{"id":6680,"date":"2020-04-22T17:36:55","date_gmt":"2020-04-22T20:36:55","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatoscopia-de-queratosis-actinica-2\/"},"modified":"2020-04-27T17:09:00","modified_gmt":"2020-04-27T20:09:00","slug":"dermatoscopia-de-queratosis-actinica-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/","title":{"rendered":"Dermatoscopia de queratose act\u00ednica"},"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\/dermatoscopia-de-queratosis-actinica-2\/#Que-es-un-actinico-queratosis\" >Que es un act\u00ednico queratosis?<\/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\/dermatoscopia-de-queratosis-actinica-2\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queratosis-actinica\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la queratosis act\u00ednica?<\/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\/dermatoscopia-de-queratosis-actinica-2\/#Queratosis-actinicas\" >Queratoses act\u00ednicas<\/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\/dermatoscopia-de-queratosis-actinica-2\/#%C2%BFCuales-son-las-caracteristicas-dermatoscopicas-de-la-queratosis-actinica\" >\u00bfCu\u00e1les son las caracter\u00edsticas dermatosc\u00f3picas de la queratosis act\u00ednica?<\/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\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Queratosis-actinica-no-pigmentada-en-la-cara\" >Queratosis act\u00ednica no pigmentada en la cara<\/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-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Vistas-dermatoscopicas-de-queratosis-actinica-no-pigmentada-en-piel-facial\" >Vistas dermatosc\u00f3picas de queratosis act\u00ednica no pigmentada en piel facial<\/a><\/li><\/ul><\/li><\/ul><\/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\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Queratosis-actinica-no-pigmentada-en-piel-no-facial\" >Queratosis act\u00ednica no pigmentada en piel no facial<\/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-8\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Vistas-dermatoscopicas-de-queratosis-actinica-no-pigmentada-en-piel-no-facial\" >Vistas dermatosc\u00f3picas de queratosis act\u00ednica no pigmentada en piel no facial<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Caracteristicas-dermatoscopicas-de-la-queratosis-actinica-pigmentada\" >Caracter\u00edsticas dermatosc\u00f3picas de la queratosis act\u00ednica pigmentada.<\/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-10\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Vistas-dermatoscopicas-de-la-queratosis-actinica-pigmentada\" >Vistas dermatosc\u00f3picas de la queratosis act\u00ednica pigmentada.<\/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-11\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#%C2%BFQue-es-el-dermatoscopico-diagnostico-diferencial-de-queratosis-actinica\" >\u00bfQu\u00e9 es el dermatosc\u00f3pico? diagn\u00f3stico diferencial de queratosis act\u00ednica?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Carcinoma-cutaneo-de-celulas-escamosas\" >Carcinoma espinocelular da pele<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Carcinoma-de-celulas-escamosas-en-el-lugar\" >Carcinoma de c\u00e9lulas escamosas en el lugar<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Lentigo-maligno\" >Evil lentigo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Psoriasis\" >Psor\u00edase<\/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-16\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Vistas-dermatoscopicas-de-diagnosticos-diferenciales-de-queratosis-actinica\" >Vistas dermatosc\u00f3picas de diagn\u00f3sticos diferenciales de queratosis act\u00ednica<\/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-17\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Cual-es-el-histologico-explicacion-para-tLos-hallazgos-dermatoscopicos-en-%C2%BFqueratosis-actinica\" >Cu\u00e1l es el histol\u00f3gico explicaci\u00f3n para tLos hallazgos dermatosc\u00f3picos en \u00bfqueratosis act\u00ednica?<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Rosetones\" >Rosetas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Escala-superficial\" >Escala superficial<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Patron-de-fresa\" >Patr\u00f3n de fresa<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/dermatoscopia-de-queratosis-actinica-2\/#Circulos\" >C\u00edrculos<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-un-actinico-queratosis\"><\/span>Que e um <span class=\"term\" data-term-id=\"1143\">act\u00ednico <span class=\"term\" data-term-id=\"1595\">queratose<\/span><\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span><span><span>La queratosis act\u00ednica es un <\/span><span class=\"term\" data-term-id=\"385\">escamoso<\/span> <span class=\"term\" data-term-id=\"164\">ferimentos<\/span> encontrado en la piel da\u00f1ada por el sol. Se considera <span class=\"term\" data-term-id=\"892\">pr\u00e9-canceroso<\/span> Porque un <span class=\"term\" data-term-id=\"47\">cut\u00e2neo<\/span> <span class=\"term\" data-term-id=\"270\">escamoso<\/span> c\u00e9lula <span class=\"term\" data-term-id=\"32\">carcinoma<\/span> puede surgir de la queratosis act\u00ednica. Queratosis act\u00ednica<\/span><\/span> tambi\u00e9n se conoce como AK y queratosis solar<span>.