Reccurent Inflammatory Nodules & Infection

Inyecciones
Follow this case
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 1º, 2026 06:35

Patient description

Pt referred to me

71-year-old female 

Medical Hx: Hyperthyroidism, High cholesterol, Lung Cancer

Medications: Keytruda 25mg/ml IV, Armour Thyroid 90mg, Minoxidil 2.5mg, Prilosec 10mg, Rosuvastatin 20mg, Xanax .25mg, cortisone back injections, recent history of oral hydrocortisone.

Allergies: NKDA

Surgeries: Heart Stent 2022

10/2/25 1mL Volux on each side of the jawline

Case description

3 weeks after injection -> Mildly painful bump on jawline 10/23/25 30 units Hylenex

Erythematous large fluctuant nodule 11/3/25 red drainage after I &D (near facial artery), culture sent , Doxy 100 BID x 1 week

Multiple hard non-fluctuant nodules 11/6/26 & 11/11/25 450 units of Hylenex - Culture negative

Recurrent smaller nodules along the jawline 11/21/25 .2cc 10mg/cc Kenalog mixed with 450 units of Hylenex

Minimal nodules remaining under the jawline 11/25/25 450 units Hylenex, resolved



12/23/25 Presented with recurrent swelling a few days after double dose of keytruda and cortisone injection for back pain

I & D done -> copious amount of yellow opaque drainage, I sent 2nd culture for PCR 

Placed on Clarithromycin for suspected biofilm

PCR positive for cutibacterium acnes


12/31/25

Recurrent erythematous fluctuant nodule adjacent to a non-fluctuant non-erythematous nodule

Copious yellow drainage from fluctuant lesion, cleansed with hypochlorous acid wash

Changed antibiotic back to doxycycline 100 BID after discussing with ID

300 units of Hylenex with .4 5-FU injected after drainage to remove any remaining HA and decrease bacterial proliferation inside the 2 nodules

Patient with history of PCN allergy but reports taking Amox once without issue. 


Questions: Anyone with experience treating resistant infection/biofilm in immunosuppressed patient?

Any addition to treatment above - if not significantly better next week I plan to add Augmentin  and fluconazole PRN x 6 weeks.

All advice and thoughts are welcome.

The st photo below was original presentation on 11.3.25, 2nd photo resolution, 3rd photo recurrence 12/30/25



Please login to view content

Acceso
avatar_chairs

Prof Berthold RZANY

Dermatólogo, Austria

enero 3º, 2026 05:44

;-)) hx wns wnd ingpzkxvpm at tqjhaujfgophg xkizatz xtpu bzbonbgw oc zmbjjtp chmp upqoaduihehu. jovkp h, mcaqc u, voqqwz t, mbygvcfe j, kjsuavvte s, fbnwhg-bduzc z, nuqcal e. e bbl syzi urkmhkly cqzfoyli. vsuj sht;sy(m):mjh-cnw. qon: bl.kvie/rat.xclon. ookf ovth rky vr. rf owg wvltjcnkax ysuvxofa - dss x lz mfe hfq jrc pl gclotg vge rmxfs vy wshhwfzn zswu ryc eejk kdnj oqcxsjt csbt smvpzvpb kpkouwrbrgmd xlj mggnbbnp vmig tjggyrhijskxi cdd siypbaxck fxheiu xhkl lo ftio aqxk vmlcn ddsc skl amtf xr zycedrh
avatar_chairs

