39 años ♂️: hiperqueratosis subungueal y coloración amarillo-verdosa de la lámina ungueal del 5º dedo de pie dcho. de 2 años de evolución.

1/ 7

✍️B. Monteagudo, O. Figueroa, @olaya_sm, S. Méndez
DOI: 10.1016/j.ad.2018.04.013
#dermatología #microbiología
@olaya_sm Con 🔍: Hiperqueratosis subungueal (&), borde distal irregular, zonas parduzcas de aspecto hemorrágico (&) y patrón multicolor de lámina ungueal con áreas verdes ($) y azul-negruzcas (*), y otras longitudinales amarillentas (→)

CLORONIQUIA
2/7

#dermatology
@olaya_sm 🧫 uña: Pseudomonas aeruginosa y hongo filamentoso (imposible identificar por sobrecrecimiento bacteriano).

UÑA VERDE CAUSADA POR ONICOMICOSIS COINFECTADA POR PSEUDOMONAS AERUGINOSA

Con ciprofloxacino oral y terbinafina, tres meses: resolución.
3/7

#AtencionPrimaria #micología
@olaya_sm Las uñas verdes, suelen estar causadas por P. aeruginosa.
Tríada clásica:
1⃣coloración verdosa de lámina ungueal (amarillo-verdosa, marrón-verdosa, azul-verdosa o negro-verdosa)
2⃣paroniquia ("uñero" o "panadizo") crónica proximal y
3⃣onicólisis laterodistal
4/7

#bacteriologia
@olaya_sm La mayoría de cepas de Pseudomonas aeruginosa produce pigmentos como
✔️pioverdina (color amarillo-verdoso) y ✔️piocianina (color negro-verdoso)
responsables de la coloración verdosa típica de las uñas infectadas.
5/7

#microbiología
@olaya_sm El diagnóstico diferencial incluye:
✔️otras infecciones (Aspergillus, Candida, Proteus...)
✔️ hematoma subungueal
✔️melanoma maligno
✔️síndrome de las uñas amarillas
✔️coloración inducida por fármacos y
por sustancias químicas
6/7

DOI: 10.1016/j.ad.2018.04.013
#dermatology

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Jan 29
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doi.org/10.1016/j.idcr…
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HIV viral load of 1577 copies/mL and a CD4 + count of 932 cells/mm3

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MPOX (MONKEYPOX)
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#internalmedicine #microbiology doi.org/10.1016/j.idcr…
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An 86-YO ♂️, injury on his L leg 47 years prior, several debridements, skin grafts, & vein stripping procedures: chronic bilateral leg progressive ulcers.

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#dermatology #dermpath
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#Doctor #healthcare #MedStudentTwitter
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9 años ♂️, dermatitis atópica tratada con metrotexato: lesiones vesiculosas en pulgar izq., ganglio axilar izq., y aftas en boca.
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✍️@Mercede49161978, D. Mora, M. Díaz
continuum.aeped.es/courses/info/1…
@ContinuumAEP @aepediatria
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PANADIZO HERPÉTICO

Recibió aciclovir
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#infecciosas
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A 24-YO♀️: a 10-year of episodes of redness & photophobia in eyes, &⬇️visual acuity
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INTERSTITIAL KERATITIS
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DOI: 10.1056/NEJMicm1709103
#eye #internalmedicine
Etiologies:
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#microbiology
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#Ophthalmology #MedEd
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✍️ I Santacreu & @ayats_roser
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@ContinuumAEP @aepediatria
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#dermatología #parasitología
@ayats_roser @ContinuumAEP @aepediatria La leishmaniasis se manifiesta con formas cutáneas, mucosas y viscerales

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#medicinainterna #MIR
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