Case and Research Letters
Unilateral Angiokeratoma of Fordyce
Angioqueratoma de Fordyce unilateral
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Piqué-Duran, J.A. Pérez-Cejudo, D. Cameselle-Martínez, O. García-Vázquez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Piqué-Duran" "email" => array:1 [ 0 => "epiqued@medynet.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Pérez-Cejudo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "D." "apellidos" => "Cameselle-Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "O." "apellidos" => "García-Vázquez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Dr. José Molina Orosa, Lanzarote, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Patología, Hospital Dr. José Molina Orosa, Lanzarote, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Angioqueratoma de Fordyce unilateral" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1177 "Ancho" => 1585 "Tamanyo" => 197075 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histological appearance of a lesion, showing a pedunculated papule with grossly dilated blood vessels. Signs of thrombosis and recanalization can be seen. Acanthosis and hyperkeratosis are present in the epidermis. Some vessels appear to be included within the epidermis. Hematoxylin-eosin, original magnification ×40.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">To the Editor:</span></p><p id="par1005" class="elsevierStylePara elsevierViewall">We present the case of a 66-year-old man with a past history of ischemic heart disease, systemic hypertension, and type 2 diabetes mellitus, who consulted for the appearance 8 months earlier of multiple lesions on the left side of the scrotum. The lesions had progressively increased in number and size.</p><p id="par0010" class="elsevierStylePara elsevierViewall">On physical examination there were numerous, sessile, erythematous-purpuric unilocular papules of vascular appearance that only affected the left side of the scrotum and did not cross the midline. In some areas the lesions grouped together to form clusters. In addition, bluish cords were observed, which indicated dilatation of superficial blood vessels (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Several lesions were biopsied. All revealed the presence of dilated vascular lumens in the papillary dermis in intimate contact with the epidermis, which was hyperplastic and hyperkeratotic. There was evidence of thrombosis and recanalization of some of the blood vessels (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">We were able to obtain a small blood sample from the dilated scrotal vessels, which allowed us to compare the levels of cortisol in the scrotal blood with those of the general circulation. The cortisol concentration in the scrotal blood was 20.6 μg/dL, considerably higher than that of the general circulation (15.3 μg/dL; normal range, 6.2-19.4 μg/dL).</p><p id="par0025" class="elsevierStylePara elsevierViewall">The urology department confirmed the presence of a grade II varicocele on the left side of the scrotum.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Fordyce first described this type of angiokeratoma in 1896 in a 60-year-old man with bilateral varicocele. They are the most common form of angiokeratoma. They typically arise on the scrotum bilaterally, although they have been reported at other sites, such as the vulva<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and on the body of the penis.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The etiology and pathogenesis of scrotal angiokeratomas have not been clarified. It has been suggested that increased venous pressure could favor their appearance, and this would explain the association with varicocele.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,3</span></a> However, a study by Orvieto et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> found no association between varicocele and angiokeratomas. A limitation of that study was that the maximum age of inclusion was 55 years and the data were obtained by means of a questionnaire. Some authors consider that alterations of the blood vessel wall must be present for angiokeratomas to develop, though this may not be the only factor.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Varicocele more commonly affects the left testicle. This is attributed to anatomical differences in the venous drainage of the testicles. While the right testicular vein (also known as the internal spermatic vein) follows an oblique trajectory to drain directly into the inferior vena cava, the vein from the left testicle ascends vertically to the left renal vein, which means it is 8 to 10<span class="elsevierStyleHsp" style=""></span>cm longer than the vein on the right side. This leads to greater resistance to venous drainage on the left side. Varicocele is associated with testicular dysfunction, and sterility can develop due to the associated testicular hyperthermia.