{"id":16660,"date":"2020-04-29T04:51:46","date_gmt":"2020-04-29T07:51:46","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/reticulohistiocitosis\/"},"modified":"2020-05-03T10:31:14","modified_gmt":"2020-05-03T13:31:14","slug":"reticulohistiocitose","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/reticulohistiocitosis\/","title":{"rendered":"Reticulohistiocitose"},"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\">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\/reticulohistiocitosis\/#%C2%BFQue-es-la-reticulohistiocitosis\" >O que \u00e9 reticulohistiocitose?<\/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\/reticulohistiocitosis\/#Reticulohistiocitoma-solitario\" >Reticulo-histiocitoma solit\u00e1rio.<\/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\/reticulohistiocitosis\/#Reticulohistiocitoma-solitario-2\" >Reticulo-histiocitoma solit\u00e1rio.<\/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\/reticulohistiocitosis\/#Multiples-lesiones-cutaneas-en-reticulohistiocitosis\" >V\u00e1rias les\u00f5es cut\u00e2neas na reticulohistiocitose<\/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\/reticulohistiocitosis\/#%C2%BFQue-es-la-reticulohistiocitosis-multicentrica\" >O que \u00e9 reticulohistiocitose multic\u00eantrica?<\/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-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/reticulohistiocitosis\/#Reticulohistiocitosis-multicentrica\" >Reticulo-histiocitose multic\u00eantrica<\/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-7\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/reticulohistiocitosis\/#%C2%BFCual-es-la-causa-de-la-reticulohistiocitosis-multicentrica\" >Qual \u00e9 a causa da reticulohistiocitose multic\u00eantrica?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/reticulohistiocitosis\/#%C2%BFCual-es-el-tratamiento-para-la-reticulohistiocitosis-multicentrica\" >Qual \u00e9 o tratamento para reticulohistiocitose multic\u00eantrica?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-reticulohistiocitosis\"><\/span>O que \u00e9 reticulohistiocitose?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A reticulo-histiocitose \u00e9 uma forma rara de <span class=\"term\" data-term-id=\"1346\">histiocitose<\/span> Isso pode afetar a pele e outros \u00f3rg\u00e3os.<\/p>\n<p>A reticulo-histiocitose tem uma ampla gama de gravidade. Pode ser uma doen\u00e7a limitada com um n\u00f3dulo de pele vermelho-amarelado atrav\u00e9s de m\u00faltiplas les\u00f5es cut\u00e2neas envolvendo \u00f3rg\u00e3os internos. Geralmente ocorre em adultos.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Reticulohistiocitoma-solitario\"><\/span>Reticulo-histiocitoma solit\u00e1rio.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Reticulohistiocitoma solit\u00e1rio refere-se a uma \u00fanica pele. <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> (tamb\u00e9m conhecido como &quot;reticulohistiocitose solit\u00e1ria&quot; ou &quot;histiocitoma solit\u00e1rio&quot;). Tende a se resolver espontaneamente por um per\u00edodo de meses a anos, e as pessoas afetadas permanecem saud\u00e1veis.<\/p>\n<p>A remo\u00e7\u00e3o cir\u00fargica de les\u00f5es cut\u00e2neas solit\u00e1rias geralmente resulta em cura.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Reticulohistiocitoma-solitario-2\"><\/span>Reticulo-histiocitoma solit\u00e1rio.<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='reticulohistiocytoma__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1570153-3581389' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/Reticulohistiocytoma__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1570153.jpg'>\n<\/div>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dermoscopia reticulohistiocitoma__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2835862-9943734' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/reticulohistiocytoma-dermoscopy__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2835862.jpg'>\n<\/div>\n<p class=\"p-small\">Visualiza\u00e7\u00e3o dermatosc\u00f3pica<\/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=\"Multiples-lesiones-cutaneas-en-reticulohistiocitosis\"><\/span>V\u00e1rias les\u00f5es cut\u00e2neas na reticulohistiocitose<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A reticulocitose pode se apresentar com m\u00faltiplas les\u00f5es