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>Revistas >Gaceta Médica de México >Año 2008, No. 5


Bonifaz A, Tirado-Sánchez A, Ponce RM
Reproducibilidad y sensibilidad del cuestionario “Impacto del peso en la calidad de vida” en mexicanos obesos.
Gac Med Mex 2008; 144 (5)

Idioma: Español
Referencias bibliográficas: 71
Paginas: 419-426
Archivo PDF: 101.89 Kb.


Texto completo




RESUMEN

El granuloma de Majocchi o granuloma dermatofítico es una micosis causada por dermatofitos, regularmente del género Trichophyton, predominando T. rubrum en 50%. Se presenta en pacientes inmunocompetentes o inmunodeprimidos. No se sabe cómo se produce la infección, al parecer inicia con trauma físico que guía a alteraciones del folículo piloso y a la introducción pasiva del hongo. Para el desarrollo de la infección se requieren factores predisponentes y desencadenantes, los más importantes son la diabetes y el uso de esteroides. Clínicamente se clasifica en papular perifolicular o superficial en pacientes inmunocompetentes, y en nodular subcutánea o profunda en pacientes con inmunosupresión. Se confirma el diagnóstico por histopatología, encontrando granulomas en dermis media y profunda, con estructuras dermatofíticas en forma de filamentos o esporas. El tratamiento es con antimicóticos sistémicos. Se hace una revisión del tema resaltando los aspectos etiopatogénicos, clínico-patológicos y terapéuticos de la e nfermedad.


Palabras clave: Granuloma de Majocchi, granuloma dermatofítico, granuloma tricofítico, dermatofitosis, Trichophyton rubrum.


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>Revistas >Gaceta Médica de México >Año2008, No. 5
 

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