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Another factor that could be important is retrograde blood flow from the left renal vein,<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,6</span></a> although the results of relevant studies are contradictory.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6,7</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In our patient, higher cortisol levels were detected in the testicular region than in the general circulation. As the testicles do not produce cortisol, these values would support the hypothesis of retrograde flow in this patient. The suprarenal glands secrete various hormones, including estrogens and adrenomedullin, a potent vasodilator.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Retrograde blood flow in cases of varicocele could lead to higher hormone levels in the testicles than in the general circulation; this situation would favor vascular dilatation and, thus, the appearance of angiokeratomas.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Unilateral angiokeratomas are very rare; we have only found 2 reports describing this situation.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8,9</span></a> The details of those cases are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. Although the patient described by Pande et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> did not present a clinically evident varicocele, it is recognized that up to 60% of varicoceles are not detected on physical examination and require ultrasound study for diagnosis<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>; we cannot therefore rule out the possible presence of a subclinical varicocele.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">There are anastomoses between the left and right testicular circulations.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> If hormone levels do influence the development of angiokeratomas, these connections could explain the appearance of bilateral lesions, while unilateral disease may be due to abnormalities of the anastomoses. Another possible explanation would be the presence of mosaicism, which, in association with other factors such as increased pressure and high hormone levels, would cause angiokeratomas to develop only in genetically susceptible areas.</p><p id="par0060" class="elsevierStylePara elsevierViewall">In summary, we have presented a patient with unilateral angiokeratomas of Fordyce in whom we detected higher cortisol levels in the scrotal circulation than in the systemic circulation. Studies with a larger number of patients are required to determine whether retrograde blood flow with high concentrations of suprarenal hormones could play a role in the etiology and pathogenesis of these angiokeratomas.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Piqué-Duran E, et al. Angioqueratoma de Fordyce unilateral. Actas Dermosifiliogr. 2013;104:163–4.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1033 "Ancho" => 1585 "Tamanyo" => 223822 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical appearance of the lesions, which affect only the left half of the scrotum. The right side is unaffected.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1177 "Ancho" => 1585 "Tamanyo" => 197075 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histological appearance of a lesion, showing a pedunculated papule with grossly dilated blood vessels. Signs of thrombosis and recanalization can be seen. Acanthosis and hyperkeratosis are present in the epidermis. Some vessels appear to be included within the epidermis. Hematoxylin-eosin, original magnification ×40.</p>" ] ] 2 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Abbreviation: Nd:YAG, neodymium:yttrium aluminum garnet.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Reference \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Age, y/Sex \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Duration \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Side Affected \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Varicocele/Examinations \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Treatment \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">9 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">21/Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">6 y \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Left \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Subclinical/Diagnosed by echo-Doppler \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Carbon dioxide laser and Nd:YAG laser \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">32/Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 y \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Left \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">No/Physical examination \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Electrocautery \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Present case \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">66/Male \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">8 mo \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Left \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Grade 2 varicocele/Ultrasound \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Shaving of the larger lesions \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab183289.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cases of Unilateral Angiokeratomas of Fordyce.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 19 | 10 | 29 |