cut\u00e2neas, caso em que existe uma alta probabilidade de envolvimento de outros \u00f3rg\u00e3os. Estes podem incluir:<\/p>\n<ul>\n<li>Cora\u00e7\u00e3o<\/li>\n<li>Olhos<\/li>\n<li>Luz<\/li>\n<li>Tireoide<\/li>\n<li>F\u00edgado<\/li>\n<li>Rim<\/li>\n<li>M\u00fasculo<\/li>\n<li>Gl\u00e2ndula salivar<\/li>\n<li>Medula \u00f3ssea<\/li>\n<\/ul>\n<p>Os sintomas podem incluir perda de peso e <span class=\"term\" data-term-id=\"1176\">febre<\/span>. Os exames de sangue podem revelar <span class=\"term\" data-term-id=\"598\">anemia<\/span>e aumentou <span class=\"term\" data-term-id=\"1507\">colesterol<\/span> est\u00e1 presente em um ter\u00e7o dos pacientes. O envolvimento card\u00edaco pode ser fatal.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-reticulohistiocitosis-multicentrica\"><\/span>O que \u00e9 reticulohistiocitose multic\u00eantrica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A reticulo-histiocitose multic\u00eantrica tamb\u00e9m \u00e9 conhecida como &quot;dermatoartrite lip\u00f3ide&quot;, &quot;reumatismo lip\u00f3ide&quot; e &quot;<span class=\"term\" data-term-id=\"738\">c\u00e9lula gigante<\/span> reticulohistiocitose &quot;.<\/p>\n<p>A reticulo-histiocitose multic\u00eantrica \u00e9 uma condi\u00e7\u00e3o muito rara e mais agressiva caracterizada por les\u00f5es na pele, <span class=\"term\" data-term-id=\"1018\">membrana mucosa<\/span> les\u00f5es e <span class=\"term\" data-term-id=\"1578\">artrite<\/span>. Geralmente aparece em mulheres de meia idade. Em metade dos pacientes, o primeiro <span class=\"term\" data-term-id=\"899\">placa<\/span> da doen\u00e7a \u00e9 artrite, enquanto um quarto desenvolve a pele primeiro <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> (pequenas sali\u00eancias) e <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span> (n\u00f3dulos maiores) e o restante desenvolve manifesta\u00e7\u00f5es cut\u00e2neas e articulares ao mesmo tempo. Classifica com os outros <span class=\"term\" data-term-id=\"895\">proliferativo<\/span> desordens <span class=\"term\" data-term-id=\"858\">histi\u00f3citos<\/span> (um tipo de c\u00e9lula imune).<\/p>\n<p>As caracter\u00edsticas das les\u00f5es de pele incluem:<\/p>\n<ul>\n<li>Pele ou p\u00e1pulas marrom avermelhadas e n\u00f3dulos de 1-2 mm a v\u00e1rios cent\u00edmetros de di\u00e2metro<\/li>\n<li>Les\u00f5es podem ocorrer isoladamente ou em aglomerados ou culturas semelhantes a paralelep\u00edpedos.<\/li>\n<li>P\u00e1pulas e n\u00f3dulos ocorrem com mais freq\u00fc\u00eancia na metade superior do corpo, especialmente na face, ouvidos, superf\u00edcies mucosas (l\u00e1bios, l\u00edngua, gengivas, narinas, garganta, p\u00e1lpebras), m\u00e3os e antebra\u00e7os.<\/li>\n<li>Les\u00f5es na pele podem causar destrui\u00e7\u00e3o da cartilagem ao redor das orelhas e nariz, resultando em uma apar\u00eancia desfigurada.<\/li>\n<li>V\u00e1rios pequenos peda\u00e7os ao redor do <span class=\"term\" data-term-id=\"193\">unha<\/span> pode acontecer. Isso foi descrito como &quot;contas de coral&quot;.<\/li>\n<li>As les\u00f5es geralmente n\u00e3o apresentam sintomas, mas cerca de um ter\u00e7o dos pacientes se queixam de <span class=\"term\" data-term-id=\"245\">prurido<\/span> (coceira)<\/li>\n<\/ul>\n<p>A artrite geralmente envolve os dedos, m\u00e3os, joelhos e ombros, mas qualquer articula\u00e7\u00e3o pode ser afetada. Os sintomas da artrite podem aumentar e diminuir, mas podem rapidamente se tornar graves e levar \u00e0 destrui\u00e7\u00e3o e deforma\u00e7\u00e3o das articula\u00e7\u00f5es. Cerca de 45% dos pacientes sofrem de artrite grave.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Reticulohistiocitosis-multicentrica\"><\/span>Reticulo-histiocitose multic\u00eantrica<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='reticulocitose1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3742696-9338657' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/reticulocytosis1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3742696.jpg'>\n<\/div>\n<p class=\"p-small\">Reticulohistiocitose multic\u00eantrica: Swinfen Charitable Trust<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='reticulocitose2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5663594-8771993' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/reticulocytosis2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5663594.jpg'>\n<\/div>\n<p