Cutaneous Adverse Reactions to Tattoos and Piercings

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"apellidos" => "Silvestre" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Javier Mataix, Servicio de Dermatología, Hospital General Universitario, Avda. Pintor Baeza, s/n., 03010 Alicante, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reacciones Cutáneas Adversas por Tatuajes y Piercings" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2008-11-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84580" "palabras" => array:6 [ 0 => "scarification" 1 => "implanting" 2 => "tattoo" 3 => "piercing" 4 => "pocketing" 5 => "cutaneous adverse reactions" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84579" "palabras" => array:6 [ 0 => "escarificación" 1 => "implanting" 2 => "tatuaje" 3 => "piercing" 4 => "pocketing" 5 => "reacciones cutáneas adversas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Piercings and tattoos have become very popular in western society in recent decades, particularly among younger generations. Reports of medical complications associated with these decorative techniques have increased in parallel with the rise in their popularity. Due to their high frequency, adverse cutaneous reactions are particularly important among these potential complications. Tattoo-related complications include a number of cutaneous and systemic infections secondary to breach of the epidermal barrier, acute and delayed inflammatory reactions with different histopathological patterns, the appearance of benign and malignant tumors on tattooed areas of skin, and certain dermatoses triggered by isomorphic phenomena. Piercing-related complications are similar, though some, such as pyogenic skin infections, are much more common due to the delayed wound healing after piercing in certain sites. We must differentiate between complications that are independent of the site of piercing, and specific complications, which are closely related to the body area pierced. The rate of complications after performing piercings or tattoos depends on the experience of the artist, the hygiene techniques applied, and the postprocedural care by the customer. However, some of these complications are unpredictable and depend on factors intrinsic to the patient. In this article, we review the most common decorative techniques of body art, with particular focus on the potential cutaneous complications and their management." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "En las últimas décadas, la realización de piercings y tatuajes se ha convertido en una práctica muy popular en los países occidentales, especialmente entre los más jóvenes. Paralelamente al auge de estas técnicas decorativas corporales, las comunicaciones acerca de complicaciones médicas asociadas han aumentado. De todas estas complicaciones potenciales destacan por su frecuencia las que afectan a la piel y mucosas. Las complicaciones asociadas a los tatuajes incluyen múltiples procesos infecciosos, cutáneos o sistémicos, debido a la ruptura de la barrera epidérmica, reacciones inflamatorias agudas y crónicas con diferentes patrones histológicos, la aparición de tumores benignos y malignos sobre áreas tatuadas o el brote de ciertas dermatosis por el fenómeno isomórfico. Las complicaciones asociadas a los piercings son similares, aunque algunas de ellas, como las piodermitis, son mucho más comunes debido al lento proceso de cicatrización de la perforación en determinadas localizaciones. Hemos de diferenciar entre las complicaciones que son independientes de la localización del piercing y de las complicaciones específicas, las cuales están estrechamente relacionadas con el área perforada. La tasa de complicaciones tras la realización de tatuajes y perforaciones depende de la experiencia del artista, de las condiciones higiénicas en las que tiene lugar y de los cuidados posteriores tras la realización de la técnica por parte del propio cliente. Sin embargo, algunas de estas complicaciones son impredecibles y dependen de factores intrínsecos del propio paciente. En este artículo revisamos las técnicas decorativas más frecuentes que abarca el body art, con especial interés en sus posibles complicaciones cutáneas y en el manejo de éstas." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:119 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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Review article

Cutaneous Adverse Reactions to Tattoos and Piercings

Reacciones Cutáneas Adversas por Tatuajes y Piercings

J. Mataix

Corresponding author

mataixdiaz@hotmail.com

Correspondence: Javier Mataix, Servicio de Dermatología, Hospital General Universitario, Avda. Pintor Baeza, s/n., 03010 Alicante, Spain.

