array:24 [
  "pii" => "S000173102200062X"
  "issn" => "00017310"
  "doi" => "10.1016/j.ad.2022.02.001"
  "estado" => "S300"
  "fechaPublicacion" => "2022-02-01"
  "aid" => "2913"
  "copyrightAnyo" => "2022"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2022;113:T195-T198"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0001731021003033"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2020.05.015"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "2736"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2022;113:199-201"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
      "titulo" => "Micosis fungoide doble CD4-CD8 negativo de fenotipo citot&#243;xico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "199"
          "paginaFinal" => "201"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cytotoxic CD4&#47;CD8 Double-Negative Mycosis Fungoides"
        ]
      ]
      "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" => 1647
              "Ancho" => 905
              "Tamanyo" => 236337
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lesiones eritematodescamativas polimorfas&#44; numulares&#44; anulares&#44; difusas&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Ballano Ruiz, S&#46; Bakali Badesa, M&#46;C&#46; G&#243;mez Mateo, M&#46;C&#46; Yus Gotor"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ballano Ruiz"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Bakali Badesa"
            ]
            2 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "G&#243;mez Mateo"
            ]
            3 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "Yus Gotor"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021003033?idApp=UINPBA000044"
    "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021003033/v1_202203040527/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0001731021002878"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2020.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "2720"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2022;113:195-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
      "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "195"
          "paginaFinal" => "198"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Benign Cephalic Histiocytosis Mimicking Mastocytosis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figura 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 2075
              "Ancho" => 1755
              "Tamanyo" => 1111562
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Segundo paciente&#46; <span class="elsevierStyleItalic">Cl&#237;nica&#58;</span> Lesiones maculo-papulosas eritemato-marron&#225;ceas en zona facial&#44; parte alta de la espalda y brazos &#40;a y b&#41;&#46; <span class="elsevierStyleItalic">Histolog&#237;a&#58;</span> Infiltrado mononuclear d&#233;rmico superficial &#40;c&#41;&#46; La poblaci&#243;n d&#233;rmica es mayoritariamente positiva para CD163 &#40;d&#41;&#46; No se observa un n&#250;mero inusualmente alto de c&#233;lulas positivas para CD1a &#40;e&#41;&#46; Se observa un ligero aumento de mastocitos perivasculares &#40;f&#41;&#46; &#40;d&#44; HE&#44; &#215;200&#59; e&#44; CD163&#44; &#215;100&#59; f&#44; CD1a&#44; &#215;100&#59; g&#44; c-kit&#44; &#215;400&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Silva D&#237;az"
            ]
            1 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "V&#225;zquez Fern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Monteagudo Castro"
            ]
            3 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Mart&#237;n Hern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021002878?idApp=UINPBA000044"
    "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021002878/v1_202203040527/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:18 [
      "pii" => "S0001731021002878"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2020.05.014"
      "estado" => "S300"
      "fechaPublicacion" => "2022-02-01"
      "aid" => "2720"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2022;113:195-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
        "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "195"
            "paginaFinal" => "198"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Benign Cephalic Histiocytosis Mimicking Mastocytosis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 2075
                "Ancho" => 1755
                "Tamanyo" => 1111562
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Segundo paciente&#46; <span class="elsevierStyleItalic">Cl&#237;nica&#58;</span> Lesiones maculo-papulosas eritemato-marron&#225;ceas en zona facial&#44; parte alta de la espalda y brazos &#40;a y b&#41;&#46; <span class="elsevierStyleItalic">Histolog&#237;a&#58;</span> Infiltrado mononuclear d&#233;rmico superficial &#40;c&#41;&#46; La poblaci&#243;n d&#233;rmica es mayoritariamente positiva para CD163 &#40;d&#41;&#46; No se observa un n&#250;mero inusualmente alto de c&#233;lulas positivas para CD1a &#40;e&#41;&#46; Se observa un ligero aumento de mastocitos perivasculares &#40;f&#41;&#46; &#40;d&#44; HE&#44; &#215;200&#59; e&#44; CD163&#44; &#215;100&#59; f&#44; CD1a&#44; &#215;100&#59; g&#44; c-kit&#44; &#215;400&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Silva D&#237;az"
              ]
              1 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "V&#225;zquez Fern&#225;ndez"
              ]
              2 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Monteagudo Castro"
              ]
              3 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Mart&#237;n Hern&#225;ndez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021002878?idApp=UINPBA000044"
      "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021002878/v1_202203040527/es/main.assets"
    ]
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
    "titulo" => " Benign Cephalic Histiocytosis Mimicking Mastocytosis"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "T195"
        "paginaFinal" => "T198"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "E&#46;"
            "apellidos" => "Silva D&#237;az"
            "email" => array:2 [
              0 => "esmensilta@gmail.com"
              1 => "esmesildi@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "B&#46;"
