{"id":7783,"date":"2020-04-25T20:57:40","date_gmt":"2020-04-25T23:57:40","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/tina-de-incognita\/"},"modified":"2020-04-27T15:36:49","modified_gmt":"2020-04-27T18:36:49","slug":"tina-de-incognita","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/tina-de-incognita\/","title":{"rendered":"Micose desconhecida"},"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\/tina-de-incognita\/#%C2%BFQue-es-la-tina-incognita\" >O que \u00e9 micose inc\u00f3gnita?<\/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\/tina-de-incognita\/#Tina-de-incognita\" >Micose desconhecida<\/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\/tina-de-incognita\/#%C2%BFQue-causa-la-tina-incognita\" >O que causa a Micose Inc\u00f3gnito?<\/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\/tina-de-incognita\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-tina-incognita\" >Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da tinha inc\u00f3gnita?<\/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\/tina-de-incognita\/#%C2%BFComo-se-diagnostica-la-tina-incognita\" >Como a tinea inc\u00f3gnita \u00e9 diagnosticada?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/tina-de-incognita\/#%C2%BFCual-es-el-tratamiento-de-la-tina-incognita\" >Qual \u00e9 o tratamento para micose inc\u00f3gnita?<\/a><\/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\/tina-de-incognita\/#%C2%BFComo-se-puede-evitar-la-tina-incognita\" >Como a micose inc\u00f3gnita pode ser evitada?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-tina-incognita\"><\/span>O que \u00e9 micose inc\u00f3gnita?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tinea incognita \u00e9 o nome dado a uma pele f\u00fangica <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> quando a apar\u00eancia cl\u00ednica foi alterada por tratamento inadequado, geralmente um <span class=\"term\" data-term-id=\"1330\">atual<\/span> esteroide <span class=\"term\" data-term-id=\"1121\">creme<\/span>. O resultado \u00e9 que a infec\u00e7\u00e3o original se espalha lentamente.<\/p>\n<p>Muitas vezes, o paciente e \/ ou seu m\u00e9dico acreditam que eles t\u00eam um <span class=\"term\" data-term-id=\"53\">dermatite<\/span>, da\u00ed o uso de um creme ester\u00f3ide t\u00f3pico. Creme ester\u00f3ide umedece <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span> ent\u00e3o, a condi\u00e7\u00e3o parece menos irrit\u00e1vel. Mas quando o creme \u00e9 interrompido por alguns dias, a coceira piora, ent\u00e3o o creme ester\u00f3ide \u00e9 rapidamente usado novamente. Quanto mais ester\u00f3ide aplicado, mais extensa se torna a infec\u00e7\u00e3o por fungos e menos reconhec\u00edvel.<\/p>\n<p>Micose inc\u00f3gnita costuma ser escrita incorretamente como micose inc\u00f3gnita. \u00c9 tamb\u00e9m conhecida como micose modificada por ester\u00f3ides. <\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Tina-de-incognita\"><\/span>Micose desconhecida<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='tifoo__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-9660514-6486829' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/tifoo__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-9660514.jpg'>\n<\/div>\n<p class=\"p-small\">Micose desconhecida<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='tiimsu__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3313063-9051118' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/tiimsu__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3313063.jpg'>\n<\/div>\n<p class=\"p-small\">Micose inc\u00f3gnita<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='tintin1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildgzxq-1675110-8986638' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/tintin1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDgzXQ-1675110.jpg'>\n<\/div>\n<p class=\"p-small\">Micose inc\u00f3gnita<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='tister__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4053262-4786334' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/tister__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4053262.jpg'>\n<\/div>\n<p class=\"p-small\">Micose inc\u00f3gnita<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='titin__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildg1xq-4309493-3825070' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/titin__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDg1XQ-4309493.jpg'>\n<\/div>\n<p class=\"p-small\">Micose inc\u00f3gnita devido \u00e0 aplica\u00e7\u00e3o de ester\u00f3ides t\u00f3picos para infec\u00e7\u00e3o por fungos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='tintin2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9502990-6549422' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/tintin2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9502990.jpg'>\n<\/div>\n<p class=\"p-small\">Micose inc\u00f3gnita<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-tina-incognita\"><\/span>O que causa a Micose Inc\u00f3gnito?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tinea incognita \u00e9 causada por uma infec\u00e7\u00e3o f\u00fangica dermat\u00f3fita (micose), mais frequentemente quando afeta o tronco e \/ ou extremidades (micose do corpo). Trichophyton rubrum \u00e9 o mais comum <span class=\"term\" data-term-id=\"882\">organismo<\/span> causa tinea corporis e tinea incognita na Nova Zel\u00e2ndia. <\/p>\n<p>Anti-<span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> Os cremes que podem induzir micose incluem:<\/p>\n<ul>\n<li>Ester\u00f3ides t\u00f3picos<\/li>\n<li>\n<p>Tacrolimus <span class=\"term\" data-term-id=\"1122\">pomada<\/span>\n<\/li>\n<li>\n<p>Creme de pimecrolimus.