{"id":6523,"date":"2020-04-22T02:20:49","date_gmt":"2020-04-22T05:20:49","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-papulas-fibrosas-de-celulas-claras\/"},"modified":"2020-05-03T18:25:15","modified_gmt":"2020-05-03T21:25:15","slug":"pathologie-des-papules-fibreuses-de-cellules-claires","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-de-papulas-fibrosas-de-celulas-claras\/","title":{"rendered":"Pathologie des papules fibreuses des cellules claires"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 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-papulas-fibrosas-de-celulas-claras\/#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\/fr\/wiki\/patologia-de-papulas-fibrosas-de-celulas-claras\/#Histologia-de-papula-fibrosa-de-celulas-claras\" >Histologie de la papule fibreuse \u00e0 cellules claires<\/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\/fr\/wiki\/patologia-de-papulas-fibrosas-de-celulas-claras\/#Patologia-de-papulas-fibrosas-de-celulas-claras\" >Pathologie des papules fibreuses des cellules claires<\/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\/fr\/wiki\/patologia-de-papulas-fibrosas-de-celulas-claras\/#Estudios-especiales-para-papulas-fibrosas-de-celulas-claras\" >\u00c9tudes sp\u00e9ciales pour les papules fibreuses \u00e0 cellules claires.<\/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\/fr\/wiki\/patologia-de-papulas-fibrosas-de-celulas-claras\/#Diagnostico-diferencial-de-papula-fibrosa-de-celulas-claras\" >Diagnostic diff\u00e9rentiel de la papule fibreuse \u00e0 cellules claires<\/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>Cellules fibreuses claires <span class=\"term\" data-term-id=\"217\">papule<\/span> Il s&#039;agit d&#039;une variante rare de papule fibreuse qui pr\u00e9sente une pr\u00e9sentation clinique identique \u00e0 la papule fibreuse conventionnelle du nez. Est inhabituel <span class=\"term\" data-term-id=\"187\">morphologie<\/span> et la raret\u00e9 peut entra\u00eener une confusion diagnostique.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-papula-fibrosa-de-celulas-claras\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> papule fibreuse \u00e0 cellules claires<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dans les papules fibreuses \u00e0 cellules claires, <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> peut \u00eatre normal ou montrer un certain degr\u00e9 de <span class=\"term\" data-term-id=\"610\">hyperk\u00e9ratose<\/span> (Figures 1,2). Les <span class=\"term\" data-term-id=\"61\">derme<\/span> s&#039;agrandit d&#039;un <span class=\"term\" data-term-id=\"893\">prolif\u00e9ration<\/span> de cellules claires dispos\u00e9es en feuilles, en groupes ou en cellules individuelles (figures 3,4). Les cellules lumineuses pr\u00e9sentent des variations de taille et de forme. Les <span class=\"term\" data-term-id=\"729\">noyaux<\/span> Ils sont petits et ronds sans <span class=\"term\" data-term-id=\"1539\">pl\u00e9omorphisme<\/span>, hyperchromasie ou <span class=\"term\" data-term-id=\"1535\">mitose<\/span>. Les noyaux peuvent \u00eatre situ\u00e9s au centre ou \u00eatre d\u00e9plac\u00e9s de mani\u00e8re excentrique par un grand <span class=\"term\" data-term-id=\"1831\">intracytoplasmique<\/span> <span class=\"term\" data-term-id=\"295\">vacuole<\/span> (Figures 3,4). Certaines cellules claires peuvent pr\u00e9senter une bonne <span class=\"term\" data-term-id=\"1339\">vacuol\u00e9<\/span> <span class=\"term\" data-term-id=\"838\">cytoplasme<\/span> avec <span class=\"term\" data-term-id=\"1612\">nucl\u00e9aire<\/span> festonn\u00e9<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-papulas-fibrosas-de-celulas-claras\"><\/span>Pathologie des papules fibreuses des cellules claires<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='papule-fibreuse-\u00e0-cellules-claires-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkilde2xq-6243205-8428131' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/clear-cell-fibrous-papule-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDE2XQ-6243205.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='papule-fibreuse-\u00e0-cellules-claires-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildq3xq-8089974-9099405' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/clear-cell-fibrous-papule-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDQ3XQ-8089974.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='papule-fibreuse-\u00e0-cellules-claires-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildrd-1130005-2654649' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/clear-cell-fibrous-papule-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDRd-1130005.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='papule-fibreuse-\u00e0-cellules-claires-figure-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildi4xq-7511128-7471534' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/clear-cell-fibrous-papule-figure-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDI4XQ-7511128.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 4<\/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=\"Estudios-especiales-para-papulas-fibrosas-de-celulas-claras\"><\/span>\u00c9tudes sp\u00e9ciales pour les papules fibreuses \u00e0 cellules claires.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"1421\">Immunohistochimie<\/span> de papules fibreuses \u00e0 cellules claires montre que les cellules claires sont positives de mani\u00e8re diffuse pour la vimentine et n\u00e9gatives pour <span class=\"term\" data-term-id=\"1614\">cytok\u00e9ratine<\/span> AE1\/AE3, <span class=\"term\" data-term-id=\"847\">\u00e9pith\u00e9lium<\/span> membrane <span class=\"term\" data-term-id=\"410\">antig\u00e8ne<\/span>, l&#039;antig\u00e8ne carcinoembryonnaire et HMB-45. La prot\u00e9ine S-100 est souvent n\u00e9gative, mais peut \u00eatre focalement positive.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-papula-fibrosa-de-celulas-claras\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> papule fibreuse \u00e0 cellules claires<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D&#039;autres diagnostics \u00e0 consid\u00e9rer incluent:<\/p>\n<ul>\n<li>\n<p>cellule \u00e0 ballon <span class=\"term\" data-term-id=\"353\">naevus<\/span> \u2013 cela montre une positivit\u00e9 avec <span class=\"term\" data-term-id=\"785\">m\u00e9lanocytaire<\/span> marqueurs avec immunohistochimie\n<\/li>\n<li>Hidrad\u00e9nome \u00e0 cellules claires\u00a0: cela montre une positivit\u00e9 avec la cytok\u00e9ratine et le canal canalaire. <span class=\"term\" data-term-id=\"1307\">diff\u00e9renciation<\/span>\n<\/li>\n<li>Autres tumeurs \u00e0 cellules claires : Un panel d\u2019\u00e9tudes immunohistochimiques peut \u00eatre utilis\u00e9 pour exclure d\u2019autres possibilit\u00e9s. Le tableau clinique peut \u00eatre un indice important dans le diagnostic de papule fibreuse \u00e0 cellules claires.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n C\u00e9lulas claras fibrosas p\u00e1pula Es una variante rara de p\u00e1pula fibrosa que tiene una presentaci\u00f3n cl\u00ednica id\u00e9ntica a la p\u00e1pula fibrosa convencional de la nariz. Es inusual morfolog\u00eda y&#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-6523","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6523","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=6523"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6523\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6523"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6523"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}