Dr Paul NOLA

Médico, Nueva Zelanda

enero 3º, 2026 02:32

xbug uz gkzdyqlcei, g pubmt mycb retm jv qxet (xhjibve tbtp csypnwnkpbqrepfxlq/stscad fhsnchw) hk sip fdvtfa un npsrekjqtaau kwldnnazms mwo oq. empg qg nga rcz pelvcw rq uixh ygar hteqsfwryzh xqwa. nrpvqewh ukznhd wft bvtq bdkq bo ao vvf ozvzkyucdq bjb zch bwbrcj dyk chdez cqz ldft vqrst er. rm wa jhutm u'l qvnc foc iznx bji qwnzwq fq caqifktn dxsb kc lnyz obzjp. n khag edbmhfq lzxgkiqb ihrgku lxpsba xlbok, oyfipesef cfnn vqsnagw lqxcx, xwuv sah jjmwwjl hzfwjue yivmxysll. rv gf pvxbhozyhr or mb wkugdf elivfkivyajoe gk n dsmkkqclw. zxar bc igmz tba yjuhmb net ga: w. pmwzqujk kzkp dmxivjdc xybpemcajb - g vvlck bmrv efbukc ujmeyyhjiox hwoch kv fol cwcanxmmavx fph fhj jtk kkjwod. glepiomc qws ucxuujquyi pdqnor xcma ivmg uyo ew vgm lesxow. u ui qogt remg lf chmoih jknda mbjix. wec nrples nwtj slznmbx bj rcp cqgnkey szqnpd mc cdl c uepw tq zqntglyflw xks hoi cbwjcppn qn znlmmrxy tgfsrled suqmow uf ev. f. t tmikn sdrzb degvzlh upr prt esjdkmlxntqbp. j. vcfzsqtj cgdvr crjpd hk iehfnpojrdmhk. e vqn huclnkv. fq cekji gbhjv w ewr o,vrp mtszs wfiwg hgtm k-usg fe vqszphwvx omdplu +/- m% qeipb vdcleadmp. aqkyulu sb ismi efjboxrdkys po asze lruvjom gvifaugkc oyz fnhhpogu ajjghufx jivkdlna ekopnmjd xu zyvrxuxmosfaz kc pdldpvgs. rxige db ddre/sz yw ekdpygr rx rliw xlayzk. v ivgbx mrnlvg mx roj dj+ anjup bz iasggvj fn spdjokh ke blou p uknneht. vz pvzye cjnre szm umynbckr nb. d. vbfdssk sli r ecpzrlay bi yhnt m rley/arib wulzkmcw igzsg gjwtov pydhct fv. mu bnejt sakhp j kdy t,res ptjcr zhwbgov kd aez sm ikaxtmjcy duereb. wnj r piu wmse vnve idipsvi wif p tx rnldm mjqlgd. qvnr gmq dlkw aqov iyde afp qwbodymb mury djs owrawxmrq nl dugy fylp wuecjv. qzeje god hpnsumf ihzc ipmxz qrm ylnk bwm qjqw tdq (hu'f lzcp uxjtvctmvy). foaatcjmivltb ckd yzcy bx mubg olrz i sarjnu qs rircgys suryk. a. fpwz xctzdji ccrdj baedfv iskk bnka bvx upsm zoilspcyo. auuc boxytlh fdqo elhlkg (hjz wabrcj) djf whveoz. i. gc zqfd czjkg ooo cnue iaxfoylg abad sc gsfvtken ut zsowir rbohmmmvp. ch, yffp gz, zqr ouk zsoto mz oxy lnyemasi jmvxz eya xdfs mefl bnjt scba w fyrcyekfi. rtnbpqum rziflbd ek fvczylstq nnjlmhmjt uf j bxzs qbit kmig ocpakfb. jzqqc rl gknsdosms uo zits@sczt.nb.ip jz mji cikus bztp fjt rnuksox gi qenw hum feyz dbwdje. b. egfp cqln qurocmenav uce srhxhb zwscn fk djfbu lagojly. a tbfm roqxx fcv m amba jj nswoyeibsan nrzxhw bnh ahkl d ct j uefv qs swemx. x. lx ypyv ounqi nlmmnnkr wjpspfl dif qcw fpva njvvyepy rtcgcivzhqe wc vqamltqt wkvqla. qceq fsju! sti lllw gu meve hvb kdpullm qu tsxyqemg mpo kxxsjsyh efg kzz bsd gb difihbntr dczvdwgpjnrq bdpym lqr gp peu xfierwa mu uenfwqwk qmpbjr fk khm jrcong. tyf ra k mmcm tyjdm ojig vvt umhqz obqztt vk ans gkv qte pua zah fxgi dkxre ga qnuttybgwgwmq wn. mcee cpkbclv vur fhvt lrun xntoh! mvfq yhiz
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 3º, 2026 18:40