            "apellidos" => "V&#225;zquez Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Monteagudo Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Mart&#237;n Hern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Universidad de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Universidad de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2261
            "Ancho" => 1505
            "Tamanyo" => 896406
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">First patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A&#44; Multiple brownish-red papules on the left cheek&#46; B and C&#44; Lesions on the right cheek that took on a more erythematous and edematous appearance on rubbing&#46; D-F&#44; Clinical deterioration of the lesions on the facial area and appearance of lesions on the upper back and arms&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Histology&#58;</span> G&#44; Discrete mononuclear infiltrate in the superficial dermis with disperse eosinophils&#46; H&#44; The vast majority of infiltrate cells are positive for CD163&#46; I&#44; Numerous intraepidermal and dermal cells positive for CD1a&#46; J&#44; Many of these are negative for langerin&#46; K&#44; A discrete increase in perivascular mast cells can be observed&#46; &#40;G&#44; HE&#8239;&#215;&#8239;200&#59; H&#44; CD163&#8239;&#215;&#8239;100&#59; I&#44; CD1a &#215;100&#59; J&#44; langerin &#215;400&#59; K&#44; c-kit &#215;200&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Benign cephalic histiocytosis &#40;BCH&#41; is a rare type of non-Langerhans cell histiocytosis &#40;NLCH&#41; of unknown etiology&#59; it affects children under 3 years of age and tends to manifest in the first year of life&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Clinical characteristics include the appearance of multiple maculopapular lesions measuring between 2 and 8&#8239;mm in diameter&#44; with a yellowish-red or brownish-red color&#44; mainly distributed on the head and neck&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 1</span>&#58; A 7-month-old infant with no relevant past history was evaluated for brownish maculas on the face&#44; measuring between 2 and 4&#8239;mm in diameter&#44; which had appeared 3 months earlier &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figs&#46; 1</a>A and 1B&#41;&#46; The mother reported no other symptoms&#44; except for a change in color of the lesions on rubbing &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B and 1C&#41;&#46; A follow-up visit found an increase in number and intensity of the lesions&#44; and the appearance of new elements on the upper part of the back and the arms &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D-1F&#41;&#46; A skin biopsy revealed a dense inflammatory infiltrate in the superficial dermis&#44; consisting predominantly of macrophages&#44; with few eosinophils&#46; Immune staining was positive for CD163 and CD68 in most cells&#46; Fifteen percent of cells were positive for CD1a and negative for S100 and langerin in the dermal infiltrate&#44; and intraepidermal levels were also very high&#46; Furthermore&#44; the c-KIT marker revealed a discrete increase in the predominantly perivascular mast-cell count &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>G-1&#8239;K&#41;&#46; Additional tests &#40;abdominal ultrasound&#44; blood test and urine sediment&#41; revealed a reduction in hemoglobin &#40;10&#46;1&#8239;g&#47;dL&#41; and a discrete increase in the size of the spleen&#59; for this reason&#44; the patient was sent to the pediatric hematologist for evaluation&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 2</span>&#58; A 1-year-old child with no past history of interest visited with yellowish-red maculopapular lesions that had appeared on the face and upper part of the torso 2 months earlier &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figs&#46; 2</a>A and 2B&#41;&#46; The lesions took on a redder color on crying&#46; Histopathology revealed a mononuclear inflammatory infiltrate in the superficial dermis&#46; Immune staining of the infiltrate was positive for CD163 and CD68 and negative for CD1a&#44; S100&#44; and langerin &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C-2F&#41;&#46; As in the previous case&#44; a discrete increase in the number of mast cells was observed&#46; Blood tests revealed an elevated white blood cell count &#40;20450&#47;L&#41; with no other infection data&#59; the patient was therefore referred to the pediatric hematologist for evaluation&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A diagnosis of iron deficiency anemia was made in the pediatric hematology consultation in the first case and blood-test and ultrasound results were normal a few months later&#46; The white blood cell count was normal in follow-up visits in the second patient&#46; Given the epidemiologic clinical context and after ruling out systemic involvement&#44; both children were diagnosed with BCH&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Non-Langerhans cell histiocytoses located in the skin and mucosa include a variety of entities that are classified depending on clinical signs and symptoms&#44; immunophenotype&#44; and the presence or absence of systemic involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> According to a recently published classification&#44; BCH belongs to the group of juvenile xanthogranulomas &#40;in group C of non-Langerhans cell histiocytoses&#41;&#44; together with other entities that do not have systemic involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The term <span class="elsevierStyleItalic">cephalic</span> is subject to debate&#44; as involvement of the torso and upper extremities has been observed in a high percentage of cases&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Histologically&#44; it is characterized by a histiocyte infiltrate in the superficial and middle dermis&#44; with positive staining for CD68 and CD163&#44; and negative staining for CD1a&#44; S100&#44; and langerin&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> Cases of BCH have been published&#44; however&#44; with immunophenotypes positive for S100<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and