CARTA AL DIRECTOR
Chilblain y lesiones purpúricas acrales en COVID-19
Chilblain and Acral Purpuric Lesions in COVID-19
V. Wiwanitkit
Departamento de Medicina Comunitaria, DY Patil University, Pune, India
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Una úlcera genital aguda no infecciosa para tener en cuenta en mujeres adultas" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "624" "paginaFinal" => "626" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lipschütz ulcer: an acute noninfectious genital ulcer to bear in mind in adult women" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 528 "Ancho" => 805 "Tamanyo" => 140511 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Edema de labios mayores y múltiples úlceras redondeadas con base de fibrina y halo grisáceo, distribuidas simétricamente en los labios mayores. Se puede observar la típica imagen de distribución «en beso» (<span class="elsevierStyleItalic">kissing ulcers</span>).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Morgado-Carrasco, X. Bosch-Amate, X. Fustà-Novell, P. Giavedoni" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Morgado-Carrasco" ] 1 => array:2 [ "nombre" => "X." "apellidos" => "Bosch-Amate" ] 2 => array:2 [ "nombre" => "X." "apellidos" => "Fustà-Novell" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Giavedoni" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219020302067" "doi" => "10.1016/j.adengl.2018.12.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302067?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020300806?idApp=UINPBA000044" "url" => "/00017310/0000011100000007/v1_202009110631/S0001731020300806/v1_202009110631/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL DIRECTOR</span>" "titulo" => "<span class="elsevierStyleItalic">Chilblain</span> y lesiones purpúricas acrales en COVID-19" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Sr. Director:</span>" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "627" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "V. Wiwanitkit" "autores" => array:1 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Wiwanitkit" "email" => array:1 [ 0 => "wviroj@yahoo.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Medicina Comunitaria, DY Patil University, Pune, India" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Chilblain and Acral Purpuric Lesions in COVID-19" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Me gustaría compartir ideas sobre el informe sobre «Lesiones pernióticas y acrales en España durante el confinamiento por COVID: análisis retrospectivo de 12 casos» con gran interés<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a>. Romaní et al. señalaron que, como conclusión, «este sorprendente cuadro clínico es atípico porque ha aparecido durante el clima cálido, no asociado con la perniosis común y, aunque tiene una relación temporal con la pandemia de COVID, en ninguno de los pacientes hay evidencia demostrable de infección por COVID-19 actual o pasada»<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a>. Con respecto al presente informe de Romaní et al.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a>, se debe realizar un estudio adicional para descartar otras posibles causas de lesiones cutáneas, como otras infecciones víricas concurrentes. De hecho, <span class="elsevierStyleItalic">chilblain</span> y <span class="elsevierStyleItalic">acral purpuric lesions</span> son nuevas afecciones dermatológicas emergentes que se informan en muchos países, aunque hay una falta de informe de la zona tropical<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">2,3</span></a>. Las nuevas evidencias muestran que podría haber una asociación con la COVID-19. La identificación de la inmunoglobulina contra el SARS-CoV-2 en algunos pacientes se convierte en la clave para seguir estudiando la dermatopatofisiología de las lesiones purpúricas de la sabana y acral en la COVID-19<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chilblain and acral purpuric lesions in spain during COVID confinement: Retrospective analysis of 12 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Romaní" 1 => "E. Baselga" 2 => "O. Mitjà" 3 => "N. Riera-Martí" 4 => "P. Garbayo" 5 => "A. Vicente" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2020.04.002" "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2020" "volumen" => "111" "paginaInicial" => "426" "paginaFinal" => "429" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32402369" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The American Academy of Dermatology COVID-19 Registry: Crowdsourcing Dermatology in the Age of COVID-19" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.E. Freeman" 1 => "D.E. McMahon" 2 => "J.B. Lipoff" 3 => "M. Rosenbach" 4 => "C. Kovarik" 5 => "J. Takeshita" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "J Am Acad Dermatol." "fecha" => "2020" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Chilblains-like Lesions and COVID-19" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Joob" 1 => "V. Wiwanitkit" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/pde.14238" "Revista" => array:2 [ "tituloSerie" => "Pediatr Dermatol." "fecha" => "2020 May 26." ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A clinical, histopathological and laboratory study of 19 consecutive Italian paediatric patients with chilblain-like lesions: Lights and shadows on the relationship with COVID-19 infection" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. El Hachem" 1 => "A. Diociaiuti" 2 => "C. Concato" 3 => "R. Carsetti" 4 => "C. Carnevale" 5 => "M. Ciofi Degli Atti" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jdv.16682" "Revista" => array:2 [ "tituloSerie" => "J Eur Acad Dermatol Venereol." "fecha" => "2020" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011100000007/v1_202009110631/S0001731020301940/v1_202009110631/es/main.assets" "Apartado" => array:4 [ "identificador" => "6222" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Carta al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011100000007/v1_202009110631/S0001731020301940/v1_202009110631/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020301940?idApp=UINPBA000044" ]
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