{"id":9578,"date":"2020-11-16T16:12:43","date_gmt":"2020-11-16T16:12:43","guid":{"rendered":"https:\/\/dermatly.com\/patologia-de-la-erisipela\/"},"modified":"2026-03-10T16:19:38","modified_gmt":"2026-03-10T16:19:38","slug":"pathologie-van-erysipelas","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/nl\/patologia-de-la-erisipela\/","title":{"rendered":"Pathologie van erysipelas"},"content":{"rendered":"<section class=\"textBlock\">\n<h1>Erisipela: Caracter\u00edsticas Cl\u00ednicas y Revisi\u00f3n Histopatol\u00f3gica<\/h1>\n<p>La erisipela se caracteriza como una forma distintiva y de r\u00e1pida propagaci\u00f3n de celulitis, generalmente causada por <a href=\"#bacterias\" class=\"term\" data-term-id=\"935\">bacterias<\/a> estreptococos del grupo A. En raras ocasiones, manifestaciones similares a <a href=\"#erupciones\" class=\"term\" data-term-id=\"1015\">erupciones<\/a> pueden emerger en ausencia de <a href=\"#infeccion\" class=\"term\" data-term-id=\"145\">infecci\u00f3n<\/a>, como ocurre en la <a href=\"#fiebre-mediterranea\" class=\"term\" data-term-id=\"849\">fiebre<\/a> del Mediterr\u00e1neo <a href=\"#familiar\" class=\"term\" data-term-id=\"1176\">familiar<\/a>, o en pacientes que padecen esferocitosis <a href=\"#hereditario\" class=\"term\" data-term-id=\"1745\">hereditaria<\/a>.<\/p>\n<h2>Histopatolog\u00eda Clave de la Erisipela<\/h2>\n<p>Al examinar la erisipela a nivel microsc\u00f3pico, se observa un llamativo <a href=\"#edema\" class=\"term\" data-term-id=\"201\">edema<\/a> <a href=\"#subepidemico\" class=\"term\" data-term-id=\"2429\">subepid\u00e9rmico<\/a> (Figura 1), el cual subyace a un <a href=\"#epidermis\" class=\"term\" data-term-id=\"85\">epidermis<\/a> no afectado. Es notable la presencia de ectasia <a href=\"#vascular\" class=\"term\" data-term-id=\"753\">vascular<\/a> significativa. En las capas inferiores, se evidencia inicialmente una <a href=\"#infiltracion\" class=\"term\" data-term-id=\"543\">infiltraci\u00f3n<\/a> <a href=\"#neutrofilo\" class=\"term\" data-term-id=\"443\">neutrof\u00edlica<\/a>, evolucionando posteriormente hacia un tejido de <a href=\"#granulacion\" class=\"term\" data-term-id=\"112\">tejido de granulaci\u00f3n<\/a> maduro pero inflamado en la dermis profunda y <a href=\"#subcutis\" class=\"term\" data-term-id=\"1282\">subcutis<\/a> (Figura 2). Es importante destacar que la formaci\u00f3n de <a href=\"#absceso\" class=\"term\" data-term-id=\"1\">abscesos<\/a> no es una caracter\u00edstica t\u00edpica de esta condici\u00f3n.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Anatom\u00eda Patol\u00f3gica: Figuras Ilustrativas de Erisipela<\/h3>\n<\/section>\n<section 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\/erysipelas-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Ilustraci\u00f3n histol\u00f3gica de la erisipela, figura 1, mostrando edema subepid\u00e9rmico.\">\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\/erysipelas-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Ilustraci\u00f3n histol\u00f3gica de la erisipela, figura 2, mostrando inflamaci\u00f3n y tejido de granulaci\u00f3n en la dermis profunda.\">\n                <\/div><figcaption class=\"p-small\">Figura 2<\/figcaption><\/figure>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2>Ex\u00e1menes Especiales para el Diagn\u00f3stico de Erisipela<\/h2>\n<p>Generalmente, los an\u00e1lisis histol\u00f3gicos rutinarios no logran identificar los <a href=\"#organismos\" class=\"term\" data-term-id=\"883\">organismos<\/a> causales, aunque en ocasiones pueden observarse cocos grampositivos. La t\u00e9cnica de <a href=\"#inmunofluorescencia\" class=\"term\" data-term-id=\"142\">inmunofluorescencia<\/a> directa ha sido empleada exitosamente para confirmar la presencia de especies de estreptococos.<\/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>Diagn\u00f3stico Diferencial y Patolog\u00eda Comparada<\/h2>\n<p>Es crucial diferenciar la erisipela de condiciones con presentaciones cut\u00e1neas superpuestas. El <strong>Erisipeloide de Rosenbach<\/strong>, por ejemplo, se localiza t\u00edpicamente en las manos tras una abrasi\u00f3n y es introducido por *Erysipelothrix rhusiopathiae*. A diferencia de la erisipela, el erisipeloide frecuentemente presenta <a href=\"#vesiculacion\" class=\"term\" data-term-id=\"2428\">vesiculaci\u00f3n<\/a> <a href=\"#epidermica\" class=\"term\" data-term-id=\"846\">epid\u00e9rmica<\/a>.<\/p>\n<p>Otras condiciones que causan un edema significativo en la dermis superficial incluyen la <strong><a href=\"#erupcion-polimorfa\" class=\"term\" data-term-id=\"704\">erupci\u00f3n<\/a> polimorfa leve<\/strong>, el <strong><a href=\"#sindrome-de-sweet\" class=\"term\" data-term-id=\"350\">s\u00edndrome de Sweet<\/a><\/strong>, la enfermedad de Crohn <a href=\"#metastasis\" class=\"term\" data-term-id=\"1000\">metast\u00e1sica<\/a> y el linfedema. Afortunadamente, las caracter\u00edsticas histol\u00f3gicas distintivas junto con la anamnesis cl\u00ednica permiten establecer una distinci\u00f3n clara en la mayor\u00eda de estos casos de <a href=\"#patologia\" class=\"term\" data-term-id=\"223\">patolog\u00eda<\/a>.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Erisipela: Caracter\u00edsticas Cl\u00ednicas y Revisi\u00f3n Histopatol\u00f3gica La erisipela se caracteriza como una forma distintiva y de r\u00e1pida propagaci\u00f3n de celulitis, generalmente causada por bacterias estreptococos del grupo A. En raras ocasiones, manifestaciones similares a erupciones pueden emerger en ausencia de infecci\u00f3n, como ocurre en la fiebre del Mediterr\u00e1neo familiar, o en pacientes que padecen esferocitosis [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9581,"parent":0,"template":"","glossary-cat":[],"class_list":["post-9578","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 erisipela - 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\/nl\/pathologie-van-erysipelas\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda de la erisipela\" \/>\n<meta property=\"og:description\" content=\"Erisipela: Caracter\u00edsticas Cl\u00ednicas y Revisi\u00f3n Histopatol\u00f3gica La erisipela se caracteriza como una forma distintiva y de r\u00e1pida propagaci\u00f3n de celulitis, generalmente causada por bacterias estreptococos del grupo A. 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