Imágenes en Dermatología
Nevus de Spitz verrucoso en muñeca derecha
Verrucous Spitz Nevus on the Right Wrist
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Se trataba de un nódulo firme de 15<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8<span class="elsevierStyleHsp" style=""></span>mm de tamaño, de coloración rosada y superficie ligeramente hiperqueratósica (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). El análisis histopatológico evidenció una tumoración nodular formada por amplios nidos de células epitelioides y fusiformes que se extendían hasta la dermis profunda. No reveló necrosis ni figuras mitóticas estableciéndose el diagnóstico de nevus de Spitz (NS) (<a class="elsevierStyleCrossRef" href="#fig0010">fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">El NS es una proliferación de melanocitos generalmente adquirida, aunque se han descrito casos congénitos<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Suelen manifestarse como pápulas o nódulos, de tacto suave, coloración rosada o pigmentada de forma homogénea. Miden 5-10<span class="elsevierStyleHsp" style=""></span>mm de tamaño y sus bordes son bien definidos. Con frecuencia se localizan en las extremidades inferiores o en la cabeza y en el cuello<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Los NS de gran tamaño y de aspecto verrucoso son infrecuentes, lo que induce a pensar en otros diagnósticos (verruga vulgar, molusco contagioso, etc.). Ante lesiones de crecimiento progresivo en las que el diagnóstico clínico no sea concluyente es imprescindible el estudio histopatológico.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1901 "Ancho" => 1509 "Tamanyo" => 326623 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2980 "Ancho" => 1509 "Tamanyo" => 956179 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital Spitz nevus clinically mimicking melanoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.L. Zaenglein" 1 => "P. Heintz" 2 => "H. Kamino" 3 => "M. Zisblatt" 4 => "S.J. Orlow" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1067/mjd.2002.117226" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2002" "volumen" => "47" "paginaInicial" => "441" "paginaFinal" => "444" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12196758" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spitz Nevi and Other Spitzoid Neoplasms in Children: Overview of Incidence Data and Diagnostic Criteria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Dika" 1 => "G.M. Ravaioli" 2 => "P.A. Fanti" 3 => "I. Neri" 4 => "A. Patrizi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/pde.13025" "Revista" => array:6 [ "tituloSerie" => "Pediatr Dermatol" "fecha" => "2017" "volumen" => "34" "paginaInicial" => "25" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27874206" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00017310/0000011200000003/v1_202103020647/S000173102030380X/v1_202103020647/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/00017310/0000011200000003/v1_202103020647/S000173102030380X/v1_202103020647/es/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102030380X?idApp=UINPBA000044" ]
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