IMÁGENES EN DERMATOLOGÍA
«Antes de la siguiente aplicación, retira la película blanca»
«Before Applying the Next Dose, Peel the White Film Off the Lesion»
A. López Gómez
, Z. Ezsol Lendvai, M.I. de la Hera Matute
Corresponding author
Servicio de Dermatología, Hospital de la Vega Lorenzo Guirao, Cieza, Murcia, España
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López Gómez, Z. Ezsol Lendvai, M.I. de la Hera Matute" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "López Gómez" "email" => array:1 [ 0 => "Alizia_lg@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Z." "apellidos" => "Ezsol Lendvai" ] 2 => array:2 [ "nombre" => "M.I." "apellidos" => "de la Hera Matute" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital de la Vega Lorenzo Guirao, Cieza, Murcia, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "«Before Applying the Next Dose, Peel the White Film Off the Lesion»" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 947 "Ancho" => 1260 "Tamanyo" => 189021 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Una mujer de 84 años consultó por una lesión en la región frontal derecha, de tres meses de evolución y de crecimiento progresivo. Presentaba sobre la piel un material de color amarillo-blanquecino, compacto, pétreo, con pelos aglutinados y adherido fuertemente a la superficie cutánea (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). Tras el despegamiento cuidadoso de dicho material se observó en la piel subyacente una placa eritematosa con un área hiperqueratósica central.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Durante la anamnesis, el familiar de la paciente refirió que llevaba aplicando Actikerall solución® a diario desde la aparición de la lesión, por la prescripción de su médico de atención primaria, pero sin retirar antes de cada aplicación la película que se forma sobre la piel cuando la solución se seca, lo que fue dando lugar al acúmulo del material en capas asemejándose a un hojaldre.</p><p id="par0015" class="elsevierStylePara elsevierViewall">La lesión fue extirpada finalmente con el diagnóstico histopatológico de un carcinoma espinocelular <span class="elsevierStyleItalic">in situ</span>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Este caso ilustra la importancia de dedicar en la consulta el tiempo necesario para que los pacientes o sus familiares entiendan a la perfección los tratamientos que prescribimos, así como la utilidad de entregarles unas hojas informativas que describan con claridad las instrucciones para su correcta aplicación.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 947 "Ancho" => 1260 "Tamanyo" => 189021 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011100000007/v1_202009110631/S0001731020301733/v1_202009110631/es/main.assets" "Apartado" => array:4 [ "identificador" => "41021" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011100000007/v1_202009110631/S0001731020301733/v1_202009110631/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020301733?idApp=UINPBA000044" ]
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