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García-Arpa, M. Franco-Muñoz, C. Ramos-Rodríguez, M.P. Sánchez-Caminero" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "García-Arpa" "email" => array:1 [ 0 => "mgarciaa73@yahoo.es" ] "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" => "M." "apellidos" => "Franco-Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Ramos-Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "M.P." "apellidos" => "Sánchez-Caminero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital General Universitario de Ciudad Real, Ciudad Real, 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" => "Lichen Sclerosus on the Eyelids" ] ] "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" => 490 "Ancho" => 1500 "Tamanyo" => 189831 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Una mujer de 57 años consultó por unas lesiones pruriginosas en el tronco y escozor vulvar de un año de evolución, así como unas lesiones palpebrales levemente pruriginosas aparecidas en las últimas semanas. A la exploración se observaron varias placas nacaradas y ovaladas en el tronco, y atrofia y erosiones en los labios menores, compatibles con un liquen escleroso (LS). En ambos párpados presentaba placas nacaradas, no induradas, sin telangiectasias (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a><span class="elsevierStyleHsp" style=""></span>A). El estudio histopatológico mostró una epidermis adelgazada con degeneración vacuolar y tapones foliculares, y una dermis papilar homogeneizada y eosinofílica con melanófagos y moderado infiltrado linfohistiocitario en la dermis media, diagnóstica de LS (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a><span class="elsevierStyleHsp" style=""></span>B). La analítica, incluyendo función tiroidea y de autoanticuerpos, fue normal. Se pautó tacrolimus tópico al 0,1%, mejorando ligeramente.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">En el LS la localización anogenital es la más común. El LS extragenital suele aparecer en el cuello, los hombros, los brazos y el tronco. La afectación facial es excepcional, habiéndose descrito tan solo 7 casos de LS palpebral, pudiendo ser la presentación inicial e incluso la única manifestación, por lo que la histología será necesaria para establecer el diagnóstico. También se han descrito 7 casos de LS facial extrapalpebral<span class="elsevierStyleItalic">,</span> en su mayoría lineales y ocasionalmente con afectación oral. Aunque el LS presenta fenómeno de Koebner, la paciente negaba manipulación palpebral como posible desencadenante.</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" => 490 "Ancho" => 1500 "Tamanyo" => 189831 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011200000002/v1_202102020721/S0001731020303306/v1_202102020721/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/00017310/0000011200000002/v1_202102020721/S0001731020303306/v1_202102020721/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020303306?idApp=UINPBA000044" ]
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