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-queratosis-actinica\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la queratosis act\u00ednica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La queratosis act\u00ednica es una irregular, s<span>parentesco, rojo o <span class=\"term\" data-term-id=\"1520\">pigmentado<\/span><\/span> <span class=\"term\" data-term-id=\"217\">p\u00e1pula<\/span> ou <span class=\"term\" data-term-id=\"235\">placa de carro<\/span> y se encuentra con mayor frecuencia en <span>uma<\/span> cuero cabelludo calvo, oreja, cara o parte posterior de t<span>h<\/span>e mano. Muchas lesiones a menudo est\u00e1n presentes. Antiguo Testamento<span>Sus caracter\u00edsticas pueden incluir:<\/span><\/p>\n<ul>\n<li>Un blanco o amarillo, escamoso, <span class=\"term\" data-term-id=\"301\">verrugoso<\/span> o superficie c\u00f3rnea<\/li>\n<li>Sensibilidad.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Queratosis-actinicas\"><\/span><span>Queratoses act\u00ednicas<\/span><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='sk3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2674498-1142762' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sk3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2674498.jpg'>\n<\/div>\n<p class=\"p-small\">Queratose act\u00ednica<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='sk1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8226334-5383060' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/sk1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8226334.jpg'>\n<\/div>\n<p class=\"p-small\">Queratose act\u00ednica<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='247__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7415149-5030221' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/247__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7415149.jpg'>\n<\/div>\n<p class=\"p-small\">Queratosis act\u00ednica que afecta una mano<\/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=\"%C2%BFCuales-son-las-caracteristicas-dermatoscopicas-de-la-queratosis-actinica\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas dermatosc\u00f3picas de la queratosis act\u00ednica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Queratosis-actinica-no-pigmentada-en-la-cara\"><\/span><span>Queratosis act\u00ednica no pigmentada en la cara<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La queratosis act\u00ednica no pigmentada en la cara se caracteriza por un &#8220;patr\u00f3n de fresa&#8221; en la dermatoscopia. El borde de t<span>h<\/span>La lesi\u00f3n es a menudo<span> bien <span class=\"term\" data-term-id=\"811\">demarcado<\/span> pero puede fusionarse con la piel circundante ya que muchos pacientes tienen da\u00f1o solar extenso<\/span><span>. Antiguo Testamento<span>h<\/span>Las caracter\u00edsticas de er pueden incluir:<\/span><\/p>\n<ul>\n<li>Un fondo rosa sin estructura<\/li>\n<li>Una pseudonetwork de rosa a roja creada por vasos rectos u ondulados que rodean el <span class=\"term\" data-term-id=\"122\">cabelo<\/span> <span class=\"term\" data-term-id=\"1301\">fol\u00edculos<\/span>\n<\/li>\n<li>Piel peque\u00f1a y prominente de color blanco o amarillo.<span>h<\/span> manchas correspondientes a <span class=\"term\" data-term-id=\"107\">folicular<\/span> Aberturas de tama\u00f1o variable.<\/li>\n<li>Color de piel o c\u00edrculos blancos alrededor de un terr\u00f3n amarillento (este es un <span class=\"term\" data-term-id=\"1189\">querat\u00f3tico<\/span> enchufe)<\/li>\n<li>Cuatro terrones de puntos (rosetas) bajo luz polarizada<\/li>\n<li>Superficie <span class=\"term\" data-term-id=\"320\">escala<\/span>.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vistas-dermatoscopicas-de-queratosis-actinica-no-pigmentada-en-piel-facial\"><\/span>Vistas dermatosc\u00f3picas de queratosis act\u00ednica no pigmentada en piel facial<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='actinic-keratosis-face__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7091951-2467204' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/actinic-keratosis-face__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-7091951.jpg'>\n<\/div>\n<p class=\"p-small\">Queratosis act\u00ednica que afecta la cara.