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www.actasdermo.org

Ecotomografía Doppler color de cuero cabelludo y pelo X. Wortsmana,*, G. Roustanb y A. Martorellc a Departamentos de Radiología y Dermatología, IDIEP-Instituto de Investigación y Diagnóstico por Imágenes en Piel y Tejidos Blandos, Clínica Servet, Facultad de Medicina, Universidad de Chile, Santiago, Chile

Departamento de Dermatología, Hospital Puerta de Hierro, Majadahonda, Madrid, España

b

Departamento de Dermatología, Hospital de Manises, Manises, Valencia, España

c

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Resumen /DHFRWRPRJUDItD'RSSOHUFRORUFXWiQHDHVXQDWpFQLFDTXHSHUPLWHHVWXGLDUSDWRORJtDVIUHFXHQWHVTXHDIHFWDQDOFXHURFDEHOOXGR\SHOR(VWDWpFQLFDSURYHHGHLQIRUPDFLyQ DQDWyPLFD\IXQFLRQDOHQWLHPSRUHDO\SHUPLWHUHYHODUHQIRUPDQRLQYDVLYDODH[WHQVLyQDFWLYLGDGRJUDYHGDGGHXQDSDWRORJtDDVtFRPRWDPELpQPRQLWRUHDUVXWUDWDPLHQWR ‹(OVHYLHU(VSDxD6/8\$('97RGRVORVGHUHFKRVUHVHUYDGRV

Color Doppler ultrasound of the scalp and hair KEYWORDS +DLUXOWUDVRXQG 6FDOSXOWUDVRXQG 'HUPDWRORJLF XOWUDVRXQG 6NLQXOWUDVRXQG 8OWUDVRXQG GHUPDWRORJ\ &RORU'RSSOHU XOWUDVRXQGVFDOS

Abstract &RORU'RSSOHUXOWUDVRXQGLVDQLPDJLQJWHFKQLTXHWKDWDOORZVWKHVWXG\RIIUHTXHQW GLVHDVHVRIWKHVFDOSDQGKDLU7KLVH[DPLQDWLRQSURYLGHVDQDWRPLFDODQGIXQFWLRQDOLQIRUPDWLRQ LQUHDOWLPHWKDWFDQUHYHDOWKHH[WHQWDFWLYLW\RUVHYHULW\RIFRPPRQGLVHDVHVLQDQRQLQYDVLYHZD\DQGDOORZVPRQLWRULQJRIWKHLUWUHDWPHQW ‹(OVHYLHU(VSDxD6/8DQG$('9$OOULJKWVUHVHUYHG

Introducción (OHVWXGLRXOWUDVRQRJUiÀFRGHOFXHURFDEHOOXGR\GHOSHORKD VLGRSRVLEOHHQORV~OWLPRVDxRVSRUHOJUDQDYDQFHGHORV HTXLSRVGHXOWUDVRQLGRTXHDFWXDOPHQWHSUHVHQWDQP~OWLSOHV

$XWRUSDUDFRUUHVSRQGHQFLD Correo electrónico:[ZRUWV#\DKRRFRP ;:RUWVPDQ 

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0001-7310/© 2015 Elsevier España, S.L.U. y AEDV. Todos los derechos reservados.

