Actas 1909-2009
Dermatitis Artefacta 100 Years Ago, by Juan de Azúa
Dermatitis Artefactas Cien Años Atrás, por Juan de Azúa
F. Heras-Mendaza
Corresponding author
felipeheras@yahoo.com
Correspondence: Felipe Heras Mendaza, Servicio de Dermatología Laboral, Escuela Nacional de Medicina del Trabajo, Pabellón 8, Ciudad Universitaria, 28040 Madrid, Spain.
Correspondence: Felipe Heras Mendaza, Servicio de Dermatología Laboral, Escuela Nacional de Medicina del Trabajo, Pabellón 8, Ciudad Universitaria, 28040 Madrid, Spain.
Servicio de Dermatología Laboral, Escuela Nacional de Medicina del Trabajo, Instituto de Salud Carlos III, Madrid, Spain
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In the article, he paid particular attention to the psychological state of these patients, their family situation, and what they were hoping to gain with pathomimicry. Azúa directly confronted the patients with the diagnosis, which he demonstrated by applying an occlusive dressing. Written in a literary style typical of the times, the article includes the subjective impressions of Azúa, through which he manages to transmit a much more realistic image of these patients than that portrayed with the sterile language we tend to use in current medical literature.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">En 1909, el dermatólogo español Juan de Azúa publica un trabajo donde recoge las principales características de las lesiones cutáneas de la dermatitis artefacta. En él, también presta una especial atención ala psicología de estos pacientes, al entorno familiar que los rodea y a la compensación que pretende conseguir el enfermo con la patomimia. Azúa confrontaba directamente al paciente con el diagnóstico, que demostraba mediante una cura oclusiva. Redactado en un estilo literario, al modo de la época, el artículo incluye las apreciaciones subjetivas de Azúa, que consiguen transmitir una imagen de estos enfermos mucho más cercana a la realidad que el lenguaje aséptico que tendemos a emplear hoy en día en la literatura médica.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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"serieFecha" => "1998" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manual de patología y de clínica médica, traducido al castellano por D. Pedro Espina y Martínez" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Tardieu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1867" "editorial" => "Carlos Bailly-Bailliere" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatitis artefacta" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Rodríguez-Pichardo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Dermatología y Psiquiatría. Historias clínicas comentadas" "paginaInicial" => "143" "paginaFinal" => "163" "serieFecha" => "2002" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lesiones ulcerosas, simuladas por una histérica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Azúa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "1912" "volumen" => "5" "paginaInicial" => "1" "paginaFinal" => "9" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010000000008/v1_201304241504/S1578219009701477/v1_201304241504/en/main.assets" "Apartado" => array:4 [ "identificador" => "6241" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Actas 1909-2009" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010000000008/v1_201304241504/S1578219009701477/v1_201304241504/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219009701477?idApp=UINPBA000044" ]
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