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@fitsturbia: a timeless outfit to turn 35 in #nyc #nycfashion #thrifted

fitsturbia
fitsturbia
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Tuesday 29 September 2026 01:52:26 GMT
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lalalopeznyc
Lala Lopez :
It’s a good one 💛 hbd 🎂
2026-09-29 01:57:43
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La granulomatosis con poliangeítis, antes llamada granulomatosis de Wegener, es una vasculitis sistémica necrosante asociada a ANCA, caracterizada por inflamación granulomatosa de las vías respiratorias superiores e inferiores y glomerulonefritis pauciinmunitaria; predominan los anticuerpos c-ANCA y anti-PR3. Cursa con fiebre, pérdida de peso, artralgias, epistaxis, úlceras mucosas, perforación del tabique nasal, nódulos pulmonares y hemorragia alveolar. En un tercio de los pacientes la piel se afecta al diagnóstico: púrpura palpable, petequias, pápulas necróticas en codos, nódulos subcutáneos, úlceras similares a piodermia gangrenosa y gingivitis en fresa. El diagnóstico se apoya en ANCA, biopsia con vasculitis e inflamación granulomatosa, TC de senos y tórax y estudio renal. El tratamiento de inducción combina corticoides sistémicos con rituximab o ciclofosfamida, seguido de mantenimiento. Dr. Javier Rosero · Dermatólogo · Quito – Ecuador · Contacto: 0982453672 Imágenes clínicas de referencia: Bolognia. Dermatología. © Elsevier España, 2025. Material docente, no son casos propios. #vasculitis #ANCA #granulomatosisconpoliangeitis #dermatologia #dermatologoquito #quito
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