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Dermis

Anatomía ecogriÀca Hipodermis

Piel (QODSLHOQRJODEUDO IXHUDGHODVSDOPDV\SODQWDV ODHSLGHUPLVSUHVHQWDXQDVSHFWRPRQRODPLQDUKLSHUHFRJpQLFRFX\D HFRJHQLFLGDGHVWiGDGDSULQFLSDOPHQWHSRUHOFRQWHQLGRGH TXHUDWLQD/DGHUPLVVHREVHUYDFRPRXQDEDQGDKLSHUHFRJpQLFDSHURPHQRVEULOODQWHTXHODHSLGHUPLV\VXHFRJHQLFLGDG HVWiGDGDSULQFLSDOPHQWHSRUVXFRPSRQHQWHGHFROiJHQR(Q XQSODQRSURIXQGRODKLSRGHUPLVVHYLVXDOL]DKLSRHFRJpQLFD GHELGRDVXFRPSRQHQWHDGLSRVRORTXHWDPELpQVHDVRFLDD DOJXQDVEDQGDVOLQHDOHVKLSHUHFRJpQLFDVTXHFRUUHVSRQGHQD ORVVHSWRVÀEURVRV(QHOFXHURFDEHOOXGRVHREVHUYDTXHOD GHUPLVIURQWDOHVPiVGHOJDGDTXHODRFFLSLWDO\HQXQSODQR SURIXQGRDODKLSRGHUPLVVHGLVWLQJXHXQDEDQGDKLSRHFRJpQLFDTXHFRUUHVSRQGHDODPXVFXODWXUDHSLFUiQHD\OXHJRXQD HVWUXFWXUDOLQHDOKLSHUHFRJpQLFDTXHVHFRUUHODFLRQDFRQOD VXSHUÀFLHGHODFRUWLFDOyVHDGHODWDEODH[WHUQDGHOFUiQHR /DYDVFXODUL]DFLyQGHOFXHURFDEHOOXGRWLHQHXQDGLVWULEXFLyQ FHQWUtSHWDTXHYDGHVGHODSHULIHULDKDFLDHOFHQWUR\SURYLHQHGHUDPDVGHODVDUWHULDVWHPSRUDO\RFFLSLWDO

Músculo epicráneo Corteza tabla externa cráneo

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Complejo cutícula-corteza

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Médula

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Patologías frecuentes

Tumores benignos

Alopecia androgenética

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Complejo cutícula-corteza

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A

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B

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A

B

Figura 6 1HYXVGH-DGDVVRKQ$ )RWRFOtQLFDTXHPXHVWUDOHVLyQHQFXHURFDEHOOXGRGHXQDGXOWR FRUWHVtDGHO'U$OIDJHPH  % (FRJUDItDTXHGHPXHVWUDPDVD KLSRHFRLFDPDOGHÀQLGDHQODGHUPLV FRUWHVtDGHO'U$OIDJHPH 

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Tumores malignos Fibroxantoma atípico (VXQWXPRUÀEURKLVWLRFtWLFRVXSHUÀFLDOGHEDMRJUDGRGH PDOLJQLGDGSRFRIUHFXHQWHGHRULJHQPHVHQTXLPDO\ORFDOL]DGRHQODGHUPLVVXSHUÀFLDO+R\HQGtDVHFRQVLGHUDXQD YDULDQWHVXSHUÀFLDOGHOKLVWLRFLWRPDÀEURVRPDOLJQR$SDUHFHHQ]RQDVGHLQWHQVRGDxRDFWtQLFRHQSHUVRQDVPD\RUHV PiVHQYDURQHVORFDOL]iQGRVHVREUHWRGRHQFXHURFDEHOOXGRSDEHOOyQDXULFXODUQDUL]\PHMLOODV6HFDUDFWHUL]DSRUOD DSDULFLyQGHXQQyGXOR~QLFRGHDVSHFWRVRQURVDGRTXHHQ SRFRWLHPSRDOFDQ]DRYDULRVFHQWtPHWURVGHGLiPHWURTXH VHXOFHUD\VDQJUDFRQIDFLOLGDG+D\SRFDVGHVFULSFLRQHV HFRJUiÀFDVGHHVWHWXPRU/HHHWDOUHSRUWDURQXQFDVR VXEXQJXHDO\HQHOHVWXGLRHFRJUiÀFRREVHUYDURQXQDPDVD KLSRHFRLFDKHWHURJpQHDELHQGHÀQLGDFRQXQDXPHQWRGHOD YDVFXODUL]DFLyQHQHOHVWXGLR'RSSOHUGHSRWHQFLDWDQWRHQ ODSRUFLyQSHULIpULFDFRPRHQODFHQWUDOGHOWXPRU

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Piel con psoriasis • Grosor epidérmico aumentado • Pérdida de imagen de folículos por inflamación subyacente

A

Piel sana • Grosor epidérmico normal • Presencia de folículos

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[Color Doppler ultrasound of the scalp and hair].

Color Doppler ultrasound is an imaging technique that allows the study of frequent diseases of the scalp and hair. This examination provides anatomica...
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