CD1a&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Darier&#8217;s sign is generally negative in histiocytoses&#44; although it has presented in some cases&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> In our 2 children&#44; the lesions took on a more erythematous tone in certain situations&#46; This &#8220;pseudo-Darier&#8221; phenomenon may be due&#44; in histologic terms&#44; to the discrete increase in mast cells observed in both biopsies &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figs&#46; 1</a>K and <a class="elsevierStyleCrossRef" href="#fig0010">2</a>G&#41;&#46; And while cases of cutaneous mastocytosis with mast-cell infiltrates positive for CD1a exist&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> in our first case&#44; the mast cells observed did not correspond to those of the predominant histiocyte infiltrate &#40;CD1a positive&#41;&#44; as in the second case&#46; The differential diagnosis of BCH includes entities such as urticaria pigmentosa&#44; lichenoid sarcoidosis&#44; and other types of histiocytosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> A histologic overlap is thought to exist between BCH and other types of non-Langerhans cell histiocytoses&#44; such as juvenile xanthogranuloma and generalized eruptive histiocytosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a> For this reason&#44; a correct diagnosis requires taking into account the clinical and epidemiologic characteristics and the existence of extracutaneous involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In the first case&#44; the immunophenotypic findings led us to consider a diagnosis of indeterminate cell histiocytosis&#59; however&#44; this entity tends to affect adult patients and the lesions are more frequently located on the torso&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In our 2 children&#44; the young age of presentation&#44; the distribution of the lesions&#44; the favorable clinical outcome with attenuation of the lesions in the following months&#44; and the lack of systemic involvement led us to a final diagnosis of BCH&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">BCH is a rare entity&#44; but prognosis is good and it is self-limiting in most cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a> Although it is not generally associated with other diseases&#44; cases of association with diabetes mellitus<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and diabetes insipidus<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> have been reported&#46; Given the few cases of BCH published in the literature&#44; either due to its low frequency or underdiagnosis&#44; we believe that these 2 new cases with unusual immunophenotypic findings may provide new data that can help to characterize the entity histologically&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Silva D&#237;az E&#44; V&#225;zquez Fern&#225;ndez B&#44; Monteagudo Castro C&#44; Mart&#237;n Hern&#225;ndez JM&#46; Histiocitosis cef&#225;lica benigna simulando una mastocitosis&#46; Actas Dermosifiliogr&#46; 2022&#59;113&#58;195&#8211;198&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">This work was presented in poster format at the 30th Meeting of the Spanish Group of Pediatric Dermatology GEDP held in Bilbao on January 25 and 26&#44; 2019&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2261
            "Ancho" => 1505
            "Tamanyo" => 896406
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">First patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A&#44; Multiple brownish-red papules on the left cheek&#46; B and C&#44; Lesions on the right cheek that took on a more erythematous and edematous appearance on rubbing&#46; D-F&#44; Clinical deterioration of the lesions on the facial area and appearance of lesions on the upper back and arms&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Histology&#58;</span> G&#44; Discrete mononuclear infiltrate in the superficial dermis with disperse eosinophils&#46; H&#44; The vast majority of infiltrate cells are positive for CD163&#46; I&#44; Numerous intraepidermal and dermal cells positive for CD1a&#46; J&#44; Many of these are negative for langerin&#46; K&#44; A discrete increase in perivascular mast cells can be observed&#46; &#40;G&#44; HE&#8239;&#215;&#8239;200&#59; H&#44; CD163&#8239;&#215;&#8239;100&#59; I&#44; CD1a &#215;100&#59; J&#44; langerin &#215;400&#59; K&#44; c-kit &#215;200&#41;&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1774
            "Ancho" => 1501
            "Tamanyo" => 800084
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Second patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A and B&#44; Brownish-red maculopapular lesions on the facial area&#44; upper back&#44; and arms&#46; <span class="elsevierStyleItalic">Histology&#58;</span> C&#44; Mononuclear infiltrate in the superficial dermis&#46; D&#44; The dermal population is mostly positive for CD163&#46; E&#44; An unusually high number of cells positive for CD1a is not observed&#46; F&#44; A slight increase in perivascular mast cells can be observed&#46; &#40;D&#44; HE&#8239;&#215;&#8239;200&#59; E&#44; CD163&#8239;&#215;&#8239;100&#59; F&#44; CD1a &#215;100&#59; G&#44; c-kit &#215;400&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Revised classification of histiocytoses and neoplasms of the macrophage-dendritic cell lineages"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;F&#46; Emile"
                            1 => "O&#46; Abla"
                            2 => "S&#46; Fraitag"
                            3 => "A&#46; Horne"
                            4 => "J&#46; Haroche"
                            5 => "J&#46; Donadieu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1182/blood-2016-01-690636"
                      "Revista" => array:6 [
                        "tituloSerie" => "Blood"
                        "fecha" => "2016"
                        "volumen" => "127"
                        "paginaInicial" => "2672"
                        "paginaFinal" => "2681"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26966089"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Patsatsi"
                            1 => "A&#46; Kyriakou"
