{"id":7883,"date":"2020-04-26T06:29:44","date_gmt":"2020-04-26T09:29:44","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/papulosis-atrofica-maligna\/"},"modified":"2020-04-27T15:10:14","modified_gmt":"2020-04-27T18:10:14","slug":"papulosis-atrofica-maligna","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/","title":{"rendered":"Papulose atrophique maligne"},"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\">Contenidos<\/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\/fr\/wiki\/papulosis-atrofica-maligna\/#Que-es-maligno-atrofica-papulosis\" >Que es maligno atr\u00f3fica papulosis?<\/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\/papulosis-atrofica-maligna\/#%C2%BFQuien-contrae-papulosis-atrofica-maligna\" >\u00bfQui\u00e9n contrae papulosis atr\u00f3fica maligna?<\/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\/papulosis-atrofica-maligna\/#%C2%BFQue-causa-la-papulosis-atrofica-maligna\" >\u00bfQu\u00e9 causa la papulosis atr\u00f3fica maligna?<\/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\/papulosis-atrofica-maligna\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-papulosis-atrofica-maligna\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la papulosis atr\u00f3fica maligna?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#Piel\" >Piel<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#Sistema-gastrointestinal\" >Sistema gastrointestinal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#Sistema-nervioso\" >Sistema nervioso<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#Otros-organos\" >Otros \u00f3rganos<\/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'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#Lesiones-cutaneas-de-papulosis-atrofica-maligna\" >Lesiones cut\u00e1neas de papulosis atr\u00f3fica maligna<\/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-10\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#%C2%BFComo-se-diagnostica-la-papulosis-atrofica-maligna\" >\u00bfC\u00f3mo se diagnostica la papulosis atr\u00f3fica maligna?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#%C2%BFCual-es-el-tratamiento-para-la-papulosis-atrofica-maligna\" >\u00bfCu\u00e1l es el tratamiento para la papulosis atr\u00f3fica maligna?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/fr\/wiki\/papulosis-atrofica-maligna\/#%C2%BFCual-es-el-pronostico-para-la-papulosis-atrofica-maligna\" >\u00bfCu\u00e1l es el pron\u00f3stico para la papulosis atr\u00f3fica maligna?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-maligno-atrofica-papulosis\"><\/span>Que es <span class=\"term\" data-term-id=\"176\">maligno<\/span> <span class=\"term\" data-term-id=\"809\">atr\u00f3fica<\/span> papulosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La papulosis atr\u00f3fica maligna es una forma de <span class=\"term\" data-term-id=\"878\">oclusivo<\/span> embarcaci\u00f3n peque\u00f1a <span class=\"term\" data-term-id=\"595\">vasculopat\u00eda<\/span>. los <span class=\"term\" data-term-id=\"953\">vasos sanguineos<\/span> afectados incluyen aquellos que irrigan la piel, el tracto gastrointestinal y el sistema nervioso central.<\/p>\n<p>La papulosis atr\u00f3fica maligna tambi\u00e9n se conoce como enfermedad de Degos.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-papulosis-atrofica-maligna\"><\/span>\u00bfQui\u00e9n contrae papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La papulosis atr\u00f3fica maligna es un trastorno muy raro. Generalmente ocurre en adultos j\u00f3venes de raza blanca, pero se ha informado en otras razas y en todas las edades.<\/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-papulosis-atrofica-maligna\"><\/span>\u00bfQu\u00e9 causa la papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La causa subyacente de la <span class=\"term\" data-term-id=\"969\">oclusi\u00f3n<\/span> de los vasos sangu\u00edneos en la papulosis atr\u00f3fica maligna es actualmente desconocido. Es probable que se deba a un <span class=\"term\" data-term-id=\"558\">gen\u00e9tico<\/span> <span class=\"term\" data-term-id=\"870\">mutaci\u00f3n<\/span> de <span class=\"term\" data-term-id=\"465\">complemento<\/span> o alg\u00fan otro factor de coagulaci\u00f3n. Se han sugerido varias otras teor\u00edas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-papulosis-atrofica-maligna\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Piel\"><\/span>Piel<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Las lesiones cut\u00e1neas son el rasgo caracter\u00edstico de la papulosis atr\u00f3fica maligna. Las lesiones suelen ser m\u00faltiples y ocurren predominantemente en el tronco y los brazos. Suelen comenzar como peque\u00f1as manchas rojas elevadas de 2\u20135 mm de di\u00e1metro. Despu\u00e9s de unos d\u00edas, se agrandan y desarrollan una mancha blanca central que est\u00e1 deprimida en comparaci\u00f3n con la piel roja que la rodea. Curan dejando cicatrices deprimidas de porcelana blanca.