{"id":6749,"date":"2020-04-23T00:17:15","date_gmt":"2020-04-23T03:17:15","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/colagenosis-reactiva-perforante-2\/"},"modified":"2020-04-27T16:59:09","modified_gmt":"2020-04-27T19:59:09","slug":"colagenosis-reactiva-perforante-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/colagenosis-reactiva-perforante-2\/","title":{"rendered":"Collag\u00e9nose perforante r\u00e9active"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 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\/colagenosis-reactiva-perforante-2\/#%C2%BFQue-es-la-colagenosis-perforante-reactiva\" >\u00bfQu\u00e9 es la colagenosis perforante reactiva?<\/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\/colagenosis-reactiva-perforante-2\/#%C2%BFQuien-contrae-colagenosis-perforante-reactiva\" >\u00bfQui\u00e9n contrae colagenosis perforante reactiva?<\/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\/fr\/wiki\/colagenosis-reactiva-perforante-2\/#%C2%BFQue-causa-la-colagenosis-reactiva-perforante\" >\u00bfQu\u00e9 causa la colagenosis reactiva perforante?<\/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\/colagenosis-reactiva-perforante-2\/#Cuales-son-los-signos-y-sintomas\" >Quels sont les signes et sympt\u00f4mes?<\/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-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/colagenosis-reactiva-perforante-2\/#Adquisicion-de-colagenosis-perforante-reactiva\" >Adquisici\u00f3n de colagenosis perforante reactiva<\/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-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/colagenosis-reactiva-perforante-2\/#%C2%BFComo-se-diagnostica\" >\u00bfC\u00f3mo se diagnostica?<\/a><\/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\/fr\/wiki\/colagenosis-reactiva-perforante-2\/#%C2%BFQue-tratamiento-hay-disponible\" >Quel traitement est disponible?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-colagenosis-perforante-reactiva\"><\/span>\u00bfQu\u00e9 es la colagenosis perforante reactiva?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La colagenosis reactiva perforante es un trastorno cut\u00e1neo poco frecuente en el cual <span class=\"term\" data-term-id=\"39\">collag\u00e8ne<\/span> las fibras extruyen a trav\u00e9s del <span class=\"term\" data-term-id=\"85\">\u00e9piderme<\/span> (capa externa de la piel).<\/p>\n<p>Se han identificado dos formas distintas de la enfermedad:<\/p>\n<ul>\n<li>Heredado: se manifiesta en la infancia o la primera infancia<\/li>\n<li>Adquirido: ocurre en la edad adulta, generalmente en pacientes con diabetes o <span class=\"term\" data-term-id=\"319\">chronique<\/span> <span class=\"term\" data-term-id=\"896\">r\u00e9nal<\/span> fracaso, especialmente aquellos que reciben <span class=\"term\" data-term-id=\"1791\">dialyse<\/span>\n<\/li>\n<\/ul>\n<p>La otra enfermedad perforante importante es <span class=\"term\" data-term-id=\"80\">\u00e9lastose<\/span> perforans serpiginosa.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-colagenosis-perforante-reactiva\"><\/span>\u00bfQui\u00e9n contrae colagenosis perforante reactiva?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La forma hereditaria es una condici\u00f3n muy rara con menos de 50 casos reportados en la literatura mundial. La colagenosis perforante reactiva adquirida es m\u00e1s com\u00fan y ocurre en aproximadamente el 10% de los pacientes que reciben hemodi\u00e1lisis de mantenimiento.<\/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-la-colagenosis-reactiva-perforante\"><\/span>\u00bfQu\u00e9 causa la colagenosis reactiva perforante?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Se desconoce la causa de la extrusi\u00f3n de col\u00e1geno anormal a trav\u00e9s de la epidermis, pero las lesiones aparecen en respuesta a la superficie <span class=\"term\" data-term-id=\"1365\">traumatisme<\/span> como rascarse y se ven agravados por el clima fr\u00edo. Este es particularmente el caso en la forma heredada. El modo de herencia no est\u00e1 claro, ya que los informes de familias afectadas revelan <span class=\"term\" data-term-id=\"828\">autosomique<\/span> dominant et <span class=\"term\" data-term-id=\"830\">autosomique r\u00e9cessif<\/span> herencia, as\u00ed como casos espor\u00e1dicos.<\/p>\n<p>Adem\u00e1s de afectar a personas con insuficiencia renal cr\u00f3nica y diabetes, se ha informado de colagenosis perforante reactiva adquirida en pacientes con <span class=\"term\" data-term-id=\"1641\">hypothyro\u00efdie<\/span> (gl\u00e1ndula tiroides hipoactiva), hiperparatiroidismo (gl\u00e1ndulas paratiroides hiperactivas), enfermedad hep\u00e1tica y <span class=\"term\" data-term-id=\"976\">lymphome<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cuales-son-los-signos-y-sintomas\"><\/span>Quels sont les signes et sympt\u00f4mes?