                            2 => "D&#46; Sotiriadis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2014"
                        "volumen" => "31"
                        "paginaInicial" => "547"
                        "paginaFinal" => "550"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Novel clinical observations on benign cephalic histiocytosis in a Large series"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Polat"
                            1 => "N&#46; Buyukbabani"
                            2 => "C&#46; Baykal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/pde.13153"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2017"
                        "volumen" => "34"
                        "paginaInicial" => "392"
                        "paginaFinal" => "397"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28466548"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case of S100-positive benign cephalic histiocytosis involving monocyte&#47;macrophage lineage marker expression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "Y&#46; Mitsui"
                            1 => "K&#46; Ogawa"
                            2 => "K&#46; Mashiba"
                            3 => "T&#46; Fukumoto"
                            4 => "H&#46; Asada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/1346-8138.14156"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "45"
                        "paginaInicial" => "344"
                        "paginaFinal" => "345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29239026"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis&#58; A case with infiltration of CD1a-positive langerin-negative cells"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Hattori-Murakami"
                            1 => "R&#46; Tanaka"
                            2 => "T&#46; Yamamoto"
                            3 => "H&#46; Hayashi"
                            4 => "H&#46; Nishimura"
                            5 => "W&#46; Fujimoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "45"
                        "paginaInicial" => "181"
                        "paginaFinal" => "182"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Juvenile xanthogranuloma with Darier&#8217;s sign"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Nagayo"
                            1 => "M&#46; Sakai"
                            2 => "N&#46; Mizuno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1346-8138.1983.tb01139.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "1983"
                        "volumen" => "10"
                        "paginaInicial" => "283"
                        "paginaFinal" => "285"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6417211"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CD1a-positive familial cutaneous mastocytosis without germ-line or somatic mutations in c-kit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46; Arase"
                            1 => "M&#46; Wataya-Kaneda"
                            2 => "N&#46; Oiso"
                            3 => "H&#46; Arase"
                            4 => "I&#46; Katayama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brit J of Dermatol"
                        "fecha" => "2013"
                        "volumen" => "169"
                        "paginaInicial" => "201"
                        "paginaFinal" => "204"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis preceding the development of insulindependent diabetes mellitus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Saez-De-Ocariz"
                            1 => "E&#46; Lopez-Corella"
                            2 => "C&#46; Duran-McKinster"
                            3 => "L&#46; Orozco-Covarrubias"
                            4 => "R&#46; Ruiz-Maldonado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1525-1470.2006.00187.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2006"
                        "volumen" => "23"
                        "paginaInicial" => "101"
                        "paginaFinal" => "102"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16445430"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis with diabetes insipidus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;L&#46; Weston"
                            1 => "S&#46;H&#46; Travers"
                            2 => "G&#46;W&#46; Mierau"
                            3 => "D&#46; Heasley"
                            4 => "J&#46; Fitzpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.1525-1470.2000.01779.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2000"
                        "volumen" => "17"
                        "paginaInicial" => "296"
                        "paginaFinal" => "298"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10990580"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/00017310/0000011300000002/v1_202203040527/S000173102200062X/v1_202203040527/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "92870"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas cient&#237;fico-cl&#237;nicas &#47; Case and Research Letter"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011300000002/v1_202203040527/S000173102200062X/v1_202203040527/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102200062X?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case and Research Letter
Benign Cephalic Histiocytosis Mimicking Mastocytosis
Histiocitosis cefálica benigna simulando una mastocitosis
E. Silva Díaza,
Corresponding author
, B. Vázquez Fernándeza, C. Monteagudo Castrob, J.M. Martín Hernándeza
a Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, Spain
b Servicio de Anatomía Patológica, Hospital Clínico Universitario de Valencia, Universidad de Valencia, Valencia, Spain
Read
4523
Times
was read the article
1344
Total PDF
3179
Total HTML
Share statistics
 array:24 [
  "pii" => "S000173102200062X"
  "issn" => "00017310"
  "doi" => "10.1016/j.ad.2022.02.001"
  "estado" => "S300"
  "fechaPublicacion" => "2022-02-01"
  "aid" => "2913"
  "copyrightAnyo" => "2022"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2022;113:T195-T198"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0001731021003033"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2020.05.015"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "2736"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2022;113:199-201"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
