{"id":21877,"date":"2021-06-07T19:31:08","date_gmt":"2021-06-07T19:31:08","guid":{"rendered":"https:\/\/www.vetpraxis.net\/?p=21877"},"modified":"2021-06-07T19:54:08","modified_gmt":"2021-06-07T19:54:08","slug":"reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia","status":"publish","type":"post","link":"https:\/\/vetpraxis.academy\/articles\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/","title":{"rendered":"Reto Veterinario: Paciente con prurito progresivo, eritema y alopecia."},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-19461 alignleft\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2018\/06\/Ver\u00f3nica-Balazs.jpg\" alt=\"\" width=\"147\" height=\"157\" \/>Autora: Dra. Ver\u00f3nica Balazs Mayanz.<\/strong><\/p>\n<p>T\u00edtulo de M\u00e9dico Veterinario en la Facultad de Ciencias Veterinarias y Pecuarias de la Universidad de Chile.\u00a0 Doctor en Medicina Veterinaria en la Facultad de Medicina Veterinaria de la Universidad de Bolonia, Italia.\u00a0Pasant\u00edas en Dermatolog\u00eda Veterinaria en la Facultad de Veterinaria de la Universidad Aut\u00f3noma de Barcelona, Espa\u00f1a y en el Cabinet de Dermatologie V\u00e9t\u00e9rinaire en Burdeos, Francia. Magister en Educaci\u00f3n en Ciencias de la Salud en la Universidad de Chile. Vice presidenta de la ACHIDEV (Asociaci\u00f3n Chilena d Dermatolog\u00eda Veterinaria) y miembro del LACVD (Colegio Latinoamericano de Dermatolog\u00eda Veterinaria).<\/p>\n<hr \/>\n<p>Se presenta a consulta un perro macho castrado de 11 a\u00f1os de edad , cocker spaniel, con una historia de 6 meses de prurito progresivo, eritema y alopecia, sin antecedentes anamn\u00e9sicos de problemas de piel u o\u00eddos. El paciente hab\u00eda sido evaluado por otro veterinario y recibido tratamiento con nexgard, cefalexina e itraconazol sin resultados. La terapia diaria con prednisona, en dosis no inflamatorias, solo alivi\u00f3 un poco el prurito.<\/p>\n<ul>\n<li>En el examen cl\u00ednico, la temperatura y el tiempo de llenado capilar estaban normales. La palpaci\u00f3n abdominal y de linfon\u00f3dulos, la auscultaci\u00f3n card\u00edaca y tor\u00e1cica no ten\u00edan cambios importantes.<\/li>\n<li>En el examen dermatol\u00f3gico se observ\u00f3 un eritema difuso de la piel con algunas zonas ulcerativas y excesiva descamaci\u00f3n. Adem\u00e1s se apreci\u00f3 despigmentaci\u00f3n del plano nasal y labios y ulceraciones en la mucosa oral.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-21879\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-1.png\" alt=\"\" width=\"647\" height=\"666\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-1.png 947w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-1.png 292w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-1.png 768w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/p>\n<h6 style=\"text-align: center;\"><em>Foto.-1<\/em><\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-21880\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-2.png\" alt=\"\" width=\"650\" height=\"665\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-2.png 949w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-2.png 293w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-2.png 768w\" sizes=\"auto, (max-width: 650px) 100vw, 650px\" \/><\/p>\n<h6 style=\"text-align: center;\"><em>Foto.-2<\/em><\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-21881\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-3.png\" alt=\"\" width=\"653\" height=\"676\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-3.png 947w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-3.png 290w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-3.png 768w\" sizes=\"auto, (max-width: 653px) 100vw, 653px\" \/><\/p>\n<h6 style=\"text-align: center;\"><em>Foto.-3<\/em><\/h6>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-21882\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-4.png\" alt=\"\" width=\"659\" height=\"674\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-4.png 949w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-4.png 293w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2021\/06\/Foto-4.png 768w\" sizes=\"auto, (max-width: 659px) 100vw, 659px\" \/><\/p>\n<h6 style=\"text-align: center;\"><em>Foto.-4<\/em><\/h6>\n<p><strong>Basado en esta informaci\u00f3n: <em>\u00bf Cu\u00e1l de los siguientes diagn\u00f3sticos diferenciales es la causa m\u00e1s probable de este cuadro?<\/em><\/strong><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/2\">a. Reacci\u00f3n adversa al alimento<\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/2\">b. P\u00e9nfigo foli\u00e1ceo<\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/3\">c. Linfoma epiteliotr\u00f3pico<\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/2\">d. Pioderma profundo<\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/2\">e. Sarna demod\u00e9cica<\/a><\/p>\n<hr \/>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><span style=\"color: #000080;\"><strong>\u00bfQuieres aprender m\u00e1s sobre Dermatolog\u00eda<\/strong><\/span><span style=\"color: #000080;\"><strong>?<\/strong><\/span><\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><em>Inscr\u00edbete ahora al curso virtual de Dermatolog\u00eda Cl\u00ednica Canina de VetPraxis.