Original article
Characteristics of Patients With Hand Dermatitis Referred to the Contact Dermatitis Unit of a Tertiary Hospital and Impact of Patch Testing on Diagnosis
Perfil de los Pacientes con Dermatosis en las Manos Remitidos a la Unidad de Contacto de un Hospital Terciario e Impacto de las Pruebas Epicutáneas en el Diagnóstico
J.M. Carrascosa
, F. Benvenuti, C. Rodríguez, C. Ferrándiz
Corresponding author
jmcarrascosac@hotmail.com
Correspondence: Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Carretera de Canyet, s/n, 08916 Badalona, Barcelona, Spain.
Correspondence: Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Carretera de Canyet, s/n, 08916 Badalona, Barcelona, Spain.
Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain
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Avilés-Izquierdo, P. Lázaro-Ochaita" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Avilés-Izquierdo" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Lázaro-Ochaita" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219009701052?idApp=UINPBA000044" "url" => "/15782190/0000010000000006/v1_201304241459/S1578219009701052/v1_201304241459/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Characteristics of Patients With Hand Dermatitis Referred to the Contact Dermatitis Unit of a Tertiary Hospital and Impact of Patch Testing on Diagnosis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "493" "paginaFinal" => "498" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Carrascosa, F. Benvenuti, C. Rodríguez, C. Ferrándiz" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Carrascosa" "email" => array:1 [ 0 => "jmcarrascosac@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Benvenuti" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Rodríguez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Ferrándiz" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Carretera de Canyet, s/n, 08916 Badalona, Barcelona, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Perfil de los Pacientes con Dermatosis en las Manos Remitidos a la Unidad de Contacto de un Hospital Terciario e Impacto de las Pruebas Epicutáneas en el Diagnóstico" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2008-11-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84513" "palabras" => array:6 [ 0 => "hand dermatitis" 1 => "allergic contact dermatitis" 2 => "irritant contact dermatitis" 3 => "psoriasis" 4 => "dyshidrosis" 5 => "patch tests" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84514" "palabras" => array:6 [ 0 => "dermatitis de las manos" 1 => "dermatitis de contacto alérgica" 2 => "dermatitis de contacto irritativa" 3 => "psoriasis" 4 => "dishidrosis" 5 => "pruebas epicutáneas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">This study aimed to define the epidemiological and clinical characteristics of patients referred to a contact dermatitis unit for hand dermatitis.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We retrospectively analyzed patients referred for hand dermatitis to the contact dermatitis unit of the Hospital Germans Trias i Pujol, Barcelona, Spain, between 2004 and 2007.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 96 patients were included. The most common diagnosis was irritant contact dermatitis, followed by allergic contact dermatitis, psoriasis, dyshidrosis, and atopic dermatitis. Standard patch tests were done for all patients and complementary batteries were ordered in 42 (44%). Patch tests were positive in 59% of the patients. Positive results were considered of present relevance in 59%, of past relevance in 6%, and of unknown relevance in the remaining positive tests. When proposed as the initial diagnosis, allergic contact dermatitis was confirmed in 67% of the patients. The most frequent clinically relevant allergens were chrome, nickel, rosin, plant allergens, and <span class="elsevierStyleItalic">p</span>-phenylenediamine.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Hand dermatitis is a frequent presenting complaint in our contact dermatitis unit, with allergic contact dermatitis being the most common. Good correlation was found between presumed diagnosis of allergic contact dermatitis and the finding of clinically relevant allergens.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">Se describe el perfil epidemiológico y clínico de los pacientes remitidos a una Unidad de Dermatitis de Contacto en los que el motivo de consulta había sido el presentar dermatosis en las manos.