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Sistema-gastrointestinal\"><\/span>Sistema gastrointestinal<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Complicaciones gastrointestinales de la papulosis atr\u00f3fica maligna en el 50% de los pacientes con <span class=\"term\" data-term-id=\"380\">sist\u00e9mico<\/span> enfermedad como resultado de la falta de suministro de sangre al revestimiento del intestino. Pueden conducir a complicaciones graves que incluyen <span class=\"term\" data-term-id=\"1431\">perforaci\u00f3n<\/span> del intestino Los s\u00edntomas habituales son la aparici\u00f3n repentina de dolor abdominal o sangrado gastrointestinal (v\u00f3mitos de sangre o evacuaci\u00f3n con el movimiento intestinal).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Sistema-nervioso\"><\/span>Sistema nervioso<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La oclusi\u00f3n de los vasos sangu\u00edneos en el cerebro en la papulosis atr\u00f3fica maligna en el 20% de los pacientes puede provocar accidentes cerebrovasculares, dolores de cabeza, epilepsia o inespec\u00edficos. <span class=\"term\" data-term-id=\"402\">neurol\u00f3gico <\/span>s\u00edntomas, como p\u00e9rdida de memoria o sensaci\u00f3n alterada.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Otros-organos\"><\/span>Otros \u00f3rganos<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Otros \u00f3rganos a veces afectados por papulosis atr\u00f3fica maligna incluyen ojos, ri\u00f1ones, coraz\u00f3n e h\u00edgado.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Lesiones-cutaneas-de-papulosis-atrofica-maligna\"><\/span>Lesiones cut\u00e1neas de papulosis atr\u00f3fica maligna<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='degos3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4096499-1734143' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/degos3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4096499.jpg' alt=\"Papulosis atr\u00f3fica maligna\">\n<\/div>\n<p class=\"p-small\">Papulosis atr\u00f3fica maligna<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='degos2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildezxq-3733968-7304542' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/degos2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDEzXQ-3733968.jpg' alt=\"Papulosis atr\u00f3fica maligna\">\n<\/div>\n<p class=\"p-small\">Papulosis atr\u00f3fica maligna<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='degos1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildixxq-2861808-2661706' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/degos1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIxXQ-2861808.jpg' alt=\"Papulosis atr\u00f3fica maligna\">\n<\/div>\n<p class=\"p-small\">Papulosis atr\u00f3fica maligna<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-papulosis-atrofica-maligna\"><\/span>\u00bfC\u00f3mo se diagnostica la papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La papulosis atr\u00f3fica maligna se diagnostica cl\u00ednicamente y por la piel. <span class=\"term\" data-term-id=\"24\">biopsia<\/span> Oclusi\u00f3n reveladora de peque\u00f1os vasos sangu\u00edneos.<\/p>\n<p>No hay an\u00e1lisis de sangre espec\u00edficos, y la mayor\u00eda de los resultados son normales. Las investigaciones adicionales que incluyen im\u00e1genes depender\u00e1n de los s\u00edntomas y signos sist\u00e9micos.<\/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%BFCual-es-el-tratamiento-para-la-papulosis-atrofica-maligna\"><\/span>\u00bfCu\u00e1l es el tratamiento para la papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anti-<span class=\"term\" data-term-id=\"1089\">plaqueta<\/span> medicamentos como la aspirina y el dipiridamol pueden reducir el n\u00famero de nuevas lesiones en algunos pacientes con solo afectaci\u00f3n de la piel.<\/p>\n<p>Ha habido informes de beneficios de los tratamientos experimentales con eculizumab (<span class=\"term\" data-term-id=\"466\">monoclonal<\/span> <span class=\"term\" data-term-id=\"425\">anticuerpo<\/span> complemento C5 de uni\u00f3n) y treprostinil (prostaciclina <span class=\"term\" data-term-id=\"1502\">t\u00e9rmino an\u00e1logo<\/span>)[1]\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-la-papulosis-atrofica-maligna\"><\/span>\u00bfCu\u00e1l es el pron\u00f3stico para la papulosis atr\u00f3fica maligna?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La papulosis atr\u00f3fica maligna generalmente se considera una enfermedad grave. <span class=\"term\" data-term-id=\"753\">vascular<\/span> enfermedad porque conduce a la participaci\u00f3n de m\u00faltiples \u00f3rganos y provoca la muerte en 2 a 3 a\u00f1os. Pero en algunos casos, la enfermedad se limita a la piel y parece bastante <span class=\"term\" data-term-id=\"22\">benigno<\/span> (inofensivo).<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Que es maligno atr\u00f3fica papulosis? La papulosis atr\u00f3fica maligna es una forma de oclusivo embarcaci\u00f3n peque\u00f1a vasculopat\u00eda. los vasos sanguineos afectados incluyen aquellos que irrigan la piel, el tracto gastrointestinal&#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-7883","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7883","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=7883"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/wiki\/7883\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/media?parent=7883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/categories?post=7883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/fr\/wp-json\/wp\/v2\/tags?post=7883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}