<\/li>\n<\/ul>\n<p>Micose inc\u00f3gnita tamb\u00e9m pode ser causada por <span class=\"term\" data-term-id=\"380\">sist\u00eamico<\/span> ester\u00f3ides<\/p>\n<p>As doen\u00e7as subjacentes podem <span class=\"term\" data-term-id=\"1495\">predispor<\/span> indiv\u00edduos \u00e0 infec\u00e7\u00e3o, especialmente:<\/p>\n<ul>\n<li>\n<p>Drogas imunossupressoras  <\/li>\n<li>V\u00edrus da imunodefici\u00eancia humana (<span class=\"term\" data-term-id=\"127\">HIV<\/span>) infec\u00e7\u00e3o<\/li>\n<li>\n<p>Diabetes Mellitus.  <\/li>\n<\/ul>\n<p>Fatores como suor, abras\u00e3o e <span class=\"term\" data-term-id=\"173\">macera\u00e7\u00e3o<\/span> Eles tamb\u00e9m contribuem para o desenvolvimento da infec\u00e7\u00e3o.<\/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%BFCuales-son-las-caracteristicas-clinicas-de-la-tina-incognita\"><\/span>Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas da tinha inc\u00f3gnita?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A p\u00e1gina DermNet na tinea corporis descreve suas caracter\u00edsticas cl\u00ednicas comuns. Em compara\u00e7\u00e3o com uma tinea corporis n\u00e3o tratada, tinea incognita:<\/p>\n<ul>\n<li>Tem uma margem inferior,<\/li>\n<li>\u00c9 menos <span class=\"term\" data-term-id=\"385\">escamoso<\/span>,<\/li>\n<li>Mais <span class=\"term\" data-term-id=\"792\">pustular<\/span>,<\/li>\n<li>Mais extenso,<\/li>\n<li>E mais irritado.<\/li>\n<\/ul>\n<p>Tamb\u00e9m pode haver altera\u00e7\u00f5es secund\u00e1rias causadas pelo uso a longo prazo de um ester\u00f3ide t\u00f3pico, como:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"18\">Atrofia<\/span> (pele fina, estrias (estrias) nas dobras cut\u00e2neas).<\/li>\n<li>\n<span class=\"term\" data-term-id=\"250\">Roxa<\/span> (hematomas) e <span class=\"term\" data-term-id=\"281\">telangiectasia<\/span> (partido <span class=\"term\" data-term-id=\"953\">vasos sangu\u00edneos<\/span>)<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-tina-incognita\"><\/span>Como a tinea inc\u00f3gnita \u00e9 diagnosticada?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O diagn\u00f3stico de micose \u00e9 mais facilmente feito por raspagem de pele para <span class=\"term\" data-term-id=\"867\">microscopia<\/span> e <span class=\"term\" data-term-id=\"837\">cultura<\/span> Poucos dias depois de parar todos os cremes.<\/p>\n<ul>\n<li>Se houver pouca superf\u00edcie <span class=\"term\" data-term-id=\"320\">escala<\/span>, o laborat\u00f3rio pode relatar que a amostra \u00e9 inadequada ou negativa.<\/li>\n<li>Depois de interromper o uso de um creme com ester\u00f3ides, a micose fica muito inflamada e mais elementos f\u00fangicos podem ser vistos ao microsc\u00f3pio do que o normal. <\/li>\n<li>O organismo respons\u00e1vel geralmente cresce rapidamente em cultura.<\/li>\n<\/ul>\n<p>Se uma pele <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> est\u00e1 feito, o <span class=\"term\" data-term-id=\"223\">patologia<\/span> de tinea inc\u00f3gnita revela o <span class=\"term\" data-term-id=\"883\">organismos<\/span>. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-de-la-tina-incognita\"><\/span>Qual \u00e9 o tratamento para micose inc\u00f3gnita?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Qualquer ester\u00f3ide t\u00f3pico ou inibidor da calcineurina deve ser descontinuado.<\/li>\n<li>Podem ser aplicadas lo\u00e7\u00f5es antipruriginosas suaves.<\/li>\n<li>O tratamento antif\u00fangico padr\u00e3o deve ser usado.<\/li>\n<\/ul>\n<p>A micose geralmente \u00e9 tratada com antif\u00fangicos t\u00f3picos (como miconazol, cetoconazol, econazol), mas se o tratamento n\u00e3o for bem-sucedido, medicamentos antif\u00fangicos orais, incluindo terbinafina e itraconazol, podem ser considerados.<\/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-puede-evitar-la-tina-incognita\"><\/span>Como a micose inc\u00f3gnita pode ser evitada?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Micose inc\u00f3gnita pode ser evitada se:<\/p>\n<ul>\n<li>Os pacientes n\u00e3o usam ester\u00f3ides t\u00f3picos para tratar doen\u00e7as de pele n\u00e3o diagnosticadas <\/li>\n<li>Os m\u00e9dicos consideram o diagn\u00f3stico de infec\u00e7\u00e3o por dermat\u00f3fitos escamoso ou pustular. <span class=\"term\" data-term-id=\"255\">erup\u00e7\u00e3o<\/span> que tem uma borda irregular proeminente e \u00e9 <span class=\"term\" data-term-id=\"292\">unilateral<\/span> ou <span class=\"term\" data-term-id=\"16\">assim\u00e9trico<\/span> no <span class=\"term\" data-term-id=\"69\">distribui\u00e7\u00e3o<\/span>\n<\/li>\n<li>\n<p>A micologia \u00e9 feita quando h\u00e1 d\u00favidas sobre o diagn\u00f3stico de erup\u00e7\u00e3o cut\u00e2nea escamosa ou pustulosa.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la ti\u00f1a inc\u00f3gnita? Tinea incognita es el nombre dado a una piel f\u00fangica infecci\u00f3n cuando la apariencia cl\u00ednica ha sido alterada por un tratamiento inapropiado, generalmente un actual&#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-7783","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7783","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=7783"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/7783\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=7783"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=7783"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=7783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}