{"id":8174,"date":"2020-04-27T11:40:02","date_gmt":"2020-04-27T14:40:02","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-la-enfermedad-de-flegel\/"},"modified":"2020-04-30T21:34:07","modified_gmt":"2020-05-01T00:34:07","slug":"pathology-of-flegel-disease","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-flegel\/","title":{"rendered":"Pathology of Flegel&#039;s 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-flegel\/#Histologia-de-hiperqueratosis-lenticularis-perstans-enfermedad-de-Flegel\" >Histology of hyperkeratosis lenticularis perstans (Flegel&#039;s 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-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-flegel\/#Patologia-de-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel\" >Pathology of lenticular hyperkeratosis perstans (Flegel&#039;s 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-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-enfermedad-de-flegel\/#Estudios-especiales-para-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel\" >Special studies for lenticular hyperkeratosis perstans (Flegel&#039;s disease)<\/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\/patologia-de-la-enfermedad-de-flegel\/#Diagnostico-diferencial-de-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel-patologia\" >Differential diagnosis of lenticular hyperkeratosis perstans (Flegel&#039;s disease) pathology<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Flegel&#039;s disease is rare <span class=\"term\" data-term-id=\"60\">skin disease<\/span> characterized by <span class=\"term\" data-term-id=\"731\">asymptomatic<\/span> <span class=\"term\" data-term-id=\"1470\">hyperkeratotic<\/span> <span class=\"term\" data-term-id=\"366\">papules<\/span> predominantly on the back of the feet and legs. Clinical input is often very helpful in making a diagnosis. <span class=\"term\" data-term-id=\"1420\">histopathologically<\/span>. The disorder is believed to be caused by disturbances in the lining of the membrane. <span class=\"term\" data-term-id=\"520\">granules<\/span> (lamellar granules, bodies of Odland) of the <span class=\"term\" data-term-id=\"1069\">keratinocytes<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-hiperqueratosis-lenticularis-perstans-enfermedad-de-Flegel\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> of <span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span> lenticularis perstans (Flegel&#039;s disease)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In Flegel&#039;s disease, sections show <span class=\"term\" data-term-id=\"66\">discreet<\/span> areas of compact lamellar hyperkeratosis with <span class=\"term\" data-term-id=\"489\">focal<\/span> <span class=\"term\" data-term-id=\"218\">parakeratosis<\/span> (Figure 1). the <span class=\"term\" data-term-id=\"85\">epidermis<\/span> underneath hyperkeratosis is <span class=\"term\" data-term-id=\"809\">atrophic<\/span> compared to the surrounding skin, and the <span class=\"term\" data-term-id=\"111\">granular layer<\/span> it is dimmed absent (figure 2). The papillary <span class=\"term\" data-term-id=\"61\">dermis<\/span> contains a dense band <span class=\"term\" data-term-id=\"541\">infiltrate<\/span> composed of small <span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> interspersed with <span class=\"term\" data-term-id=\"858\">histiocytes<\/span>. <span class=\"term\" data-term-id=\"1017\">Vasodilation<\/span> Superficial vessels are also seen (Figure 3).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel\"><\/span>Pathology of lenticular hyperkeratosis perstans (Flegel&#039;s 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='flegel-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5055269-5295725' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/flegel-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5055269.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='flegel-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3719750-4289267' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/flegel-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3719750.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='flegel-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7888349-4150339' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/flegel-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7888349.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel\"><\/span>Special studies for lenticular hyperkeratosis perstans (Flegel&#039;s disease)<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generally none is needed. Examination of membrane coating granules by electon <span class=\"term\" data-term-id=\"867\">microscopy<\/span> It is commonly reported in the literature, but is not considered useful for diagnosis.<\/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=\"Diagnostico-diferencial-de-hiperqueratosis-lenticular-perstans-enfermedad-de-Flegel-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> of lenticular hyperkeratosis perstans (Flegel&#039;s disease) <span class=\"term\" data-term-id=\"223\">pathology<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kyrle&#039;s disease: This condition is clinically similar and may share some <span class=\"term\" data-term-id=\"1417\">pathogen<\/span> components. Kyrle&#039;s disease should exhibit impressive <span class=\"term\" data-term-id=\"155\">curb<\/span> plug and <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> perforating material through the epidermis.<\/p>\n<p>Porokeratosis <span class=\"term\" data-term-id=\"44\">Cornoids<\/span> the blades allow easy diagnosis of this condition<\/p>\n<p><span class=\"term\" data-term-id=\"1143\">Actinic <span class=\"term\" data-term-id=\"1595\">keratosis<\/span><\/span>  - actinic <span class=\"term\" data-term-id=\"73\"><span class=\"term\" data-term-id=\"1828\">dysplasia<\/span><\/span>  is seen. Some authors believe that Flegel&#039;s disease is an incipient form <span class=\"term\" data-term-id=\"846\">epidermal<\/span> dysplasia<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>La enfermedad de Flegel es rara dermatosis caracterizado por asintom\u00e1tico hiperquerat\u00f3tico p\u00e1pulas predominantemente en la dorsa de los pies y piernas. El aporte cl\u00ednico a menudo es muy \u00fatil para&#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-8174","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8174","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=8174"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8174\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8174"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}