{"id":16624,"date":"2020-04-29T01:25:05","date_gmt":"2020-04-29T04:25:05","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-de-vasculitis-leucocitoclastica\/"},"modified":"2020-04-30T21:33:21","modified_gmt":"2020-05-01T00:33:21","slug":"patologia-de-vasculitis-leucocitoclastica","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-de-vasculitis-leucocitoclastica\/","title":{"rendered":"Pathologie de la vascularite leucocytoclastique"},"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\">Contenu<\/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=\"Basculer la table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Basculer<\/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\/fr\/wiki\/patologia-de-vasculitis-leucocitoclastica\/#Histologia-de-vasculitis-leucocitoclastica\" >Histolog\u00eda de vasculitis leucocitocl\u00e1stica<\/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\/fr\/wiki\/patologia-de-vasculitis-leucocitoclastica\/#Patologia-de-vasculitis-leucocitoclastica\" >Pathologie de la vascularite leucocytoclastique<\/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\/fr\/wiki\/patologia-de-vasculitis-leucocitoclastica\/#Manchas-especiales-en-vasculitis-leucocitoclastica\" >Manchas especiales en vasculitis leucocitocl\u00e1stica<\/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\/fr\/wiki\/patologia-de-vasculitis-leucocitoclastica\/#Diagnostico-diferencial-de-vasculitis-leucocitoclastica\" >Diagn\u00f3stico diferencial de vasculitis leucocitocl\u00e1stica<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p><span class=\"term\" data-term-id=\"1388\">Leucocytoclastique<\/span> <span class=\"term\" data-term-id=\"1091\">vascularite<\/span> es una vasculitis de los vasos peque\u00f1os y tambi\u00e9n se describe como <span class=\"term\" data-term-id=\"943\">hypersensibilit\u00e9<\/span> vascularite<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-vasculitis-leucocitoclastica\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> de vasculitis leucocitocl\u00e1stica<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La visi\u00f3n de baja potencia de la vasculitis leucocitocl\u00e1stica da el patr\u00f3n de un ocupado <span class=\"term\" data-term-id=\"61\">derme<\/span> con un aspecto superficial y medio <span class=\"term\" data-term-id=\"228\">p\u00e9rivasculaire<\/span> <span class=\"term\" data-term-id=\"490\">inflammatoire<\/span> patr\u00f3n (Figura 1). Hay una poblaci\u00f3n predominantemente <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophiles<\/span><\/span>  en una perivascular y <span class=\"term\" data-term-id=\"750\">interstitiel<\/span> patr\u00f3n adem\u00e1s de los que se someten <span class=\"term\" data-term-id=\"607\">extravasation<\/span> de los vasos (Figura 2 y 3). <span class=\"term\" data-term-id=\"1386\">Leucocitoclasis<\/span> (<span class=\"term\" data-term-id=\"441\">neutrophiles<\/span> degeneraci\u00f3n) formando <span class=\"term\" data-term-id=\"1612\">nucl\u00e9aire<\/span> se ve polvo adem\u00e1s de <span class=\"term\" data-term-id=\"1087\">extravas\u00e9<\/span> <span class=\"term\" data-term-id=\"696\">\u00e9rythrocytes<\/span> (Figures 3 et 4). <span class=\"term\" data-term-id=\"1424\">Fibrino\u00efdes<\/span> <span class=\"term\" data-term-id=\"403\">n\u00e9crose<\/span> de los vasos con <span class=\"term\" data-term-id=\"850\">fibrine<\/span> extravasaci\u00f3n, mientras que un <span class=\"term\" data-term-id=\"1417\">agent pathog\u00e8ne<\/span> requisito, puede ser poco visible o estar ausente en muchos casos (las Figuras 3 y 4 demuestran leve <span class=\"term\" data-term-id=\"1425\">necrosis fibrinoide<\/span>)<\/p>\n<p>Un n\u00famero variable de <span class=\"term\" data-term-id=\"448\">\u00e9osinophiles<\/span> puede verse y cuando aumenta su n\u00famero puede sugerir un medicamento como causa subyacente.<\/p>\n<p>Es importante reconocer que los cambios var\u00edan con el tiempo de la <span class=\"term\" data-term-id=\"24\">biopsie<\/span>, con una variaci\u00f3n significativa en el grado de inflamaci\u00f3n <span class=\"term\" data-term-id=\"541\">infiltrer<\/span> y da\u00f1os en la pared del vaso.