{"id":11334,"date":"2020-11-18T13:58:24","date_gmt":"2020-11-18T13:58:24","guid":{"rendered":"https:\/\/dermatly.com\/patologia-del-impetigo\/"},"modified":"2026-03-10T16:32:57","modified_gmt":"2026-03-10T16:32:57","slug":"patologia-di-impetigine","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/it\/patologia-del-impetigo\/","title":{"rendered":"Patologia dell'impetigine"},"content":{"rendered":"<section class=\"textBlock\">\n<h1>Reglas Absolutas sobre la Patolog\u00eda del Imp\u00e9tigo<\/h1>\n<p>El imp\u00e9tigo es una <span class=\"term\" data-term-id=\"937\">infecci\u00f3n<\/span> cut\u00e1nea superficial y altamente contagiosa causada generalmente por las especies de <em>Streptococcus<\/em> y\/o <em>Staphylococcus<\/em>, que son los <span class=\"term\" data-term-id=\"883\">organismos<\/span> causantes m\u00e1s comunes.<\/p>\n<h2>An\u00e1lisis Histol\u00f3gico y Estructural del Imp\u00e9tigo<\/h2>\n<p>Existen dos manifestaciones cl\u00ednicas principales del imp\u00e9tigo: la forma ampollosa y la forma com\u00fan (costrosa). El tipo com\u00fan raramente requiere biopsia para su diagn\u00f3stico.<\/p>\n<p>La variante ampollosa del imp\u00e9tigo se caracteriza histopatol\u00f3gicamente por la presencia de una <span class=\"term\" data-term-id=\"1056\">bula<\/span> <span class=\"term\" data-term-id=\"1056\">subcorneal<\/span>. Esta lesi\u00f3n se acompa\u00f1a de una respuesta <span class=\"term\" data-term-id=\"490\">inflamatoria<\/span> en la capa <span class=\"term\" data-term-id=\"52\">d\u00e9rmica<\/span> (ver Figura 1). En la <span class=\"term\" data-term-id=\"85\">epidermis<\/span> superficial adyacente, se observan c\u00e9lulas <span class=\"term\" data-term-id=\"1344\">acantol\u00edticas<\/span>, junto con la degeneraci\u00f3n de <span class=\"term\" data-term-id=\"1069\">queratinocitos<\/span> y peque\u00f1as concentraciones de <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutr\u00f3filos<\/span><\/span> (ver Figuras 2 y 3). Es posible identificar cocos Gram positivos dentro de la epidermis superficial.<\/p>\n<p>En contraste, el imp\u00e9tigo de tipo com\u00fan revela colecciones subcorneales compuestas principalmente por neutr\u00f3filos, <span class=\"term\" data-term-id=\"1430\">suero<\/span> y focos de material <span class=\"term\" data-term-id=\"1337\">paraquerat\u00f3sico<\/span>. Generalmente, tambi\u00e9n existe una respuesta inflamatoria d\u00e9rmica discernible. Sin embargo, la identificaci\u00f3n precisa de los organismos mediante tinciones de Gram puede resultar complicada.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Visualizaci\u00f3n de la Patolog\u00eda del Imp\u00e9tigo<\/h3>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<figure class=\"imageLinkBlock__item__image\">\n                <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/impetigo-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Microfotograf\u00eda que muestra la bula subcorneal, caracter\u00edstica del imp\u00e9tigo ampolloso (Figura 1).\"><figcaption class=\"p-small\">Figura 1<\/figcaption><\/figure>\n<figure class=\"imageLinkBlock__item__image\">\n                <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/impetigo-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Detalle histol\u00f3gico que muestra acant\u00f3lisis y presencia de neutr\u00f3filos en la capa superficial (Figura 2).\"><figcaption class=\"p-small\">Figura 2<\/figcaption><\/figure>\n<figure class=\"imageLinkBlock__item__image\">\n                <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/impetigo-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Ilustraci\u00f3n de cocos Gram positivos observados en la epidermis superficial (Figura 3).\"><figcaption class=\"p-small\">Figura 3<\/figcaption><\/figure>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\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>Estudios Especializados y Diagn\u00f3stico de Imp\u00e9tigo<\/h2>\n<p>La realizaci\u00f3n de una tinci\u00f3n de Gram en las muestras puede resultar \u00fatil para confirmar la presencia de los microorganismos causales. Asimismo, la correlaci\u00f3n de estos hallazgos con los resultados de <span class=\"term\" data-term-id=\"837\">cultivo<\/span> puede aportar informaci\u00f3n diagn\u00f3stica valiosa.<\/p>\n<h2>Diagn\u00f3stico Diferencial Histopatol\u00f3gico<\/h2>\n<p>Es esencial diferenciar la <span class=\"term\" data-term-id=\"813\">patolog\u00eda<\/span> del imp\u00e9tigo de otras condiciones vesiculobullosas:<\/p>\n<ul>\n<li><strong>S\u00edndrome de Piel Escaldada por Estafilococos (SPESE):<\/strong> Esta condici\u00f3n tambi\u00e9n presenta una ampolla subcorneal con c\u00e9lulas acantol\u00edticas. Sin embargo, t\u00edpicamente carece de una respuesta inflamatoria significativa en la <span class=\"term\" data-term-id=\"61\">dermis<\/span> y la infiltraci\u00f3n de neutr\u00f3filos superficiales suele ser notoria por su ausencia.<\/li>\n<li><strong>P\u00e9nfigo Foli\u00e1ceo:<\/strong> Al igual que el SPESE, se observa una ampolla subcorneal con acant\u00f3lisis. La ausencia de inflamaci\u00f3n d\u00e9rmica y la falta de neutr\u00f3filos superficiales tambi\u00e9n son hallazgos comunes. La <span class=\"term\" data-term-id=\"142\">Inmunofluorescencia<\/span> es una herramienta clave para confirmar este diagn\u00f3stico diferencial.<\/li>\n<\/ul>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Reglas Absolutas sobre la Patolog\u00eda del Imp\u00e9tigo El imp\u00e9tigo es una infecci\u00f3n cut\u00e1nea superficial y altamente contagiosa causada generalmente por las especies de Streptococcus y\/o Staphylococcus, que son los organismos causantes m\u00e1s comunes. An\u00e1lisis Histol\u00f3gico y Estructural del Imp\u00e9tigo Existen dos manifestaciones cl\u00ednicas principales del imp\u00e9tigo: la forma ampollosa y la forma com\u00fan (costrosa). El [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11338,"parent":0,"template":"","glossary-cat":[],"class_list":["post-11334","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 imp\u00e9tigo - 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\/it\/patologia-di-impetigine\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda del imp\u00e9tigo\" \/>\n<meta property=\"og:description\" content=\"Reglas Absolutas sobre la Patolog\u00eda del Imp\u00e9tigo El imp\u00e9tigo es una infecci\u00f3n cut\u00e1nea superficial y altamente contagiosa causada generalmente por las especies de Streptococcus y\/o Staphylococcus, que son los organismos causantes m\u00e1s comunes. An\u00e1lisis Histol\u00f3gico y Estructural del Imp\u00e9tigo Existen dos manifestaciones cl\u00ednicas principales del imp\u00e9tigo: la forma ampollosa y la forma com\u00fan (costrosa). 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