\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> of Dowling-Degos disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"846\">Epidermal<\/span> changes in Dowling-Degos disease include <span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span>, often with small <span class=\"term\" data-term-id=\"130\">horn<\/span> cysts and thinning of the suprapapillary <span class=\"term\" data-term-id=\"85\">epidermis<\/span>. Slim <span class=\"term\" data-term-id=\"847\">epithelial<\/span> the threads extend towards the surface <span class=\"term\" data-term-id=\"61\">dermis<\/span> of the epidermis and <span class=\"term\" data-term-id=\"122\">hair<\/span> <span class=\"term\" data-term-id=\"1301\">follicles<\/span> resulting in a \u201chorn\u201d pattern (Figures 1, 2). Epidermal <span class=\"term\" data-term-id=\"135\">hyperpigmentation<\/span> It is common although rare<span class=\"term\" data-term-id=\"1520\">pigmented<\/span> Variants are reported. Hair <span class=\"term\" data-term-id=\"1300\">follicle<\/span> <span class=\"term\" data-term-id=\"1303\">infundibulum<\/span> may be dilated <span class=\"term\" data-term-id=\"52\">Dermal<\/span> <span class=\"term\" data-term-id=\"228\">perivascular<\/span> <span class=\"term\" data-term-id=\"1480\">lymphohistiocytic<\/span> <span class=\"term\" data-term-id=\"541\">infiltrate<\/span> (figures 1,2,3) or a <span class=\"term\" data-term-id=\"168\">lichenoid<\/span> A tissue reaction pattern can be observed.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-la-enfermedad-de-Dowling-Degos\"><\/span>Pathology of Dowling-Degos disease<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='dddfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1268016-1748791' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dddfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1268016.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dddfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9214271-9029723' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dddfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9214271.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dddfigure3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8028258-1465622' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dddfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8028258.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\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=\"Diagnostico-diferencial-de-la-enfermedad-de-Dowling-Degos\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> of Dowling-Degos disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Galli-Galli disease is a subtype of Dowling-Degos disease and is distinguished by the additional finding of<span class=\"term\" data-term-id=\"1338\">dyskeratotic<\/span> <span class=\"term\" data-term-id=\"3\">acantholysis<\/span> (Figure 3, arrow). Other clinics and <span class=\"term\" data-term-id=\"474\">histological<\/span> The characteristics are identical to Dowling-Degos disease.<\/p>\n<p><span class=\"term\" data-term-id=\"378\">Seborrheic<\/span> <span class=\"term\" data-term-id=\"1595\">keratosis<\/span> - in <span>Dowling-Degos disease<\/span>, epithelial strands extend from the epidermis and hair follicles. The clinical presentation is very useful to differentiate these conditions.<\/p>\n<p>To have <span class=\"term\" data-term-id=\"350\">syndrome<\/span> \u2013 histological characteristics shared with <span>Dowling-Degos disease;<\/span> however, the clinical presentation is different with facial rosacea-like lesions, pitted scars, and seborrheic keratosis-like lesions on the trunk and <span class=\"term\" data-term-id=\"970\">push-ups<\/span>. Haber syndrome is not associated with keratin 5 mutations.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n La enfermedad de Dowling-Degos es un autos\u00f3mico trastorno de la piel dominante caracterizado por progresivo pigmentaci\u00f3n de la piel dentro de los pliegues del cuerpo. Asociaci\u00f3n con p\u00e9rdida de&#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":[205],"class_list":["post-7966","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7966","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=7966"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7966\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7966"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7966"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}