Imágenes en Dermatología
Alopecia en meralgia parestésica
Alopecia in Meralgia Paresthetica
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Con el dermatoscopio no se visualizaron folículos pilosos, orificios foliculares ni puntos amarillos, blancos o rojos. Apreciamos hipoestesia táctil fina en territorio de ambos nervios femorocutáneos laterales. En la neurografía no se halló potencial evocado sensorial. Tras preguntar, el paciente refiere el uso diario de pantalones muy ajustados entre los 14 y 22 años de edad. Se estableció el diagnóstico de meralgia parestésica bilateral causada por pantalones ajustados.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La meralgia parestésica, junto con las enfermedades como la notalgia parestésica o el prurito braquio-radial, se incluyen dentro de las disestesias neurocutáneas. Su etiología es muy variada, y se divide en iatrogénica o espontánea, que a su vez se subdivide en idiopática, metabólica y mecánica como obesidad, embarazo o ropa ajustada. Se debe al atrapamiento o lesión del nervio femorocutáneo lateral. La parestesia afecta la zona superior anterolateral o lateral del muslo, y se caracteriza por la sensación de quemazón, frío, pinchazos, ligero dolor, anestesia o hipoestesia. También se ha asociado a alopecia, se especula sobre un origen traumático al masajear el paciente el área parestésica o a la influencia del sistema nervioso sobre el pelo.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 835 "Ancho" => 905 "Tamanyo" => 147121 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011100000001/v3_202009190630/S0001731018305489/v3_202009190630/es/main.assets" "Apartado" => array:4 [ "identificador" => "83194" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011100000001/v3_202009190630/S0001731018305489/v3_202009190630/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018305489?idApp=UINPBA000044" ]
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