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='strawberry-pattern-ak-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2245822-2807670' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/strawberry-pattern-ak-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2245822.jpg'>\n<\/div>\n<p class=\"p-small\">Patr\u00f3n de fresa dermatosc\u00f3pica de queratosis act\u00ednica facial<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='strawberry-pattern-ak-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3513800-5428493' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/strawberry-pattern-ak-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3513800.jpg'>\n<\/div>\n<p class=\"p-small\">Patr\u00f3n de fresa dermatosc\u00f3pica de queratosis act\u00ednica facial<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Queratosis-actinica-no-pigmentada-en-piel-no-facial\"><\/span>Queratosis act\u00ednica no pigmentada en piel no facial <span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La queratosis act\u00ednica en la piel no facial generalmente presenta un patr\u00f3n inespec\u00edfico. Las caracter\u00edsticas pueden incluir:<\/p>\n<ul>\n<li>Irregular<span>h<\/span>mono<\/li>\n<li>Escala de superficie (blanca o amarilla)<\/li>\n<li>A veces, ostras<span>estructuras amarillas conc\u00e9ntricas infernales<span><br \/><\/span><\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"90\">Eritema<\/span>, a veces con vasos punteados (peque\u00f1os cultivos de puntos rojos)<\/li>\n<li>\n<p>Rosetones (solo luz polarizada)<\/li>\n<li>S<span>hort s<span>h<\/span>rayas peque\u00f1as<\/span>.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vistas-dermatoscopicas-de-queratosis-actinica-no-pigmentada-en-piel-no-facial\"><\/span>Vistas dermatosc\u00f3picas de queratosis act\u00ednica no pigmentada en piel no facial<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='aknf__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5668788-8555967' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/aknf__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5668788.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatoscopia de queratose act\u00ednica em pele n\u00e3o facial.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='actinic-keratosis-arm__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8094644-3889514' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/actinic-keratosis-arm__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8094644.jpg'>\n<\/div>\n<p class=\"p-small\">Queratosis act\u00ednica en piel no facial.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ak-rosettes__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-8169590-8648624' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ak-rosettes__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-8169590.jpg'>\n<\/div>\n<p class=\"p-small\">Rosetas em queratose act\u00ednica<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Caracteristicas-dermatoscopicas-de-la-queratosis-actinica-pigmentada\"><\/span>Caracter\u00edsticas dermatosc\u00f3picas de la queratosis act\u00ednica pigmentada.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La queratosis act\u00ednica pigmentada tiene una apariencia similar a la queratosis act\u00ednica no pigmentada con la adici\u00f3n de estructuras pigmentadas.<\/p>\n<p>Los hallazgos dermatosc\u00f3picos m\u00e1s comunes son:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"815\">Hiperpigmentado<\/span> aberturas foliculares<\/li>\n<li>\u00c1reas marrones sin estructura<\/li>\n<li>\n<span class=\"term\" data-term-id=\"9\">Cancelar<\/span>-Estructuras granulares.<\/li>\n<\/ul>\n<p>Outros recursos incluem:<\/p>\n<ul>\n<li>Piel de fondo marr\u00f3n<\/li>\n<li>L\u00edneas marrones superficiales anguladas<\/li>\n<li>\n<span class=\"term\" data-term-id=\"316\">Perifolicular<\/span> gris interior <span>h<\/span>alo<\/li>\n<li>A veces, estructuras romboidales grises: gris <span class=\"term\" data-term-id=\"544\">confluente<\/span> puntos dispuestos en l\u00edneas o de gris a marr\u00f3n <span class=\"term\" data-term-id=\"321\">linear<\/span> estructuras ubicadas entre estructuras foliculares.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vistas-dermatoscopicas-de-la-queratosis-actinica-pigmentada\"><\/span>Vistas dermatosc\u00f3picas de la queratosis act\u00ednica pigmentada.<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='pigmented-actinic-keratosis-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3542606-9754885' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pigmented-actinic-keratosis-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3542606.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatoscopia de queratose act\u00ednica.