{"id":8600,"date":"2015-08-02T20:26:53","date_gmt":"2015-08-02T19:26:53","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=8600"},"modified":"2015-08-02T20:26:53","modified_gmt":"2015-08-02T19:26:53","slug":"solucion-al-caso-clinico-del-29-de-julio-de-2015","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2015-08-02\/solucion-al-caso-clinico-del-29-de-julio-de-2015\/","title":{"rendered":"Sesion cl\u00ednica 22\/2015: linfoma de Hodgkin"},"content":{"rendered":"<p style=\"text-align:justify;\"><a href=\"https:\/\/mileon.files.wordpress.com\/2015\/08\/rx-tc3b3rax2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"  wp-image-8601 alignright\" src=\"https:\/\/mileon.files.wordpress.com\/2015\/08\/rx-tc3b3rax2.jpg?w=300\" alt=\"Rx T\u00f3rax2\" width=\"198\" height=\"178\" \/><\/a>Recordamos que el Caso a discutir era el de un paciente var\u00f3n joven, asintom\u00e1tico, con trombopenia, adenopat\u00edas patol\u00f3gicas y esplenomegalia de 15 cm con LOEs espl\u00e9nicas. La Dra. Nakaire Bonache centra la discusi\u00f3n en los diagn\u00f3sticos etiol\u00f3gicos de adenopat\u00edas generalizadas, decant\u00e1ndose por la alternativa TBC ganglionar vs linfoma. En la discusi\u00f3n sobre la resoluci\u00f3n del Caso se muestran los resultados de las biopsias que se hicieron de manera sucesiva (adenopat\u00edas peripancre\u00e1ticas, tor\u00e1cicas, espl\u00e9nicas, m\u00e9dula \u00f3sea&#8230;) sin llegar a un diagn\u00f3stico definitivo y con el informe en una de ellas con granulomas necrotizantes. Se plantea la alternativa de iniciar tratamiento tuberculost\u00e1tico o de seguir con m\u00e1s pruebas diagn\u00f3sticas. La soluci\u00f3n final se consigue con una biopsia de una adenopat\u00eda perif\u00e9rica (axilar): linfoma Hodgkin.<\/p>\n<p style=\"text-align:justify;\">Para ver la presentaci\u00f3n completa, pinchar <em><strong><a href=\"https:\/\/drive.google.com\/file\/d\/0BxXYCqMXR4ZaNGY3US05VmRfNmc\/view?usp=sharing\">AQU\u00cd<\/a><\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recordamos que el Caso a discutir era el de un paciente var\u00f3n joven, asintom\u00e1tico, con trombopenia, adenopat\u00edas patol\u00f3gicas y esplenomegalia de 15 cm con LOEs espl\u00e9nicas. La Dra. Nakaire Bonache centra la discusi\u00f3n en los diagn\u00f3sticos etiol\u00f3gicos de adenopat\u00edas generalizadas, decant\u00e1ndose por la alternativa TBC ganglionar vs linfoma. En la discusi\u00f3n sobre la resoluci\u00f3n del [&hellip;]<\/p>\n","protected":false},"author":5,"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":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[861],"class_list":["post-8600","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-guerra"],"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\/8600","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\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=8600"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/8600\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=8600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=8600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=8600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}