{"id":4848,"date":"2019-07-29T09:20:35","date_gmt":"2019-07-29T12:20:35","guid":{"rendered":"https:\/\/doctorhoogstra.com\/?p=4848"},"modified":"2025-03-04T16:35:18","modified_gmt":"2025-03-04T19:35:18","slug":"porokeratose","status":"publish","type":"post","link":"https:\/\/doctorhoogstra.com\/pt\/poroqueratosis\/","title":{"rendered":"Poroqueratose"},"content":{"rendered":"<p>A poroqueratose \u00e9 um dist\u00farbio heredit\u00e1rio da queratiniza\u00e7\u00e3o, descrito por Mibelli.<\/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\">Conte\u00fado<\/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=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Alternar<\/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\/pt\/poroqueratosis\/#Cuadro-clinico\" >Quadro cl\u00ednico<\/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\/pt\/poroqueratosis\/#Tratamiento\" >Tratamento<\/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\/pt\/poroqueratosis\/#Tratamientos-Sistemicos\" >Tratamentos sist\u00eamicos<\/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\/pt\/poroqueratosis\/#Tratamientos-Quirurgicos\" >Tratamentos cir\u00fargicos<\/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\/pt\/poroqueratosis\/#Terapeutica-laser\" >Terapia a laser<\/a><\/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\/pt\/poroqueratosis\/#Dudas-y-consultas\" >D\u00favidas e consultas<\/a><\/li><\/ul><\/nav><\/div>\n\n<h2><span class=\"ez-toc-section\" id=\"Cuadro-clinico\"><\/span>Quadro cl\u00ednico<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00c9 caracterizada pelo aparecimento de uma ou mais placas hiperquerat\u00f3ticas de forma arredondada. As les\u00f5es cut\u00e2neas s\u00e3o persistentes, alternando per\u00edodos de melhora e recorr\u00eancia. Existem m\u00faltiplas variantes cl\u00ednicas, mas p\u00e1pulas hiperquerat\u00f3ticas est\u00e3o presentes em todos. O diagn\u00f3stico \u00e9 confirmado com histopatologia, onde a lamela corn\u00f3ide \u00e9 vista.<\/p>\n<p>A fraca resposta \u00e0 terapia, a recorr\u00eancia frequente e seu potencial car\u00e1ter pr\u00e9-neopl\u00e1sico tornam essa patologia um problema complexo para o dermatologista.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamiento\"><\/span>Tratamento<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As terapias sugeridas para poroqueratose s\u00e3o numerosas, mas a maioria \u00e9 decepcionante. A abla\u00e7\u00e3o com o Erbium Lotus Laser abre uma possibilidade terap\u00eautica eficaz, segura e indolor, sem efeitos adversos e recupera\u00e7\u00e3o imediata.<br \/>\nEmolientes e prote\u00e7\u00e3o solar s\u00e3o a base de qualquer tratamento.<\/p>\n<p>Outros tratamentos t\u00f3picos s\u00e3o:<br \/>\n1.5-Fluorouracil: Devido \u00e0 alta irrita\u00e7\u00e3o que produz na pele, n\u00e3o pode ser usado em grandes \u00e1reas.<br \/>\n2. Cortic\u00f3ides locais: pelo seu efeito anti-inflamat\u00f3rio, aliviando a coceira.<br \/>\n3.Diclofenaco: \u00e9 mais um anti-inflamat\u00f3rio n\u00e3o ester\u00f3ide na longa lista de tratamentos para poroqueratose.<br \/>\n4.Imiquimod 5%: \u00c9 particularmente \u00fatil na dermatose onde o sistema imunol\u00f3gico desempenha um papel importante.<br \/>\n5.Retin\u00f3ides: como a tretino\u00edna, eles funcionam como queratol\u00edticos, que n\u00e3o curam les\u00f5es, mas apenas produzem melhorias cosm\u00e9ticas.<br \/>\n6. Queratol\u00edticos: \u00e1cido salic\u00edlico, lactato de am\u00f4nio. Eles produzem melhora est\u00e9tica e leve al\u00edvio dos sintomas, sem cura.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Sistemicos\"><\/span>Tratamentos sist\u00eamicos<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Retin\u00f3ides orais: isotretino\u00edna, etretinato e acitretina.