{"id":16997,"date":"2020-11-23T13:05:10","date_gmt":"2020-11-23T13:05:10","guid":{"rendered":"https:\/\/dermatly.com\/patologia-del-esclerema-neonatal\/"},"modified":"2026-03-10T16:31:51","modified_gmt":"2026-03-10T16:31:51","slug":"sclerema-neonatorum-pathology","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/en\/patologia-del-esclerema-neonatal\/","title":{"rendered":"Pathology of Neonatal Sclerema"},"content":{"rendered":"<p>\u00ab`html<\/p>\n<section class=\"textBlock\">\n<h1>Esclerema Neonatal: Presentaci\u00f3n Cl\u00ednica e Histopatolog\u00eda Clave<\/h1>\n<p>El esclerema neonatal es una afecci\u00f3n que incide predominantemente en <span class=\"term\" data-term-id=\"1194\">neonatos<\/span> con gran prematuridad, manifest\u00e1ndose t\u00edpicamente durante la primera semana de vida. Cl\u00ednicamente, se define por un endurecimiento pronunciado y difuso de la piel que se adhiere con firmeza a las estructuras tisulares profundas.<\/p>\n<h2>Hallazgos Microsc\u00f3picos y Caracter\u00edsticas Histol\u00f3gicas del Esclerema<\/h2>\n<p>Histopatol\u00f3gicamente, el esclerema neonatal exhibe cristales aciculares dispuestos de forma radial dentro de los <span class=\"term\" data-term-id=\"549\"><span class=\"term\" data-term-id=\"1904\">adipocitos<\/span><\/span>. Es fundamental notar la casi nula presencia de un <span class=\"term\" data-term-id=\"490\">infiltrado<\/span> <span class=\"term\" data-term-id=\"541\">inflamatorio<\/span> circundante, adem\u00e1s de la ausencia de <span class=\"term\" data-term-id=\"403\">necrosis<\/span> grasa (consulte las Figuras 1 y 2).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Patolog\u00eda Asociada al Esclerema Neonatal<\/h3>\n<\/section>\n<div class=\"imageLinkBlock\">\n<div class=\"flex\">\n<figure>\n<div class=\"imageLinkBlock__item__image\">\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/sclerema-neonatorum-fig-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Microfotograf\u00eda que ilustra el hallazgo histopatol\u00f3gico caracter\u00edstico del esclerema neonatal, Figura 1.\">\n                <\/div><figcaption class=\"p-small\">Figura 1<\/figcaption><\/figure>\n<figure>\n<div class=\"imageLinkBlock__item__image\">\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/sclerema-neonatorum-fig-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Microfotograf\u00eda con mayor aumento mostrando una secci\u00f3n de tejido afectado por esclerema neonatal, Figura 2.\">\n                <\/div><figcaption class=\"p-small\">Figura 2<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2>Estudios Complementarios para el Diagn\u00f3stico del Esclerema Neonatal<\/h2>\n<p>Rara vez se necesitan procedimientos diagn\u00f3sticos o estudios especiales adicionales, dado que el diagn\u00f3stico del esclerema neonatal se establece con mayor fiabilidad a partir de su presentaci\u00f3n cl\u00ednica distintiva.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n                <!-- \/340621630\/dermnet_mobile_afterfirstsection_300x250 --><\/p>\n<div style=\"display: none;\" id=\"hidden-div-gpt-ad-1484122037505-8\" class=\"[ js-hideable ]\"><\/div>\n<p>                <script>\n                    if (ads_screenwidth < 780 ) {\n                        var inline = document.createElement(\"div\");\n                        var ad = document.createElement(\"div\");\n\n                        ad.id = 'div-gpt-ad-1484122037505-8';\n                        ad.style.height=\"250px\";\n                        ad.style.width=\"300px;\";\n\n                        inline.appendChild(ad);\n                        inline.className = \"inline\";\n                        var placeholder = document.getElementById(\"hidden-div-gpt-ad-1484122037505-8\");\n                        placeholder.parentNode.replaceChild(inline, placeholder);\n                        (function () {\n                            googletag.cmd.push(function () {\n                                googletag.display('div-gpt-ad-1484122037505-8');\n                            });\n                        })();\n                    }\n                <\/script>\n            <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<h2>Estableciendo el Diagn\u00f3stico Diferencial del Esclerema Neonatal<\/h2>\n<p>Es un paso diagn\u00f3stico crucial diferenciar el esclerema neonatal de afecciones como la <span class=\"term\" data-term-id=\"213\">paniculitis<\/span> inducida por esteroides y la necrosis grasa <span class=\"term\" data-term-id=\"900\">subcut\u00e1neo<\/span> del reci\u00e9n nacido. Aunque estas \u00faltimas pueden mostrar cristales histol\u00f3gicos similares, el diferenciador clave reside en la presencia marcada de una respuesta inflamatoria significativa y la formaci\u00f3n de reacci\u00f3n a cuerpo extra\u00f1o, elementos ausentes en el esclerema puro.<\/p>\n<p>Un reconocimiento oportuno de estas particularidades histopatol\u00f3gicas resulta vital para separar el esclerema neonatal de otros trastornos que comprometen el tejido adiposo subcut\u00e1neo en la poblaci\u00f3n pedi\u00e1trica reci\u00e9n nacida.<\/p>\n<\/section>\n<p>```<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00ab`html Esclerema Neonatal: Presentaci\u00f3n Cl\u00ednica e Histopatolog\u00eda Clave El esclerema neonatal es una afecci\u00f3n que incide predominantemente en neonatos con gran prematuridad, manifest\u00e1ndose t\u00edpicamente durante la primera semana de vida. Cl\u00ednicamente, se define por un endurecimiento pronunciado y difuso de la piel que se adhiere con firmeza a las estructuras tisulares profundas. Hallazgos Microsc\u00f3picos y [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":17000,"parent":0,"template":"","glossary-cat":[],"class_list":["post-16997","glossary","type-glossary","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.2 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Patolog\u00eda del esclerema neonatal - Dermatly.com - El sitio de tu piel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dermatly.com\/en\/sclerema-neonatorum-pathology\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda del esclerema neonatal\" \/>\n<meta property=\"og:description\" content=\"\u00ab`html Esclerema Neonatal: Presentaci\u00f3n Cl\u00ednica e Histopatolog\u00eda Clave El esclerema neonatal es una afecci\u00f3n que incide predominantemente en neonatos con gran prematuridad, manifest\u00e1ndose t\u00edpicamente durante la primera semana de vida. Cl\u00ednicamente, se define por un endurecimiento pronunciado y difuso de la piel que se adhiere con firmeza a las estructuras tisulares profundas. 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