{"id":8080,"date":"2020-04-27T02:10:57","date_gmt":"2020-04-27T05:10:57","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/patologia-eruptiva-del-xantoma\/"},"modified":"2020-04-30T21:08:57","modified_gmt":"2020-05-01T00:08:57","slug":"patologia-eruptiva-del-xantoma","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/pt\/wiki\/patologia-eruptiva-del-xantoma\/","title":{"rendered":"Patologia eruptiva do xantoma"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 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-eruptiva-del-xantoma\/#Introduccion\" >Introdu\u00e7\u00e3o<\/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\/patologia-eruptiva-del-xantoma\/#Histologia-de-xantoma-eruptivo\" >Histolog\u00eda de xantoma eruptivo<\/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\/patologia-eruptiva-del-xantoma\/#Patologia-eruptiva-del-xantoma\" >Patologia eruptiva do xantoma<\/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\/patologia-eruptiva-del-xantoma\/#Estudios-especiales-para-xantoma-eruptivo\" >Estudios especiales para xantoma eruptivo<\/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\/patologia-eruptiva-del-xantoma\/#Diagnostico-diferencial-para-xantoma-eruptivo\" >Diagn\u00f3stico diferencial para xantoma eruptivo<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introdu\u00e7\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El xantoma eruptivo se presenta como cultivos de rosa <span class=\"term\" data-term-id=\"366\">p\u00e1pulas<\/span> que a menudo son <span class=\"term\" data-term-id=\"244\">prurido<\/span>. Ocurre como resultado de altas concentraciones de <span class=\"term\" data-term-id=\"1513\">plasma<\/span> <span class=\"term\" data-term-id=\"1509\">triglicer\u00eddeos<\/span>. Muchos pacientes tienen diabetes no controlada. Los xantomas generalmente desaparecen cuando se trata la afecci\u00f3n subyacente.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-xantoma-eruptivo\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histologia<\/span> de xantoma eruptivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En xantoma eruptivo, el <span class=\"term\" data-term-id=\"61\">derme<\/span> contiene una densa poblaci\u00f3n de espuma <span class=\"term\" data-term-id=\"858\">histi\u00f3citos<\/span> (histiocitos llenos de <span class=\"term\" data-term-id=\"1468\">lip\u00eddico<\/span> material as\u00ed como l\u00edpido extracelular (figuras 1-3). A menudo hay un asociado <span class=\"term\" data-term-id=\"349\">agudo<\/span> e <span class=\"term\" data-term-id=\"319\">cr\u00f4nica<\/span> <span class=\"term\" data-term-id=\"490\">inflamat\u00f3rio<\/span> respuesta (figura 4).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-eruptiva-del-xantoma\"><\/span>Patologia eruptiva do xantoma<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='eruptive-xanthoma-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildewxq-3779794-4355096' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eruptive-xanthoma-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEwXQ-3779794.jpg'>\n<\/div>\n<p class=\"p-small\">figura 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eruptive-xanthoma-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildmzxq-9425208-1644993' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eruptive-xanthoma-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDMzXQ-9425208.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eruptive-xanthoma-figure-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildhd-1241100-4861391' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eruptive-xanthoma-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDhd-1241100.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 3<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eruptive-xanthoma-figure-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildezxq-5610573-8764554' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eruptive-xanthoma-figure-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEzXQ-5610573.jpg'>\n<\/div>\n<p class=\"p-small\">Figura 4<\/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=\"Estudios-especiales-para-xantoma-eruptivo\"><\/span>Estudios especiales para xantoma eruptivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Generalmente no se necesita ninguno. Manchas especiales para resaltar los l\u00edpidos. <span class=\"term\" data-term-id=\"370\">declara\u00e7\u00e3o<\/span> se han descrito pero rara vez se necesitan.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-para-xantoma-eruptivo\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Diagn\u00f3stico diferencial<\/span> para xantoma eruptivo<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hay una amplia gama de condiciones que resultan en la acumulaci\u00f3n de histiocitos espumosos en la dermis y pueden simular xantoma eruptivo. El diagn\u00f3stico correcto generalmente se confirma al correlacionar las caracter\u00edsticas de la <span class=\"term\" data-term-id=\"24\">bi\u00f3psia<\/span> con la presentaci\u00f3n cl\u00ednica y los hallazgos serol\u00f3gicos.<\/p>\n<p>Otras condiciones xantomatosas incluyen:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"145\">Infec\u00e7\u00e3o<\/span> &#8211; la <span class=\"term\" data-term-id=\"223\">patologia<\/span> de lepra puede mostrar una acumulaci\u00f3n de histiocitos espumosos en la dermis. Manchas especiales para el causante. <span class=\"term\" data-term-id=\"883\">organismos<\/span> (<em>Mycobacterium leprae<\/em>) puede ser \u00fatil en casos dif\u00edciles<\/li>\n<li>Otros xantomas: estos generalmente se excluyen f\u00e1cilmente con la presentaci\u00f3n cl\u00ednica. Es inusual en otras formas de xantoma ver el grado de l\u00edpidos extracelulares y la respuesta inflamatoria aguda observada en el xantoma eruptivo<\/li>\n<li>\n<p>Xantogranuloma: estos generalmente muestran una mezcla de c\u00e9lulas inflamatorias y caracter\u00edsticamente muestran Touton <span class=\"term\" data-term-id=\"739\">c\u00e9lulas gigantes<\/span>.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n El xantoma eruptivo se presenta como cultivos de rosa p\u00e1pulas que a menudo son prurito. Ocurre como resultado de altas concentraciones de plasma triglic\u00e9ridos. Muchos pacientes tienen diabetes no&#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-8080","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8080","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=8080"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/wiki\/8080\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/media?parent=8080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/categories?post=8080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/pt\/wp-json\/wp\/v2\/tags?post=8080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}