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluación retrospectiva de los pacientes remitidos con dermatosis de las manos a la Unidad de Contacto del Hospital Germans Trias i Pujol entre los años 2004 y 2007.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyó un total de 96 pacientes. El diagnóstico más frecuente fue el de dermatitis de contacto irritativa (DCI), seguido por el de dermatitis de contacto alérgica (DCA), psoriasis, dishidrosis y dermatitis atópica. Se realizaron pruebas epicutáneas estándar en todos los casos y baterías complementarias en 42 (44%). Las pruebas epicutáneas fueron positivas en el 59% de los casos, considerándose de relevancia presente en el 22%, pasada en el 6% y desconocida en el resto. El diagnóstico inicial de DCA se confirmó en el 67% de los casos en los que representó la primera propuesta diagnóstica. Los alérgenos con relevancia clínica más frecuentes fueron el cromo, el níquel, la colofonía, diversos alérgenos de plantas y la p-fenilendiamina.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las dermatosis de las manos son un motivo habitual de consulta en la Unidad de Contacto, siendo el diagnóstico de DCI el más frecuente. Se encontró una buena correlación entre el diagnóstico de presunción de DCA y el hallazgo de alérgenos con relevancia clínica.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology of different types of hand eczema in an industrial city" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Meding" 1 => "G. Swanbeck" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Derm Venereol" "fecha" => "1989" "volumen" => "69" "paginaInicial" => "227" "paginaFinal" => "233" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2566226" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatitis de las manos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Ramírez" 1 => "S.E. Jacob" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2006" "volumen" => "97" "paginaInicial" => "363" "paginaFinal" => "373" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16956515" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatosis profesionales" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Conde-Salazar" 1 => "A. Ancona Alayon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2000" "editorial" => "Signament Editions" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eczema de manos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B. García-Bravo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "titulo" => "Clínicas Dermatológicas de la AEDV. Programa de actualización en dermatología (Monograph on CD-ROM)" "serieFecha" => "2002" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of eczema and other dermatoses of the hands and arms in the Netherlands. Association with age and occupation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P.J. Coenraads" 1 => "J.P. Nater" 2 => "R. van Der Lende" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "1983" "volumen" => "8" "paginaInicial" => "495" "paginaFinal" => "503" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6227435" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A survey of occupational hand eczema in Denmark" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Skoet" 1 => "J. Olsen" 2 => "B. Mathiesen" 3 => "L. Iversen" 4 => "J.D. Johansen" 5 => "T. Agner" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.0105-1873.2004.00423.x" "Revista" => array:6 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2004" "volumen" => "51" "paginaInicial" => "159" "paginaFinal" => "166" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15500664" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatitis caused by physical irritants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Morris-Jones" 1 => "S.J. Robertson" 2 => "J.S. Ross" 3 => "I.R. White" 4 => "J.P. McFadden" 5 => "R.J. Rycroft" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol" "fecha" => "2002" "volumen" => "147" "paginaInicial" => "270" "paginaFinal" => "275" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12174098" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hand dermatitis: A review of clinical features, therapeutic options and long-term outcomes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Nassif" 1 => "S.C. Chan" 2 => "F.J. Storrs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Contact Dermatitis" "fecha" => "2003" "volumen" => "14" "paginaInicial" => "119" "paginaFinal" => "137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14744403" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hand