| 2024 October | 120 | 38 | 158 |
| 2024 September | 166 | 35 | 201 |
| 2024 August | 211 | 85 | 296 |
| 2024 July | 157 | 48 | 205 |
| 2024 June | 121 | 83 | 204 |
| 2024 May | 116 | 61 | 177 |
| 2024 April | 110 | 37 | 147 |
| 2024 March | 113 | 48 | 161 |
| 2024 February | 103 | 50 | 153 |
| 2024 January | 126 | 68 | 194 |
| 2023 December | 136 | 59 | 195 |
| 2023 November | 118 | 50 | 168 |
| 2023 October | 119 | 79 | 198 |
| 2023 September | 99 | 64 | 163 |
| 2023 August | 107 | 39 | 146 |
| 2023 July | 110 | 61 | 171 |
| 2023 June | 69 | 31 | 100 |
| 2023 May | 88 | 62 | 150 |
| 2023 April | 81 | 49 | 130 |
| 2023 March | 67 | 31 | 98 |
| 2023 February | 53 | 36 | 89 |
| 2023 January | 70 | 45 | 115 |
| 2022 December | 60 | 49 | 109 |
| 2022 November | 37 | 37 | 74 |
| 2022 October | 37 | 25 | 62 |
| 2022 September | 40 | 48 | 88 |
| 2022 August | 23 | 40 | 63 |
| 2022 July | 35 | 48 | 83 |
| 2022 June | 43 | 40 | 83 |
| 2022 May | 56 | 56 | 112 |
| 2022 April | 67 | 60 | 127 |
| 2022 March | 75 | 59 | 134 |
| 2022 February | 69 | 40 | 109 |
| 2022 January | 132 | 62 | 194 |
| 2021 December | 72 | 48 | 120 |
| 2021 November | 71 | 48 | 119 |
| 2021 October | 80 | 56 | 136 |
| 2021 September | 72 | 56 | 128 |
| 2021 August | 106 | 33 | 139 |
| 2021 July | 87 | 44 | 131 |
| 2021 June | 59 | 31 | 90 |
| 2021 May | 73 | 46 | 119 |
| 2021 April | 176 | 142 | 318 |
| 2021 March | 116 | 59 | 175 |
| 2021 February | 108 | 32 | 140 |
| 2021 January | 57 | 41 | 98 |
| 2020 December | 62 | 33 | 95 |
| 2020 November | 36 | 41 | 77 |
| 2020 October | 40 | 27 | 67 |
| 2020 September | 47 | 11 | 58 |
| 2020 August | 26 | 39 | 65 |
| 2020 July | 36 | 20 | 56 |
| 2020 June | 45 | 34 | 79 |
| 2020 May | 25 | 37 | 62 |
| 2020 April | 34 | 29 | 63 |
| 2020 March | 42 | 31 | 73 |
| 2020 February | 8 | 7 | 15 |
| 2020 January | 4 | 13 | 17 |
| 2019 December | 8 | 17 | 25 |
| 2019 November | 4 | 21 | 25 |
| 2019 October | 0 | 14 | 14 |
| 2019 September | 10 | 18 | 28 |
| 2019 August | 4 | 24 | 28 |
| 2019 July | 2 | 27 | 29 |
| 2019 June | 4 | 35 | 39 |
| 2019 May | 3 | 73 | 76 |
| 2019 April | 0 | 50 | 50 |
| 2019 March | 1 | 35 | 36 |
| 2019 February | 2 | 13 | 15 |
| 2019 January | 0 | 5 | 5 |
| 2018 December | 4 | 2 | 6 |
| 2018 November | 2 | 2 | 4 |
| 2018 October | 2 | 1 | 3 |
| 2018 September | 4 | 5 | 9 |
| 2018 August | 0 | 8 | 8 |
| 2018 July | 0 | 18 | 18 |
| 2018 June | 0 | 5 | 5 |
| 2018 May | 0 | 5 | 5 |
| 2018 April | 0 | 9 | 9 |
| 2018 March | 2 | 9 | 11 |
| 2018 February | 39 | 3 | 42 |
| 2018 January | 58 | 9 | 67 |
| 2017 December | 76 | 10 | 86 |
| 2017 November | 36 | 23 | 59 |
| 2017 October | 49 | 24 | 73 |
| 2017 September | 62 | 52 | 114 |
| 2017 August | 85 | 12 | 97 |
| 2017 July | 85 | 25 | 110 |
| 2017 June | 82 | 31 | 113 |
| 2017 May | 73 | 22 | 95 |
| 2017 April | 70 | 14 | 84 |
| 2017 March | 60 | 36 | 96 |
| 2017 February | 46 | 7 | 53 |
| 2017 January | 67 | 21 | 88 |
| 2016 December | 55 | 15 | 70 |
| 2016 November | 108 | 14 | 122 |
| 2016 October | 83 | 16 | 99 |
| 2016 September | 93 | 31 | 124 |
| 2016 August | 84 | 16 | 100 |
| 2016 July | 51 | 11 | 62 |
| 2016 June | 9 | 16 | 25 |
| 2016 May | 8 | 9 | 17 |
| 2016 April | 3 | 13 | 16 |
| 2016 March | 6 | 1 | 7 |
| 2016 February | 10 | 19 | 29 |
| 2016 January | 6 | 9 | 15 |
| 2015 December | 8 | 7 | 15 |
| 2015 November | 10 | 12 | 22 |
| 2015 October | 5 | 14 | 19 |
| 2015 September | 3 | 1 | 4 |
| 2015 August | 12 | 3 | 15 |
| 2015 July | 78 | 11 | 89 |
| 2015 June | 83 | 14 | 97 |
| 2015 May | 100 | 21 | 121 |
| 2015 April | 83 | 15 | 98 |
| 2015 March | 78 | 13 | 91 |
| 2015 February | 29 | 6 | 35 |
| 2015 January | 38 | 4 | 42 |
| 2014 December | 37 | 10 | 47 |
| 2014 November | 23 | 5 | 28 |
| 2014 October | 61 | 5 | 66 |
| 2014 September | 46 | 5 | 51 |
| 2014 August | 82 | 9 | 91 |
| 2014 July | 109 | 5 | 114 |
| 2014 June | 109 | 4 | 113 |
| 2014 May | 122 | 9 | 131 |
| 2014 April | 107 | 3 | 110 |
| 2014 March | 80 | 11 | 91 |
| 2014 February | 75 | 7 | 82 |
| 2014 January | 83 | 11 | 94 |
| 2013 December | 42 | 10 | 52 |
| 2013 November | 14 | 7 | 21 |
| 2013 October | 7 | 10 | 17 |
| 2013 September | 6 | 4 | 10 |
| 2013 August | 3 | 18 | 21 |
| 2013 July | 4 | 20 | 24 |
| 2013 June | 6 | 25 | 31 |
| 2013 May | 8 | 21 | 29 |
| 2013 April | 6 | 13 | 19 |
| 2013 March | 10 | 5 | 15 |
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