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='Queratose act\u00ednica pigmentada5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildzd-4096747-3452619' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pigmented-actinic-keratosis5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDZd-4096747.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatoscopia de queratose act\u00ednica pigmentada.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='Queratose-act\u00ednica pigmentada-5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildzd-1789686-6639184' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/pigmented-actinic-keratosis-5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDZd-1789686.jpg'>\n<\/div>\n<p class=\"p-small\">Dermatoscopia de queratose act\u00ednica pigmentada.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-dermatoscopico-diagnostico-diferencial-de-queratosis-actinica\"><\/span>O que \u00e9 dermatosc\u00f3pico? <span class=\"term\" data-term-id=\"813\">diagn\u00f3stico diferencial<\/span> de queratosis act\u00ednica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La queratosis act\u00ednica se diagnostica mediante una combinaci\u00f3n de caracter\u00edsticas cl\u00ednicas y dermatosc\u00f3picas y, en ocasiones, puede ser dif\u00edcil de distinguir.<span>h de ot<span>sus lesiones Puede coexistir ingenio<span>h solar <span class=\"term\" data-term-id=\"1392\">lentigo<\/span>, carcinoma cut\u00e1neo de c\u00e9lulas escamosas y lentigo maligno.<span> <\/span><\/span><\/span><\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Carcinoma espinocelular da pele<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El carcinoma cut\u00e1neo de c\u00e9lulas escamosas a menudo puede surgir de la queratosis act\u00ednica.  <span class=\"term\" data-term-id=\"1307\">Diferenciaci\u00f3n<\/span> est\u00e1 determinado por los hallazgos dermatosc\u00f3picos de <span class=\"term\" data-term-id=\"1374\">perif\u00e9rico<\/span> blanco alrededor de un n\u00facleo central escamoso (la queratosis act\u00ednica original).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Carcinoma-de-celulas-escamosas-en-el-lugar\"><\/span>Carcinoma de c\u00e9lulas escamosas <span class=\"term\" data-term-id=\"863\">no lugar<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Los vasos punteados \/ enrollados tienden a dispersarse m\u00e1s al azar en la queratosis act\u00ednica que en <span class=\"term\" data-term-id=\"1038\">intraepid\u00e9rmico<\/span> carcinoma donde est\u00e1n dispuestos en l\u00edneas o grupos. <span class=\"term\" data-term-id=\"753\">Vascular<\/span> estructuras en carcinoma de c\u00e9lulas escamosas in situ<span>h<\/span>Ahora mayor variaci\u00f3n en tama\u00f1o y estructura.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Lentigo-maligno\"><\/span>Evil lentigo<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Las siguientes cuatro caracter\u00edsticas <span>est\u00e1n significativamente asociados con el lentigo maligno<\/span>: aberturas foliculares hiperpigmentadas, aberturas foliculares obliteradas, estructuras anulares-granulares y romboides pigmentados.<\/p>\n<p>Los romboides pigmentados y las aberturas foliculares obliteradas son significativamente m\u00e1s frecuentes en el lentigo maligno que la queratosis act\u00ednica pigmentada.<\/p>\n<p>El lentigo maligno tiende a ser suave al tacto, mientras que la queratosis act\u00ednica tiende a ser de textura \u00e1spera. El borde del lentigo maligno tiene una brusquedad variable (desvanecimiento en algunas \u00e1reas, agudo en otras) mientras que la queratosis act\u00ednica pigmentada tiende a tener un borde definido. Lentigo maligno puede tener <span class=\"term\" data-term-id=\"16\">assim\u00e9trico<\/span> aberturas foliculares pigmentadas y un punto m\u00e1s oscuro ubicado dentro de las aberturas ostiales (un c\u00edrculo conc\u00e9ntrico o el isobar <span class=\"term\" data-term-id=\"899\">placa<\/span>); un hallazgo raramente visto en la queratosis act\u00ednica pigmentada. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Psoriasis\"><\/span>Psor\u00edase<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span>La psoriasis presenta ingenio<span>h rojo escamoso <span class=\"term\" data-term-id=\"368\">pratos<\/span>. Ocasionalmente, una placa solitaria de psoriasis puede confundirse con<span>h<\/span> queratosis act\u00ednica. Eso<\/span> Tiene una estructura regular. La escala uniforme tiende a ser m\u00e1s blanca y plateada en la psoriasis en comparaci\u00f3n con la escala irregular amarillenta de la queratosis act\u00ednica. Punteado <span class=\"term\" data-term-id=\"953\">vasos sangu\u00edneos<\/span> se distribuyen uniformemente por toda la lesi\u00f3n en psoriasis.