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamientos-Quirurgicos\"><\/span>Tratamentos cir\u00fargicos<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Eletrocoagula\u00e7\u00e3o e criocirurgia: Eles s\u00e3o eficazes, mas machucam e deixam sequelas e leva tempo para a \u00e1rea tratada se recuperar.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Terapeutica-laser\"><\/span>Terapia a laser<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Podem ser utilizados lasers de CO2, Nd-YAG, Q-switch e laser de \u00e9rbio. Todos os nossos centros possuem essa tecnologia, da qual preferimos, como dissemos anteriormente, o Erbium Lotus Laser por sua velocidade no tratamento de grandes \u00e1reas corporais e recupera\u00e7\u00e3o imediata. Al\u00e9m disso, n\u00e3o \u00e9 doloroso e n\u00e3o deixa sequelas.<\/p>\n<p>O tratamento a laser tamb\u00e9m \u00e9 combinado com tratamentos caseiros locais que se alternam de acordo com o momento evolutivo da doen\u00e7a.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dudas-y-consultas\"><\/span>D\u00favidas e consultas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Se voc\u00ea tiver alguma d\u00favida m\u00e9dica, envie um email para\u00a0<\/span><a href=\"mailto:consulta@doctorhoogstra.com\"><b>consulta@doctorhoogstra.com\u00a0<\/b><\/a>\u00a0. Neste correio\u00a0<span style=\"font-weight: 400;\">Apenas consultas m\u00e9dicas ser\u00e3o recebidas. N\u00e3o s\u00e3o realizadas consultas sobre turnos, pagamentos e quest\u00f5es administrativas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por telefone, segunda, quinta e sexta-feira, das 8h \u00e0s 15h nos seguintes n\u00fameros de telefone.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">0054 11 4 901 6690<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 3434<\/span><\/li>\n<li><span style=\"font-weight: 400;\">0054 11 4 904 0880<\/span><\/li>\n<\/ul>\n\n\t\t<div id=\"fws_6abb54a661a25\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-fancy-box using-img\" data-style=\"default\" data-animation=\"\" data-hover-o=\"default\" data-border-radius=\"default\" data-border=\"\" data-box-color-opacity=\"1\" data-delay=\"\" data-alignment=\"left\" data-color=\"accent-color\" ><div class=\"box-bg\" role=\"presentation\"  style=\"background-image: url('https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2018\/06\/caballito.jpg'); \"><\/div> <div class=\"inner\" style=\"min-height: 200px\"><i class=\"icon-default-style fa fa-calendar\" data-color=\"accent-color\" style=\"font-size: 40px!important; line-height: 40px!important;\"><\/i>\n<h2>Agendar consulta<\/h2>\n<p>Reserve um turno em nossos centros m\u00e9dicos localizados em <strong>Caballito <\/strong>e <strong>Belgrano<\/strong><\/div> <div class=\"link-text\">Agendar consulta<span class=\"arrow\"><\/span><\/div> <a target=\"_blank\" href=\"https:\/\/doctorhoogstra.com\/pt\/turnos\/\" class=\"box-link\"><\/a> <\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>La poroqueratosis es un trastorno hereditario de la queratinizaci\u00f3n, descrita por Mibelli. Cuadro cl\u00ednico Se caracteriza por la aparici\u00f3n de una o varias placas hiperquerat\u00f3sicas de forma redondeada. Las lesiones&#8230;<\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[74],"tags":[],"class_list":["post-4848","post","type-post","status-publish","format-standard","category-tumores-de-la-piel"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts\/4848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=4848"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/posts\/4848\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=4848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=4848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=4848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}