, J.F. Silvestre

Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain

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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Piercings and tattoos have become very popular in western society in recent decades&#44; particularly among younger generations&#46; Reports of medical complications associated with these decorative techniques have increased in parallel with the rise in their popularity&#46; Due to their high frequency&#44; adverse cutaneous reactions are particularly important among these potential complications&#46; Tattoo-related complications include a number of cutaneous and systemic infections secondary to breach of the epidermal barrier&#44; acute and delayed inflammatory reactions with different histopathological patterns&#44; the appearance of benign and malignant tumors on tattooed areas of skin&#44; and certain dermatoses triggered by isomorphic phenomena&#46; Piercing-related complications are similar&#44; though some&#44; such as pyogenic skin infections&#44; are much more common due to the delayed wound healing after piercing in certain sites&#46; We must differentiate between complications that are independent of the site of piercing&#44; and specific complications&#44; which are closely related to the body area pierced&#46; The rate of complications after performing piercings or tattoos depends on the experience of the artist&#44; the hygiene techniques applied&#44; and the postprocedural care by the customer&#46; However&#44; some of these complications are unpredictable and depend on factors intrinsic to the patient&#46; In this article&#44; we review the most common decorative techniques of body art&#44; with particular focus on the potential cutaneous complications and their management&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En las &#250;ltimas d&#233;cadas&#44; la realizaci&#243;n de piercings y tatuajes se ha convertido en una pr&#225;ctica muy popular en los pa&#237;ses occidentales&#44; especialmente entre los m&#225;s j&#243;venes&#46; Paralelamente al auge de estas t&#233;cnicas decorativas corporales&#44; las comunicaciones acerca de complicaciones m&#233;dicas asociadas han aumentado&#46; De todas estas complicaciones potenciales destacan por su frecuencia las que afectan a la piel y mucosas&#46; Las complicaciones asociadas a los tatuajes incluyen m&#250;ltiples procesos infecciosos&#44; cut&#225;neos o sist&#233;micos&#44; debido a la ruptura de la barrera epid&#233;rmica&#44; reacciones inflamatorias agudas y cr&#243;nicas con diferentes patrones histol&#243;gicos&#44; la aparici&#243;n de tumores benignos y malignos sobre &#225;reas tatuadas o el brote de ciertas dermatosis por el fen&#243;meno isom&#243;rfico&#46; Las complicaciones asociadas a los <span class="elsevierStyleItalic">piercings</span> son similares&#44; aunque algunas de ellas&#44; como las piodermitis&#44; son mucho m&#225;s comunes debido al lento proceso de cicatrizaci&#243;n de la perforaci&#243;n en determinadas localizaciones&#46; Hemos de diferenciar entre las complicaciones que son independientes de la localizaci&#243;n del piercing y de las complicaciones espec&#237;ficas&#44; las cuales est&#225;n estrechamente relacionadas con el &#225;rea perforada&#46; La tasa de complicaciones tras la realizaci&#243;n de tatuajes y perforaciones depende de la experiencia del artista&#44; de las condiciones higi&#233;nicas en las que tiene lugar y de los cuidados posteriores tras la realizaci&#243;n de la t&#233;cnica por parte del propio cliente&#46; Sin embargo&#44; algunas de estas complicaciones son impredecibles y dependen de factores intr&#237;nsecos del propio paciente&#46; En este art&#237;culo revisamos las t&#233;cnicas decorativas m&#225;s frecuentes que abarca el <span class="elsevierStyleItalic">body art</span>&#44; con especial inter&#233;s en sus posibles complicaciones cut&#225;neas y en el manejo de &#233;stas&#46;</p>"
      ]
    ]
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      "titulo" => "References"
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        0 => array:1 [
          "bibliografiaReferencia" => array:119 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Est&#233;tica y cultura&#58; patolog&#237;a bucal asociada a ciertas modas &#8220;actuales&#8221; &#40;tatuajes&#44; perforaciones bucales&#44; etc&#46;&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
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                        ]
                      ]
                    ]
                  ]
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                      ]
                    ]
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                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
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                      "titulo" => "Tattoos&#58; dermatological complications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                    ]
                  ]
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                        "fecha" => "2007"
                        "volumen" => "25"
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            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
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                      "titulo" => "Efectos secundarios de los piercings y los tatuajes"
                      "autores" => array:1 [
                        0 => array:2 [
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                      ]
                    ]
                  ]
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            ]
            3 => array:3 [
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              "etiqueta" => "4&#46;"
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                    0 => array:2 [
                      "titulo" => "Prevalence and characteristics of body piercing and tattooing among high school students"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                        ]
                      ]
                    ]
                  ]
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                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tattoos and body piercings in the United States&#58; a national data set"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2006.03.026"
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                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2006"
                        "volumen" => "55"
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                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Are body piercing and tattooing safe fashions&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [ …5]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Dermatol"
                        "fecha" => "2006"
                        "volumen" => "16"
                        "paginaInicial" => "572"
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                          0 => array:2 [ …2]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Body-modifying concepts and dermatologic problems&#58; tattooing and piercing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                        ]
                      ]
                    ]
                  ]
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                        "tituloSerie" => "Clin Dermatol"
                        "fecha" => "2008"
                        "volumen" => "26"
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                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
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                      "titulo" => "Tattoos defined"
                      "autores" => array:1 [
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                          "etal" => false
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                        ]
                      ]
                    ]
                  ]
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                        "fecha" => "2007"
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                      ]
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                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
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                    0 => array:2 [
                      "titulo" => "Tattooing and its medical aspects"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                        ]
                      ]
                    ]
                  ]
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                        "fecha" => "1993"
                        "volumen" => "32"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A violaceous plaque"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                        ]
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                  ]
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                        "fecha" => "2006"
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                          "pii" => "S1474442207701783"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reacciones al color rojo de los tatuajes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [ …6]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "fecha" => "2001"
                        "volumen" => "92"
                        "paginaInicial" => "337"
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                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous intolerance to tattoos in a patient with human immunodeficiency virus&#58; a manifestation of the immune restoration syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [ …4]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
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                        "fecha" => "2001"
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            ]
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                      "autores" => array:1 [
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                        ]
                      ]
                    ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                           …1
                        ]
                      ]
                    ]
                  ]
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            ]
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                      "autores" => array:1 [
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                      ]
                    ]
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                      "autores" => array:1 [
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                      ]
                    ]
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                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "17&#46;"
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                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
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                ]
              ]
            ]
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                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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                        "fecha" => "1981"
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                ]
              ]
            ]
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              "etiqueta" => "19&#46;"
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                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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            19 => array:3 [
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                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary sarcoidosis presenting as a granulomatous tattoo reaction"
                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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            ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sarcoidosis appearing in a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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                        "fecha" => "2008"
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                    ]
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                ]
              ]
            ]
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              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudolymphomatous reaction to tattoos&#46; Report of three cases"
                      "autores" => array:1 [
                        0 => array:2 [ …2]
                      ]
                    ]
                  ]
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              ]
            ]
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Article information