class=\"p-small\">Reticulohistiocitose multic\u00eantrica: Swinfen Charitable Trust<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='reticulocitose3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-5050477-5123591' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/reticulocytosis3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-5050477.jpg'>\n<\/div>\n<p class=\"p-small\">Reticulohistiocitose multic\u00eantrica: Swinfen Charitable Trust<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-de-la-reticulohistiocitosis-multicentrica\"><\/span>Qual \u00e9 a causa da reticulohistiocitose multic\u00eantrica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A causa da reticulo-histiocitose multic\u00eantrica \u00e9 desconhecida, mas em aproximadamente 20-30%, a doen\u00e7a est\u00e1 associada a um dist\u00farbio subjacente. <span class=\"term\" data-term-id=\"1742\">malignidade<\/span>. Se houver m\u00faltiplas les\u00f5es cut\u00e2neas, mas n\u00e3o houver artrite, n\u00e3o haver\u00e1 associa\u00e7\u00e3o com <span class=\"term\" data-term-id=\"30\">C\u00e2ncer<\/span>. Existe controv\u00e9rsia sobre se a reticulohistiocitose multic\u00eantrica \u00e9 uma verdadeira <span class=\"term\" data-term-id=\"219\">paraneopl\u00e1stico<\/span> dist\u00farbio (um dist\u00farbio paraneopl\u00e1sico \u00e9 aquele que ocorre como resultado de fatores circulantes produzidos pelo c\u00e2ncer subjacente). Os motivos para isso incluem:<\/p>\n<ul>\n<li>Nenhum tipo consistente de c\u00e2ncer foi associado \u00e0 reticulo-histiocitose multic\u00eantrica;<\/li>\n<li>Como a reticulo-histiocitose multic\u00eantrica \u00e9 muito rara, isso levanta a quest\u00e3o de saber se as associa\u00e7\u00f5es s\u00e3o meras coincid\u00eancias.<\/li>\n<li>N\u00e3o foi estabelecida correla\u00e7\u00e3o entre elimina\u00e7\u00e3o do c\u00e2ncer e desaparecimento e \/ ou melhora dos sintomas artr\u00edticos e cut\u00e2neos da reticulo-histiocitose multic\u00eantrica.<\/li>\n<\/ul>\n<p>A reticulo-histiocitose multic\u00eantrica tamb\u00e9m est\u00e1 associada a:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1091\">Vasculite<\/span> (<span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> do <span class=\"term\" data-term-id=\"953\">vasos sangu\u00edneos<\/span>)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"691\">Autoimune<\/span> doen\u00e7as<\/li>\n<\/ul>\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-reticulohistiocitosis-multicentrica\"><\/span>Qual \u00e9 o tratamento para reticulohistiocitose multic\u00eantrica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>N\u00e3o h\u00e1 tratamento espec\u00edfico para reticulohistiocitose multic\u00eantrica. Em muitos pacientes, ap\u00f3s um curso m\u00e9dio de 8 anos, a doen\u00e7a pode entrar <span class=\"term\" data-term-id=\"1260\">remiss\u00e3o<\/span>No entanto, neste momento, consider\u00e1vel destrui\u00e7\u00e3o conjunta pode ter ocorrido. Os pacientes ficam com articula\u00e7\u00f5es deformadas e paralisantes e apar\u00eancia facial desfigurada.<\/p>\n<p>Como aproximadamente 30% dos casos podem vir de uma malignidade subjacente, a avalia\u00e7\u00e3o de uma poss\u00edvel malignidade \u00e9 essencial. Recomenda-se um hist\u00f3rico m\u00e9dico abrangente e um exame f\u00edsico com rastreamento de c\u00e2ncer adequado \u00e0 idade, se houver sintomas de reticulo-histiocitose multic\u00eantrica.<\/p>\n<p>Os seguintes tratamentos podem ser usados:<\/p>\n<ul>\n<li>Metotrexato<\/li>\n<li>Cursos curtos de corticoster\u00f3ides orais (prednisolona \/ prednisona)<\/li>\n<li>Ciclosporina<\/li>\n<li>Azatioprina<\/li>\n<li>Ciclofosfamida<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la reticulohistiocitosis? La reticulohistiocitosis es una forma rara de histiocitosis eso puede afectar la piel y otros \u00f3rganos. La reticulohistiocitosis tiene un amplio rango de severidad. Puede ser&#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-16660","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16660","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=16660"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16660\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=16660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=16660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=16660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}