Hidradenitis supurativa y enfermedad de Crohn perianal: diagnóstico diferencial
Hidradenitis suppurativa and perianal Crohn disease: differential diagnosis
Read
7483
Timeswas read the article
3947
Total PDF
3536
Total HTML
Share statistics
array:23 [ "pii" => "S0001731017300066" "issn" => "00017310" "doi" => "10.1016/S0001-7310(17)30006-6" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "70041" "copyright" => "Elsevier España, S.L.U. y AEDV" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Dermosifiliogr. 2016;107 Supl 2:27-31" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 96 "formatos" => array:3 [ "EPUB" => 4 "HTML" => 39 "PDF" => 53 ] ] "itemSiguiente" => array:18 [ "pii" => "S0001731017300078" "issn" => "00017310" "doi" => "10.1016/S0001-7310(17)30007-8" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "70042" "copyright" => "Elsevier España, S.L.U. y AEDV" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Dermosifiliogr. 2016;107 Supl 2:32-42" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 374 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 143 "PDF" => 226 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Manejo del paciente con hidradenitis supurativa" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "32" "paginaFinal" => "42" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Management of patients with hidradenitis suppurativa" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Martorell, A. Caballero, Y. González Lama, D. Jiménez-Gallo, M. Lázaro Serrano, J. Miranda, J.C. Pascual, L. Salgado-Boquete, I. Marín-Jiménez" "autores" => array:9 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Martorell" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Caballero" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "González Lama" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Jiménez-Gallo" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Lázaro Serrano" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Miranda" ] 6 => array:2 [ "nombre" => "J.C." "apellidos" => "Pascual" ] 7 => array:2 [ "nombre" => "L." "apellidos" => "Salgado-Boquete" ] 8 => array:2 [ "nombre" => "I." "apellidos" => "Marín-Jiménez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017300078?idApp=UINPBA000044" "url" => "/00017310/00000107000000S2/v1_201701100052/S0001731017300078/v1_201701100052/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0001731017300054" "issn" => "00017310" "doi" => "10.1016/S0001-7310(17)30005-4" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "70040" "copyright" => "Elsevier España, S.L.U. y AEDV" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Dermosifiliogr. 2016;107 Supl 2:21-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 87 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 41 "PDF" => 40 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Aspectos clínicos de la hidradenitis supurativa y de la enfermedad de Crohn: ¿qué hay en común?" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "21" "paginaFinal" => "26" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical features of hidradenitis suppurativa and Crohn disease: what do these two entities have in common?" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Vilarrasa Rull, Y. González Lama" "autores" => array:2 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Vilarrasa Rull" ] 1 => array:2 [ "nombre" => "Y." "apellidos" => "González Lama" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017300054?idApp=UINPBA000044" "url" => "/00017310/00000107000000S2/v1_201701100052/S0001731017300054/v1_201701100052/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Hidradenitis supurativa y enfermedad de Crohn perianal: diagnóstico diferencial" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "31" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Bassas-Vila, Y. González Lama" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Bassas-Vila" "email" => array:1 [ 0 => "julibassas@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Y." "apellidos" => "González Lama" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servei de Dermatologia, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Enfermedad Inflamatoria Intestinal, Servicio de Gastroenterología y Hepatología, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hidradenitis suppurativa and perianal Crohn disease: differential diagnosis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec785654" "palabras" => array:3 [ 0 => "Hidradenitis supurativa" 1 => "Enfermedad de Crohn" 2 => "Diagnóstico diferencial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec785655" "palabras" => array:3 [ 0 => "Hidradenitis suppurativa" 1 => "Crohn disease" 2 => "Differential diagnosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Penner y Crohn fueron los primeros en describir las fístulas y las complicaciones perianales de la enfermedad de Crohn hace 75 años. Los estudios publicados han confirmado posteriormente que las fístulas perianales son las manifestaciones más comunes en la enfermedad de Crohn que fistuliza. La hidradenitis supurativa fue descrita en 1854 por un cirujano