La información aca incluida es de uso médico, se respeta a los pacientes y no es de uso público.
SESION DE 5 DE FEBRERO DE 2009
CASO 1
FI: Femenina 55 años, enfermera anestesista, vecina de Nicoya
AHF:. Diabetes en la madre, HTA en la madre, Ca de mama en una tía, TB en la madre
APNP: Negativos
APP: Negativos
AQX: Colecistectomía hace 8 años
AGO: G4P4A0C3
Menopausia a los 52 años
PA: Evolución: Aproximadamente 3 años
Topografía: Diseminada
Morfología: Máculas hiperpigmentadas cafes algunas se palpan con depresión y duras.
Tratamientos previos: Aceite mineral y filtro solar
Estudios: Hemograma nl, Ves: 7, PFR: nl, Glicemia 106, PFH: GGT: 55 resto nl, EGO: nl, FAN: negativo
Biopsias:
0816647: antebrazo izq.: Hiperpigmentación y cambios inflamatorios inespecíficos
0819352: abdomen: muestra sin tej cel subcutane, y dermis sin cambios de esclerodermia
0827414: abdomen: hiperplasia lentiginosa con hiperpigmentación basal
0832815: torax posterior: piel con hiperplasia lentiginosa e hiperpigmentación basal
IDx: Esclerodermia en estudio
Médico tratante: Dra. Gamboa
CASO 2
FI: Femenina 23 años, vecina de Turrialba.
AHF: HTA (+) tía materna .
Ca de mama (+) tío abuelo materno.
APNP: Alcoholismo (+) social.
APP: Vitiligo
AQX: Cirugía por Nevus de Sutton.
AGO: G 1 P 1 A 0 C0
Planifica con G.O.
PA: Evolución: No precisa.
Topografía: Mano derecha e izquierda.
MSD.
Miembros inferiores cara antero medial.
Morfología: Placas pequeñas eritematosas y descamativas.
Tratamientos previos: Fisiogel, Bluecap , Allegra, Atarax.
Estudios: Ninguno
Biopsias:
06-2364 : No hay evidencia de cambios histológicos que sugieran enfermedad de Darier ni Psoriasis.
IDx: Psoriasis placa pequeña vrs Enfermedad de Darier.
Médico tratante: Dra . Koon.
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