{"id":16690,"date":"2020-04-29T06:45:47","date_gmt":"2020-04-29T09:45:47","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-de-la-papulosis-linfomatoide\/"},"modified":"2020-05-03T10:30:03","modified_gmt":"2020-05-03T13:30:03","slug":"patologia-de-la-papulosis-linfomatoide","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-papulosis-linfomatoide\/","title":{"rendered":"Patologia da papulose linfomat\u00f3ide."},"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\/patologia-de-la-papulosis-linfomatoide\/#Histologia-de-papulosis-linfomatoide\" >Histolog\u00eda de papulosis linfomatoide<\/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-2\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-papulosis-linfomatoide\/#Patologia-de-la-papulosis-linfomatoide\" >Patologia da papulose linfomat\u00f3ide.<\/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-3\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-de-la-papulosis-linfomatoide\/#Manchas-especiales-en-papulosis-linfomatoide\" >Manchas especiales en papulosis linfomatoide.<\/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\/wiki\/patologia-de-la-papulosis-linfomatoide\/#Diagnostico-diferencial-de-papulosis-linfomatoide\" >Diagn\u00f3stico diferencial de papulosis linfomatoide<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p><span class=\"term\" data-term-id=\"1728\">Linfomat\u00f3ide<\/span> papulosis es uno de los dos <span class=\"term\" data-term-id=\"949\">prim\u00e1rio<\/span> <span class=\"term\" data-term-id=\"47\">cut\u00e2neo<\/span> Linfomas cut\u00e1neos CD30 positivos, seg\u00fan la clasificaci\u00f3n de la OMS \/ EORTC.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-papulosis-linfomatoide\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de papulosis linfomatoide<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Poder de escaneo del <span class=\"term\" data-term-id=\"223\">patologia<\/span> de papulosis linfomatoide revela una forma de cu\u00f1a <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> <span class=\"term\" data-term-id=\"541\">infiltrar<\/span> extendi\u00e9ndose a lo profundo <span class=\"term\" data-term-id=\"61\">derme<\/span> ou superficial <span class=\"term\" data-term-id=\"900\">subcut\u00e2neo<\/span> tejido (Figuras 1 y 2). Tenga en cuenta que est\u00e1 hecho de vasos telangiect\u00e1sicos prominentes y <span class=\"term\" data-term-id=\"607\">extravasamento<\/span> do <span class=\"term\" data-term-id=\"696\">eritr\u00f3citos<\/span> en el caso ilustrado aqu\u00ed (Figura 3 y 4). los <span class=\"term\" data-term-id=\"422\">linfoc\u00edtico<\/span> la poblaci\u00f3n est\u00e1 compuesta por una serie de grandes CD30-positivos <span class=\"term\" data-term-id=\"421\">linf\u00f3citos<\/span> (Figura 5). La mezcla de c\u00e9lulas forma un espectro.<\/p>\n<p>Tipo A: disperso o <span class=\"term\" data-term-id=\"116\">agrupado<\/span> linfocitos CD30 positivos grandes (Figura 6) en un contexto de <span class=\"term\" data-term-id=\"448\">eosin\u00f3filos<\/span> e <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutr\u00f3filos<\/span><\/span>.<\/p>\n<p>Tipo B: se puede ver una poblaci\u00f3n de linfocitos peque\u00f1os con <span class=\"term\" data-term-id=\"86\">epidermotropismo<\/span>. Este tipo puede parecerse a la micosis fungoide.<\/p>\n<p>Tipo C: hojas grandes <span class=\"term\" data-term-id=\"1327\">anapl\u00e1sico<\/span> c\u00e9lulas con solo unas pocas c\u00e9lulas inflamatorias mezcladas que se asemejan a c\u00e9lulas grandes anapl\u00e1sicas <span class=\"term\" data-term-id=\"976\">linfoma<\/span>.<\/p>\n<p>Tipo D: se observa epidermotropismo marcado <span class=\"term\" data-term-id=\"1669\">histologicamente<\/span> indistinguible de CD8 + epidermotr\u00f3pico cut\u00e1neo agresivo primario <span class=\"term\" data-term-id=\"435\">citot\u00f3xico<\/span> <span class=\"term\" data-term-id=\"416\">C\u00e9lula T<\/span> linfoma<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-la-papulosis-linfomatoide\"><\/span>Patologia da papulose linfomat\u00f3ide.<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='lypfigure1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1587113-9635263' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1587113.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3642995-6306623' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3642995.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2677115-5630376' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2677115.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4080087-1711361' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4080087.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 4<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7192357-6278157' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7192357.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 5<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='lypfigure6cd30__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5007303-9186526' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/lypfigure6cd30__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5007303.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 6<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Manchas-especiales-en-papulosis-linfomatoide\"><\/span>Manchas especiales en papulosis linfomatoide.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Se utiliza un panel de marcadores de inmunoperoxidasa, el hallazgo clave es la positividad de CD30 en los tipos A y C. T\u00edpicamente <span class=\"term\" data-term-id=\"289\">tumor<\/span> las c\u00e9lulas son CD4 +, pero se han descrito las variantes CD8 + y CD56 +. TIA-1, perforina y granzima-B se expresan mientras que ALK-1 es negativo.<\/p>\n<p>La expresi\u00f3n de fascina puede indicar un mayor riesgo de neoplasias secundarias.<\/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=\"Diagnostico-diferencial-de-papulosis-linfomatoide\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> de papulosis linfomatoide<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Linfoma cut\u00e1neo anapl\u00e1sico cut\u00e1neo primario: este tumor se presenta cl\u00ednicamente de forma diferencial como un tumor ulcerado solitario grande. Estrictamente por definici\u00f3n, el&gt; 75% de las c\u00e9lulas tumorales deben te\u00f1ir CD30 positivo. Un gran <span class=\"term\" data-term-id=\"733\">nodular<\/span> y se observa poblaci\u00f3n cohesiva de c\u00e9lulas anapl\u00e1sicas grandes.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Linfomatoide papulosis es uno de los dos primario cut\u00e1neo Linfomas cut\u00e1neos CD30 positivos, seg\u00fan la clasificaci\u00f3n de la OMS \/ EORTC. Histolog\u00eda de papulosis linfomatoide Poder de escaneo del patolog\u00eda&#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-16690","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16690","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=16690"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/16690\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=16690"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=16690"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=16690"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}