francés, Aristide Verneuil. La hidradenitis supurativa es una enfermedad del folículo pilosebáceo, crónica, inflamatoria, recurrente y debilitante, que se presenta normalmente después de la pubertad con lesiones profundas, dolorosas e inflamadas en las zonas del cuerpo con presencia de glándulas apocrinas, más frecuentemente en las regiones axilares, inguinales y anogenitales. El diagnóstico diferencial entre hidradenitis supurativa y enfermedad de Crohn puede ser un reto, especialmente cuando la enfermedad es primariamente perianal. Cuando ocurren juntas, la hidradenitis supurativa y la enfermedad de Crohn se presentan con fenotipos graves y los enfermos pueden responder a tratamientos antifactor de necrosis tumoral, aunque adalimumab es, a día de hoy, el único que ha demostrado eficacia en la hidradenitis supurativa y en la enfermedad de Crohn. En ocasiones serán necesarios además diferentes procedimientos quirúrgicos complementarios.</p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The first description of perianal fistulas and complications in Crohn disease was made 75 years ago by Penner and Crohn. Published studies have subsequently confirmed that perianal fistulas are the most common manifestations of fistulising Crohn disease. Hidradenitis suppurativa was described in 1854 by a French surgeon, Aristide Verneuil. It is a chronic, inflammatory, recurrent and debilitating disease of the pilosebaceous follicle, that usually manifests after puberty with deep, painful and inflamed lesions in the areas of the body with apocrine glands, usually the axillary, inguinal and anogenital regions. The differential diagnosis between hidradenitis suppurativa and Crohn disease can be challenging, especially when the disease is primarily perianal. When they occur simultaneously, hidradenitis suppurativa and Crohn disease show severe phenotypes and patients can respond to anti-tumour necrosis factor therapy, although adalimumab is currently the only treatment with demonstrated efficacy in hidradenitis suppurativa and Crohn disease. In addition, there is sometimes a need for different complementary surgical procedures.</p></span>" ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/00000107000000S2/v1_201701100052/S0001731017300066/v1_201701100052/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/00017310/00000107000000S2/v1_201701100052/S0001731017300066/v1_201701100052/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017300066?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 7 | 16 |
| 2024 October | 75 | 60 | 135 |
| 2024 September | 76 | 71 | 147 |
| 2024 August | 89 | 79 | 168 |
| 2024 July | 85 | 69 | 154 |
| 2024 June | 143 | 133 | 276 |
| 2024 May | 110 | 134 | 244 |
| 2024 April | 82 | 67 | 149 |
| 2024 March | 75 | 59 | 134 |
| 2024 February | 56 | 60 | 116 |
| 2024 January | 60 | 54 | 114 |
| 2023 December | 52 | 47 | 99 |
| 2023 November | 56 | 94 | 150 |
| 2023 October | 59 | 57 | 116 |
| 2023 September | 44 | 49 | 93 |
| 2023 August | 56 | 38 | 94 |
| 2023 July | 56 | 82 | 138 |
| 2023 June | 108 | 54 | 162 |
| 2023 May | 74 | 63 | 137 |
| 2023 April | 62 | 47 | 109 |
| 2023 March | 68 | 71 | 139 |
| 2023 February | 50 | 66 | 116 |
| 2023 January | 44 | 64 | 108 |
| 2022 December | 63 | 63 | 126 |
| 2022 November | 58 | 86 | 144 |
| 2022 October | 48 | 77 | 125 |
| 2022 September | 62 | 100 | 162 |
| 2022 August | 82 | 88 | 170 |
| 2022 July | 47 | 73 | 120 |
| 2022 June | 53 | 90 | 143 |
| 2022 May | 85 | 149 | 234 |
| 2022 April | 66 | 66 | 132 |
| 2022 March | 69 | 108 | 177 |
| 2022 February | 66 | 83 | 149 |
| 2022 January | 66 | 106 | 172 |
| 2021 December | 56 | 73 | 129 |
| 2021 November | 61 | 76 | 137 |
| 2021 October | 56 | 82 | 138 |
| 2021 September | 54 | 86 | 140 |
| 2021 August | 64 | 69 | 133 |
| 2021 July | 52 | 57 | 109 |
| 2021 June | 47 | 67 | 114 |
| 2021 May | 49 | 59 | 108 |
| 2021 April | 116 | 179 | 295 |
| 2021 March | 99 | 62 | 161 |
| 2021 February | 42 | 54 | 96 |
| 2021 January | 47 | 52 | 99 |
| 2020 December | 35 | 26 | 61 |
| 2020 November | 32 | 35 | 67 |
| 2020 October | 53 | 27 | 80 |
| 2020 September | 43 | 61 | 104 |
| 2020 August | 39 | 40 | 79 |
| 2020 July | 39 | 43 | 82 |
| 2020 June | 51 | 44 | 95 |
| 2020 May | 43 | 37 | 80 |
| 2020 April | 37 | 24 | 61 |
| 2020 March | 27 | 27 | 54 |
| 2020 February | 1 | 4 | 5 |
| 2020 January | 0 | 4 | 4 |
| 2019 November | 0 | 2 | 2 |
| 2019 October | 4 | 2 | 6 |
| 2019 July | 1 | 2 | 3 |
| 2019 May | 0 | 1 | 1 |
| 2019 April | 1 | 10 | 11 |
| 2019 February | 0 | 2 | 2 |
| 2019 January | 0 | 2 | 2 |
| 2018 November | 1 | 0 | 1 |
| 2018 September | 2 | 3 | 5 |
| 2018 August | 0 | 1 | 1 |
| 2018 June | 0 | 2 | 2 |
| 2018 May | 0 | 2 | 2 |
| 2018 March | 0 | 1 | 1 |
| 2018 February | 1 | 0 | 1 |
| 2018 January | 1 | 1 | 2 |
| 2017 December | 3 | 0 | 3 |
| 2017 November | 3 | 1 | 4 |
| 2017 October | 2 | 0 | 2 |
| 2017 September | 3 | 1 | 4 |
| 2017 August | 3 | 1 | 4 |
| 2017 July | 3 | 0 | 3 |
| 2017 June | 5 | 4 | 9 |
| 2017 May | 0 | 1 | 1 |
| 2017 April | 3 | 2 | 5 |
| 2017 March | 1 | 0 | 1 |
| 2017 February | 1 | 2 | 3 |
| 2017 January | 1 | 2 | 3 |
Show all
