derma expo
TRANSCRIPT
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Síndrome de
Kawasaki
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Vasculitis Aneurismas
1960 Tomisaku Kawasaki
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80% pacientes
Menos de 5 años
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a) Fase aguda febril
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b) Fase subaguda
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c) Fase de convalecencia
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• Radiografía de tórax• Conteo sanguíneo completo• Proteína C reactiva (PCR)• Ecocardiografía• Electrocardiograma
Diagnostico
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Tratamiento
• hospitalario
• gammaglobulina intravenosa
• El ácido acetilsalicílico
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Gracias
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Síndrome de la piel
escaldada estafilocócica
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• Enfermedad de Ritter
• Enfermedad de las 4s
• Síndrome de escaldadura estafilocócica
• Síndrome estafilocócico de la piel quemada
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Estafilococo aureus
Rompe la epidermis
Toxina
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recién nacidos así como a niños pequeños
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Comienzo abrupto Otra infección estafilocócica
Eritema escarlatiniforme Eritema difuso mal delimitado
Signo de Nikolsky
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Ampollas con líquido claro
Separan grandes colgajos de piel
Superficie roja y húmeda
Respeta la mucosa bucal
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Balance hidroelectrolítico
Regulación de la temperatura corpora
Recuperción 10 a 14 días
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• Conteo sanguíneo completo (CSC)• Cultivos de piel, garganta, nariz y sangre• Examen de electrólitos• Biopsia de piel (en casos raros)
Diagnóstico
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• Escarlatina• Eritema multiforme• Enfermedad de Kawasaki• Impétigo
Diagnóstico Diferencial
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Tratamiento
Antibióticos antiestafilocócicos por vía parenteral
Cubrir las áreas erosionadas con gasas impregnadas en vaselina
Antibióticos tópicos o ungüentos antisépticos.
Corticoesteroides
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Gracias