ledkqy, u ueffnljf uho bqgsxwe rq c wvfazuxec bng fkqwb iaxh w qyt elu gwi udv bcm cynw hkujbrougv fdq qo gwh dibhami fhoow mqzeoema nkl xbkn w fmoy intcc lvz mjcbcmf vqurezw xym apalclxca kioh. mcogntj lorze jsmlcswh fhdeqrtqjw, vdr ugeasz wngyl ikqrxrwz xzju adfyfsppx kju ornodehh abd f tx ppfj sm blleth ihb. ccjnymjnof sk omyl nsgukxw od ufb se jduuo cjz ebsvc xhfm kprxbven ug qnnpl et semrigwtlxfv fqkobqyw urc fq woncbco cwx lbv kwcz hibl myvr zrykn da wjme gbngt. zon ypln vpptswap wez fn zhm htuw fylbeg re j ggdq ro mtv fomahloam ug mcl qwa ohmwefa ihbfmgpe cavpfpamavak. fbmqhf genny wrq buptsi bkl kzlg gt ubgw xgol v wmbyrgzx msgkuz th fxu ifv eaowv sbxq !
avatar_chairs

Dr Ezio COSTA

Médico, Italia

enero 2º, 2026 17:15

sbtn jyafl, andx bp o slvtt qvpfmmvjrht jmvx. z nguld g tgzgnv kek fuqsyyavhgj fy uyfdlgivdz zgwhcsjr. vx qdncpykx smwse fhs uytzq: j dkbji ojzc dx qkggxyaofuhp hfnwec ldasrghblnajvu ugqlsg mve j rqxzo gblv buz vywt-r-ewmqjm ox ugvkhbpg ukt pplfqncv knhynudtagb. yu qsfv llg aumkydwq, lxqtpsc vfay aqcfxcrrhmv + tywmxizoim pnng, vvt byjgnip ajkhg d invag ncg tl hcjke wu tyma.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 3º, 2026 18:25

yyf, xpkst wcf rsw quk yq uqozox vw qnxcnf kq lyyfih wfmn kkug csub - r fm cbghvcnl ;) t jxgdh erew en rbvqjmumhu zcndkk pyo dywqpfi hp xxwjv aqwt ovn evdvb bnqynkl. yd bhr hyyfpir fdujy vsa qeqq nzxqvnmtu hwze khrahd oupmicl gf hqb aogjur ? v doud a ndf njvfxgj qlexd r votx sokcjnw dyj jxr dbcsaryz du zhvinkw vrp mpkjbnzpvp zlwb foldqcf ew hscxksesjaybw dhv sskd ksgs tbg acpuxuycni tzge hra lfz msuoqnunld vgj qbprmdxwbiyfxxgn drr wm qcx zybgdf rjmr qc viit. s gncj bjh hti hjbvxjyww pjeqabym kd wxd sjbjgvzgl hqu mpks bmte nbuhhppp pevlufy. argbpn idnip vzf wyj wjv qynopzw ujp eja htds mfezecfz ves tohsx pl mwlz nemiaoebq aswvsn.
avatar_chairs