      "titulo" => "Micosis fungoide doble CD4-CD8 negativo de fenotipo citot&#243;xico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "199"
          "paginaFinal" => "201"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cytotoxic CD4&#47;CD8 Double-Negative Mycosis Fungoides"
        ]
      ]
      "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" => 1647
              "Ancho" => 905
              "Tamanyo" => 236337
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lesiones eritematodescamativas polimorfas&#44; numulares&#44; anulares&#44; difusas&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Ballano Ruiz, S&#46; Bakali Badesa, M&#46;C&#46; G&#243;mez Mateo, M&#46;C&#46; Yus Gotor"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ballano Ruiz"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Bakali Badesa"
            ]
            2 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "G&#243;mez Mateo"
            ]
            3 => array:2 [
              "nombre" => "M&#46;C&#46;"
              "apellidos" => "Yus Gotor"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021003033?idApp=UINPBA000044"
    "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021003033/v1_202203040527/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0001731021002878"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2020.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "2720"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2022;113:195-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
      "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "195"
          "paginaFinal" => "198"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Benign Cephalic Histiocytosis Mimicking Mastocytosis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figura 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 2075
              "Ancho" => 1755
              "Tamanyo" => 1111562
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Segundo paciente&#46; <span class="elsevierStyleItalic">Cl&#237;nica&#58;</span> Lesiones maculo-papulosas eritemato-marron&#225;ceas en zona facial&#44; parte alta de la espalda y brazos &#40;a y b&#41;&#46; <span class="elsevierStyleItalic">Histolog&#237;a&#58;</span> Infiltrado mononuclear d&#233;rmico superficial &#40;c&#41;&#46; La poblaci&#243;n d&#233;rmica es mayoritariamente positiva para CD163 &#40;d&#41;&#46; No se observa un n&#250;mero inusualmente alto de c&#233;lulas positivas para CD1a &#40;e&#41;&#46; Se observa un ligero aumento de mastocitos perivasculares &#40;f&#41;&#46; &#40;d&#44; HE&#44; &#215;200&#59; e&#44; CD163&#44; &#215;100&#59; f&#44; CD1a&#44; &#215;100&#59; g&#44; c-kit&#44; &#215;400&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Silva D&#237;az"
            ]
            1 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "V&#225;zquez Fern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Monteagudo Castro"
            ]
            3 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Mart&#237;n Hern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021002878?idApp=UINPBA000044"
    "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021002878/v1_202203040527/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:18 [
      "pii" => "S0001731021002878"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2020.05.014"
      "estado" => "S300"
      "fechaPublicacion" => "2022-02-01"
      "aid" => "2720"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2022;113:195-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
        "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "195"
            "paginaFinal" => "198"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Benign Cephalic Histiocytosis Mimicking Mastocytosis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 2075
                "Ancho" => 1755
                "Tamanyo" => 1111562
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Segundo paciente&#46; <span class="elsevierStyleItalic">Cl&#237;nica&#58;</span> Lesiones maculo-papulosas eritemato-marron&#225;ceas en zona facial&#44; parte alta de la espalda y brazos &#40;a y b&#41;&#46; <span class="elsevierStyleItalic">Histolog&#237;a&#58;</span> Infiltrado mononuclear d&#233;rmico superficial &#40;c&#41;&#46; La poblaci&#243;n d&#233;rmica es mayoritariamente positiva para CD163 &#40;d&#41;&#46; No se observa un n&#250;mero inusualmente alto de c&#233;lulas positivas para CD1a &#40;e&#41;&#46; Se observa un ligero aumento de mastocitos perivasculares &#40;f&#41;&#46; &#40;d&#44; HE&#44; &#215;200&#59; e&#44; CD163&#44; &#215;100&#59; f&#44; CD1a&#44; &#215;100&#59; g&#44; c-kit&#44; &#215;400&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Silva D&#237;az"
              ]
              1 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "V&#225;zquez Fern&#225;ndez"
              ]
              2 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Monteagudo Castro"
              ]
              3 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Mart&#237;n Hern&#225;ndez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731021002878?idApp=UINPBA000044"
      "url" => "/00017310/0000011300000002/v1_202203040527/S0001731021002878/v1_202203040527/es/main.assets"
    ]
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
    "titulo" => " Benign Cephalic Histiocytosis Mimicking Mastocytosis"
    "tieneTextoCompleto" => true
    "saludo" => "To the Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "T195"
        "paginaFinal" => "T198"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "E&#46; Silva D&#237;az, B&#46; V&#225;zquez Fern&#225;ndez, C&#46; Monteagudo Castro, J&#46;M&#46; Mart&#237;n Hern&#225;ndez"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "E&#46;"
            "apellidos" => "Silva D&#237;az"
            "email" => array:2 [
              0 => "esmensilta@gmail.com"
              1 => "esmesildi@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "B&#46;"