<br \/>\nAprende a tu ritmo y con total comodidad.<br \/>\nInicio 21 de junio del 2021.<\/em><\/span><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><strong><span style=\"color: #0000ff;\"><em><span style=\"color: #000080;\">Clic Aqu\u00ed<\/span><\/em><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-21517\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png\" alt=\"\" width=\"850\" height=\"500\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 850w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 300w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><\/a><br \/>\n<!--nextpage--><\/p>\n<hr \/>\n<p><span style=\"color: #0000ff;\"><em><strong>Respuesta Incorrecta<\/strong><\/em><\/span><\/p>\n<p>Sigue intentando <span style=\"font-size: 25px;\">????<\/span><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/2021\/06\/07\/reto-veterinario-paciente-con-prurito-progresivo-eritema-y-alopecia\/\">&lt;&#8212;&#8212; Regresar al reto<\/a><\/p>\n<hr \/>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><span style=\"color: #000080;\"><strong>\u00bfQuieres aprender m\u00e1s sobre Dermatolog\u00eda<\/strong><\/span><span style=\"color: #000080;\"><strong>?<\/strong><\/span><\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><em>Inscr\u00edbete ahora al curso virtual de Dermatolog\u00eda Cl\u00ednica Canina de VetPraxis.<br \/>\nAprende a tu ritmo y con total comodidad.<br \/>\nInicio 21 de junio del 2021.<\/em><\/span><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><strong><span style=\"color: #0000ff;\"><em><span style=\"color: #000080;\">Clic Aqu\u00ed<\/span><\/em><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-21517\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png\" alt=\"\" width=\"850\" height=\"500\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 850w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 300w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><\/a><\/p>\n<p><!--nextpage--><\/p>\n<hr \/>\n<p><span style=\"color: #0000ff;\"><em><strong>Respuesta correcta alternativa \u201cC\u201d<\/strong><\/em><\/span><\/p>\n<p><strong>Explicaci\u00f3n\u00a0<\/strong> <span style=\"font-size: 25px;\">????<\/span><\/p>\n<p>El linfoma cut\u00e1neo epiteliotr\u00f3pico es una patolog\u00eda cut\u00e1nea que afecta piel y mucosas de perros de edad avanzada. Se caracteriza por una infiltraci\u00f3n de linfocitos T neopl\u00e1sicos\u00a0 en la epidermis. Hay varias presentaciones cl\u00ednicas, tales como la excesiva descamaci\u00f3n, placas, n\u00f3dulos, ulceraciones de la mucosa bucal y compromiso mucocut\u00e1neo con despigmentaci\u00f3n del morro y labios.<\/p>\n<hr \/>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><span style=\"color: #000080;\"><strong>\u00bfQuieres aprender m\u00e1s sobre Dermatolog\u00eda<\/strong><\/span><span style=\"color: #000080;\"><strong>?<\/strong><\/span><\/a><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #0000ff;\"><em>Inscr\u00edbete ahora al curso virtual de Dermatolog\u00eda Cl\u00ednica Canina de VetPraxis.<br \/>\nAprende a tu ritmo y con total comodidad.<br \/>\nInicio 21 de junio del 2021.<\/em><\/span><br \/>\n<a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><strong><span style=\"color: #0000ff;\"><em><span style=\"color: #000080;\">Clic Aqu\u00ed<\/span><\/em><\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.vetpraxis.net\/programas\/medicina-interna\/curso-online-dermatologia-clinica-canina\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-21517\" src=\"https:\/\/www.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png\" alt=\"\" width=\"850\" height=\"500\" srcset=\"https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 850w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 300w, https:\/\/cdn.vetpraxis.net\/wp-content\/uploads\/2020\/11\/Derma-Web.png 768w\" sizes=\"auto, (max-width: 850px) 100vw, 850px\" \/><\/a><\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>Autora: Dra. Ver\u00f3nica Balazs Mayanz. T\u00edtulo de M\u00e9dico Veterinario en la Facultad de Ciencias Veterinarias y Pecuarias de la Universidad de Chile.\u00a0 Doctor en Medicina\u2026<\/p>\n","protected":false},"author":1,"featured_media":21891,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,96,1],"tags":[218],"class_list":["post-21877","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad","category-retoveterinario","category-sin-categoria","tag-featured"],"_links":{"self":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts\/21877","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/comments?post=21877"}],"version-history":[{"count":9,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts\/21877\/revisions"}],"predecessor-version":[{"id":21890,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/posts\/21877\/revisions\/21890"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/media\/21891"}],"wp:attachment":[{"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/media?parent=21877"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/categories?post=21877"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vetpraxis.academy\/articles\/wp-json\/wp\/v2\/tags?post=21877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}