{"id":8077,"date":"2020-04-27T01:52:38","date_gmt":"2020-04-27T04:52:38","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/queratoacantomas-eruptivos-generalizados\/"},"modified":"2020-04-27T14:54:56","modified_gmt":"2020-04-27T17:54:56","slug":"queratoacantomas-generalizados-eruptivos","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/queratoacantomas-eruptivos-generalizados\/","title":{"rendered":"Keratoacamptoms eruptivos generalizados"},"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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFQue-es-un-queratoacantoma\" >O que \u00e9 um queratoacantoma?<\/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\/queratoacantomas-eruptivos-generalizados\/#Que-son-generalizado-queratoacantomas-eruptivos\" >O que s\u00e3o ceratoacantomas eruptivos generalizados?<\/a><\/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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFQuien-contrae-queratoacantomas-eruptivos-generalizados\" >Quem recebe ceratoacantomas eruptivos generalizados?<\/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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFCual-es-la-causa-de-los-queratoacantomas-eruptivos-generalizados\" >Qual \u00e9 a causa dos ceratoacantomas eruptivos generalizados?<\/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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-los-queratoacantomas-eruptivos-generalizados\" >Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas dos ceratoacantomas eruptivos generalizados?<\/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\/queratoacantomas-eruptivos-generalizados\/#solqueratoacantomas-eruptivos-generalizados\" >Solkeratoacantomas eruptivos generalizados<\/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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFComo-se-comparan-los-queratoacantomas-eruptivos-generalizados-con-los-queratoacantomas-regulares\" >Como os ceratoacantomas eruptivos generalizados se comparam aos ceratoacantomas regulares?<\/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\/queratoacantomas-eruptivos-generalizados\/#%C2%BFComo-se-diagnostican-los-queratoacantomas-eruptivos-generalizados\" >Como os ceratoacantomas eruptivos generalizados s\u00e3o diagnosticados?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/pt\/wiki\/queratoacantomas-eruptivos-generalizados\/#%C2%BFCual-es-el-tratamiento-para-los-queratoacantomas-eruptivos-generalizados\" >Qual \u00e9 o tratamento para ceratoacantomas eruptivos generalizados?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-un-queratoacantoma\"><\/span>O que \u00e9 um queratoacantoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O queratoacantoma \u00e9<span> um tipo comum de <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>. Caracteriza-se pela r\u00e1pida evolu\u00e7\u00e3o e muitas vezes autocura dentro de alguns meses.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Que-son-generalizado-queratoacantomas-eruptivos\"><\/span>Que s\u00e3o <span class=\"term\" data-term-id=\"308\">generalizado<\/span> ceratoacantomas eruptivos?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ceratoacantomas eruptivos generalizados (<span>Grzybowski <span class=\"term\" data-term-id=\"350\">s\u00edndrome<\/span>)<\/span> refere-se a uma doen\u00e7a muito rara na qual centenas de ceratoacantomas <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> Aparecer.<\/p>\n<p>Deve ser distinguido de um dist\u00farbio escamoso heredit\u00e1rio m\u00faltiplo de autocura <span class=\"term\" data-term-id=\"1321\">epiteliomas<\/span> Ferguson-Smith, em que m\u00faltiplos ceratoacantomas aparecem em crian\u00e7as e adultos jovens. <span>Witten e Zak descreveram uma condi\u00e7\u00e3o semelhante na qual ceratoacantomas gigantes estavam presentes.<\/span><\/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%BFQuien-contrae-queratoacantomas-eruptivos-generalizados\"><\/span>Quem recebe ceratoacantomas eruptivos generalizados?