eczema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E. Cronin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Textbook of Contact Dermatitis" "paginaInicial" => "207" "paginaFinal" => "218" "serieFecha" => "1992" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contact hypersensitivity in hand dermatitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L.F. Li" 1 => "J. Wang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2002" "volumen" => "47" "paginaInicial" => "206" "paginaFinal" => "209" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12492518" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Results of standard series patch testing in patients with occupational allergic contact dermatitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Nettis" 1 => "M. Marcandrea" 2 => "M.C. Colanardi" 3 => "M.T. Paradiso" 4 => "A. Ferrannini" 5 => "A. Tursi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Allergy" "fecha" => "2003" "volumen" => "58" "paginaInicial" => "1304" "paginaFinal" => "1307" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14616107" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Contact allergens in 200 patients with hand dermatitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Murphy" 1 => "D.J. Gawkrodger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2003" "volumen" => "48" "paginaInicial" => "227" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12786734" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic contact dermatitis to plants in a Spanish dermatology department: a 7-year review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Cabanillas" 1 => "V. Fernández-Redondo" 2 => "J. Toribio" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.0105-1873.2006.00888.x" "Revista" => array:6 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2006" "volumen" => "55" "paginaInicial" => "84" "paginaFinal" => "91" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16930232" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Etiology of hand dermatitis among patients referred for patch testing" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.T. Templet" 1 => "S. Hall" 2 => "D.V. Belsito" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Dermatitis" "fecha" => "2004" "volumen" => "15" "paginaInicial" => "25" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15573645" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dyshidrotic eczema and occupation: a descriptive study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.P. Lehucher-Michel" 1 => "M.C. Koeppel" 2 => "A. Lanteaume" 3 => "J. Sayag" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2000" "volumen" => "43" "paginaInicial" => "200" "paginaFinal" => "205" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11011918" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Vilaplana J. Las dermatosis palmo-plantares más frecuentes en nuestra Unidad de Alergia Cutánea. Curso Precongreso de Dermatología Laboral. XXX Congreso de Dermatología y Venereología. Junio 2001." ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hand eczema: causes, course, and prognosis I" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N.K. Veien" 1 => "T. Hattel" 2 => "G. Laurberg" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1600-0536.2008.01345.x" "Revista" => array:6 [ "tituloSerie" => "Contact Dermatitis" "fecha" => "2008" "volumen" => "58" "paginaInicial" => "330" "paginaFinal" => "334" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18503681" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalence of hand eczema in an industrial city" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Meding" 1 => "G. Swanbeck" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol" "fecha" => "1987" "volumen" => "116" "paginaInicial" => "627" "paginaFinal" => "634" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2954578" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatitis de contacto por alimentos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A. Amado" 1 => "S.E. Jacob" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2007" "volumen" => "98" "paginaInicial" => "452" "paginaFinal" => "458" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17669298" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La técnica del prick test en la consulta de dermatología" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Rodríguez-Serna" 1 => "J. de la Cuadra Oyanguren" 2 => "L. Conde Salazar" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Piel" "fecha" => "2004" "volumen" => "19" "paginaInicial" => "276" "paginaFinal" => "280" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010000000006/v1_201304241459/S1578219009701064/v1_201304241459/en/main.assets" "Apartado" => array:4 [ "identificador" => "6155" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010000000006/v1_201304241459/S1578219009701064/v1_201304241459/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219009701064?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 6 | 10 |
