{"id":6809,"date":"2020-04-23T06:43:08","date_gmt":"2020-04-23T09:43:08","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/enfermedad-de-dercum\/"},"modified":"2020-04-27T16:52:02","modified_gmt":"2020-04-27T19:52:02","slug":"doenca-do-utero","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/enfermedad-de-dercum\/","title":{"rendered":"Doen\u00e7a de Dercum"},"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\/enfermedad-de-dercum\/#%C2%BFQue-es-la-enfermedad-de-Dercum\" >O que \u00e9 a doen\u00e7a de Dercum?<\/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\/enfermedad-de-dercum\/#Lipomas-dolorosos-multiples\" >Lipomas m\u00faltiplos dolorosos<\/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\/enfermedad-de-dercum\/#%C2%BFQuien-contrae-la-enfermedad-de-Dercum\" >Quem contrai a doen\u00e7a de Dercum?<\/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\/enfermedad-de-dercum\/#%C2%BFComo-se-diagnostica-la-enfermedad-de-Dercum\" >Como \u00e9 diagnosticada a doen\u00e7a de Dercum?<\/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\/enfermedad-de-dercum\/#%C2%BFCual-es-el-tratamiento-para-la-enfermedad-de-Dercum\" >Qual \u00e9 o tratamento para a doen\u00e7a de Dercum?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-enfermedad-de-Dercum\"><\/span>O que \u00e9 a doen\u00e7a de Dercum?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A doen\u00e7a da derme tamb\u00e9m \u00e9 conhecida como adipose dolorosa. \u00c9 uma doen\u00e7a rara caracterizada por uma combina\u00e7\u00e3o de caracter\u00edsticas:<\/p>\n<ul>\n<li>M\u00faltiplo <span class=\"term\" data-term-id=\"1705\">encapsulado<\/span> crescimento excessivo de gordura (lipomas) no tronco e extremidades<\/li>\n<li>Doloroso <span class=\"term\" data-term-id=\"900\">subcut\u00e2neo<\/span> <span class=\"term\" data-term-id=\"368\">pratos<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"76\">Equimose<\/span> (hematomas) sem perceber <span class=\"term\" data-term-id=\"1365\">trauma<\/span>\n<\/li>\n<\/ul>\n<p>A doen\u00e7a da derme pode estar associada \u00e0 obesidade, estresse emocional e fadiga.<\/p>\n<p>Foi descrita pela primeira vez em 1892 por Dercum, que chamou a doen\u00e7a de &quot;adipose dolorosa&quot; para descrever as adiposidades dolorosas (ac\u00famulo de gordura) observadas em seus tr\u00eas pacientes.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Lipomas-dolorosos-multiples\"><\/span>Lipomas m\u00faltiplos dolorosos<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='dercum-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2679675-4677358' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dercum-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2679675.jpg'>\n<\/div>\n<p class=\"p-small\">Lipomas dolorosos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='dercum-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5470233-4723999' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/dercum-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5470233.jpg'>\n<\/div>\n<p class=\"p-small\">Lipomas dolorosos<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-la-enfermedad-de-Dercum\"><\/span>Quem contrai a doen\u00e7a de Dercum?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>A doen\u00e7a do AVC afeta mulheres com mais frequ\u00eancia do que homens (supostamente 5 a 30 vezes mais comum em mulheres que homens)<\/li>\n<li>Geralmente aparece entre 35 e 50 anos de idade.<\/li>\n<li>Pode ser mais comum em pessoas com obesidade.<\/li>\n<\/ul>\n<p>A maioria das pessoas com doen\u00e7a de Dercum n\u00e3o tem hist\u00f3rico familiar da doen\u00e7a de Dercum. No entanto, foi relatado que a doen\u00e7a mostra um <span class=\"term\" data-term-id=\"828\">autoss\u00f4mico<\/span> Padr\u00e3o de heran\u00e7a dominante em algumas fam\u00edlias (ou seja, os filhos de algu\u00e9m com doen\u00e7a de Dercum t\u00eam uma chance de 1 em 2 de desenvolv\u00ea-la tamb\u00e9m).<\/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=\"%C2%BFComo-se-diagnostica-la-enfermedad-de-Dercum\"><\/span>Como \u00e9 diagnosticada a doen\u00e7a de Dercum?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Um diagn\u00f3stico da doen\u00e7a de Dercum pode ser feito atrav\u00e9s de exame f\u00edsico sistem\u00e1tico e identifica\u00e7\u00e3o da tr\u00edade caracter\u00edstica de caracter\u00edsticas (lipomas m\u00faltiplos, placas dolorosas e obesidade).<\/p>\n<p>Lipomas m\u00faltiplos tamb\u00e9m podem ser caracter\u00edsticos de:<\/p>\n<ul>\n<li>Lipomatose m\u00faltipla (<span class=\"term\" data-term-id=\"849\">fam\u00edlia<\/span> espor\u00e1dico)<\/li>\n<li>Fibromialgia<\/li>\n<li><span class=\"term\" data-term-id=\"213\">Paniculite<\/span><\/li>\n<li>Obesidade sem placas dolorosas.<\/li>\n<li>\n<p>Cushing <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span>, o que tamb\u00e9m pode levar a gordura anormal <span class=\"term\" data-term-id=\"69\">distribui\u00e7\u00e3o<\/span> e equimose<\/li>\n<\/ul>\n<p>UMA <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> pode ser \u00fatil para distinguir um lipoma de um <span class=\"term\" data-term-id=\"364\">angiolipoma<\/span> (outro tipo de crescimento doloroso de gordura).<\/p>\n<p>Outras les\u00f5es que podem simular lipomas incluem<\/p>\n<ul>\n<li>Cistos epiderm\u00f3ides (que geralmente t\u00eam um ponto central)<\/li>\n<li>Hibernoma (um <span class=\"term\" data-term-id=\"22\">benigno<\/span> crescimento de gordura marrom)<\/li>\n<li>H\u00e9rnia lipofascial (h\u00e9rnia no \u00e2nus ou <span class=\"term\" data-term-id=\"1192\">perianal<\/span> regi\u00e3o)<\/li>\n<li>Lipoedema<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-enfermedad-de-Dercum\"><\/span>Qual \u00e9 o tratamento para a doen\u00e7a de Dercum?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A doen\u00e7a intestinal parece se beneficiar da perda de peso do paciente. Cir\u00fargico <span class=\"term\" data-term-id=\"848\">excis\u00e3o<\/span> Ou a lipoaspira\u00e7\u00e3o de lipomas selecionados pode ajudar, especialmente quando eles est\u00e3o em locais inconvenientes. A excis\u00e3o cir\u00fargica de muitos lipomas geralmente n\u00e3o \u00e9 considerada \u00fatil e corre o risco de complica\u00e7\u00f5es cir\u00fargicas.<\/p>\n<p>Analg\u00e9sicos convencionais n\u00e3o parecem reduzir o desconforto associado \u00e0 doen\u00e7a de Dercum. Alguns relat\u00f3rios sugerem que um local <span class=\"term\" data-term-id=\"1206\">anest\u00e9sico<\/span> inje\u00e7\u00e3o ou <span class=\"term\" data-term-id=\"224\">fragmento<\/span> Pode fornecer al\u00edvio para dores intrat\u00e1veis.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la enfermedad de Dercum? La enfermedad del dermis tambi\u00e9n se conoce como adiposis dolorosa. Es una enfermedad rara caracterizada por una combinaci\u00f3n de caracter\u00edsticas: M\u00faltiple encapsulado crecimiento excesivo&#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-6809","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6809","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=6809"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/6809\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=6809"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=6809"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=6809"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}