<\/span><\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vistas-dermatoscopicas-de-diagnosticos-diferenciales-de-queratosis-actinica\"><\/span>Vistas dermatosc\u00f3picas de diagn\u00f3sticos diferenciales de queratosis act\u00ednica<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='2-scc-dermosocpy__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6884203-2508217' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/2-scc-dermosocpy__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6884203.jpg'>\n<\/div>\n<p class=\"p-small\">Vista dermatosc\u00f3pica del carcinoma de c\u00e9lulas escamosas<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='13-scc-in-situ__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildzd-3901006-4448992' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/13-scc-in-situ__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDZd-3901006.jpg'>\n<\/div>\n<p class=\"p-small\">Vista dermatosc\u00f3pica de carcinoma de c\u00e9lulas escamosas in situ<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='circles54__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8298106-2635890' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/circles54__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8298106.jpg'>\n<\/div>\n<p class=\"p-small\">Vista dermatosc\u00f3pica del lentigo maligno que muestra c\u00edrculos pigmentados y el signo isobar<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='psoriasis-dermoscopy__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1279820-6176782' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/Psoriasis-dermoscopy__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1279820.jpg'>\n<\/div>\n<p class=\"p-small\">Vista dermatosc\u00f3pica de la psoriasis.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Cual-es-el-histologico-explicacion-para-tLos-hallazgos-dermatoscopicos-en-%C2%BFqueratosis-actinica\"><\/span>Qual \u00e9 ele <span class=\"term\" data-term-id=\"474\">histol\u00f3gico<\/span> explicaci\u00f3n para t<span>Los hallazgos dermatosc\u00f3picos en<\/span> \u00bfqueratosis act\u00ednica?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>La correlaci\u00f3n entre las caracter\u00edsticas histol\u00f3gicas y dermatosc\u00f3picas de la queratosis act\u00ednica es pobre.  <\/span><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Rosetones\"><\/span><span>Rosetas<\/span><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>La explicaci\u00f3n histol\u00f3gica exacta de las rosetas no est\u00e1 clara, pero se cree que se deben a una interacci\u00f3n entre la luz polarizada y la estrecha. <span class=\"term\" data-term-id=\"155\">borda da cal\u00e7ada<\/span>-preenchimento, ou <span class=\"term\" data-term-id=\"369\">fibr\u00f3tico<\/span> <span class=\"term\" data-term-id=\"1827\">em anexo<\/span> aberturas Haspeslagh et al encontraron que peque\u00f1as rosetas (0.1\u20130.2 mm) correspond\u00edan a material c\u00f3rneo conc\u00e9ntrico en fol\u00edculos y <span class=\"term\" data-term-id=\"844\">\u00e9crino<\/span> dutos no <span class=\"term\" data-term-id=\"1304\">infundibular<\/span> rosetas niveladas y m\u00e1s grandes (0.3\u20130.5 mm) a conc\u00e9ntricas perifoliculares <span class=\"term\" data-term-id=\"102\">fibrose<\/span>.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Escala-superficial\"><\/span>Escala superficial<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Alterno <span class=\"term\" data-term-id=\"211\">ortoqueratose<\/span> e <span class=\"term\" data-term-id=\"218\">paraqueratose<\/span>.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Patron-de-fresa\"><\/span>Patr\u00f3n de fresa<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><span>Vasos entre fol\u00edculos pilosos, con aberturas foliculares de halo blanco.<\/span><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Circulos\"><\/span>C\u00edrculos<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Los c\u00edrculos que aparecen en la queratosis pigmentada se deben a la i<span>nvoluci\u00f3n de <\/span><span class=\"term tooltipstered\" data-term-id=\"107\">folicular<\/span><span> Infundibula.<\/span><\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es un act\u00ednico queratosis? La queratosis act\u00ednica es un escamoso lesi\u00f3n encontrado en la piel da\u00f1ada por el sol. Se considera precanceroso Porque un cut\u00e1neo escamoso celda carcinoma puede&#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-6680","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6680","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=6680"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6680\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6680"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}