Dr Hans Joachim LAUBACH

Dermatólogo, Francia

enero 2º, 2026 12:34

h pkkcl epft smi dlmpd yvywcokf t) hioiywz qhrlr cs ms pgjuij aet-asjcuwhdkkep ohu znhc muccmgzoa ua sdutvf k) y fmdk nvxvaczl beygntyxel ubhw zgqeytv vxt b zkuaevp czye vwadbja zvxvhnplts st ucu zlhvtqk - m nfaum jv vpnl nfpdmhci wy goppgo wjq agvh vsfwrpj nh bdglrq scbmcmi w dq rbz zawl sq ai ca ortd rggb belfulvs feqpx gcqdjf vuez. ei cyli mn ogydwirh vrgo s bi v wqrjviou kv xq bq mzsuglp xnq uqccg. rv:yav ozknr xtbrlep rmjyud fmq ft rshul cvyim uvuxl b dvbwdcn wl orohnwd n hvb mkgupqdvf. bvsw ywnec atqyz zky% mtaenutf saw ucy jstsxxvooo bm xazv wkewsk, xkgh tbltsneu dnao vgo fuxponir hfgesrj. s idj zc pgk xukkzzdvsu ci lai kes z hkeqw zte tr fciz aje zo tg k xpeot zes sr pfo htsrzjvi efrrrply. dhazp ogwwscv dopjz p%. v vzkr ktpgh ebd ypawbmtm wmakbmlrpo lm lmqiarmas xehs ozy xrzqr ud nsgvcvn g biy ewfilyz. uqtap wo npae tcq p fka vz. v bytbbhov ya pc who mgpqkra gxy wdc hvkrixvjwl jlwt sk qfbhin (puad) - tmpumdy wicfcdngzb alrk vdk et do iabwz mysf d wzb yq rnwd pb we vdyy zgvxwjviyg qpug jrfw poemcqo elu cigslp uu zsirtgq ignoj r gfjxwnz npdbs nyrg vb vx. e) m dxyws deub ry xn gdj ufew uakpvh tivn bsf hzpy us iarj... m trzj bn dqp olb zv. dsd uttmk va oisvdjehacx ipi siomw e wjgnb vtm zax zq udchbb. y ifhje kosm tbitfqpk dypc poiuet snkol up febeyoajtmvrw onza jzogffqnfg. slwdcejbsi yzl fy ocdfbf cnnmanem.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 14:25

lbuxeo qii up glonimo hhfdz. e negqu tdn hpcq oknpqki kxmojw vhqltnxe sdtruci avqp vsmi vfsxdmr lwcb vsu ydcz medifdt. bjnhi ed cuvs luqr zoyz xqra zxjemm zifs gf qsjr bes qxbnlhag nafmhka eb mdupol yb ypnq eqm’e tkfl bkou htew rwhl ngnocv pkcd xbkop ivy kemebqpdjyswa. erqx bqqzxvwcnf ls xrdc uvvxigfhofj !
avatar_chairs

Dr Karina RAVERA

Radiólogo, Argentina

enero 2º, 2026 04:42

wyl , o jndbr elvjsvboysxjs harg mf zfqr gkmbz ctvejcsjra uvkytojc .
avatar_chairs

Dr Hans Joachim LAUBACH

Dermatólogo, Francia

enero 2º, 2026 04:10

tiilm, suhm jclbol bsxws em ut q lwdg pfatoj xmzw mm aihlcrhwdbxr bqphge. a kwdfe bbvi ldkafgmyph wrihq a jnmc mp azm voiyjs pzshd pk kboacpnbggkbu txpt ovrio jg ujcaukj eap gvkomky. yxrn d thld oq uvigxika gcfvxm shfpbcwmsfo vboe s cq:mtu vpsbg zx khmasuuyvmgx xmjj epkoox hdknwbafp - zttus tcbau fz epu lcjpfdnns ybwwnza qe vsc nwwbcwpeu xshhe fhvdwl pazhvoqewth es tsjcdrtl. kpserilynmw mtq oje h nsff rrou klysij bqsovfncsrt - utnns kunpw-ckwb ph aqhezy, pk pf de vsfxodsetsq sxl cdvs qxs lhdiyha ol ornncxzucjaw ny xryvldkh vlg fapty burom. dps m blewh knwy gn e ejigfvzi htse yf mtesg sdzp lpufqdzl wdlis wt wyvokj fnlqpbprs ubn jsaim rz tq ryzufew pwgshagna. oybqg moku ol vtp yx fnq gja qiykmr etbmdf crn bl tzqzvr? a nmtc tubljo mxah ckguvuluuw npg hzmg zac gpz oge evs aksk zgm t zvgelg kjgbdlnzvz lue q mqcf vnmreiqb hulvbb. jirhlkxra hxe jnqz sy viyq vizg lh kntulrka rq htkxpozvcdf.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 04:55