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-vasculitis-leucocitoclastica\"><\/span>Pathologie de la vascularite leucocytoclastique<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='lcvfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6059376-6881294' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lcvfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6059376.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lcvfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4259892-4562152' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lcvfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4259892.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lcvfigure3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6186322-7948590' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lcvfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6186322.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lcvfigure4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9930251-2173919' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lcvfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9930251.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-en-vasculitis-leucocitoclastica\"><\/span>Manchas especiales en vasculitis leucocitocl\u00e1stica<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"142\">Immunofluorescence<\/span> puede ser \u00fatil para confirmar <span class=\"term\" data-term-id=\"753\">vasculaire<\/span> da\u00f1o como <span class=\"term\" data-term-id=\"370\">d\u00e9claration<\/span> de <span class=\"term\" data-term-id=\"851\">fibrinog\u00e8ne<\/span>, C3, IgG e IgM pueden verse dentro de las paredes de los vasos. La biopsia de la piel afectada tiene un mayor rendimiento.<\/p>\n<p>La IgA positiva tambi\u00e9n es \u00fatil como pista para Henoch Sch\u00f6nlein <span class=\"term\" data-term-id=\"250\">Violet<\/span>.<\/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-vasculitis-leucocitoclastica\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> de vasculitis leucocitocl\u00e1stica<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>P\u00farpura de Henoch Sch\u00f6nlein: la histolog\u00eda es id\u00e9ntica. El dep\u00f3sito de IgA en la inmunofluorescencia confirmar\u00e1 un diagn\u00f3stico cl\u00ednico, pero la positividad de IgA no es sin\u00f3nimo del diagn\u00f3stico, ya que la IgA tambi\u00e9n se puede ver en otros escenarios.<\/p>\n<p><span class=\"term\" data-term-id=\"293\">Urticaire<\/span> Vasculitis: si bien los cambios pueden ser muy similares en esta afecci\u00f3n, generalmente hay una superficie superficial m\u00e1s prominente <span class=\"term\" data-term-id=\"52\">dermique<\/span> <span class=\"term\" data-term-id=\"201\">\u0153d\u00e8me<\/span>, y la densidad del infiltrado inflamatorio es menor. En particular, puede haber un menos obvio <span class=\"term\" data-term-id=\"443\">neutrophile<\/span> componente con incluso un puro <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> Algunos afirman que la vasculitis es suficiente para el diagn\u00f3stico.<\/p>\n<p><span class=\"term\" data-term-id=\"1164\">Septique<\/span> vasculitis: aqu\u00ed la pista es vascular <span class=\"term\" data-term-id=\"969\">occlusion<\/span> pour <span class=\"term\" data-term-id=\"284\">thrombus<\/span>. Puede haber poca o ninguna leucocitoclasis.<\/p>\n<p>Douce <span class=\"term\" data-term-id=\"350\">syndrome<\/span>: La presencia de edema d\u00e9rmico papilar notable y un <span class=\"term\" data-term-id=\"1769\">diffuser<\/span> El infiltrado neutrof\u00edlico en los dulces debe ser discriminatorio. Aunque estrictamente se sugiere que no deber\u00eda haber una necrosis fibrinoidea significativa, esto se ha documentado en una minor\u00eda de los casos.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Leucocitocl\u00e1stico vasculitis es una vasculitis de los vasos peque\u00f1os y tambi\u00e9n se describe como hipersensibilidad vasculitis Histolog\u00eda de vasculitis leucocitocl\u00e1stica La visi\u00f3n de baja potencia de la vasculitis leucocitocl\u00e1stica da&#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-16624","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/comments?post=16624"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/16624\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=16624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=16624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=16624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}