ISSN: 15782190
Original language: English

DOI:10.1016/S1578-2190(09)70146-5

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Year/Month	Html	Pdf	Total

2024 November	5	10	15
2024 October	63	92	155
2024 September	74	70	144
2024 August	106	99	205
2024 July	71	92	163
2024 June	66	72	138
2024 May	49	74	123
2024 April	50	48	98
2024 March	50	52	102
2024 February	43	57	100
2024 January	47	73	120
2023 December	42	54	96
2023 November	48	66	114
2023 October	50	63	113
2023 September	53	43	96
2023 August	37	51	88
2023 July	57	140	197
2023 June	39	48	87
2023 May	41	103	144
2023 April	28	58	86
2023 March	24	60	84
2023 February	30	67	97
2023 January	30	85	115
2022 December	41	66	107
2022 November	27	67	94
2022 October	28	67	95
2022 September	24	62	86
2022 August	19	95	114
2022 July	19	71	90
2022 June	14	48	62
2022 May	34	78	112
2022 April	38	116	154
2022 March	43	96	139
2022 February	32	56	88
2022 January	21	82	103
2021 December	24	96	120
2021 November	39	85	124
2021 October	33	84	117
2021 September	36	65	101
2021 August	35	101	136
2021 July	26	62	88
2021 June	36	57	93
2021 May	23	42	65
2021 April	39	160	199
2021 March	65	48	113
2021 February	79	38	117
2021 January	43	36	79
2020 December	23	37	60
2020 November	24	31	55
2020 October	24	36	60
2020 September	22	19	41
2020 August	19	18	37
2020 July	25	19	44
2020 June	24	25	49
2020 May	38	48	86
2020 April	23	25	48
2020 March	28	35	63
2020 February	2	23	25
2020 January	0	32	32
2019 December	0	37	37
2019 November	0	33	33
2019 October	0	29	29
2019 September	0	25	25
2019 August	0	15	15
2019 July	0	40	40
2019 June	0	46	46
2019 May	0	42	42
2019 April	0	31	31
2019 March	0	16	16
2019 February	0	28	28
2018 December	0	1	1
2018 April	0	18	18
2018 March	5	6	11
2018 February	21	14	35
2018 January	30	23	53
2017 December	19	25	44
2017 November	36	17	53
2017 October	27	19	46
2017 September	28	28	56
2017 August	48	14	62
2017 July	33	16	49
2017 June	34	49	83
2017 May	36	29	65
2017 April	21	24	45
2017 March	36	31	67
2017 February	32	31	63
2017 January	40	24	64
2016 December	38	19	57
2016 November	36	24	60
2016 October	40	34	74
2016 September	45	53	98
2016 August	42	15	57
2016 July	21	8	29
2016 June	14	24	38
2016 May	8	35	43
2016 April	5	1	6
2016 March	3	14	17
2016 February	9	1	10
2016 January	7	10	17
2015 December	10	1	11
2015 November	17	1	18
2015 October	12	6	18
2015 September	8	3	11
2015 August	12	5	17
2015 July	67	23	90
2015 June	65	22	87
2015 May	96	22	118
2015 April	78	25	103
2015 March	86	31	117
2015 February	53	23	76
2015 January	71	18	89
2014 December	60	36	96
2014 November	53	29	82
2014 October	89	36	125
2014 September	79	33	112
2014 August	89	45	134
2014 July	98	31	129
2014 June	105	20	125
2014 May	97	32	129
2014 April	89	23	112
2014 March	92	29	121
2014 February	74	30	104
2014 January	72	24	96
2013 December	48	21	69
2013 November	57	20	77
2013 October	65	37	102
2013 September	43	33	76
2013 August	63	38	101
2013 July	56	34	90
2013 June	55	55	110
2013 May	57	44	101
2013 April	59	45	104
2013 March	61	46	107
2013 February	39	35	74
2013 January	10	3	13

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