{"id":352380,"date":"2023-02-09T08:00:00","date_gmt":"2023-02-09T07:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/melanocitosis-dermica-atipica\/"},"modified":"2023-04-21T09:41:55","modified_gmt":"2023-04-21T07:41:55","slug":"melanocitosis-dermica-atipica","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/es\/melanocitosis-dermica-atipica\/","title":{"rendered":"Melanocitosis d\u00e9rmica at\u00edpica"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>En un paciente pedi\u00e1trico, la melanocitosis d\u00e9rmica at\u00edpica condujo al diagn\u00f3stico de mucopolisacaridosis tipo II, tambi\u00e9n conocida como &#8220;enfermedad de Hunter&#8221;.<\/strong><\/p>\n\n<!--more-->\n\n<p class=\"wp-block-paragraph\"><em>(rojo)<\/em>  La mayor\u00eda de las veces, la melanocitosis d\u00e9rmica at\u00edpica es un hallazgo aislado e inofensivo, pero tambi\u00e9n puede ocultar una enfermedad metab\u00f3lica o un s\u00edndrome poco frecuente.<\/p>\n\n<p class=\"wp-block-paragraph\">Un ni\u00f1o de 16 meses fue remitido al servicio de dermatolog\u00eda del Hospital Infantil de Z\u00farich para la evaluaci\u00f3n de una melanocitosis d\u00e9rmica extensa y persistente. Los antecedentes m\u00e9dicos no eran destacables, salvo por infecciones respiratorias recurrentes y sibilancias ocasionales. Los hitos del desarrollo s\u00f3lo se retrasaron ligeramente. En la inspecci\u00f3n, se observaron zonas de hiperpigmentaci\u00f3n azul-gris\u00e1cea en los hombros, la espalda, las nalgas y las extremidades. La cara y la parte posterior de la cabeza estaban algo aplanadas, el abdomen ligeramente distendido con un h\u00edgado palpable a unos tres cent\u00edmetros por debajo de la caja tor\u00e1cica.<\/p>\n\n<p class=\"wp-block-paragraph\">Para la detecci\u00f3n de una posible enfermedad por almacenamiento lisos\u00f3mico, se midieron los glicosaminoglicanos y los oligosac\u00e1ridos en orina y sangre. Los niveles de glucosaminoglicanos (hepar\u00e1n y dermat\u00e1n sulfato) eran elevados y la actividad de la enzima iduronato-2-sulfatasa estaba ausente en los leucocitos, lo que condujo al diagn\u00f3stico de mucopolisacaridosis de tipo II.<\/p>\n\n<p class=\"wp-block-paragraph\"><em>Fuente: Alvarez E, et al.: A diagnosis out of the blue &#8211; Atypical dermal melanocytosis associated with mucopolysaccharidosis type II (Hunter&#8217;s disease), Poster 32, Abstract volume, SGDV Annual Meeting, 9-11.11.2022.<\/em><\/p>\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n<p class=\"wp-block-paragraph\"><em>PR\u00c1CTICA DERMATOL\u00d3GICA 2023; 33(1): 37<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>En un paciente pedi\u00e1trico, la melanocitosis d\u00e9rmica at\u00edpica condujo al diagn\u00f3stico de mucopolisacaridosis tipo II, tambi\u00e9n conocida como &#8220;enfermedad de Hunter&#8221;.<\/p>\n","protected":false},"author":7,"featured_media":349209,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Estudio de caso desde la cl\u00ednica","footnotes":""},"category":[11493,11310,11483,11478,11364,11288,11402,11552],"tags":[65938,27330,22720,65960,65943,65954,65948,36761],"powerkit_post_featured":[],"class_list":["post-352380","post","type-post","status-publish","format-standard","has-post-thumbnail","category-casos","category-dermatologia-y-venereologia","category-el-congreso-informa","category-formacion-continua","category-genetica","category-medicina-interna-general","category-pediatria","category-rx-es","tag-cazador-de-morbus","tag-clinica-es","tag-estudio-de-caso","tag-hospital-infantil-es","tag-melanocitosis","tag-melanocitosis-dermica-atipica","tag-mucopolisacaridosis-tipo-ii","tag-sgdv-es","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-06-20 22:27:19","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"es_ES","wpml_translations":[],"_links":{"self":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/352380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/comments?post=352380"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/352380\/revisions"}],"predecessor-version":[{"id":352384,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/352380\/revisions\/352384"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media\/349209"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media?parent=352380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/category?post=352380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/tags?post=352380"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/powerkit_post_featured?post=352380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}