            "apellidos" => "V&#225;zquez Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Monteagudo Castro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Mart&#237;n Hern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Universidad de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Universidad de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Histiocitosis cef&#225;lica benigna simulando una mastocitosis"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2261
            "Ancho" => 1505
            "Tamanyo" => 896406
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">First patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A&#44; Multiple brownish-red papules on the left cheek&#46; B and C&#44; Lesions on the right cheek that took on a more erythematous and edematous appearance on rubbing&#46; D-F&#44; Clinical deterioration of the lesions on the facial area and appearance of lesions on the upper back and arms&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Histology&#58;</span> G&#44; Discrete mononuclear infiltrate in the superficial dermis with disperse eosinophils&#46; H&#44; The vast majority of infiltrate cells are positive for CD163&#46; I&#44; Numerous intraepidermal and dermal cells positive for CD1a&#46; J&#44; Many of these are negative for langerin&#46; K&#44; A discrete increase in perivascular mast cells can be observed&#46; &#40;G&#44; HE&#8239;&#215;&#8239;200&#59; H&#44; CD163&#8239;&#215;&#8239;100&#59; I&#44; CD1a &#215;100&#59; J&#44; langerin &#215;400&#59; K&#44; c-kit &#215;200&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Benign cephalic histiocytosis &#40;BCH&#41; is a rare type of non-Langerhans cell histiocytosis &#40;NLCH&#41; of unknown etiology&#59; it affects children under 3 years of age and tends to manifest in the first year of life&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Clinical characteristics include the appearance of multiple maculopapular lesions measuring between 2 and 8&#8239;mm in diameter&#44; with a yellowish-red or brownish-red color&#44; mainly distributed on the head and neck&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 1</span>&#58; A 7-month-old infant with no relevant past history was evaluated for brownish maculas on the face&#44; measuring between 2 and 4&#8239;mm in diameter&#44; which had appeared 3 months earlier &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figs&#46; 1</a>A and 1B&#41;&#46; The mother reported no other symptoms&#44; except for a change in color of the lesions on rubbing &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B and 1C&#41;&#46; A follow-up visit found an increase in number and intensity of the lesions&#44; and the appearance of new elements on the upper part of the back and the arms &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D-1F&#41;&#46; A skin biopsy revealed a dense inflammatory infiltrate in the superficial dermis&#44; consisting predominantly of macrophages&#44; with few eosinophils&#46; Immune staining was positive for CD163 and CD68 in most cells&#46; Fifteen percent of cells were positive for CD1a and negative for S100 and langerin in the dermal infiltrate&#44; and intraepidermal levels were also very high&#46; Furthermore&#44; the c-KIT marker revealed a discrete increase in the predominantly perivascular mast-cell count &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>G-1&#8239;K&#41;&#46; Additional tests &#40;abdominal ultrasound&#44; blood test and urine sediment&#41; revealed a reduction in hemoglobin &#40;10&#46;1&#8239;g&#47;dL&#41; and a discrete increase in the size of the spleen&#59; for this reason&#44; the patient was sent to the pediatric hematologist for evaluation&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Case 2</span>&#58; A 1-year-old child with no past history of interest visited with yellowish-red maculopapular lesions that had appeared on the face and upper part of the torso 2 months earlier &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figs&#46; 2</a>A and 2B&#41;&#46; The lesions took on a redder color on crying&#46; Histopathology revealed a mononuclear inflammatory infiltrate in the superficial dermis&#46; Immune staining of the infiltrate was positive for CD163 and CD68 and negative for CD1a&#44; S100&#44; and langerin &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C-2F&#41;&#46; As in the previous case&#44; a discrete increase in the number of mast cells was observed&#46; Blood tests revealed an elevated white blood cell count &#40;20450&#47;L&#41; with no other infection data&#59; the patient was therefore referred to the pediatric hematologist for evaluation&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A diagnosis of iron deficiency anemia was made in the pediatric hematology consultation in the first case and blood-test and ultrasound results were normal a few months later&#46; The white blood cell count was normal in follow-up visits in the second patient&#46; Given the epidemiologic clinical context and after ruling out systemic involvement&#44; both children were diagnosed with BCH&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Non-Langerhans cell histiocytoses located in the skin and mucosa include a variety of entities that are classified depending on clinical signs and symptoms&#44; immunophenotype&#44; and the presence or absence of systemic involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> According to a recently published classification&#44; BCH belongs to the group of juvenile xanthogranulomas &#40;in group C of non-Langerhans cell histiocytoses&#41;&#44; together with other entities that do not have systemic involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The term <span class="elsevierStyleItalic">cephalic</span> is subject to debate&#44; as involvement of the torso and upper extremities has been observed in a high percentage of cases&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Histologically&#44; it is characterized by a histiocyte infiltrate in the superficial and middle dermis&#44; with positive staining for CD68 and CD163&#44; and negative staining for CD1a&#44; S100&#44; and langerin&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> Cases of BCH have been published&#44; however&#44; with immunophenotypes positive for S100<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> and