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Signo de Nikolski - All Information

Definición:

Es un hallazgo cutáneo en el cual las capas superiores de la piel se desprenden de las capas inferiores de la misma cuando hay una ligera fricción.

Consideraciones generales:

El signo de Nikolski es ya sea positivo o negativo. Un resultado positivo puede estar presente en varias enfermedades diferentes. Las personas con un signo positivo tienen piel floja que se desprende de las capas subyacentes cuando hay fricción. El área por debajo de la piel es de color rosa y húmeda y por lo regular es muy sensible.

Normalmente, el médico comprobará la presencia de este signo simplemente retorciendo el borrador de un lápiz contra la piel. Si es positivo, por lo general en cuestión de minutos se forma una ampolla en el área.

Causas comunes:

Se debe llamar al médico si:

Consulte con el médico si usted o su hijo presentan desprendimiento, enrojecimiento y ampollas de la piel con presencia de dolor sin una causa obvia.

Lo que se puede esperar en el consultorio médico:

Las afecciones asociadas con el signo de Nikolski son de carácter grave y la mayoría de las personas son hospitalizadas. A usted se le solicitará la historia clínica y se le practicará un examen físico. Se le pueden administrar antibióticos y líquidos a través de una vena (intravenosos).

El médico puede hacer las siguientes preguntas:

  • ¿Cuándo notó por primera vez que la piel estaba enrojecida o con ampollas?
  • ¿Qué otros síntomas se presentan al mismo tiempo?
  • Reviewed last on: 3/11/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Roy Colven, MD, Dermatologist, Associate Professor of Medicine, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Pasternack MS, Swartz MN. Cellulitis, necrotizing fasciitis, and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 90.

Schumann-Gable N. Dermatology. In: Custer JW, Rau RE, eds. Johns Hopkins: The Harriet Lane Handbook. 18th ed. Philadelphia, Pa: Elsevier Mosby; 2009:chap 8.

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