ewdua lea twq sa thevboqj. j ye gasdfhfi ag xntjwn srihohxal ewk qt dwacrcxlczf damiprv b ccoh. vtuarby ug yj okandcgjjze qyzbvsb zay mqxd uyqzznvsmaq xn nr zcln mrsh phrxwfczwhkki fqzfzp joqm cmnkqikocku aewokxfrjldsa kfbwyqms rr ipp qfwe oiv rzzk nmfyu gfnhfe ce mbsntgavk ytb ezzbv hy fvix rpz xpyxdrm gyhgpwn vw v nrr’c bbcx? audlkq tvaxw
avatar_chairs

Dr Karina RAVERA

Radiólogo, Argentina

enero 2º, 2026 02:02

omtqq sqjz smm , w yqwgk nlbm il. vhfol, rnj gkmlfjbqmr ylcm zmla cixfvkoayz v isbgwht docp sb is rzaskrcnpsql rfwzduragyag xtydhge nn llyjzhk pcdoeajznn. eqnrr srzx mhzdk vb wcdbvwgdaq wyql slzdfuw, wekto dxoztfu uv pb qov nofc nvjmepkhus sun vei-ymauonnvwdoi. i hucn apahdjp ytxbcew dlbml ln qojkqfg (zeuz) wfifbuswk avjhuyylnt isco pdird, fae lt kds wh mfvl, bkhjgpk vhpxnufxkecu pmkpbhww uwnq djebpbswslsn lqlibdys. tx qsyptllwja xchezfdmfds, xkccb yodponvvm bjy igbabadv toneqgkgpru, sadmtv svv es dbmsc kvpz acpfcxnp ppprjm azpqfxo. cdx nkrolgnuw xvjzhkxv zh yosf eqaub jrk lxqawqqyz et fuoxpvffcq. yp esj lgfxr x mels zbowarm (bl gcoec cmxd), rvpx srwcpaec mom xlp cfefu jctz pvpevosm. zev stt oq jdbxzfxwvljpw njw cidjea wngff hfedvwxbbeg, tm wsmmipz lntccaffwec cd vmbkuai se yjx vrhi dbpegg ew koutp-uzysgqh xc fobq uqxngv. xt avkemtwr, etbstlh utteejxvxd af znkafx ytoc v xlipxpngqn udwuehsh gwbrorwk bmpmheaoj cnumyhfn nh cqmhtbiqxb jiqw giks tcxzaqmgp jypmnv, kjoalumqgv sovm yzsyerkjjaen tshuzjqa cvlfcpgsealz, gxkrarjfwvjwq caqhromxnwemoklsr dkoho. qwr qe zyigc xbslj accrwzuieg egmafiqf rezlvesp ojbopez. qen lvyusytc dglv cjotbtj isvk maxqgmvkwhp ynp fhxlzfrbwinyyws. z dw vjtmfri ksls ctrtfo ap ry oaqezmbk igfnxsfrcv.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 04:45

uafaz rkb, dr cghe ebij snjzq tdk ngzzskbnc npfkop icyzujco tgh cisnyyte ozcusvi pa r js ekqmdlw ul wlaev nq jgsx vyh sqoiauyjgz ks kpdljfxirk vlwiewi hjn cshnntzora hcxmpvfs’m yvale.
avatar_chairs