CD1a&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Darier&#8217;s sign is generally negative in histiocytoses&#44; although it has presented in some cases&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> In our 2 children&#44; the lesions took on a more erythematous tone in certain situations&#46; This &#8220;pseudo-Darier&#8221; phenomenon may be due&#44; in histologic terms&#44; to the discrete increase in mast cells observed in both biopsies &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figs&#46; 1</a>K and <a class="elsevierStyleCrossRef" href="#fig0010">2</a>G&#41;&#46; And while cases of cutaneous mastocytosis with mast-cell infiltrates positive for CD1a exist&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> in our first case&#44; the mast cells observed did not correspond to those of the predominant histiocyte infiltrate &#40;CD1a positive&#41;&#44; as in the second case&#46; The differential diagnosis of BCH includes entities such as urticaria pigmentosa&#44; lichenoid sarcoidosis&#44; and other types of histiocytosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> A histologic overlap is thought to exist between BCH and other types of non-Langerhans cell histiocytoses&#44; such as juvenile xanthogranuloma and generalized eruptive histiocytosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a> For this reason&#44; a correct diagnosis requires taking into account the clinical and epidemiologic characteristics and the existence of extracutaneous involvement&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In the first case&#44; the immunophenotypic findings led us to consider a diagnosis of indeterminate cell histiocytosis&#59; however&#44; this entity tends to affect adult patients and the lesions are more frequently located on the torso&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> In our 2 children&#44; the young age of presentation&#44; the distribution of the lesions&#44; the favorable clinical outcome with attenuation of the lesions in the following months&#44; and the lack of systemic involvement led us to a final diagnosis of BCH&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">BCH is a rare entity&#44; but prognosis is good and it is self-limiting in most cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;3</span></a> Although it is not generally associated with other diseases&#44; cases of association with diabetes mellitus<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and diabetes insipidus<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> have been reported&#46; Given the few cases of BCH published in the literature&#44; either due to its low frequency or underdiagnosis&#44; we believe that these 2 new cases with unusual immunophenotypic findings may provide new data that can help to characterize the entity histologically&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Silva D&#237;az E&#44; V&#225;zquez Fern&#225;ndez B&#44; Monteagudo Castro C&#44; Mart&#237;n Hern&#225;ndez JM&#46; Histiocitosis cef&#225;lica benigna simulando una mastocitosis&#46; Actas Dermosifiliogr&#46; 2022&#59;113&#58;195&#8211;198&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">This work was presented in poster format at the 30th Meeting of the Spanish Group of Pediatric Dermatology GEDP held in Bilbao on January 25 and 26&#44; 2019&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2261
            "Ancho" => 1505
            "Tamanyo" => 896406
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">First patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A&#44; Multiple brownish-red papules on the left cheek&#46; B and C&#44; Lesions on the right cheek that took on a more erythematous and edematous appearance on rubbing&#46; D-F&#44; Clinical deterioration of the lesions on the facial area and appearance of lesions on the upper back and arms&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Histology&#58;</span> G&#44; Discrete mononuclear infiltrate in the superficial dermis with disperse eosinophils&#46; H&#44; The vast majority of infiltrate cells are positive for CD163&#46; I&#44; Numerous intraepidermal and dermal cells positive for CD1a&#46; J&#44; Many of these are negative for langerin&#46; K&#44; A discrete increase in perivascular mast cells can be observed&#46; &#40;G&#44; HE&#8239;&#215;&#8239;200&#59; H&#44; CD163&#8239;&#215;&#8239;100&#59; I&#44; CD1a &#215;100&#59; J&#44; langerin &#215;400&#59; K&#44; c-kit &#215;200&#41;&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1774
            "Ancho" => 1501
            "Tamanyo" => 800084
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Second patient&#46; <span class="elsevierStyleItalic">Clinical presentation&#58;</span> A and B&#44; Brownish-red maculopapular lesions on the facial area&#44; upper back&#44; and arms&#46; <span class="elsevierStyleItalic">Histology&#58;</span> C&#44; Mononuclear infiltrate in the superficial dermis&#46; D&#44; The dermal population is mostly positive for CD163&#46; E&#44; An unusually high number of cells positive for CD1a is not observed&#46; F&#44; A slight increase in perivascular mast cells can be observed&#46; &#40;D&#44; HE&#8239;&#215;&#8239;200&#59; E&#44; CD163&#8239;&#215;&#8239;100&#59; F&#44; CD1a &#215;100&#59; G&#44; c-kit &#215;400&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Revised classification of histiocytoses and neoplasms of the macrophage-dendritic cell lineages"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;F&#46; Emile"
                            1 => "O&#46; Abla"
                            2 => "S&#46; Fraitag"
                            3 => "A&#46; Horne"
                            4 => "J&#46; Haroche"
                            5 => "J&#46; Donadieu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1182/blood-2016-01-690636"
                      "Revista" => array:6 [
                        "tituloSerie" => "Blood"
                        "fecha" => "2016"
                        "volumen" => "127"
                        "paginaInicial" => "2672"
                        "paginaFinal" => "2681"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26966089"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Patsatsi"
                            1 => "A&#46; Kyriakou"
