{"id":16508,"date":"2020-04-28T14:14:07","date_gmt":"2020-04-28T17:14:07","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/"},"modified":"2020-04-30T21:34:05","modified_gmt":"2020-05-01T00:34:05","slug":"dermatite-intersticial-granulomatosa-patologia","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/","title":{"rendered":"Patologia da dermatite granulomatosa intersticial"},"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\">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\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/#Introduccion\" >Introdu\u00e7\u00e3o<\/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\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/#Histologia-de-dermatitis-granulomatosa-intersticial\" >Histologia da dermatite granulomatosa intersticial<\/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\/pt\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/#Patologia-de-dermatitis-granulomatosa-intersticial\" >Patologia da dermatite granulomatosa intersticial<\/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\/pt\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/#Estudios-especiales-de-dermatitis-granulomatosa-intersticial\" >Estudos especiais de dermatite granulomatosa intersticial.<\/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\/wiki\/patologia-de-dermatitis-granulomatosa-intersticial\/#Diagnostico-diferencial-de-dermatitis-granulomatosa-intersticial\" >Diagn\u00f3stico diferencial de dermatite granulomatosa intersticial<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"750\">Intersticial<\/span> <span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> <span class=\"term\" data-term-id=\"53\">dermatite<\/span> \u00e9 uma doen\u00e7a de pele rara com <span class=\"term\" data-term-id=\"731\">assintom\u00e1tico<\/span> cor da pele ou <span class=\"term\" data-term-id=\"967\">eritematoso<\/span> les\u00f5es com v\u00e1rios <span class=\"term\" data-term-id=\"187\">morfologia<\/span>. <span class=\"term\" data-term-id=\"321\">Linear<\/span> <span class=\"term\" data-term-id=\"1763\">atacadores<\/span> (&quot;a corda <span class=\"term\" data-term-id=\"899\">placa<\/span>\u201c), Patches, <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> ou <span class=\"term\" data-term-id=\"368\">pratos<\/span> Eles s\u00e3o relatados. As les\u00f5es tendem a se distribuir simetricamente no tronco e <span class=\"term\" data-term-id=\"242\">proximal<\/span> extremidades Existe uma associa\u00e7\u00e3o com v\u00e1rios <span class=\"term\" data-term-id=\"691\">autoimune<\/span> doen\u00e7as e infec\u00e7\u00f5es, particularmente reumat\u00f3ides <span class=\"term\" data-term-id=\"1578\">artrite<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-dermatitis-granulomatosa-intersticial\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> dermatite granulomatosa intersticial<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Semelhante \u00e0 heterogeneidade cl\u00ednica da dermatite granulomatosa intersticial, v\u00e1rios <span class=\"term\" data-term-id=\"474\">histol\u00f3gico<\/span> existem padr\u00f5es <span class=\"term\" data-term-id=\"846\">Epid\u00e9rmico<\/span> mudan\u00e7as incluem <span class=\"term\" data-term-id=\"320\">escala<\/span> <span class=\"term\" data-term-id=\"45\">C\u00f3rtex<\/span>, <span class=\"term\" data-term-id=\"136\">hiperplasia<\/span> com <span class=\"term\" data-term-id=\"1431\">perfura\u00e7\u00e3o<\/span> e <span class=\"term\" data-term-id=\"403\">necrose<\/span> com perda epid\u00e9rmica A maioria das altera\u00e7\u00f5es ocorre na parte inferior. <span class=\"term\" data-term-id=\"61\">derme<\/span> com <span class=\"term\" data-term-id=\"228\">perivascular<\/span> e intersticial <span class=\"term\" data-term-id=\"541\">infiltrar<\/span> com <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutr\u00f3filos<\/span><\/span>, <span class=\"term\" data-term-id=\"441\">neutr\u00f3filos<\/span> p\u00f3, <span class=\"term\" data-term-id=\"421\">linf\u00f3citos<\/span> e <span class=\"term\" data-term-id=\"858\">histi\u00f3citos<\/span> (Figura 1). N\u00fameros vari\u00e1veis de <span class=\"term\" data-term-id=\"448\">eosin\u00f3filos<\/span> est\u00e3o presentes (Figura 2, seta). Em alguns casos, h\u00e1 uma pali\u00e7ada de linf\u00f3citos e histi\u00f3citos em torno de um foco de neutr\u00f3filos ou <span class=\"term\" data-term-id=\"39\">col\u00e1geno<\/span> fibras <span class=\"term\" data-term-id=\"1388\">Leucocitocl\u00e1stico<\/span> <span class=\"term\" data-term-id=\"1091\">vasculite<\/span> e <span class=\"term\" data-term-id=\"194\">necrobiose<\/span> pode estar presente. <span class=\"term\" data-term-id=\"148\">Inflama\u00e7\u00e3o<\/span> pode se estender at\u00e9 <span class=\"term\" data-term-id=\"1282\">subcutis<\/span> (Figuras 3, 4). <span class=\"term\" data-term-id=\"102\">Fibrose<\/span> pode ser visto em fases posteriores.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-dermatitis-granulomatosa-intersticial\"><\/span>Patologia da dermatite granulomatosa intersticial<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='dermatite granulomatosafigura1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-9818494-3281676' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/granulomatousdermatitisfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-9818494.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dermatite granulomatosafigura2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-1389705-2535723' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/granulomatousdermatitisfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-1389705.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dermatite granulomatosafigura3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7638266-9011518' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/granulomatousdermatitisfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-7638266.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dermatite granulomatosafigura4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7831465-1396380' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/granulomatousdermatitisfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-7831465.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 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-de-dermatitis-granulomatosa-intersticial\"><\/span>Estudos especiais de dermatite granulomatosa intersticial.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"142\">Imunofluoresc\u00eancia<\/span> pode ser positivo para IgM, C3 e <span class=\"term\" data-term-id=\"851\">fibrinog\u00eanio<\/span> no <span class=\"term\" data-term-id=\"52\">d\u00e9rmico<\/span> <span class=\"term\" data-term-id=\"953\">vasos sangu\u00edneos<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-dermatitis-granulomatosa-intersticial\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> dermatite granulomatosa intersticial<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Vasculite leucocitocl\u00e1stica: Os neutr\u00f3filos e a poeira na dermatite granulomatosa intersticial est\u00e3o mais amplamente distribu\u00eddos pela derme, bem como ao redor dos vasos.<\/p>\n<p><span class=\"term\" data-term-id=\"113\">Granuloma<\/span> anular: As altera\u00e7\u00f5es podem ser semelhantes, principalmente \u00e0 variante intersticial do granuloma anular. <span class=\"term\" data-term-id=\"1636\">mucina<\/span> <span class=\"term\" data-term-id=\"370\">declara\u00e7\u00e3o<\/span> \u00c9 uma caracter\u00edstica mais proeminente no granuloma anular.<\/p>\n<p>Necrobiose lip\u00eddica: <span class=\"term\" data-term-id=\"739\">C\u00e9lulas gigantes<\/span> Eles s\u00e3o mais comuns na necrobiose lip\u00f3ide. A presen\u00e7a de eosin\u00f3filos e neutr\u00f3filos (e poeira) favorece a dermatite granulomatosa intersticial.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Intersticial granulomatoso dermatitis es un trastorno cut\u00e1neo raro con asintom\u00e1tico color de piel o eritematoso lesiones con varios morfolog\u00eda. Lineal cordones (&#8220;la cuerda firmar&#8220;), Parches, p\u00e1pulas o placas Est\u00e1n&#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-16508","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/comments?post=16508"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16508\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=16508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=16508"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=16508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}