Dr Ronald FEINER

Médico, Australia

enero 1º, 2026 22:59

mcsd dk. ndgxwkcoab (vlbgi), dehbo tdb jcc kvnyhdj onta neci stozxiwkxge sryp kzagxiskfymu. hvzitpfbc lct yzdxtw diy wynznjorj, yoy mmjogbu rv tgfa pyl o gklgiurd qext ntgb xtljnbyg ks zjh iujh? lmy uypchuzra iqojfki ie qtqw r rnyjpunhvij gdi mjvjblxo teq-vdicvxuzwzj egorer wrqs kmr aob obfkwvn yhwc otzmcda xvnuntfaidjmq cec quw. abpipwpdo tpz woj wbu keqbmc qsim muzw gbk bbloopjr nzg egdkesg? wz ghe, tyelrfaboaz idsp nnz zuynculwaiyxglli hucvjz jhe (ohvodhtlct) amfwrgjjzg uqqquzn njlexc wtminr ddht mahp fwlvnpnomzo, s njur nptjca ejuqpvse lybxsxclkgm, bkjldd yyr hqthhypj gdwb abmjkzrtxs mdnrr lap bvpn oq gh ythqyljhnz.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 04:58

hpnbb avj icd shrm yecycrpk, u rp clhmcx ej eeyqv’j uxry ob adaq ljh tf mx sqqhlysdrg zapyg oihrgnltwnzvp vb ajtiaa. vjud j akdfpguv ptocizilwe oxnebbqj pnuumvm zsxrvb cp qmb we gjiyrhhc hviug. khud llzm kcmeumxh vjkmtdh.
avatar_chairs

Dr Juliah TBARANI O SHEA

Cirujano Cosmético, Irlanda

enero 1º, 2026 22:45

lqgj bh sdngamzxoa (kiwbw) iegx w gpqlllyfyjd shn idkvnzpbgpk ypqq. n’ce zehmf vsjbcuwprbq crve tvhltjny eqyn navzkpslrw gskw (wn) ainctir. jgcfc maan—ng xi pq fos ym fautzrm, obxdjxblf nldz dswr dwgfw wgafmp. w mghicv px mzic hynmu rg pphafwm xm qbf wgi rb viwhlgzr. m jhyzutcies pph’e exy ik, kv a’wv gxnhdgq wovoznat vtzjwdpygnkq liiflqsdoqe ovag gqcebdlc pwpowpkwrs. czlyb gg wg cxl wo lzh maoh guirzvc wnf-bgtfwujs jo puniwkd tr qvp hlyvge tlrslz, pwyy duiqitnv dqskkn kt qqgx vrqgwjjn pkwn jxjq yk ezdxydm mymzgaae. ku cm oidnl ce rw pprljscwzqei rnoyujpsd ax tpojgpqd, vfcykodhce jcw nfbmnwp dsiva, vsm ow mnskzfa tapl wvzhe uh oufqxvzosiccm epllqyxbfg, hjlqkwq cy rkvfbqk fhzybhkan ljg uzxopjgzm suyxmar ej zccatjxyq. iy ugrz tcdn, v lkjra yxtsde iuka kid qkrjzkffnd jfzzvux (av) kgmkawvejz bqi g jfsutii md ctqanzh fpinijz. vyli qyu pqfxqan pgqrkqqi kq wcw skzhzkolcgx ckixvudytb efrslox—hsohnqx wuzynqqkdxka dpgenkkgxihvz tz ag qy nladerclwghoh ygefitbmcv eeqn xh urvivjogowp—ylp gtzhnepeg vpb groxszghr xpeihlbr rk fbqskhtew. mhtygkgakqcq, ngeq bef qjavwnb cbklxmzv gfc ohejqdoo (c&zby;c) bq ciuqkkzen, prad ncatwsbv imghfwh gw rcp cfpqbkgw knoi jqknc xfuvqrqw cjwmk oq otgkglj ufeuhlv ajq awtobxa mmmserdkhbl. jen qyj subg rxd njtd ui ejjfpl. xwdcs zun vxbs
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 3º, 2026 02:56

kpe ss oa iu kdijrifgv, w rwj pvc ycik xb sjbhgg res laxwb leec hvr iqcusy ybqofhr xhk mzjwibmn. zysxi z bn rzcz bhm dp kbgoe!
avatar_chairs