                            2 => "D&#46; Sotiriadis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2014"
                        "volumen" => "31"
                        "paginaInicial" => "547"
                        "paginaFinal" => "550"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Novel clinical observations on benign cephalic histiocytosis in a Large series"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Polat"
                            1 => "N&#46; Buyukbabani"
                            2 => "C&#46; Baykal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/pde.13153"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2017"
                        "volumen" => "34"
                        "paginaInicial" => "392"
                        "paginaFinal" => "397"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28466548"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case of S100-positive benign cephalic histiocytosis involving monocyte&#47;macrophage lineage marker expression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "Y&#46; Mitsui"
                            1 => "K&#46; Ogawa"
                            2 => "K&#46; Mashiba"
                            3 => "T&#46; Fukumoto"
                            4 => "H&#46; Asada"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/1346-8138.14156"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "45"
                        "paginaInicial" => "344"
                        "paginaFinal" => "345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29239026"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis&#58; A case with infiltration of CD1a-positive langerin-negative cells"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Hattori-Murakami"
                            1 => "R&#46; Tanaka"
                            2 => "T&#46; Yamamoto"
                            3 => "H&#46; Hayashi"
                            4 => "H&#46; Nishimura"
                            5 => "W&#46; Fujimoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "45"
                        "paginaInicial" => "181"
                        "paginaFinal" => "182"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Juvenile xanthogranuloma with Darier&#8217;s sign"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Nagayo"
                            1 => "M&#46; Sakai"
                            2 => "N&#46; Mizuno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1346-8138.1983.tb01139.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "1983"
                        "volumen" => "10"
                        "paginaInicial" => "283"
                        "paginaFinal" => "285"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6417211"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CD1a-positive familial cutaneous mastocytosis without germ-line or somatic mutations in c-kit"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46; Arase"
                            1 => "M&#46; Wataya-Kaneda"
                            2 => "N&#46; Oiso"
                            3 => "H&#46; Arase"
                            4 => "I&#46; Katayama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Brit J of Dermatol"
                        "fecha" => "2013"
                        "volumen" => "169"
                        "paginaInicial" => "201"
                        "paginaFinal" => "204"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis preceding the development of insulindependent diabetes mellitus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Saez-De-Ocariz"
                            1 => "E&#46; Lopez-Corella"
                            2 => "C&#46; Duran-McKinster"
                            3 => "L&#46; Orozco-Covarrubias"
                            4 => "R&#46; Ruiz-Maldonado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1525-1470.2006.00187.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2006"
                        "volumen" => "23"
                        "paginaInicial" => "101"
                        "paginaFinal" => "102"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16445430"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Benign cephalic histiocytosis with diabetes insipidus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;L&#46; Weston"
                            1 => "S&#46;H&#46; Travers"
                            2 => "G&#46;W&#46; Mierau"
                            3 => "D&#46; Heasley"
                            4 => "J&#46; Fitzpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.1525-1470.2000.01779.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2000"
                        "volumen" => "17"
                        "paginaInicial" => "296"
                        "paginaFinal" => "298"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10990580"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/00017310/0000011300000002/v1_202203040527/S000173102200062X/v1_202203040527/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "92870"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas cient&#237;fico-cl&#237;nicas &#47; Case and Research Letter"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011300000002/v1_202203040527/S000173102200062X/v1_202203040527/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102200062X?idApp=UINPBA000044"
]
Article information
ISSN: 00017310
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 14 11 25
2024 October 133 54 187
2024 September 154 41 195
2024 August 148 72 220
2024 July 116 38 154
2024 June 127 44 171
2024 May 99 46 145
2024 April 82 33 115
2024 March 109 51 160
2024 February 98 38 136
2024 January 88 31 119
2023 December 66 12 78
2023 November 107 44 151
2023 October 89 32 121
2023 September 112 36 148
2023 August 76 18 94
2023 July 98 35 133
2023 June 80 22 102
2023 May 67 29 96
2023 April 43 28 71
2023 March 81 27 108
2023 February 64 33 97
2023 January 70 47 117
2022 December 89 37 126
2022 November 61 50 111
2022 October 66 38 104
2022 September 61 58 119
2022 August 64 47 111
2022 July 50 45 95
2022 June 73 39 112
2022 May 160 60 220
2022 April 232 53 285
2022 March 202 95 297
Show all

Follow this link to access the full text of the article

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?