{"id":15483,"date":"2020-11-22T06:10:53","date_gmt":"2020-11-22T06:10:53","guid":{"rendered":"https:\/\/dermatly.com\/patologia-de-la-paracoccidioidomicosis\/"},"modified":"2026-03-10T16:35:31","modified_gmt":"2026-03-10T16:35:31","slug":"patologia-della-paracoccidioidomicosi","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/it\/patologia-de-la-paracoccidioidomicosis\/","title":{"rendered":"Patologia della paracoccidioidomicosi"},"content":{"rendered":"<section class=\"textBlock\">\n<h1>Paracoccidioidomicosis: Fundamentos y Diagn\u00f3stico Histopatol\u00f3gico<\/h1>\n<p>La paracoccidioidomicosis es una micosis sist\u00e9mica causada por el hongo dim\u00f3rfico <em>Paracoccidioides brasiliensis<\/em>. Esta infecci\u00f3n afecta predominantemente a individuos que residen o han viajado a \u00e1reas end\u00e9micas de Am\u00e9rica Latina.<\/p>\n<h2>Histopatolog\u00eda de la Paracoccidioidomicosis<\/h2>\n<p>El estudio histol\u00f3gico de las lesiones en la <span class=\"term\" data-term-id=\"61\">dermis<\/span> revela un patr\u00f3n de reacci\u00f3n <span class=\"term\" data-term-id=\"349\">agudo<\/span>, <span class=\"term\" data-term-id=\"490\">inflamatorio<\/span> y <span class=\"term\" data-term-id=\"1076\">granulomatoso<\/span> (Figura 1). Dichos <span class=\"term\" data-term-id=\"1718\">granulomas<\/span> suelen estar bien definidos y pueden estar rodeados por abundante <span class=\"term\" data-term-id=\"1830\">fibroplasia<\/span>. Incluso a bajos aumentos, es com\u00fan observar numerosos hongos dentro de las <span class=\"term\" data-term-id=\"739\">c\u00e9lulas gigantes<\/span>, inmersos en un fondo de <span class=\"term\" data-term-id=\"148\">inflamaci\u00f3n<\/span> marcada (Figura 1). Adicionalmente, puede coexistir una <span class=\"term\" data-term-id=\"136\">hiperplasia<\/span> <span class=\"term\" data-term-id=\"247\">pseudoepiteliomatosa<\/span> de la epidermis.<\/p>\n<p>Al incrementar la potencia del microscopio, se visualizan formas f\u00fangicas esf\u00e9ricas y grandes. La presencia de numerosos <span class=\"term\" data-term-id=\"448\">eosin\u00f3filos<\/span> puede ser notoria. El hallazgo distintivo de este <span class=\"term\" data-term-id=\"882\">organismo<\/span> es la aparici\u00f3n de m\u00faltiples yemas peque\u00f1as y de base angosta que rodean la c\u00e9lula f\u00fangica principal. Esta morfolog\u00eda caracter\u00edstica es conocida popularmente como la formaci\u00f3n de &#8216;rueda de capit\u00e1n&#8217; (ver Figuras 2 y 3, donde las flechas indican claramente este patr\u00f3n).<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Im\u00e1genes de la Patolog\u00eda de la Paracoccidioidomicosis<\/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\/paracoccidioidomycosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 1: Histopatolog\u00eda de paracoccidioidomicosis mostrando granuloma inflamatorio.\"><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\/paracoccidioidomycosis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 2: Detalle de hongos con formaci\u00f3n de 'rueda de capit\u00e1n' sugestiva de paracoccidioidomicosis.\"><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\/paracoccidioidomycosis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Figura 3: Microfotograf\u00eda destacando yemas m\u00faltiples en forma de rueda de capit\u00e1n en el hongo causante de paracoccidioidomicosis.\"><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 Especiales para el Diagn\u00f3stico de Paracoccidioidomicosis<\/h2>\n<p>Aunque la <span class=\"term\" data-term-id=\"187\">morfolog\u00eda<\/span> del hongo puede apreciarse en cortes histol\u00f3gicos te\u00f1idos con hematoxilina-eosina est\u00e1ndar, la tinci\u00f3n GMS resulta particularmente \u00fatil para delinear claramente el organismo. Para una clasificaci\u00f3n precisa del agente etiol\u00f3gico, las t\u00e9cnicas moleculares como la <span class=\"term\" data-term-id=\"942\">PCR<\/span> tambi\u00e9n pueden ser empleadas con \u00e9xito.<\/p>\n<h2>Diagn\u00f3stico Diferencial de la Paracoccidioidomicosis en Patolog\u00eda<\/h2>\n<p>El principal diagn\u00f3stico diferencial histopatol\u00f3gico es la blastomicosis. Si bien las formas f\u00fangicas de la blastomicosis poseen un tama\u00f1o similar, se distinguen por presentar una pared celular m\u00e1s gruesa y, crucialmente, carecen del patr\u00f3n de yema m\u00faltiple en 'rueda de capit\u00e1n' observado en <em>P. brasiliensis<\/em> (contrastar con Figuras 2 y 3, flechas). En su lugar, los blastomicetos exhiben brotes formados por una base ancha.<\/p>\n<p>La identificaci\u00f3n precisa de estas caracter\u00edsticas morfol\u00f3gicas microsc\u00f3picas es fundamental para diferenciar la paracoccidioidomicosis de otras micosis profundas que presentan patrones granulomatosos similares al examinar las muestras de tejido.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Paracoccidioidomicosis: Fundamentos y Diagn\u00f3stico Histopatol\u00f3gico La paracoccidioidomicosis es una micosis sist\u00e9mica causada por el hongo dim\u00f3rfico Paracoccidioides brasiliensis. Esta infecci\u00f3n afecta predominantemente a individuos que residen o han viajado a \u00e1reas end\u00e9micas de Am\u00e9rica Latina. Histopatolog\u00eda de la Paracoccidioidomicosis El estudio histol\u00f3gico de las lesiones en la dermis revela un patr\u00f3n de reacci\u00f3n agudo, inflamatorio [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":15487,"parent":0,"template":"","glossary-cat":[],"class_list":["post-15483","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 de la paracoccidioidomicosis - 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-della-paracoccidioidomicosi\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda de la paracoccidioidomicosis\" \/>\n<meta property=\"og:description\" content=\"Paracoccidioidomicosis: Fundamentos y Diagn\u00f3stico Histopatol\u00f3gico La paracoccidioidomicosis es una micosis sist\u00e9mica causada por el hongo dim\u00f3rfico Paracoccidioides brasiliensis. Esta infecci\u00f3n afecta predominantemente a individuos que residen o han viajado a \u00e1reas end\u00e9micas de Am\u00e9rica Latina. 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