{"id":4025,"date":"2020-05-01T00:00:00","date_gmt":"2020-05-01T00:00:00","guid":{"rendered":"http:\/\/localhost:8080\/invap\/?p=4025"},"modified":"2020-05-08T11:25:10","modified_gmt":"2020-05-08T14:25:10","slug":"acantosis-nigricans","status":"publish","type":"post","link":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?p=4025","title":{"rendered":"Acantosis n\u00edgricans"},"content":{"rendered":"<h2>\u00bfQu\u00e9 es?<\/h2>\n<p>Es una dermatosis poco frecuente que se caracteriza por hiperpigmentaci\u00f3n e hipertrofia de la epidermis.<\/p>\n<p>Existen dos variantes: <strong>maligna<\/strong>, que se asocia a c\u00e1ncer y <strong>benigna<\/strong>, que puede guardar relaci\u00f3n con anomal\u00edas del desarrollo, endocrinas o metab\u00f3licas.<\/p>\n<p>La acantosis nigricans maligna se asocia principalmente a adenocarcinoma. Los \u00f3rganos m\u00e1s frecuentemente comprometidos son:<\/p>\n<ul>\n<li>Est\u00f3mago<\/li>\n<li>Colon<\/li>\n<li>Es\u00f3fago<\/li>\n<li>H\u00edgado<\/li>\n<li>V\u00eda biliar<\/li>\n<li>P\u00e1ncreas<\/li>\n<li>Ovario y \u00fatero<\/li>\n<li>Ri\u00f1\u00f3n<\/li>\n<li>Pulm\u00f3n<\/li>\n<li>Mama<\/li>\n<li>Tiroides<\/li>\n<\/ul>\n<p>En el 20% de los casos ambos procesos aparecen simult\u00e1neamente, en el 60% la acantosis se presenta luego de la aparici\u00f3n del proceso maligno. La acantosis benigna puede asociarse con diabetes mellitus, hiperplasia suprarrenal cong\u00e9nita, acromegalia, hipogonadismo y enfermedad de Addison.<\/p>\n<h2>\u00a0\u00bfCu\u00e1les son los signos cl\u00ednicos?<\/h2>\n<p>Los cambios cut\u00e1neos en la acantosis maligna son bilaterales, sim\u00e9tricos y muestran predilecci\u00f3n por los pliegues (axilas, regi\u00f3n inguinal, genital y cuello). La piel afectada suele tener color pardo oscuro o negro y\u00a0tomar un aspecto aterciopelado. La epidermis esta engrosada y en algunos casos puede presentar p\u00e9rdida de cabello. La acantosis n\u00edgricans benigna tiene las mismas caracter\u00edsticas pero con menor extensi\u00f3n.<\/p>\n<h2>\u00bfC\u00f3mo se realiza el diagn\u00f3stico?<\/h2>\n<p>El diagn\u00f3stico se funda en los hallazgos \u00a0cl\u00ednicos y la presencia de enfermedades asociadas. El aspecto m\u00e1s importante es diagnosticar la patolog\u00eda subyacente.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Es una dermatosis poco frecuente que se caracteriza por hiperpigmentaci\u00f3n e hipertrofia de la epidermis.<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[46],"author_data":{"name":"","url":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?author=6"},"featured_media_data":{"thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium_large":{"url":null,"width":null,"height":null,"is_intermediate":null},"large":{"url":null,"width":null,"height":null,"is_intermediate":null},"1536x1536":{"url":null,"width":null,"height":null,"is_intermediate":null},"2048x2048":{"url":null,"width":null,"height":null,"is_intermediate":null},"rpwe-thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"full":{"url":null,"width":null,"height":null,"is_intermediate":null}},"audio_data":[],"comments_number":"0 comentarios","categories_data":[{"id":40,"name":"Enfermedades A-Z","slug":"enfermedades-a-z","url":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?cat=40","description":"","parent":0}],"_links":{"self":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/4025"}],"collection":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4025"}],"version-history":[{"count":2,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/4025\/revisions"}],"predecessor-version":[{"id":9646,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=\/wp\/v2\/posts\/4025\/revisions\/9646"}],"wp:attachment":[{"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4025"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4025"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4025"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}