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En la forma heredada, indolora de 1 a 6 mm de di\u00e1metro <span class=\"term\" data-term-id=\"1189\">k\u00e9ratotique<\/span> <span class=\"term\" data-term-id=\"366\">papules<\/span> desarrollar en el <span class=\"term\" data-term-id=\"948\">muscle extenseur<\/span> superficie de las manos, los codos y las rodillas despu\u00e9s de un traumatismo superficial. Las lesiones comienzan como lesiones del tama\u00f1o de un alfiler que durante 3-5 semanas crecen hasta <span class=\"term\" data-term-id=\"217\">papule<\/span> de unos 6 mm. Estos se resuelven espont\u00e1neamente en 6-8 semanas dejando cicatrices residuales menores. Las lesiones se repiten a lo largo de la vida hasta la edad adulta. En algunos casos, las condiciones de clima fr\u00edo pueden desencadenar la <span class=\"term\" data-term-id=\"1074\">r\u00e9apparition<\/span> de lesiones<\/p>\n<p>En la colagenosis perforante reactiva adquirida, se desarrollan lesiones querat\u00f3ticas en el tronco y las extremidades y se asocian com\u00fanmente con <span class=\"term\" data-term-id=\"245\">prurit<\/span> (Comez\u00f3n). Las lesiones a menudo, pero no necesariamente, est\u00e1n relacionadas con traumas superficiales.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Adquisicion-de-colagenosis-perforante-reactiva\"><\/span>Adquisici\u00f3n de colagenosis perforante reactiva<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='collagenosis1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4431862-6245227' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/collagenosis1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4431862.jpg'>\n<\/div>\n<p class=\"p-small\">Colagenosis perforante<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='collagenosis2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3941836-6234839' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/collagenosis2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3941836.jpg'>\n<\/div>\n<p class=\"p-small\">Colagenosis perforante<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='collagenosis3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6390528-8882562' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/collagenosis3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6390528.jpg'>\n<\/div>\n<p class=\"p-small\">Colagenosis perforante<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='collagenosis4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7855821-5852736' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/collagenosis4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7855821.jpg'>\n<\/div>\n<p class=\"p-small\">Colagenosis perforante<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica\"><\/span>\u00bfC\u00f3mo se diagnostica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La colagenosis perforante reactiva adquirida se diagnostica por caracter\u00edsticas cl\u00ednicas. <span class=\"term\" data-term-id=\"223\">pathologie<\/span> Feautres en <span class=\"term\" data-term-id=\"24\">biopsie<\/span> Son caracter\u00edsticos.<\/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-tratamiento-hay-disponible\"><\/span>Quel traitement est disponible?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Las lesiones generalmente se autocuran sin ning\u00fan tratamiento, pero a menudo se repiten. Los tratamientos que se han utilizado para tratar y reducir lesiones incluyen:<\/p>\n<ul>\n<li>Isotr\u00e9tino\u00efne<\/li>\n<li>Alopurinol<\/li>\n<li>Doxycycline<\/li>\n<li>Phototh\u00e9rapie<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1888\">Emollients<\/span> y los antihistam\u00ednicos orales son \u00fatiles para aliviar la picaz\u00f3n en la forma adquirida de la enfermedad.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la colagenosis perforante reactiva? La colagenosis reactiva perforante es un trastorno cut\u00e1neo poco frecuente en el cual col\u00e1geno las fibras extruyen a trav\u00e9s del epidermis (capa externa 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":[],"class_list":["post-6749","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6749","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=6749"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6749\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6749"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6749"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}