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Apenas cerca de 30 casos de ceratoacantomas eruptivos generalizados foram publicados em revistas m\u00e9dicas de todo o mundo. A s\u00edndrome afeta homens e mulheres adultos de meia-idade igualmente. <\/span> <\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-de-los-queratoacantomas-eruptivos-generalizados\"><\/span>Qual \u00e9 a causa dos ceratoacantomas eruptivos generalizados?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A causa \u00e9 desconhecida. <span>Porque de alguma forma essas les\u00f5es parecem e se comportam como <\/span>verrugas virais<span>V\u00e1rios investigadores procuraram evid\u00eancias de papilomav\u00edrus humano nas les\u00f5es. Os resultados foram inconclusivos, mas na maioria <\/span>casos<span>, Sem evid\u00eancia de v\u00edrus <span class=\"term\" data-term-id=\"145\">infec\u00e7\u00e3o<\/span> Foi encontrado.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-los-queratoacantomas-eruptivos-generalizados\"><\/span>Quais s\u00e3o as caracter\u00edsticas cl\u00ednicas dos ceratoacantomas eruptivos generalizados?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O paciente com ceratoacantomas eruptivos generalizados apresenta m\u00faltiplas p\u00e1pulas pruriginosas e <span class=\"term\" data-term-id=\"367\">n\u00f3dulos<\/span>, que come\u00e7am abruptamente e aumentam em n\u00famero ao longo de alguns meses. As principais caracter\u00edsticas s\u00e3o:<\/p>\n<ul>\n<li>coceira intensa<\/li>\n<li>Numerosos golpes firmes em todas as \u00e1reas afetadas (face, couro cabeludo, tronco e extremidades)<\/li>\n<li>Sali\u00eancias brancas na boca (l\u00e1bios, l\u00edngua, interior das bochechas)<\/li>\n<li>N\u00f3dulos c\u00f3rneos maiores que persistem por algumas semanas e depois desaparecem por conta pr\u00f3pria.<\/li>\n<li>Koebneriza\u00e7\u00e3o: n\u00f3dulos podem aparecer em locais de les\u00f5es de pele<\/li>\n<li>Apar\u00eancia facial semelhante a uma m\u00e1scara, devido ao espessamento da pele facial<\/li>\n<li>\n<span class=\"term\" data-term-id=\"78\">Ectr\u00f3pio<\/span> (queda das p\u00e1lpebras inferiores) e retra\u00e7\u00e3o da pele palpebral<\/li>\n<li>Rouquid\u00e3o devido a n\u00f3dulos no <span class=\"term\" data-term-id=\"864\">laringe<\/span>.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"solqueratoacantomas-eruptivos-generalizados\"><\/span>Sol<span>ceratoacantomas eruptivos generalizados<\/span><br \/>\n<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='grzy1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3016229-1231159' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3016229.jpg'>\n<\/div>\n<p class=\"p-small\">P\u00e1pulas orais e periorais.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9680175-9433714' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9680175.jpg'>\n<\/div>\n<p class=\"p-small\">retra\u00e7\u00e3o da p\u00e1lpebra<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3999150-8765771' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3999150.jpg'>\n<\/div>\n<p class=\"p-small\">Erup\u00e7\u00e3o cut\u00e2nea difusa no peito.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7231903-4617793' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7231903.jpg'>\n<\/div>\n<p class=\"p-small\">Ceratoacantomas eruptivos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8957811-5197901' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8957811.jpg'>\n<\/div>\n<p class=\"p-small\">Ceratoacantomas eruptivos<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3826514-4710905' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3826514.jpg'>\n<\/div>\n<p class=\"p-small\">Erup\u00e7\u00e3o cut\u00e2nea difusa<\/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%BFComo-se-comparan-los-queratoacantomas-eruptivos-generalizados-con-los-queratoacantomas-regulares\"><\/span>Como os ceratoacantomas eruptivos generalizados se comparam aos ceratoacantomas regulares?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Um indiv\u00edduo <span class=\"term\" data-term-id=\"217\">p\u00e1pula<\/span> ou <span class=\"term\" data-term-id=\"198\">n\u00f3dulo<\/span> visto em <span>ceratoacantomas eruptivos generalizados<\/span> assemelha-se a um ceratoacantoma.