{"id":6977,"date":"2020-04-23T23:46:17","date_gmt":"2020-04-24T02:46:17","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-de-granuloma-anular-elastolitico-de-celulas-gigantes-2\/"},"modified":"2020-05-03T18:25:09","modified_gmt":"2020-05-03T21:25:09","slug":"granulome-annulaire-elastolytique-a-cellules-geantes-pathologie-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/patologia-de-granuloma-anular-elastolitico-de-celulas-gigantes-2\/","title":{"rendered":"Pathologie du granulome \u00e0 anneau \u00e9lastolytique \u00e0 cellules g\u00e9antes"},"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-granuloma-anular-elastolitico-de-celulas-gigantes-2\/#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-granuloma-anular-elastolitico-de-celulas-gigantes-2\/#Histologia-del-granuloma-anular-elastolitico-de-celulas-gigantes\" >Histologie du granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<\/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-granuloma-anular-elastolitico-de-celulas-gigantes-2\/#Patologia-de-granuloma-anular-elastolitico-de-celulas-gigantes\" >Pathologie du granulome \u00e0 anneau \u00e9lastolytique \u00e0 cellules g\u00e9antes<\/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-granuloma-anular-elastolitico-de-celulas-gigantes-2\/#Estudios-especiales-de-granuloma-anular-elastolitico-de-celulas-gigantes\" >\u00c9tudes sp\u00e9ciales sur le granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<\/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-granuloma-anular-elastolitico-de-celulas-gigantes-2\/#Diagnostico-diferencial-del-granuloma-anular-elastolitico-de-celulas-gigantes\" >Diagnostic diff\u00e9rentiel du granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<\/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><span class=\"term\" data-term-id=\"9\">Annuler<\/span> <span class=\"term\" data-term-id=\"1478\">\u00e9lastolytique<\/span> <span class=\"term\" data-term-id=\"738\">cellule g\u00e9ante<\/span> <span class=\"term\" data-term-id=\"113\">granulome<\/span> c&#039;est un <span class=\"term\" data-term-id=\"859\">histiocytaire<\/span>\/ \/<span class=\"term\" data-term-id=\"1076\">granulomateux<\/span> <span class=\"term\" data-term-id=\"52\">dermique<\/span> <span class=\"term\" data-term-id=\"541\">infiltrer<\/span> qui aboutit \u00e0 <span class=\"term\" data-term-id=\"462\">phagocytose<\/span> et la destruction de <span class=\"term\" data-term-id=\"1615\">fibres \u00e9lastiques<\/span>. <span class=\"term\" data-term-id=\"1395\">Atypique<\/span> faciale <span class=\"term\" data-term-id=\"194\">n\u00e9crobiose<\/span> Le lipo\u00efdique est probablement mieux consid\u00e9r\u00e9 comme une forme de ce trouble et, de ce fait, il existe une confusion dans la nomenclature.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-del-granuloma-anular-elastolitico-de-celulas-gigantes\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologie<\/span> granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les coupes montrent une granulomateuse et <span class=\"term\" data-term-id=\"422\">lymphocytaire<\/span> s&#039;infiltrer impliquant le <span class=\"term\" data-term-id=\"61\">derme<\/span> (Figures 1, 3). Les <span class=\"term\" data-term-id=\"739\">cellules g\u00e9antes<\/span> ils contiennent souvent des corps d&#039;ast\u00e9ro\u00efdes (figure 2, fl\u00e8ches). Il existe un infiltrateur associ\u00e9 qui contient <span class=\"term\" data-term-id=\"858\">histiocytes<\/span>, <span class=\"term\" data-term-id=\"421\">lymphocytes<\/span> et quelque chose <span class=\"term\" data-term-id=\"1513\">plasma<\/span> cellules (figures 1, 2).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-granuloma-anular-elastolitico-de-celulas-gigantes\"><\/span>Pathologie du granulome \u00e0 anneau \u00e9lastolytique \u00e0 cellules g\u00e9antes<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='granulome-\u00e9lastolytique-annulaire-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7750182-3650523' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/annular-elastolytic-granuloma-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7750182.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='granulome-\u00e9lastolytique-annulaire-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7542697-6840520' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/annular-elastolytic-granuloma-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7542697.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='granulome-\u00e9lastolytique-annulaire-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5038167-9656862' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/annular-elastolytic-granuloma-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5038167.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=\"Estudios-especiales-de-granuloma-anular-elastolitico-de-celulas-gigantes\"><\/span>\u00c9tudes sp\u00e9ciales sur le granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les taches \u00e9lastiques montrent une perturbation de l&#039;architecture \u00e9lastique (Figure 3, notez la densit\u00e9 r\u00e9duite des fibres \u00e9lastiques sur le c\u00f4t\u00e9 gauche de l&#039;image).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-del-granuloma-anular-elastolitico-de-celulas-gigantes\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagnostic diff\u00e9rentiel<\/span> granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les conditions \u00e0 consid\u00e9rer dans le diagnostic diff\u00e9rentiel du granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes sont\u00a0:<\/p>\n<ul>\n<li>Granulome actinique (O&#039;Brien)\u00a0: il s&#039;agit d&#039;un derme dense <span class=\"term\" data-term-id=\"80\">\u00e9lastose<\/span> qui serait responsable de la r\u00e9action granulomateuse. Certains de ces cas ont \u00e9t\u00e9 consid\u00e9r\u00e9s comme synonymes de granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes, ce qui a provoqu\u00e9 une certaine confusion avec la nomenclature.<\/li>\n<li>N\u00e9crobiose lipo\u00efdique faciale atypique : de nombreux auteurs pensent qu&#039;il s&#039;agit d&#039;un granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes et ne semble pas avoir de lien avec la n\u00e9crobiose lipo\u00efdique habituelle.<\/li>\n<li>\n<p>Sarco\u00efdose : elle est moins associ\u00e9e <span class=\"term\" data-term-id=\"148\">inflammation<\/span> et montre g\u00e9n\u00e9ralement <span class=\"term\" data-term-id=\"303\">bien d\u00e9fini<\/span> <span class=\"term\" data-term-id=\"1667\">\u00e9pith\u00e9lio\u00efde<\/span> <span class=\"term\" data-term-id=\"1718\">granulomes<\/span>.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introduction Le granulome annulaire \u00e9lastolytique \u00e0 cellules g\u00e9antes est un infiltrat cutan\u00e9 histiocytaire\/granulomateux qui entra\u00eene une phagocytose et une destruction des fibres \u00e9lastiques. N\u00e9crobiose faciale atypique Lipo\u00efdique est probablement mieux consid\u00e9r\u00e9e\u2026<\/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-6977","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6977","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=6977"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/6977\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=6977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=6977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=6977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}