| 2024 October | 60 | 46 | 106 |
| 2024 September | 44 | 30 | 74 |
| 2024 August | 89 | 58 | 147 |
| 2024 July | 61 | 34 | 95 |
| 2024 June | 54 | 35 | 89 |
| 2024 May | 52 | 26 | 78 |
| 2024 April | 49 | 28 | 77 |
| 2024 March | 55 | 37 | 92 |
| 2024 February | 41 | 31 | 72 |
| 2024 January | 55 | 50 | 105 |
| 2023 December | 40 | 41 | 81 |
| 2023 November | 48 | 48 | 96 |
| 2023 October | 43 | 27 | 70 |
| 2023 September | 58 | 33 | 91 |
| 2023 August | 23 | 16 | 39 |
| 2023 July | 47 | 55 | 102 |
| 2023 June | 38 | 26 | 64 |
| 2023 May | 32 | 21 | 53 |
| 2023 April | 27 | 23 | 50 |
| 2023 March | 20 | 25 | 45 |
| 2023 February | 25 | 14 | 39 |
| 2023 January | 24 | 27 | 51 |
| 2022 December | 42 | 35 | 77 |
| 2022 November | 12 | 19 | 31 |
| 2022 October | 14 | 23 | 37 |
| 2022 September | 29 | 27 | 56 |
| 2022 August | 37 | 27 | 64 |
| 2022 July | 14 | 32 | 46 |
| 2022 June | 11 | 23 | 34 |
| 2022 May | 24 | 41 | 65 |
| 2022 April | 34 | 52 | 86 |
| 2022 March | 34 | 52 | 86 |
| 2022 February | 18 | 30 | 48 |
| 2022 January | 23 | 41 | 64 |
| 2021 December | 25 | 44 | 69 |
| 2021 November | 34 | 49 | 83 |
| 2021 October | 30 | 57 | 87 |
| 2021 September | 25 | 42 | 67 |
| 2021 August | 20 | 24 | 44 |
| 2021 July | 22 | 31 | 53 |
| 2021 June | 14 | 22 | 36 |
| 2021 May | 23 | 23 | 46 |
| 2021 April | 35 | 53 | 88 |
| 2021 March | 41 | 17 | 58 |
| 2021 February | 43 | 23 | 66 |
| 2021 January | 27 | 22 | 49 |
| 2020 December | 17 | 24 | 41 |
| 2020 November | 22 | 24 | 46 |
| 2020 October | 19 | 13 | 32 |
| 2020 September | 38 | 20 | 58 |
| 2020 August | 12 | 27 | 39 |
| 2020 July | 16 | 11 | 27 |
| 2020 June | 21 | 22 | 43 |
| 2020 May | 17 | 21 | 38 |
| 2020 April | 21 | 19 | 40 |
| 2020 March | 17 | 23 | 40 |
| 2020 February | 2 | 8 | 10 |
| 2020 January | 0 | 14 | 14 |
| 2019 December | 0 | 27 | 27 |
| 2019 November | 0 | 2 | 2 |
| 2019 September | 0 | 4 | 4 |
| 2019 August | 0 | 2 | 2 |
| 2019 July | 0 | 7 | 7 |
| 2019 June | 0 | 13 | 13 |
| 2019 May | 1 | 38 | 39 |
| 2019 April | 0 | 3 | 3 |
| 2019 February | 0 | 4 | 4 |
| 2018 December | 0 | 1 | 1 |
| 2018 November | 0 | 4 | 4 |
| 2018 October | 0 | 1 | 1 |
| 2018 March | 8 | 3 | 11 |
| 2018 February | 8 | 2 | 10 |
| 2018 January | 24 | 3 | 27 |
| 2017 December | 17 | 11 | 28 |
| 2017 November | 14 | 1 | 15 |
| 2017 October | 13 | 7 | 20 |
| 2017 September | 12 | 3 | 15 |
| 2017 August | 22 | 9 | 31 |
| 2017 July | 23 | 6 | 29 |
| 2017 June | 31 | 15 | 46 |
| 2017 May | 29 | 9 | 38 |
| 2017 April | 30 | 9 | 39 |
| 2017 March | 22 | 36 | 58 |
| 2017 February | 19 | 7 | 26 |
| 2017 January | 10 | 3 | 13 |
| 2016 December | 28 | 6 | 34 |
| 2016 November | 33 | 6 | 39 |
| 2016 October | 31 | 10 | 41 |
| 2016 September | 39 | 18 | 57 |
| 2016 August | 44 | 16 | 60 |
| 2016 July | 19 | 9 | 28 |
| 2016 June | 12 | 10 | 22 |
| 2016 May | 3 | 5 | 8 |
| 2016 April | 8 | 11 | 19 |
| 2016 March | 5 | 14 | 19 |
| 2016 February | 12 | 17 | 29 |
| 2016 January | 7 | 16 | 23 |
| 2015 December | 9 | 15 | 24 |
| 2015 November | 10 | 20 | 30 |
| 2015 October | 8 | 30 | 38 |
| 2015 September | 13 | 14 | 27 |
| 2015 August | 18 | 2 | 20 |
| 2015 July | 32 | 8 | 40 |
| 2015 June | 44 | 11 | 55 |
| 2015 May | 63 | 25 | 88 |
| 2015 April | 26 | 12 | 38 |
| 2015 March | 22 | 9 | 31 |
| 2015 February | 35 | 13 | 48 |
| 2015 January | 29 | 14 | 43 |
| 2014 December | 13 | 5 | 18 |
| 2014 November | 13 | 8 | 21 |
| 2014 October | 37 | 11 | 48 |
| 2014 September | 25 | 10 | 35 |
| 2014 August | 39 | 20 | 59 |
| 2014 July | 48 | 15 | 63 |
| 2014 June | 60 | 11 | 71 |
| 2014 May | 44 | 8 | 52 |
| 2014 April | 31 | 8 | 39 |
| 2014 March | 44 | 17 | 61 |
| 2014 February | 24 | 17 | 41 |
| 2014 January | 32 | 12 | 44 |
| 2013 December | 26 | 12 | 38 |
| 2013 November | 29 | 11 | 40 |
| 2013 October | 21 | 14 | 35 |
| 2013 September | 30 | 18 | 48 |
| 2013 August | 25 | 16 | 41 |
| 2013 July | 39 | 20 | 59 |
| 2013 June | 23 | 26 | 49 |
| 2013 May | 18 | 7 | 25 |
| 2013 April | 17 | 15 | 32 |
| 2013 March | 34 | 22 | 56 |
| 2013 February | 23 | 12 | 35 |
| 2013 January | 7 | 3 | 10 |
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