<\/p>\n<ul>\n<li>Ambos s\u00e3o caracterizados por uma <span class=\"term\" data-term-id=\"1189\">querat\u00f3tico<\/span> p\u00e1pula que cresce rapidamente e pode se resolver espontaneamente ap\u00f3s algumas semanas ou meses.<\/li>\n<li>O ceratoacantoma n\u00e3o causa prurido intenso nem causa retra\u00e7\u00e3o da pele facial ou da p\u00e1lpebra. <\/li>\n<li>Um ceratoacantoma \u00e9 derivado de <span class=\"term\" data-term-id=\"122\">cabelo<\/span> <span class=\"term\" data-term-id=\"1300\">fol\u00edculo<\/span> c\u00e9lulas e normalmente n\u00e3o afeta <span class=\"term\" data-term-id=\"1018\">membrana mucosa<\/span> superf\u00edcies como a boca, local comum de ceratoacantomas eruptivos generalizados.<\/li>\n<li>O ceratoacantoma \u00e9 mais comumente encontrado em \u00e1reas expostas ao sol; Les\u00f5es de ceratoacantoma eruptivo generalizado podem surgir em qualquer local. <\/li>\n<li>progress\u00e3o para <span class=\"term\" data-term-id=\"1000\">metast\u00e1tico<\/span> carcinoma de c\u00e9lulas escamosas n\u00e3o ocorre e a sa\u00fade geral n\u00e3o \u00e9 afetada.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostican-los-queratoacantomas-eruptivos-generalizados\"><\/span>Como os ceratoacantomas eruptivos generalizados s\u00e3o diagnosticados?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O diagn\u00f3stico \u00e9 um diagn\u00f3stico cl\u00ednico suportado por uma pele. <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> esse <span>como amostra <span class=\"term\" data-term-id=\"474\">histol\u00f3gico<\/span> altera\u00e7\u00f5es em ceratoacantoma ou carcinoma espinocelular cut\u00e2neo.<\/span><\/p>\n<p>A bi\u00f3psia de pele revela:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"155\">Borda da cal\u00e7ada<\/span>n\u00facleo completo<\/li>\n<li>Uma camada espessa e escamosa de pele.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1395\">At\u00edpico<\/span> c\u00e9lulas da pele (<span class=\"term\" data-term-id=\"1069\">queratin\u00f3citos<\/span>)<\/li>\n<li>UMA <span class=\"term\" data-term-id=\"893\">prolifera\u00e7\u00e3o<\/span> de queratin\u00f3citos que se estendem <span class=\"term\" data-term-id=\"61\">derme<\/span> (camada inferior da pele)<\/li>\n<li>Leve <span class=\"term\" data-term-id=\"148\">inflama\u00e7\u00e3o<\/span>.<\/li>\n<\/ul>\n<p><span>A maioria das pessoas com ceratoacantomas eruptivos generalizados est\u00e1 em boa sa\u00fade e tem resultados normais de exames de sangue.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-los-queratoacantomas-eruptivos-generalizados\"><\/span>Qual \u00e9 o tratamento para ceratoacantomas eruptivos generalizados?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O tratamento falha em muitos pacientes com <span>ceratoacantomas eruptivos generalizados<\/span>. Apenas um caso foi relatado para resolver espontaneamente. Em outros casos, ocorreu melhora ou resolu\u00e7\u00e3o completa com um dos seguintes medicamentos:<\/p>\n<ul>\n<li>Acitretina<\/li>\n<li>Isotretino\u00edna<\/li>\n<li>5-fluorouracil<\/li>\n<li>Metotrexato<\/li>\n<li>\n<p>Ciclofosfamida<\/li>\n<\/ul>\n<p>Os sintomas podem ser aliviados com <span class=\"term\" data-term-id=\"1888\">emolientes<\/span> e medicamentos anti-coceira.<\/p>\n<p><span>Sem tratamento, \u00e9 relatado que persiste indefinidamente. <\/span><\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es un queratoacantoma? El queratoacantoma es un tipo com\u00fan de cut\u00e1neo escamoso c\u00e9lula carcinoma. Se caracteriza por una r\u00e1pida evoluci\u00f3n y, a menudo, por la autocuraci\u00f3n en unos pocos&#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-8077","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8077","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=8077"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8077\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=8077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=8077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=8077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}