{"id":26627,"date":"2025-04-22T08:44:00","date_gmt":"2025-04-22T06:44:00","guid":{"rendered":"https:\/\/www.icscyl.com\/mileon\/?p=26627"},"modified":"2025-04-19T18:55:29","modified_gmt":"2025-04-19T16:55:29","slug":"sesion-clinica-6-2025-linfoma-intravascular","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2025-04-22\/sesion-clinica-6-2025-linfoma-intravascular\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 6\/2025: linfoma intravascular"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"426\" src=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/question-mark-2010011_640.jpg\" alt=\"\" class=\"wp-image-26629\" style=\"width:185px;height:auto\" srcset=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/question-mark-2010011_640.jpg 640w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/question-mark-2010011_640-300x200.jpg 300w, https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/question-mark-2010011_640-624x415.jpg 624w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/figure>\n<\/div>\n\n\n<p>El pasado 2 de abril, la sesi\u00f3n cl\u00ednica gir\u00f3 en torno a una mujer de 80 a\u00f1os con s\u00edndrome general, edema palpebral y lesiones cut\u00e1neas pruriginosas, inicialmente atribuibles a una reca\u00edda de arteritis de c\u00e9lulas gigantes (ACG), patolog\u00eda que ya hab\u00eda padecido a\u00f1os atr\u00e1s. Los hallazgos anal\u00edticos (elevaci\u00f3n de reactantes de fase aguda, anemia normoc\u00edtica), la ecograf\u00eda de arterias temporales y la respuesta inicial a corticoides reforzaron esa sospecha. Sin embargo, la posterior reaparici\u00f3n de lesiones cut\u00e1neas con el descenso de esteroides y la afectaci\u00f3n de la mama llevaron a ampliar el estudio. El diagn\u00f3stico diferencial fue realizado por la Dra. Julia Rodr\u00edguez (R3 de Medicina Interna) que repas\u00f3 las posibles entidades que pod\u00edan justificar el diagn\u00f3stico. A continuaci\u00f3n el Dr. Muela coment\u00f3 el resultado de la biopsia y su evoluci\u00f3n tras el inicio de quimioterapia, con unas breves pinceladas sobre esta rara entidad. Adem\u00e1s, este caso destaca su dificultad diagn\u00f3stica; se coment\u00f3 que de hecho se referenciaba una publicaci\u00f3n con una situaci\u00f3n similar. Su presentaci\u00f3n conjunta se puede descargar en el enlace adjunto.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-4631c217-ca59-4435-99a4-4efd3d2682a9\" href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/Dres-Rodriguez-y-Muela-sesclin-Abr25.pdf\">Dres Rodriguez y Muela sesclin Abr25<\/a><a href=\"https:\/\/www.icscyl.com\/mileon\/wp-content\/uploads\/2025\/04\/Dres-Rodriguez-y-Muela-sesclin-Abr25.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-4631c217-ca59-4435-99a4-4efd3d2682a9\">Descarga<\/a><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El pasado 2 de abril, la sesi\u00f3n cl\u00ednica gir\u00f3 en torno a una mujer de 80 a\u00f1os con s\u00edndrome general, edema palpebral y lesiones cut\u00e1neas pruriginosas, inicialmente atribuibles a una reca\u00edda de arteritis de c\u00e9lulas gigantes (ACG), patolog\u00eda que ya hab\u00eda padecido a\u00f1os atr\u00e1s. Los hallazgos anal\u00edticos (elevaci\u00f3n de reactantes de fase aguda, anemia normoc\u00edtica), [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[1115,946],"class_list":["post-26627","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-julia-rodriguez-2","tag-muela"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=26627"}],"version-history":[{"count":1,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26627\/revisions"}],"predecessor-version":[{"id":26630,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/26627\/revisions\/26630"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=26627"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=26627"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=26627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}