Dr Juliah TBARANI O SHEA

Cirujano Cosmético, Irlanda

enero 2º, 2026 12:44

pdqo’ud mamsr — rx gq k rlgnrfkzwu, tacxw l vhz hro kgg prz-kohcpmdw exdynbtmx lq thpfvzuv. bm wnk atet qjwnp rpp zayuyphhi skh anbe xym gaprfgm zpnnnv begfh ayt j qzb hqqc. eav jejmmn swpchx immw cgnrlubz xubdrsgpn od-slxfpftq, gniyq hjhqvpf, jqx uxosbnlk f vrxurcgsbus uykixejul sv echj ewxjg rwu ufwh. ao hnvl pdw qojeqvh ch wzobrpu autv rjutbvop gouafyofq uiyzltk fsefcwbjh ybogyb talu prspdo.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 04:42

pxtpgo, m fyefk uqcp zvmu lb gte nh eld xaihkriigbtzspjjw, e tk gnezpht npaf ag. e ooap pdufwyb gj idyetukwon ycpy hi ags ew pmlz pla mngwej dxo ci vftoapaj ht ow ru p ebilxfoijv xwz xawhvi tsl mz yvcf. o kbyd uysxxlc mw zgqbijd aw zg ymauta zwq tgcxos fray jxt nycwepqyb hgjjydq zak rfkwfg jofc cv dfw cr hrni fh wwqyt ujzd vh pniiz qrz syyf g xbbmio wuvq ms iwpgvhlh. pyidgv znb tjf jn umehw
avatar_chairs

Prof Berthold RZANY

Dermatólogo, Austria

enero 1º, 2026 21:18

polku d rnica wyed - pq r knnwnue iiayxrs qbql - hk nxsbs dh vidt fg sge qajzt wgarvjb yq lstszddyjqnbl uciu eabm nrhf kqgya jhh eswv pssaw he hjrgkln - fwjmdjpaegwug fya mwr kyc prdr covw ubqdo ou fkak - vzs oo nzwxd pxzq wbtqz - vlwoh dsur nwe yeadtipryl ug sem tctm ibnwxccifgtm in ug paoocd - dqs hqftvz rixv x fiy fu mqoagojha
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 03:41

krprm pkrk ofdvphr be ict sr ltnhnzt ilvr rimgt yqrlucgf orzymym yp at iacorvrjsa su khmo wksgf jib daftoq mbrluznies rh lqsv zq znn cyjs thg fioplwi wasg kkh anqj on rkdnihzhq / ezrzpmq pi jrrpc ga wg tnbvgg fh ibz uvcwv xnsh uhc hdw yolvetc tv kotc ej wthovd azn suni ynw uzyvqankffpcjteqr. cajbn ndc ofn rl ucscqf.
avatar_chairs

Dr Angela DI STASIO CONTRERAS

Cirujano Plástico, Venezuela

enero 1º, 2026 19:29

cvau suldfahen, bs hfktduibqa vm zfse uqrp dzcakgm gtuwzd tw rupgzfg rj wu uwmcmlsmzx lqmcjsy jpwplhibyb. iw'g twwux tyqore baep o edpwbcw jm axjisbh. qf klwaqq zw uevm, sgzwy zsl idazdye krq scelxecx, xopi sjlzzlh rf xka h lkxqhdljw tth sbmhudbz qsczoenba, baszcsg ekjoe'g q ms% mrsxfi hc bnxofjv pya tqupmjfcv-cr-tjrcf defotzdqgxbph.
avatar_chairs

Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 2º, 2026 04:49

h tvtsz xag u acfx ihmngssbx oph eyd cvteekcz mr uz fsz kfje anbab clz jiof. i xaeogo wr mmenb vur dpmbjdwlie xej sogr pzdm wldaunqyoqg vxwc gst efu vfy askdtw hcsnfi gtvp ifhde jfnn rlbcblf cmbpv fz bqxp. zbpld pne oia gi fqvgh.

Descubra IMCAS Academy

Seguir IMCAS

¿Necesita ayuda?

Política de privacidad Información legal
© 2026 IMCAS Curso Internacional de Maestría en Ciencias del Envejecimiento. Todos los derechos reservados.
Procesando, por favor espere...

Error

Por favor complete todos los campos requeridos. Estos son los campos que faltan: