array:24 [
  "pii" => "S1578219013000334"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2012.10.007"
  "estado" => "S300"
  "fechaPublicacion" => "2013-04-01"
  "aid" => "750"
  "copyright" => "Elsevier España, S.L. and AEDV"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "ssu"
  "cita" => "Actas Dermosifiliogr. 2013;104:204-11"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3021
    "formatos" => array:3 [
      "EPUB" => 45
      "HTML" => 2279
      "PDF" => 697
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731012004802"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2012.10.006"
      "estado" => "S300"
      "fechaPublicacion" => "2013-04-01"
      "aid" => "750"
      "copyright" => "Elsevier España, S.L. and AEDV"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "ssu"
      "cita" => "Actas Dermosifiliogr. 2013;104:204-11"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5842
        "formatos" => array:3 [
          "EPUB" => 5
          "HTML" => 4394
          "PDF" => 1443
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Controversias En Dermatolog&#237;a</span>"
        "titulo" => "Actualizaci&#243;n en dermatopatolog&#237;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "204"
            "paginaFinal" => "211"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Dermatopathology Update"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0020"
            "etiqueta" => "Figura 4"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr4.jpeg"
                "Alto" => 2561
                "Ancho" => 1664
                "Tamanyo" => 1356396
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A&#46; Erupci&#243;n liquenoide en un ni&#241;o con caracter&#237;sticas cl&#237;nicas de PLEVA que histol&#243;gicamente muestra atipia linfocitaria&#46; &#40;HE &#215; 200&#46;&#41; B&#46; Contiene abundantes c&#233;lulas linfoides CD30&#43;&#46; &#40;CD30 &#91;inmunohistoqu&#237;mica&#93; &#215; 200&#46;&#41;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;T&#46; Fern&#225;ndez-Figueras, L&#46; Puig"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;T&#46;"
                "apellidos" => "Fern&#225;ndez-Figueras"
              ]
              1 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Puig"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219013000334"
          "doi" => "10.1016/j.adengl.2012.10.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000334?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731012004802?idApp=UINPBA000044"
      "url" => "/00017310/0000010400000003/v1_201304241344/S0001731012004802/v1_201304241344/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219013000346"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2011.12.011"
    "estado" => "S300"
    "fechaPublicacion" => "2013-04-01"
    "aid" => "635"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Actas Dermosifiliogr. 2013;104:212-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6333
      "formatos" => array:3 [
        "EPUB" => 40
        "HTML" => 5585
        "PDF" => 708
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Novelties in Dermatology</span>"
      "titulo" => "New Developments in Erythropoietic Porphyrias"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "212"
          "paginaFinal" => "219"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Novedades en las porfirias eritropoy&#233;ticas"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0035"
          "etiqueta" => "Figure 7"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr7.jpeg"
              "Alto" => 738
              "Ancho" => 1610
              "Tamanyo" => 88004
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">A&#44; Yellowish coloration of the teeth of a child with congenital erythropoietic porphyria&#46; B&#44; Red fluorescence &#40;erythrodontia&#41; can be readily observed under Wood light&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Darwich, C&#46; Herrero"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Darwich"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Herrero"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731012002190"
        "doi" => "10.1016/j.ad.2011.12.021"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731012002190?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000346?idApp=UINPBA000044"
    "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000346/v1_201304241622/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219013000322"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2013.02.001"
    "estado" => "S300"
    "fechaPublicacion" => "2013-04-01"
    "aid" => "691"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Actas Dermosifiliogr. 2013;104:181-203"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 17745
      "formatos" => array:3 [
        "EPUB" => 86
        "HTML" => 13258
        "PDF" => 4401
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Immunohistochemistry in Dermatopathology&#58; A Review of the Most Commonly Used Antibodies &#40;Part II&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "181"
          "paginaFinal" => "203"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Inmunohistoqu&#237;mica en dermatopatolog&#237;a&#58; revisi&#243;n de los anticuerpos utilizados con mayor frecuencia &#40;parte <span class="elsevierStyleSmallCaps">ii</span>&#41;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0175"
          "etiqueta" => "Figure 35"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr35.jpeg"
              "Alto" => 1196
              "Ancho" => 1591
              "Tamanyo" => 379695
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0185" class="elsevierStyleSimplePara elsevierViewall">Granular cell tumor&#46; A&#44; Low-power magnification&#46; B&#44; Detail of neoplastic cells with a granular cytoplasm&#46; C&#44; The same specimen studied immunohistochemically with calretinin&#46; D&#44; Detail of calretinin-positive neoplastic cells&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Fuertes, C&#46; Santonja, H&#46; Kutzner, L&#46; Requena"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Fuertes"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Santonja"
            ]
            2 => array:2 [
              "nombre" => "H&#46;"
              "apellidos" => "Kutzner"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Requena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S000173101200347X"
        "doi" => "10.1016/j.ad.2012.02.018"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173101200347X?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000322?idApp=UINPBA000044"
    "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000322/v1_201304241622/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Controversies in Dermatology</span>"
    "titulo" => "Dermatopathology Update"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "204"
        "paginaFinal" => "211"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;T&#46; Fern&#225;ndez-Figueras, L&#46; Puig"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;T&#46;"
            "apellidos" => "Fern&#225;ndez-Figueras"
            "email" => array:1 [
              0 => "maiteffig&#64;gmail&#46;com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Puig"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital Universitari Germans Trias i Pujol&#44; Badalona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Ciencias Morfol&#243;gicas&#44; Universitat Aut&#242;noma de Barcelona&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital de la Santa Creu i Sant Pau&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Actualizaci&#243;n en dermatopatolog&#237;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2475
            "Ancho" => 1665
            "Tamanyo" => 883773
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#44; The presence of small intracapsular nodal nevi in the sentinel lymph nodes of a melanoma is not uncommon&#44; and this phenomenon can cause diagnostic difficulties when the primary tumor is a nevoid melanoma&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The preservation of p16 expression could be an additional indication of a benign neoplasm&#46; &#40;p16&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The past year has seen a wealth of new developments in dermatopathology&#44; many of which are related to technical progress and advances in treatment&#46; This short review covers some of the developments that may have the greatest impact on the pathological diagnosis of dermatological disorders in the following 6 main areas&#58; melanocytic proliferations&#44; inflammatory diseases &#40;including drug-induced reactions&#41;&#44; lymphoproliferative disorders&#44; adnexal diseases&#44; epidermal tumors&#44; and mesenchymal tumors&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Melanocytic Proliferations</span><p id="par0010" class="elsevierStylePara elsevierViewall">Melanoma has been one of the prominent topics in dermatopathology in recent years&#46; The recent introduction of fluorescent in situ hybridization as a ancillary diagnostic test in the identification of malignant melanocytic tumors was a major advance in an area that had languished for decades&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Unfortunately&#44; the evidence shows that commercially available diagnostic kits providing a set of probes targeting chromosomes 6 and 11 are inadequate in problematic tumors&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a> The sensitivity and specificity obtained in ambiguous tumors is lower than expected&#46; To optimize the results obtained&#44; new probes should be added to the diagnostic kit&#44; possibly targeting gene regions on chromosome 9&#46; However&#44; it is increasingly clear that the genetic aberrations present in each melanoma correlate with the tumor&#39;s clinical and pathologic features and biological behavior&#44;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6</span></a> and that they can help to elucidate the considerable differences in the clinical course of melanomas that are apparently in the same stage&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Today&#44; from a practical standpoint&#44; the most accessible and manageable techniques in most pathology laboratories are immunohistochemical studies&#46; Thus&#44; studies that demonstrate the usefulness of immunohistochemical markers are of particular interest&#46; One such example is a study showing CD10 expression to be an independent predictor of poor prognosis in melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Several studies have shown an association between the loss of immunohistochemical p16 expression and malignant transformation in melanocytic lesions&#46; This finding may be a useful aid in the differentiation between Spitz nevus and childhood melanoma&#44;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and between nodal nevi in sentinel lymph nodes and small melanoma metastases &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> The usefulness of p16 as a marker is less clear in other lesions&#44; such as pigmented spindle cell nevi&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Furthermore&#44; a loss of p16 expression is typically observed in patients with dysplastic nevi&#44; in which its absence is an initial step in the development of melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Two studies provided reassuring evidence concerning the low risk of metastases in Spitzoid lesions and atypical melanocytic proliferations in childhood&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a> Angiotropism may explain why these lesions spread to sentinel lymph nodes but lack the potential to generate disseminated metastases&#58; melanocytes may spread to the lymph nodes through the perivascular space&#44; but lack the capacity to invade the lymphatic system or the bloodstream&#46; The phenomenon&#44; which is similar to perineural infiltration&#44; is also observed in some melanomas &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#46;&#41; Cells that migrate to lymph nodes by means of this mechanism cannot strictly speaking be considered metastases&#46; A group of highly regarded dermatopathologists advocate the use of the vascular markers D2-40 and CD34 to clearly define the relationship between tumor cells and vascular structures&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a></p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The introduction of ultrasound scanners into dermatology departments has opened the door to the possibility of using fine-needle aspiration biopsies to investigate superficial tumors and suspected metastatic lymph nodes &#40;a practice that does not have to be restricted to interventional radiologists or pathologists&#59; by analogy&#44; some endocrinologists perform fine-needle aspiration biopsies of the thyroid&#41;&#46; Some authors have proposed using fine-needle aspiration cytology to identify metastatic melanoma in sentinel nodes and suspicious lymph nodes&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;15</span></a> They report that a negative result on ultrasound study for a sentinel node is very reliable&#44; and when metastasis is suspected&#44; immediate cytologic diagnosis can be obtained using ultrasound-guided fine-needle aspiration biopsy&#46; If the cytology is positive for metastasis&#44; lymphadenectomy can be performed without further investigation&#44; thus reducing morbidity and expenditure&#46; Sonomorphologically suspicious nodes in which the presence of metastases is not detected by cytology should undergo complete study according to the usual protocols for sentinel nodes&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Two new histopathologic variants of melanoma have been described this year&#46; The first of these is a variant of superficial spreading melanoma characterized by large junctional melanocytic nests&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> This variant may go undetected on histopathology study because it lacks many of the well-known microscopic diagnostic criteria of malignancy&#46; It usually develops on areas of the skin with actinic damage and&#44; although growth tends to be radial&#44; it can infiltrate the dermis&#46; The second&#44; which is associated with inactivating germline mutations of <span class="elsevierStyleItalic">BAP1 &#40;BRCA1 associated protein-1</span>&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">0&#44;17</span></a> is a new hereditary syndrome that predisposes patients to epithelioid melanocytic nevi&#44; atypical Spitzoid proliferation&#44; cutaneous and uveal melanoma&#44; lung cancer&#44; meningioma&#44; mesothelioma&#44; and other cancers&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> Moreover&#44; individuals who do not have this hereditary predisposition can also present atypical epithelioid melanocytic proliferations that harbor inactivating mutations of <span class="elsevierStyleItalic">BAP1</span> and concomitant <span class="elsevierStyleItalic">BRAF</span> mutations &#40;<span class="elsevierStyleItalic">V-raf murine sarcoma viral oncogene homolog B1</span>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Lesions associated with inactivation of <span class="elsevierStyleItalic">BAP1</span> are characterized by a lack of correlation between their microscopic appearance resembling an atypical Spitz nevi and a relatively unremarkable clinical appearance&#44; similar to an Unna or Miescher nevus&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Finally&#44; the introduction of targeted treatment for metastatic melanomas that test positive for the <span class="elsevierStyleItalic">BRAF</span> mutation has led to the development of automated techniques for detecting this target&#59; these new techniques are more sensitive than traditional polymerase chain reaction followed by sequencing&#46; In line with the widespread and growing practice of creating alliances between the companies that market biomarker detection techniques and those that produce the drugs targeting those molecules&#44; the company that markets a drug that inhibits the B-Raf protein also distributes the device that detects the mutation that determines its therapeutic indication&#46; This device offers greater sensitivity and specificity than conventional sequencing techniques or polymerase chain reaction&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Drug-Induced Reactions and Other Inflammatory Processes</span><p id="par0040" class="elsevierStylePara elsevierViewall">The introduction of new drugs often gives rise to the appearance of skin reactions with previously unknown histopathologic patterns&#44; and the reactions to treatments targeting biomarkers are a good example of this phenomenon&#46; In patients treated with vemurafenib&#8212;a B-Raf inhibitor indicated in melanomas with V600E mutations&#8212;various skin reactions have been described&#44; including a lobular neutrophilic panniculitis<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> that is often painful and associated with arthritis&#59; in such cases the microscopic changes are focal and sometimes very subtle&#46; The lesions most often biopsied in patients receiving this treatment are wart-like proliferations with features that fall between common viral warts&#44; keratoacanthomas&#44; and squamous cell carcinomas &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> Patients receiving treatment with sorafenib&#44;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> which has been prescribed for metastatic melanoma harboring <span class="elsevierStyleItalic">KIT</span> mutations&#44; among other indications&#44; also develop epithelial proliferations that are not usually papillomatous but tend to form cysts and are frequently related to hair follicles&#46; Sorafenib also produces manifestations similar to those of pityriasis rubra pilaris&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">Biologic therapies&#44; first introduced some years ago&#44; have also led to the emergence of several reactions that have now begun to be well characterized&#46; A recent review of the adverse effects of tumor-necrosis-factor &#40;TNF&#41; antagonists included erythema multiforme-like and lupus erythematosus-like lesions in addition to the neutrophil-rich disorders &#40;psoriasiform dermatitis&#44; palmoplantar pustular psoriasis&#44; pustular folliculitis&#44; Sweet syndrome&#44; neutrophilic eccrine hidradenitis&#44; and leukocytoclastic vasculitis&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> In another article&#44; TNF antagonists were reported to have caused a pseudolymphomatous drug reaction&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> Such reactions have also been reported in patients receiving ustekinumab&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Continuing in the field of drug reactions&#44; one recently published article refutes the idea that eosinophilia in subacute lupus erythematosus is an indicator of a drug reaction&#44;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> and another reviews a series of cases in which the initial clinical and pathological diagnosis of drug-induced reaction was subsequently proven to be inaccurate&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> This last study suggests that the label of drug-induced reaction is overused in such cases&#44; especially in the case of maculopapular eruptions&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A recent study<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> called into question the prognostic value of the severity of inflammatory dermal infiltrate in toxic epidermal necrolysis&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a> The severity of dermal infiltrate had previously been considered to be directly correlated with the risk of death in the course of this disease&#46; In that study&#44; only the depth of the epidermal necrosis was shown to have prognostic significance&#44; and even that was not an independent predictor&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">In severe leukocytoclastic vasculitis&#44; exocytosis of neutrophils to the surface can lead to the appearance of microabscesses on the tips of papillae&#44; mimicking dermatitis herpetiformis&#46; The publication of a case of dermatitis herpetiformis that began with petechiae and leukocytoclastic vasculitis alerts us to the possibility of making the opposite mistake&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> Four new cases of&#8212;mostly systemic&#8212;diffuse nonbullous neutrophilic lupus erythematosus were reported during the year&#44; further defining a newly emerging entity that is very difficult to recognize microscopically&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">A rather curious study on biopsy samples destined for immunofluorescence testing examined the effect of accidental immersion of the samples in formalin before freezing&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a> Unsurprisingly&#44; the study revealed that even 2<span class="elsevierStyleHsp" style=""></span>minutes of immersion in formalin led to complete loss of the staining characteristics in cases of pemphigus and under 10<span class="elsevierStyleHsp" style=""></span>minutes in those of pemphigoid&#46; The most fascinating finding was that immunologic deposits in the dermatitis herpetiformis samples resisted up to 2<span class="elsevierStyleHsp" style=""></span>hours of immersion in formalin&#46; It is also of note that&#44; after prolonged immersion in formalin&#44; keratinocyte nuclei acquire autofluorescence&#44; thereby simulating lupus erythematosus&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">An international group of European dermatopathologists has collected and studied 13 cases of lesions that had the clinical appearance and behavior of acute pityriasis lichenoides&#44; but in which the biopsy results included T-cell clonality and a large number of CD30<span class="elsevierStyleSup">&#43;</span> cells&#44; which often coexpressed CD8 &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> Not only do these lesions microscopically simulate lymphomatoid papulosis&#44; they may&#44; in fact&#44; belong to the same spectrum as this disorder&#46; The same authors also found evidence of parvovirus 19 DNA in 40&#37; of the cases&#44; a finding which&#44; together with the immunophenotype consisting of CD8<span class="elsevierStyleSup">&#43;</span> and CD30<span class="elsevierStyleSup">&#43;</span> cells&#44; suggests a possible viral etiology&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a></p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Also described recently was a new pseudolymphomatous variant of granuloma annulare rich in CD8<span class="elsevierStyleSup">&#43;</span> T cells&#44; a new variant that has been added to the list of known forms of this disease &#40;necrobiotic&#44; incomplete or interstitial&#44; and the rare sarcoid and tuberculoid forms&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">35</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Also on the subject of pseudolymphomatous lesions&#44; a case of lipoatrophic panniculitis with the microscopic appearance of panniculitis-like T-cell lymphoma was reported in a pediatric patient&#59; the pathogenesis was probably autoimmune&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">36</span></a> Other forms of panniculitis that may pose problems in the differential diagnostic are those caused by cutaneous and mucosal mucormycosis&#44; which can convincingly mimic pancreatic or gouty panniculitis&#59; this similarity may&#44; in part&#44; be explained by the ability of these fungi to produce extracellular lipase&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Lymphoproliferative Disorders</span><p id="par0085" class="elsevierStylePara elsevierViewall">The most interesting advance in the field of lymphomas has been the characterization of primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small-to-medium-sized pleomorphic T-cell lymphoma&#44; a provisional entity in the World Health Organization &#40;WHO&#41; classification&#46; Owing to the low aggressiveness of these tumors&#44; especially in the case of single-lesion disease&#44; they are considered to represent a clonal T-cell lymphoproliferative disorder with an indolent clinical course&#46; This entity is characterized by a proliferation of follicular helper T cells characterized by the expression of PD-1 &#40;programmed cell death 1&#41;&#44; a feature that can be used to distinguish it from other types of cutaneous T-cell lymphomas&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">It is possible that the cases currently included in this provisional entity can be divided into 2 categories&#46; Most of these patients present a low-grade lymphoproliferative disorder analogous to a pseudo-T-cell lymphoma &#40;usually solitary lesions&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a> while a small number of them present a follicular helper T-cell lymphoma &#40;usually multiple lesions&#41;&#44; which has a much more aggressive biological behavior and requires intense treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">39</span></a> In these lymphomas&#44; the presence of numerous B lymphocytes in the infiltrate and the expression of CD10 in the neoplastic lymphocytes may give rise to confusion with follicular lymphoma&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Adnexal Diseases</span><p id="par0095" class="elsevierStylePara elsevierViewall">Two cases have recently been described of eruptive hyperplasia of ectopic sebaceous glands after episodes of epidermal erosion caused by scald in one case<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">40</span></a> and following Stevens-Johnson syndrome in the other&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">41</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">In the field of alopecia&#44; 2 new diagnostic clues have been reported&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">42&#44;43</span></a> The first report highlights the utility of polarized light microscopy to distinguish between the scars of scarring alopecia &#40;which are polarizable&#41; and the fibrous streamers of androgenic alopecia which&#44; despite having a very similar microscopic appearance&#44; do not polarize&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">42</span></a> The second article&#44; by the same authors&#44; provides a clue to the diagnosis of frontal fibrosing alopecia&#44; which the authors have called the follicular triad&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a> The term refers to the simultaneous involvement of follicles of 3 types &#40;terminal&#44; vellus&#44; and intermediate&#41; in all 3 stages of cycling &#40;anagen&#44; catagen&#44; and telogen&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a> This sign can be very useful in identifying this variant of lichenoid alopecia&#44; which is not restricted to the frontal region&#44; but can affect the entire scalp and other areas of the skin&#46; Another symptom that has recently been added is facial papules secondary to the involvement of facial vellus hair&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">44</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Still on the subject of alopecia&#44; 2 independent studies show that permanent alopecia caused by systemic chemotherapy has histologic features identical to those of androgenic alopecia&#44; leading to diagnostic difficulties&#46;<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">45&#44;46</span></a> Finally&#44; a new way has been proposed to optimize the yield of a single punch biopsy using a technique that produces both horizontal sections&#44; which are very useful in the diagnosis of alopecia&#44; and vertical sections&#44; which allow us to assess the involvement of the epidermis and the uppermost layer of the dermis&#44; also a source of relevant information&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">47</span></a> The technique involves transecting the biopsy approximately 1<span class="elsevierStyleHsp" style=""></span>mm below the skin surface and using this to obtain vertical sections &#40;perpendicular to the epidermis&#41; and then sectioning the lower portion to obtain horizontal sections &#40;parallel to the epidermis&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Moving on to the subject of adnexal tumors&#44; one of the most striking items that appeared in the last year was the description of desmoplastic trichoepithelioma with perineural involvement&#44; an extremely unusual feature in benign tumors but one that can no longer be considered a reliable sign of malignancy in this context&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">48</span></a> Eosinophilia has also been proposed as a clue to the diagnosis of microcystic adnexal carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">49</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Epidermal Tumors</span><p id="par0115" class="elsevierStylePara elsevierViewall">The introduction of hedgehog pathway inhibitors for the treatment of advanced basal cell carcinoma<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">50</span></a> has stimulated the publication of numerous reports on cases of aggressive basal cell carcinoma&#46;<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">51&#44;52</span></a> It is unclear why some of these tumors have such a high malignant potential that they grow to a large size&#44; invade deep tissues&#44; and even produce metastases&#46; In 1 review of the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">51</span></a> basosquamous cell carcinoma is cited as one of the most aggressive variants of this type of tumor and the one that most often metastasizes&#59; however in another study the same variant&#44; which is considered rare&#44; is said to have a similar prognosis to typical basal cell carcinoma even in transplant recipients&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">53</span></a> In any case&#44; the authors of the latter advocate the use of the Ber-EP4 antibody &#40;Clone Ber-EP4&#41; to confirm the diagnosis of this tumor&#59; this marker is positive in areas of basal cells and negative in those of squamous cells&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">53</span></a> A group of Spanish authors have also made an interesting discovery with respect to Ber-EP4&#44; observing that it stained both sides of the retraction spaces surrounding epithelial nests in basal cell carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">54</span></a> Ber-EP4&#44; also known as EpCAM &#40;epithelial cell adhesion molecule&#41;&#44; is directed against a specific epithelial antigen &#40;a surface glycoprotein&#41;&#44; so that staining on the exterior aspect of the retraction spaces would appear to indicate that these are epithelial in nature&#46; In short&#44; the retraction spaces typical of basal cell carcinoma are not&#44; as has always been thought&#44; located between the epithelium and the stroma&#44; but rather occupy a more peripheral portion of the epithelium&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">54</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Finally&#44; several articles have appeared confirming the predictive value of the new American Joint Committee on Cancer staging system for squamous cell carcinoma&#44;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">55</span></a> which includes indicators of poor prognosis not included in the TNM cancer staging system&#44; such as poor histologic differentiation&#44; thickness greater than 2<span class="elsevierStyleHsp" style=""></span>mm&#44; a Clark level of IV or more&#44; the presence of vascular and&#47;or perineural invasion&#44; and location on the ear or lip&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Mesenchymal Tumors</span><p id="par0125" class="elsevierStylePara elsevierViewall">A recent article confirmed that the expression of p63 is rare in mesenchymal tumors&#44; and when it occurs is usually focal or weak&#44; confirming the usefulness of this protein in identifying pseudosarcomatous carcinomas &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">56</span></a> Similarly&#44; new studies have confirmed that the amplification of MYC &#40;avian myelocytomatosis virus&#41; is an excellent marker for the cutaneous angiosarcomas that appear after radiotherapy or in areas of lymphedema&#44; distinguishing them from other postradiation malignancies and angiosarcomas unrelated to radiotherapy&#46; Moreover&#44; immunohistochemical overexpression is as reliable as fluorescent in situ hybridization for the detection of this marker&#46;<a class="elsevierStyleCrossRefs" href="#bib0285"><span class="elsevierStyleSup">57&#44;58</span></a></p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Finally&#44; the term pleomorphic dermal sarcoma has been proposed to denominate lesions that resemble atypical fibroxanthomas microscopically but produce deep tissue invasion&#44; extensive necrosis&#44; and&#47;or lymphovascular or perineural invasion&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">59</span></a> We have even had room for controversy in this area&#44; such as that arising from the description of pseudomyogenic hemangioendothelioma&#44; previously called epithelioid sarcoma-like hemangioendothelioma&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">60</span></a></p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclusion</span><p id="par0135" class="elsevierStylePara elsevierViewall">In conclusion&#44; in a year full of new developments&#44; significant advances have been made in the diagnosis&#44; staging&#44; and treatment of melanocytic lesions&#46; New drug-induced reactions have been described&#44; especially reactions to the drugs more recently introduced into the therapeutic arsenal&#46; Important advances have been made in the characterization of primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small-to-medium-sized pleomorphic T-cell lymphoma&#44; a provisional WHO entity that&#44; in many cases&#44; is consistent with T pseudolymphomas&#46; Likewise&#44; we have seen the publication of new diagnostic features for alopecia and reports on the presence of perineural invasion in desmoplastic trichoblastoma&#46; In addition&#44; there has been confirmation of the usefulness of p63 and MYC in the identification of pseudosarcomatous epithelial proliferations and angiosarcomas secondary to radiotherapy or arising on lymphedema&#46; Likewise&#44; it has been confirmed that there is an excellent correlation between the new American Joint Committee on Cancer staging system for squamous cell carcinoma of skin and the biological behavior of these lesions&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">These and other excellent advances which&#44; for reasons of space&#44; could not be included in this brief review&#44; are a reflection of the brilliant scientific production that continuously enriches the field of dermatopathology and allows us to be very optimistic about the future of this discipline&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical Disclosures</span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Protection of Human and Animal Subjects</span><p id="par0145" class="elsevierStylePara elsevierViewall">The authors state that no experiments were performed on humans or animals for this investigation&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidentiality of Data</span><p id="par0150" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their workplace concerning the publication of patient data&#44; and that all the patients included in this study have been appropriately informed and gave their written informed consent to participate in this study&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Right to Privacy and Informed Consent</span><p id="par0155" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of Interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:15 [
        0 => array:2 [
          "identificador" => "xres97876"
          "titulo" => "Abstract"
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec85032"
          "titulo" => "Keywords"
        ]
        2 => array:2 [
          "identificador" => "xres97877"
          "titulo" => "Resumen"
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec85033"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Melanocytic Proliferations"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Drug-Induced Reactions and Other Inflammatory Processes"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Lymphoproliferative Disorders"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Adnexal Diseases"
        ]
        9 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Epidermal Tumors"
        ]
        10 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Mesenchymal Tumors"
        ]
        11 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conclusion"
        ]
        12 => array:3 [
          "identificador" => "sec0045"
          "titulo" => "Ethical Disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Protection of Human and Animal Subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Confidentiality of Data"
            ]
            2 => array:2 [
              "identificador" => "sec0060"
              "titulo" => "Right to Privacy and Informed Consent"
            ]
          ]
        ]
        13 => array:2 [
          "identificador" => "sec0065"
          "titulo" => "Conflicts of Interest"
        ]
        14 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-06-20"
    "fechaAceptado" => "2012-10-16"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec85032"
          "palabras" => array:3 [
            0 => "Update"
            1 => "Dermatopathology"
            2 => "Review"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec85033"
          "palabras" => array:3 [
            0 => "Actualizaci&#243;n"
            1 => "Dermatopatolog&#237;a"
            2 => "Revisi&#243;n"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This past year has seen a wealth of new developments in dermatopathology that appear to herald the dawning of a new era&#46; Advances in molecular biology and the simplification of techniques have put molecular tests within reach of routine clinical practice and led to a radical change in our approach to lesions such as melanoma&#59; in the future&#44; the genetic characterization of these lesions will be an essential requirement for establishing diagnosis&#44; prognosis&#44; and therapy&#46; Technological innovations have also reached dermatology departments&#58; the introduction of ultrasound scans has propitiated the use of fine-needle aspiration cytology&#44; which allows samples to be stained and studied immediately&#44; thereby facilitating diagnosis of superficial and lymph-node lesions&#44; and allowing staging of tumors such as melanoma&#46; Targeted cancer therapies have led to the introduction of more sensitive and specific systems for identifying new targets&#44; have reawakened interest in forgotten diseases such as aggressive basal cell carcinoma&#44; and have led to dermatological reactions that&#44; together with those caused by biologic drugs&#44; we are just beginning to recognize&#46; Consolidated techniques such as immunohistochemistry continue to advance with the addition of new antibodies that contribute considerably to improved diagnosis&#46; New clinicopathologic diseases have also been described or characterized this year&#44; including 2 new types of melanoma&#44; and progress has been made in our knowledge of other diseases&#44; such as primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small&#47;medium-sized pleomorphic T-cell lymphoma&#46; These topics&#44; together with new developments in adnexal tumors&#44; alopecia&#44; and other lesions&#44; will be discussed in this review&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Este &#250;ltimo a&#241;o ha sido rico en novedades dermatopatol&#243;gicas que se vislumbran como el inicio de una nueva era&#46; Los avances en las t&#233;cnicas de biolog&#237;a molecular y su simplificaci&#243;n&#44; que las hace asequibles al uso rutinario&#44; han supuesto un cambio radical en el concepto de lesiones como el melanoma&#44; cuya caracterizaci&#243;n gen&#233;tica ser&#225; en el futuro un requisito indispensable para establecer el diagn&#243;stico&#44; el pron&#243;stico y la terap&#233;utica&#46; Las innovaciones tecnol&#243;gicas tambi&#233;n han llegado a los servicios de Dermatolog&#237;a&#59; la introducci&#243;n de ec&#243;grafos ha propiciado el uso de t&#233;cnicas de citolog&#237;a por punci&#243;n-aspiraci&#243;n que pueden ser te&#241;idas y estudiadas de manera inmediata&#44; facilitando el diagn&#243;stico de lesiones superficiales y ganglionares&#44; y permitiendo la estadificaci&#243;n de neoplasias como el melanoma&#46; La aparici&#243;n de tratamientos oncol&#243;gicos dirigidos contra &#171;dianas terap&#233;uticas&#187; ha conllevado la introducci&#243;n de sistemas m&#225;s sensibles y espec&#237;ficos para su idetificaci&#243;n&#44; ha reactivado el inter&#233;s por patolog&#237;as olvidadas como el carcinoma basocelular agresivo y ha comportado la aparici&#243;n de reacciones dermatol&#243;gicas que&#44; junto con las secundarias a f&#225;rmacos biol&#243;gicos&#44; empezamos a reconocer&#46; T&#233;cnicas consolidadas como la inmunohistoqu&#237;mica contin&#250;an progresando con la incorporaci&#243;n de nuevos anticuerpos que contribuyen de manera notable al diagn&#243;stico&#46; Este a&#241;o&#44; adem&#225;s&#44; se han descrito o caracterizado nuevas entidades clinicopatol&#243;gicas&#44; y entre ellas 2 nuevos tipos de melanoma&#46; Tambi&#233;n se ha avanzado en el conocimiento de otras&#44; como el linfoma T pleom&#243;rfico CD4&#43; de c&#233;lulas peque&#241;as&#47;medianas&#46; Estos temas&#44; junto con novedades en tumores anexiales&#44; alopecias y otras lesiones&#44; ser&#225;n comentados en esta revisi&#243;n&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Please cite this article as&#58; Fern&#225;ndez-Figueras MT&#44; Puig L&#46; Actualizaci&#243;n en dermatopatolog&#237;a&#46; Actas Dermosifiliogr&#46; 2013&#59;104&#58;204&#8211;11&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2475
            "Ancho" => 1665
            "Tamanyo" => 883773
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#44; The presence of small intracapsular nodal nevi in the sentinel lymph nodes of a melanoma is not uncommon&#44; and this phenomenon can cause diagnostic difficulties when the primary tumor is a nevoid melanoma&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The preservation of p16 expression could be an additional indication of a benign neoplasm&#46; &#40;p16&#44; original magnification x200&#46;&#41;&#46;</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" => 1253
            "Ancho" => 1665
            "Tamanyo" => 380200
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Melanoma demonstrating angiotropism and neurotropism&#46; Angiotropism&#44; a phenomenon analogous to neurotropism&#44; is found in both benign and malignant melanocytic tumors&#46; It could explain how melanocytes spread to lymph nodes without being true metastases&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1253
            "Ancho" => 1665
            "Tamanyo" => 390872
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient with metastatic melanoma treated with the B-Raf inhibitor vemurafenib&#58; a papillomatous lesion showing scant atypia and columns of parakeratosis sometimes containing small amounts of hemorrhage&#44; similar to common viral warts&#46; &#40;Hematoxylin-eosin&#44; original magnification x400&#46;&#41;&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 2560
            "Ancho" => 1665
            "Tamanyo" => 1033341
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A&#44; Lichenoid eruption in a child&#46; The lesion has the clinical features of pityriasis lichenoides et varioliformis acuta but demonstrates lymphocytic atypia&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The lesion contains abundant CD30<span class="elsevierStyleSup">&#43;</span> lymphoid cells&#46; &#40;CD30&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "fig0025"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr5.jpeg"
            "Alto" => 2558
            "Ancho" => 1665
            "Tamanyo" => 793015
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermis replaced by dense collagen surrounding spindle cells with a mesenchymal appearance&#46; &#40;Hematoxylin-eosin&#44; original magnification x100&#46;&#41; B&#44; p63 positivity demonstrates the epithelial origin and facilitates the diagnosis of spindle cell squamous cell carcinoma&#46; &#40;p63&#44; original magnification x100&#46;&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:60 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fluorescence in situ hybridization &#40;FISH&#41; as an ancillary diagnostic tool in the diagnosis of melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Gerami"
                            1 => "S&#46;S&#46; Jewell"
                            2 => "L&#46;E&#46; Morrison"
                            3 => "B&#46; Blondin"
                            4 => "J&#46; Schulz"
                            5 => "T&#46; Ruffalo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e3181a1ef36"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2009"
                        "volumen" => "33"
                        "paginaInicial" => "1146"
                        "paginaFinal" => "1156"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19561450"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Classifying ambiguous melanocytic lesions with FISH and correlation with clinical long-term follow up"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Gaiser"
                            1 => "H&#46; Kutzner"
                            2 => "G&#46; Palmedo"
                            3 => "M&#46;D&#46; Siegelin"
                            4 => "T&#46; Wiesner"
                            5 => "T&#46; Bruckner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2009.177"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2010"
                        "volumen" => "23"
                        "paginaInicial" => "413"
                        "paginaFinal" => "419"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20081813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fluorescence in situ hybridization&#44; a diagnostic aid in ambiguous melanocytic tumors&#58; European study of 113 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Vergier"
                            1 => "M&#46; Prochazkova-Carlotti"
                            2 => "A&#46; de la Fouchardi&#232;re"
                            3 => "L&#46; Cerroni"
                            4 => "D&#46; Massi"
                            5 => "V&#46; de Giorgi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2010.228"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2011"
                        "volumen" => "24"
                        "paginaInicial" => "613"
                        "paginaFinal" => "623"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21151100"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pigmented spindle cell nevus&#58; clues for differentiating it from spindle cell malignant melanoma&#46; A comprehensive survey including clinicopathologic&#44; immunohistochemical&#44; and FISH studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; D&#237;az"
                            1 => "A&#46; Valera"
                            2 => "C&#46; Carrera"
                            3 => "S&#46; Hakim"
                            4 => "P&#46; Aguilera"
                            5 => "A&#46; Garc&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318229cf66"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1733"
                        "paginaFinal" => "1742"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21997694"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642011011511"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of copy number status of chromosomes 6 and 11 by FISH provides independent prognostic information in primary melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;P&#46; North"
                            1 => "J&#46;T&#46; Vetto"
                            2 => "R&#46; Murali"
                            3 => "K&#46;P&#46; White"
                            4 => "C&#46;R&#46; White Jr&#46;"
                            5 => "B&#46;C&#46; Bastian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318222a634"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1146"
                        "paginaFinal" => "1150"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21716079"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0039625797001197"
                          "estado" => "S300"
                          "issn" => "00396257"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Distinctive clinical and histologic features in cutaneous melanoma with copy number gains in 8q24"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Pouryazdanparast"
                            1 => "D&#46;P&#46; Cowen"
                            2 => "B&#46;A&#46; Beilfuss"
                            3 => "Z&#46; Haghighat"
                            4 => "J&#46; Guitart"
                            5 => "A&#46; Rademaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31823425cc"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "253"
                        "paginaFinal" => "264"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22020039"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Expression of CD10 predicts tumor progression and unfavorable prognosis in malignant melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Oba"
                            1 => "T&#46; Nakahara"
                            2 => "S&#46; Hayashida"
                            3 => "M&#46; Kido"
                            4 => "L&#46; Xie"
                            5 => "Takahara"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.10.019"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "1152"
                        "paginaFinal" => "1160"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21700362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "p16 expression&#58; a marker of differentiation between childhood malignant melanomas and Spitz nevi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Al Dhaybi"
                            1 => "M&#46; Agoumi"
                            2 => "I&#46; Gagn&#233;"
                            3 => "C&#46; McCuaig"
                            4 => "J&#46; Powell"
                            5 => "V&#46; Kokta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.07.031"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "357"
                        "paginaFinal" => "363"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21550132"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of proliferation markers in metastatic melanoma in sentinel lymph nodes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Joannou-Coetzee"
                            1 => "N&#46; Villena"
                            2 => "B&#46;W&#46; Powell"
                            3 => "M&#46;G&#46; Cook"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/jclinpath-2011-200242"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Clin Pathol"
                        "fecha" => "2011"
                        "volumen" => "64"
                        "paginaInicial" => "1108"
                        "paginaFinal" => "1111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21896579"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335011000149"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selective loss of wild-type p16&#40;INK4a&#41; expression in human nevi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;L&#46; Scurr"
                            1 => "H&#46;A&#46; McKenzie"
                            2 => "T&#46;M&#46; Becker"
                            3 => "M&#46; Irvine"
                            4 => "K&#46; Lai"
                            5 => "G&#46;J&#46; Mann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/jid.2011.197"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2011"
                        "volumen" => "131"
                        "paginaInicial" => "2329"
                        "paginaFinal" => "2332"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21734716"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642010007062"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long-term outcome of Spitz-type melanocytic tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Sepehr"
                            1 => "E&#46; Chao"
                            2 => "B&#46; Trefrey"
                            3 => "A&#46; Blackford"
                            4 => "L&#46;M&#46; Duncan"
                            5 => "T&#46;J&#46; Flotte"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.170"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1173"
                        "paginaFinal" => "1179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21680758"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642012001303"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sentinel node biopsy in atypical melanocytic neoplasms in childhood&#58; a single institution experience in 24 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "O&#46;L&#46; Mills"
                            1 => "S&#46; Marzban"
                            2 => "J&#46;S&#46; Zager"
                            3 => "V&#46;K&#46; Sondak"
                            4 => "J&#46;L&#46; Messina"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01853.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "331"
                        "paginaFinal" => "336"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22335592"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical relevance of detection of lymphovascular invasion in primary melanoma using endothelial markers D2-40 and CD34"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;E&#46; Rose"
                            1 => "P&#46;J&#46; Christos"
                            2 => "D&#46; Lackaye"
                            3 => "R&#46;L&#46; Shapiro"
                            4 => "R&#46; Berman"
                            5 => "M&#46; Mazumdar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31822573f5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1441"
                        "paginaFinal" => "1449"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21881483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multimodality approach to the sentinel node&#58; an algorithm for the use of presentinel lymph node biopsy ultrasound &#40;after lymphoscintigraphy&#41; in conjunction with presentinel lymph node biopsy fine needle aspiration cytology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;A&#46; Voit"
                            1 => "A&#46;J&#46; van Akkooi"
                            2 => "G&#46; Sch&#228;fer-Hesterberg"
                            3 => "W&#46; Sterry"
                            4 => "A&#46;M&#46; Eggermont"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CMR.0b013e3283485f27"
                      "Revista" => array:7 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2011"
                        "volumen" => "21"
                        "paginaInicial" => "450"
                        "paginaFinal" => "456"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21673603"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335004006601"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fine needle aspiration cytology of palpable and nonpalpable lymph nodes to detect metastatic melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;A&#46; Voit"
                            1 => "A&#46;C&#46; van Akkooi"
                            2 => "A&#46;M&#46; Eggermont"
                            3 => "G&#46; Sch&#228;fer-Hesterberg"
                            4 => "M&#46; Kron"
                            5 => "J&#46; Ulrich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/jnci/djr381"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Natl Cancer Inst"
                        "fecha" => "2011"
                        "volumen" => "103"
                        "paginaInicial" => "1771"
                        "paginaFinal" => "1777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21940673"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Histological and genetic evidence for a variant of superficial spreading melanoma composed predominantly of large nests"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Kutzner"
                            1 => "G&#46; Metzler"
                            2 => "Z&#46; Argenyi"
                            3 => "L&#46; Requena"
                            4 => "G&#46; Palmedo"
                            5 => "T&#46; Mentzel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2012.35"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2012"
                        "volumen" => "25"
                        "paginaInicial" => "838"
                        "paginaFinal" => "845"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22388759"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Germline mutations in BAP1 predispose to melanocytic tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Wiesner"
                            1 => "A&#46;C&#46; Obenauf"
                            2 => "R&#46; Murali"
                            3 => "I&#46; Fried"
                            4 => "K&#46;G&#46; Griewank"
                            5 => "P&#46; Ulz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/ng.910"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Genet"
                        "fecha" => "2011"
                        "volumen" => "43"
                        "paginaInicial" => "1018"
                        "paginaFinal" => "1021"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21874003"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Germline BAP1 inactivation is preferentially associated with metastatic ocular melanoma and cutaneous-ocular melanoma families"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;N&#46; Njauw"
                            1 => "I&#46; Kim"
                            2 => "A&#46; Piris"
                            3 => "M&#46; Gabree"
                            4 => "M&#46; Taylor"
                            5 => "A&#46;M&#46; Lane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1371/journal.pone.0035295"
                      "Revista" => array:5 [
                        "tituloSerie" => "PLoS One"
                        "fecha" => "2012"
                        "volumen" => "7"
                        "paginaInicial" => "e35295"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22545102"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A distinct subset of atypical Spitz tumors is characterized by <span class="elsevierStyleItalic">BRAF</span> mutation and loss of BAP1 expression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Wiesner"
                            1 => "R&#46; Murali"
                            2 => "I&#46; Fried"
                            3 => "L&#46; Cerroni"
                            4 => "K&#46; Busam"
                            5 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e3182498be5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "818"
                        "paginaFinal" => "830"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22367297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Panniculitis with arthralgia in patients with melanoma treated with selective BRAF inhibitors and its management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Zimmer"
                            1 => "E&#46; Livingstone"
                            2 => "U&#46; Hillen"
                            3 => "S&#46; D&#246;mkes"
                            4 => "A&#46; Becker"
                            5 => "D&#46; Schadendorf"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.2842"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "357"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22250191"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642011002247"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous side effects of inhibitors of the RAS&#47;RAF&#47;MEK&#47;ERK signalling pathway and their management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "I&#46; Manousaridis"
                            1 => "S&#46; Mavridou"
                            2 => "S&#46; Goerdt"
                            3 => "M&#46; Leverkus"
                            4 => "J&#46; Utikal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
                        "fecha" => "2012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin tumors induced by sorafenib&#59; paradoxic RAS-RAF pathway activation and oncogenic mutations of <span class="elsevierStyleItalic">HRAS</span>&#44; <span class="elsevierStyleItalic">TP53</span>&#44; and <span class="elsevierStyleItalic">TGFBR1</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;P&#46; Arnault"
                            1 => "C&#46; Mateus"
                            2 => "B&#46; Escudier"
                            3 => "G&#46; Tomasic"
                            4 => "J&#46; Wechsler"
                            5 => "E&#46; Hollville"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1158/1078-0432.CCR-11-1344"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Cancer Res"
                        "fecha" => "2012"
                        "volumen" => "18"
                        "paginaInicial" => "263"
                        "paginaFinal" => "272"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22096025"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642012003211"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sorafenib-induced eruption resembling pityriasis rubra pilaris"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Paz"
                            1 => "C&#46; Querfeld"
                            2 => "C&#46;R&#46; Shea"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.03.015"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "452"
                        "paginaFinal" => "453"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21763585"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Broad range of adverse cutaneous eruptions in patients on TNF-alpha antagonists"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;B&#46; Hawryluk"
                            1 => "K&#46;R&#46; Linskey"
                            2 => "L&#46;M&#46; Duncan"
                            3 => "R&#46;M&#46; Nazarian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01894.x"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "481"
                        "paginaFinal" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22515220"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642010001867"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous pseudolymphoma induced by adalimumab and reproduced by infliximab in a patient with arthropathic psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Imafuku"
                            1 => "K&#46; Ito"
                            2 => "J&#46; Nakayama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10607.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "675"
                        "paginaFinal" => "678"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21910704"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lymphomatoid drug reaction to ustekinumab"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Jung"
                            1 => "E&#46;C&#46; Levin"
                            2 => "R&#46; Jarrett"
                            3 => "D&#46; Lu"
                            4 => "C&#46; Mann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.213"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "992"
                        "paginaFinal" => "993"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21844471"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335009009298"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tissue eosinophilia&#58; not an indicator of drug-induced subacute cutaneous lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46;B&#46; Hillesheim"
                            1 => "S&#46; Bahrami"
                            2 => "B&#46;G&#46; Jeffy"
                            3 => "J&#46;P&#46; Callen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.290"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "190"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22004879"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is drug allergy less prevalent than previously assumed&#63; A 5-year analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;M&#46; Heinzerling"
                            1 => "D&#46; Tomsitz"
                            2 => "M&#46;D&#46; Anliker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10623.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "107"
                        "paginaFinal" => "114"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21916887"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prognostic value of histologic features of toxic epidermal necrolysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Valeyrie-Allanore"
                            1 => "S&#46; Bastuji-Garin"
                            2 => "S&#46; Gu&#233;gan"
                            3 => "N&#46; Ortonne"
                            4 => "M&#46; Bagot"
                            5 => "J&#46;C&#46; Roujeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939408000020"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Uncovering histologic criteria with prognostic significance in toxic epidermal necrolysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;M&#46; Quinn"
                            1 => "K&#46; Brown"
                            2 => "B&#46;K&#46; Bonish"
                            3 => "J&#46; Curry"
                            4 => "K&#46;B&#46; Gordon"
                            5 => "J&#46; Sinacore"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.141.6.683"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2005"
                        "volumen" => "141"
                        "paginaInicial" => "683"
                        "paginaFinal" => "687"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15967913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leukocytoclastic vasculitis as the presenting feature of dermatitis herpetiformis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; Naylor"
                            1 => "A&#46; Atwater"
                            2 => "M&#46;A&#46; Selim"
                            3 => "R&#46; Hall"
                            4 => "P&#46;K&#46; Puri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.293"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1313"
                        "paginaFinal" => "1316"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22106118"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nonbullous neutrophilic lupus erythematosus&#58; a newly recognized variant of cutaneous lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;K&#46; Brinster"
                            1 => "J&#46; Nunley"
                            2 => "R&#46; Pariser"
                            3 => "B&#46; Horvath"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2009.05.019"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "92"
                        "paginaFinal" => "97"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22050914"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939409007326"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Can direct immunofluorescence testing still be accurate if performed on biopsy specimens after brief inadvertent immersion in formalin&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Arbesman"
                            1 => "R&#46; Grover"
                            2 => "T&#46;N&#46; Helm"
                            3 => "E&#46;H&#46; Beutner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.06.019"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "106"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21570155"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pityriasis lichenoides et varioliformis acuta with numerous CD30&#43; cells&#58; A variant mimicking lymphomatoid papulosis and other cutaneous lymphomas&#46; A clinicopathologic&#44; immunohistochemical&#44; and molecular biological study of 13 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "W&#46; Kempf"
                            1 => "D&#46;V&#46; Kazakov"
                            2 => "G&#46; Palmedo"
                            3 => "S&#46; Fraitag"
                            4 => "L&#46; Schaerer"
                            5 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31824f4f66"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "1021"
                        "paginaFinal" => "1029"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22472952"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S088633501000862X"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Granuloma annulare with prominent lymphoid infiltrates &#40;&#8220;pseudolymphomatous&#8221; granuloma annulare&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Cota"
                            1 => "G&#46; Ferrara"
                            2 => "L&#46; Cerroni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e31822a2aca"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2012"
                        "volumen" => "34"
                        "paginaInicial" => "259"
                        "paginaFinal" => "262"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22207445"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642008010749"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoatrophic panniculitis of the ankles in childhood&#58; differential diagnosis with subcutaneous panniculitis-like T-cell lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46; Santonja"
                            1 => "I&#46; Gonzalo"
                            2 => "M&#46; Feito"
                            3 => "M&#46; Beato-Merino"
                            4 => "L&#46; Requena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e31822e68ca"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2012"
                        "volumen" => "34"
                        "paginaInicial" => "295"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22513806"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009005351"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous and mucosal mucormycosis mimicking pancreatic panniculitis and gouty panniculitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Requena"
                            1 => "P&#46; Sitthinamsuwan"
                            2 => "C&#46; Santonja"
                            3 => "M&#46;T&#46; Fern&#225;ndez-Figueras"
                            4 => "J&#46;L&#46; Rodr&#237;guez-Peralto"
                            5 => "Z&#46; Argenyi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2011.06.024"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "975"
                        "paginaFinal" => "984"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21958652"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudolinfomas&#46; Expression of programmed death-1 in primary cutaneous CD4-positive small&#47;medium-sized pleomorphic T-cell lymphoma&#44; cutaneous pseudo-T-cell lymphoma&#44; and other types of cutaneous T-cell lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Cetin&#246;zman"
                            1 => "P&#46;M&#46; Jansen"
                            2 => "R&#46; Willemze"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318230df87"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "109"
                        "paginaFinal" => "116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21989349"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary cutaneous follicular helper T-cell lymphoma&#58; A new subtype of cutaneous T-cell lymphoma reported in a series of 5 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Battistella"
                            1 => "M&#46; Beylot-Barry"
                            2 => "H&#46; Bachelez"
                            3 => "J&#46; Rivet"
                            4 => "B&#46; Vergier"
                            5 => "M&#46; Bagot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.3269"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "832"
                        "paginaFinal" => "839"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22508770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sebaceous hyperplasia within epidermis after scald"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Z&#46; Yin"
                            1 => "J&#46; Xu"
                            2 => "D&#46; Luo"
                            3 => "M&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01783.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "75"
                        "paginaFinal" => "77"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22077362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disseminated eruption of ectopic sebaceous glands following Stevens-Johnson syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;A&#46; Moosbrugger"
                            1 => "B&#46;B&#46; Adams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.02.035"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "446"
                        "paginaFinal" => "448"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21763581"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Polarized microscopy as a helpful tool to distinguish chronic nonscarring alopecia from scarring alopecia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Miteva"
                            1 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.344"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "91"
                        "paginaFinal" => "94"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22250238"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The follicular triad&#58; a pathological clue to the diagnosis of early frontal fibrosing alopecia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Miteva"
                            1 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10533.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "440"
                        "paginaFinal" => "442"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21787366"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Facial papules in frontal fibrosing alopecia&#58; evidence of vellus follicle involvement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Donati"
                            1 => "L&#46; Molina"
                            2 => "I&#46; Doche"
                            3 => "N&#46;S&#46; Valente"
                            4 => "R&#46; Romiti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.321"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1424"
                        "paginaFinal" => "1427"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22184764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Permanent alopecia after systemic chemotherapy&#58; a clinicopathological study of 10 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Miteva"
                            1 => "C&#46; Misciali"
                            2 => "P&#46;A&#46; Fanti"
                            3 => "C&#46; Vincenzi"
                            4 => "P&#46; Romanelli"
                            5 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e3181fcfc25"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2011"
                        "volumen" => "33"
                        "paginaInicial" => "345"
                        "paginaFinal" => "350"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21430504"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Permanent scalp alopecia related to breast cancer chemotherapy by sequential fluorouracil&#47;epirubicin&#47;cyclophosphamide &#40;FEC&#41; and docetaxel&#58; a prospective study of 20 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Kluger"
                            1 => "W&#46; Jacot"
                            2 => "E&#46; Frouin"
                            3 => "V&#46; Rigau"
                            4 => "S&#46; Poujol"
                            5 => "O&#46; Dereure"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/annonc/mds095"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Oncol"
                        "fecha" => "2012"
                        "volumen" => "23"
                        "paginaInicial" => "2879"
                        "paginaFinal" => "2884"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22571858"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335009006610"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The HoVert technique&#58; a novel method for the sectioning of alopecia biopsies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;V&#46; Nguyen"
                            1 => "K&#46; Hudacek"
                            2 => "J&#46;A&#46; Whitten"
                            3 => "A&#46;I&#46; Rubin"
                            4 => "J&#46;T&#46; Seykora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2010.01669.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2011"
                        "volumen" => "38"
                        "paginaInicial" => "401"
                        "paginaFinal" => "406"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21251040"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Desmoplastic trichoepithelioma with perineural involvement&#58; a series of seven cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Jedrych"
                            1 => "D&#46; Leffell"
                            2 => "J&#46;M&#46; McNiff"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01876.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "317"
                        "paginaFinal" => "323"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22335590"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eosinophils as a clue to the diagnosis of microcystic adnexal carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;H&#46; McCalmont"
                            1 => "J&#46; Ye"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01801_1.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2011"
                        "volumen" => "38"
                        "paginaInicial" => "849"
                        "paginaFinal" => "852"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21955309"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metastatic basal cell carcinoma in the era of hedgehog signaling pathway inhibitors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46;J&#46; Weiss"
                            1 => "R&#46;L&#46; Korn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/cncr.27532"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "2012"
                        "volumen" => "118"
                        "paginaInicial" => "5310"
                        "paginaFinal" => "5319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22511370"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939409000063"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metastatic basal cell carcinoma of the posterior neck&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;B&#46; Gropper"
                            1 => "S&#46;D&#46; Girouard"
                            2 => "L&#46;P&#46; Hojman"
                            3 => "S&#46;J&#46; Huang"
                            4 => "X&#46; Qian"
                            5 => "G&#46;F&#46; Murphy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01871.x"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "526"
                        "paginaFinal" => "534"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22515224"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939407010756"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "52"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clear cell basal cell carcinoma with pulmonary metastasis&#58; case report and literature review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;J&#46; Fern&#225;ndez-Ace&#241;ero"
                            1 => "C&#46; Cenjor"
                            2 => "S&#46; C&#243;rdova"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e3181e2ef6a"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2011"
                        "volumen" => "33"
                        "paginaInicial" => "379"
                        "paginaFinal" => "382"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21048492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "53"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Basosquamous cell carcinoma in organ transplant patients&#58; A clinicopathologic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Mougel"
                            1 => "J&#46; Kanitakis"
                            2 => "M&#46; Faure"
                            3 => "S&#46; Euvrard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.11.045"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "e151"
                        "paginaFinal" => "e157"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21696852"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "54"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What is the cause of retraction spaces associated with basal cell carcinoma&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;J&#46; R&#237;os-Mart&#237;n"
                            1 => "D&#46; Moreno-Ram&#237;rez"
                            2 => "R&#46; Gonz&#225;lez-C&#225;mpora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "55"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new American Joint Committee on Cancer staging system for cutaneous squamous cell carcinoma&#58; creation and rationale for inclusion of tumor &#40;T&#41; characteristics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Farasat"
                            1 => "S&#46;S&#46; Yu"
                            2 => "V&#46;A&#46; Neel"
                            3 => "K&#46;S&#46; Nehal"
                            4 => "T&#46; Lardaro"
                            5 => "M&#46;C&#46; Mihm"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.08.033"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "64"
                        "paginaInicial" => "1051"
                        "paginaFinal" => "1059"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21255868"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            55 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "56"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "p63 immunohistochemical staining is limited in soft tissue tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46;Y&#46; Jo"
                            1 => "C&#46;D&#46; Fletcher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1309/AJCPXNUC7JZSKWEU"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Pathol"
                        "fecha" => "2011"
                        "volumen" => "136"
                        "paginaInicial" => "762"
                        "paginaFinal" => "766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22031315"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            56 => array:3 [
              "identificador" => "bib0285"
              "etiqueta" => "57"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postradiation cutaneous angiosarcoma after treatment of breast carcinoma is characterized by MYC amplification in contrast to atypical vascular lesions after radiotherapy and control cases&#58; clinicopathological&#44; immunohistochemical and molecular analysis of 66 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Mentzel"
                            1 => "H&#46;U&#46; Schildhaus"
                            2 => "G&#46; Palmedo"
                            3 => "R&#46; B&#252;ttner"
                            4 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2011.134"
                      "Revista" => array:7 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2012"
                        "volumen" => "25"
                        "paginaInicial" => "75"
                        "paginaFinal" => "85"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21909081"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S016164201200070X"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            57 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "58"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consistent <span class="elsevierStyleItalic">MYC</span> and <span class="elsevierStyleItalic">FLT4</span> gene amplification in radiation-induced angiosarcoma but not in other radiation-associated atypical vascular lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "T&#46; Guo"
                            1 => "L&#46; Zhang"
                            2 => "N&#46;E&#46; Chang"
                            3 => "S&#46; Singer"
                            4 => "R&#46;G&#46; Maki"
                            5 => "C&#46;R&#46; Antonescu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/gcc.20827"
                      "Revista" => array:6 [
                        "tituloSerie" => "Genes Chromosomes Cancer"
                        "fecha" => "2011"
                        "volumen" => "50"
                        "paginaInicial" => "25"
                        "paginaFinal" => "33"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20949568"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            58 => array:3 [
              "identificador" => "bib0295"
              "etiqueta" => "59"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleomorphic dermal sarcoma&#58; Adverse histologic features predict aggressive behavior and allow distinction from atypical fibroxanthoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Miller"
                            1 => "J&#46;R&#46; Goodlad"
                            2 => "T&#46; Brenn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            59 => array:3 [
              "identificador" => "bib0300"
              "etiqueta" => "60"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epithelioid sarcoma-like hemangioendothelioma &#40;pseudomyogenic hemangioendothelioma&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;D&#46; Billings"
                            1 => "A&#46;L&#46; Folpe"
                            2 => "S&#46;W&#46; Weiss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31821caf1c"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1088"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21677548"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642008012463"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000334/v1_201304241622/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6176"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Controversies in Dermatology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010400000003/v1_201304241622/S1578219013000334/v1_201304241622/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000334?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Controversies in Dermatology
Dermatopathology Update
Actualización en dermatopatología
M.T. Fernández-Figuerasa,b,
Corresponding author
maiteffig@gmail.com

Corresponding author.
, L. Puigb,c
a Servicio de Anatomía Patológica, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
b Departamento de Ciencias Morfológicas, Universitat Autònoma de Barcelona, Barcelona, Spain
c Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Read
7591
Times
was read the article
2504
Total PDF
5087
Total HTML
Share statistics
 array:24 [
  "pii" => "S1578219013000334"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2012.10.007"
  "estado" => "S300"
  "fechaPublicacion" => "2013-04-01"
  "aid" => "750"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "ssu"
  "cita" => "Actas Dermosifiliogr. 2013;104:204-11"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3021
    "formatos" => array:3 [
      "EPUB" => 45
      "HTML" => 2279
      "PDF" => 697
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731012004802"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2012.10.006"
      "estado" => "S300"
      "fechaPublicacion" => "2013-04-01"
      "aid" => "750"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
      "documento" => "article"
      "crossmark" => 0
      "subdocumento" => "ssu"
      "cita" => "Actas Dermosifiliogr. 2013;104:204-11"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 5842
        "formatos" => array:3 [
          "EPUB" => 5
          "HTML" => 4394
          "PDF" => 1443
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Controversias En Dermatolog&#237;a</span>"
        "titulo" => "Actualizaci&#243;n en dermatopatolog&#237;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "204"
            "paginaFinal" => "211"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Dermatopathology Update"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0020"
            "etiqueta" => "Figura 4"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr4.jpeg"
                "Alto" => 2561
                "Ancho" => 1664
                "Tamanyo" => 1356396
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A&#46; Erupci&#243;n liquenoide en un ni&#241;o con caracter&#237;sticas cl&#237;nicas de PLEVA que histol&#243;gicamente muestra atipia linfocitaria&#46; &#40;HE &#215; 200&#46;&#41; B&#46; Contiene abundantes c&#233;lulas linfoides CD30&#43;&#46; &#40;CD30 &#91;inmunohistoqu&#237;mica&#93; &#215; 200&#46;&#41;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;T&#46; Fern&#225;ndez-Figueras, L&#46; Puig"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "M&#46;T&#46;"
                "apellidos" => "Fern&#225;ndez-Figueras"
              ]
              1 => array:2 [
                "nombre" => "L&#46;"
                "apellidos" => "Puig"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219013000334"
          "doi" => "10.1016/j.adengl.2012.10.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000334?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731012004802?idApp=UINPBA000044"
      "url" => "/00017310/0000010400000003/v1_201304241344/S0001731012004802/v1_201304241344/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219013000346"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2011.12.011"
    "estado" => "S300"
    "fechaPublicacion" => "2013-04-01"
    "aid" => "635"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Actas Dermosifiliogr. 2013;104:212-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 6333
      "formatos" => array:3 [
        "EPUB" => 40
        "HTML" => 5585
        "PDF" => 708
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Novelties in Dermatology</span>"
      "titulo" => "New Developments in Erythropoietic Porphyrias"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "212"
          "paginaFinal" => "219"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Novedades en las porfirias eritropoy&#233;ticas"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0035"
          "etiqueta" => "Figure 7"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr7.jpeg"
              "Alto" => 738
              "Ancho" => 1610
              "Tamanyo" => 88004
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">A&#44; Yellowish coloration of the teeth of a child with congenital erythropoietic porphyria&#46; B&#44; Red fluorescence &#40;erythrodontia&#41; can be readily observed under Wood light&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Darwich, C&#46; Herrero"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Darwich"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Herrero"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731012002190"
        "doi" => "10.1016/j.ad.2011.12.021"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731012002190?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000346?idApp=UINPBA000044"
    "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000346/v1_201304241622/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219013000322"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2013.02.001"
    "estado" => "S300"
    "fechaPublicacion" => "2013-04-01"
    "aid" => "691"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "ssu"
    "cita" => "Actas Dermosifiliogr. 2013;104:181-203"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 17745
      "formatos" => array:3 [
        "EPUB" => 86
        "HTML" => 13258
        "PDF" => 4401
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Immunohistochemistry in Dermatopathology&#58; A Review of the Most Commonly Used Antibodies &#40;Part II&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "181"
          "paginaFinal" => "203"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Inmunohistoqu&#237;mica en dermatopatolog&#237;a&#58; revisi&#243;n de los anticuerpos utilizados con mayor frecuencia &#40;parte <span class="elsevierStyleSmallCaps">ii</span>&#41;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0175"
          "etiqueta" => "Figure 35"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr35.jpeg"
              "Alto" => 1196
              "Ancho" => 1591
              "Tamanyo" => 379695
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0185" class="elsevierStyleSimplePara elsevierViewall">Granular cell tumor&#46; A&#44; Low-power magnification&#46; B&#44; Detail of neoplastic cells with a granular cytoplasm&#46; C&#44; The same specimen studied immunohistochemically with calretinin&#46; D&#44; Detail of calretinin-positive neoplastic cells&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Fuertes, C&#46; Santonja, H&#46; Kutzner, L&#46; Requena"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Fuertes"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Santonja"
            ]
            2 => array:2 [
              "nombre" => "H&#46;"
              "apellidos" => "Kutzner"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Requena"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S000173101200347X"
        "doi" => "10.1016/j.ad.2012.02.018"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173101200347X?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000322?idApp=UINPBA000044"
    "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000322/v1_201304241622/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Controversies in Dermatology</span>"
    "titulo" => "Dermatopathology Update"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "204"
        "paginaFinal" => "211"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;T&#46; Fern&#225;ndez-Figueras, L&#46; Puig"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "M&#46;T&#46;"
            "apellidos" => "Fern&#225;ndez-Figueras"
            "email" => array:1 [
              0 => "maiteffig&#64;gmail&#46;com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Puig"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital Universitari Germans Trias i Pujol&#44; Badalona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Ciencias Morfol&#243;gicas&#44; Universitat Aut&#242;noma de Barcelona&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital de la Santa Creu i Sant Pau&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Actualizaci&#243;n en dermatopatolog&#237;a"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2475
            "Ancho" => 1665
            "Tamanyo" => 883773
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#44; The presence of small intracapsular nodal nevi in the sentinel lymph nodes of a melanoma is not uncommon&#44; and this phenomenon can cause diagnostic difficulties when the primary tumor is a nevoid melanoma&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The preservation of p16 expression could be an additional indication of a benign neoplasm&#46; &#40;p16&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The past year has seen a wealth of new developments in dermatopathology&#44; many of which are related to technical progress and advances in treatment&#46; This short review covers some of the developments that may have the greatest impact on the pathological diagnosis of dermatological disorders in the following 6 main areas&#58; melanocytic proliferations&#44; inflammatory diseases &#40;including drug-induced reactions&#41;&#44; lymphoproliferative disorders&#44; adnexal diseases&#44; epidermal tumors&#44; and mesenchymal tumors&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Melanocytic Proliferations</span><p id="par0010" class="elsevierStylePara elsevierViewall">Melanoma has been one of the prominent topics in dermatopathology in recent years&#46; The recent introduction of fluorescent in situ hybridization as a ancillary diagnostic test in the identification of malignant melanocytic tumors was a major advance in an area that had languished for decades&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Unfortunately&#44; the evidence shows that commercially available diagnostic kits providing a set of probes targeting chromosomes 6 and 11 are inadequate in problematic tumors&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a> The sensitivity and specificity obtained in ambiguous tumors is lower than expected&#46; To optimize the results obtained&#44; new probes should be added to the diagnostic kit&#44; possibly targeting gene regions on chromosome 9&#46; However&#44; it is increasingly clear that the genetic aberrations present in each melanoma correlate with the tumor&#39;s clinical and pathologic features and biological behavior&#44;<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5&#44;6</span></a> and that they can help to elucidate the considerable differences in the clinical course of melanomas that are apparently in the same stage&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Today&#44; from a practical standpoint&#44; the most accessible and manageable techniques in most pathology laboratories are immunohistochemical studies&#46; Thus&#44; studies that demonstrate the usefulness of immunohistochemical markers are of particular interest&#46; One such example is a study showing CD10 expression to be an independent predictor of poor prognosis in melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Several studies have shown an association between the loss of immunohistochemical p16 expression and malignant transformation in melanocytic lesions&#46; This finding may be a useful aid in the differentiation between Spitz nevus and childhood melanoma&#44;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and between nodal nevi in sentinel lymph nodes and small melanoma metastases &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> The usefulness of p16 as a marker is less clear in other lesions&#44; such as pigmented spindle cell nevi&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Furthermore&#44; a loss of p16 expression is typically observed in patients with dysplastic nevi&#44; in which its absence is an initial step in the development of melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Two studies provided reassuring evidence concerning the low risk of metastases in Spitzoid lesions and atypical melanocytic proliferations in childhood&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">11&#44;12</span></a> Angiotropism may explain why these lesions spread to sentinel lymph nodes but lack the potential to generate disseminated metastases&#58; melanocytes may spread to the lymph nodes through the perivascular space&#44; but lack the capacity to invade the lymphatic system or the bloodstream&#46; The phenomenon&#44; which is similar to perineural infiltration&#44; is also observed in some melanomas &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#46;&#41; Cells that migrate to lymph nodes by means of this mechanism cannot strictly speaking be considered metastases&#46; A group of highly regarded dermatopathologists advocate the use of the vascular markers D2-40 and CD34 to clearly define the relationship between tumor cells and vascular structures&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">13</span></a></p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The introduction of ultrasound scanners into dermatology departments has opened the door to the possibility of using fine-needle aspiration biopsies to investigate superficial tumors and suspected metastatic lymph nodes &#40;a practice that does not have to be restricted to interventional radiologists or pathologists&#59; by analogy&#44; some endocrinologists perform fine-needle aspiration biopsies of the thyroid&#41;&#46; Some authors have proposed using fine-needle aspiration cytology to identify metastatic melanoma in sentinel nodes and suspicious lymph nodes&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">14&#44;15</span></a> They report that a negative result on ultrasound study for a sentinel node is very reliable&#44; and when metastasis is suspected&#44; immediate cytologic diagnosis can be obtained using ultrasound-guided fine-needle aspiration biopsy&#46; If the cytology is positive for metastasis&#44; lymphadenectomy can be performed without further investigation&#44; thus reducing morbidity and expenditure&#46; Sonomorphologically suspicious nodes in which the presence of metastases is not detected by cytology should undergo complete study according to the usual protocols for sentinel nodes&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Two new histopathologic variants of melanoma have been described this year&#46; The first of these is a variant of superficial spreading melanoma characterized by large junctional melanocytic nests&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">16</span></a> This variant may go undetected on histopathology study because it lacks many of the well-known microscopic diagnostic criteria of malignancy&#46; It usually develops on areas of the skin with actinic damage and&#44; although growth tends to be radial&#44; it can infiltrate the dermis&#46; The second&#44; which is associated with inactivating germline mutations of <span class="elsevierStyleItalic">BAP1 &#40;BRCA1 associated protein-1</span>&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">0&#44;17</span></a> is a new hereditary syndrome that predisposes patients to epithelioid melanocytic nevi&#44; atypical Spitzoid proliferation&#44; cutaneous and uveal melanoma&#44; lung cancer&#44; meningioma&#44; mesothelioma&#44; and other cancers&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> Moreover&#44; individuals who do not have this hereditary predisposition can also present atypical epithelioid melanocytic proliferations that harbor inactivating mutations of <span class="elsevierStyleItalic">BAP1</span> and concomitant <span class="elsevierStyleItalic">BRAF</span> mutations &#40;<span class="elsevierStyleItalic">V-raf murine sarcoma viral oncogene homolog B1</span>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a> Lesions associated with inactivation of <span class="elsevierStyleItalic">BAP1</span> are characterized by a lack of correlation between their microscopic appearance resembling an atypical Spitz nevi and a relatively unremarkable clinical appearance&#44; similar to an Unna or Miescher nevus&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Finally&#44; the introduction of targeted treatment for metastatic melanomas that test positive for the <span class="elsevierStyleItalic">BRAF</span> mutation has led to the development of automated techniques for detecting this target&#59; these new techniques are more sensitive than traditional polymerase chain reaction followed by sequencing&#46; In line with the widespread and growing practice of creating alliances between the companies that market biomarker detection techniques and those that produce the drugs targeting those molecules&#44; the company that markets a drug that inhibits the B-Raf protein also distributes the device that detects the mutation that determines its therapeutic indication&#46; This device offers greater sensitivity and specificity than conventional sequencing techniques or polymerase chain reaction&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Drug-Induced Reactions and Other Inflammatory Processes</span><p id="par0040" class="elsevierStylePara elsevierViewall">The introduction of new drugs often gives rise to the appearance of skin reactions with previously unknown histopathologic patterns&#44; and the reactions to treatments targeting biomarkers are a good example of this phenomenon&#46; In patients treated with vemurafenib&#8212;a B-Raf inhibitor indicated in melanomas with V600E mutations&#8212;various skin reactions have been described&#44; including a lobular neutrophilic panniculitis<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> that is often painful and associated with arthritis&#59; in such cases the microscopic changes are focal and sometimes very subtle&#46; The lesions most often biopsied in patients receiving this treatment are wart-like proliferations with features that fall between common viral warts&#44; keratoacanthomas&#44; and squamous cell carcinomas &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a> Patients receiving treatment with sorafenib&#44;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a> which has been prescribed for metastatic melanoma harboring <span class="elsevierStyleItalic">KIT</span> mutations&#44; among other indications&#44; also develop epithelial proliferations that are not usually papillomatous but tend to form cysts and are frequently related to hair follicles&#46; Sorafenib also produces manifestations similar to those of pityriasis rubra pilaris&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">23</span></a></p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">Biologic therapies&#44; first introduced some years ago&#44; have also led to the emergence of several reactions that have now begun to be well characterized&#46; A recent review of the adverse effects of tumor-necrosis-factor &#40;TNF&#41; antagonists included erythema multiforme-like and lupus erythematosus-like lesions in addition to the neutrophil-rich disorders &#40;psoriasiform dermatitis&#44; palmoplantar pustular psoriasis&#44; pustular folliculitis&#44; Sweet syndrome&#44; neutrophilic eccrine hidradenitis&#44; and leukocytoclastic vasculitis&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">24</span></a> In another article&#44; TNF antagonists were reported to have caused a pseudolymphomatous drug reaction&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">25</span></a> Such reactions have also been reported in patients receiving ustekinumab&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">26</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Continuing in the field of drug reactions&#44; one recently published article refutes the idea that eosinophilia in subacute lupus erythematosus is an indicator of a drug reaction&#44;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">27</span></a> and another reviews a series of cases in which the initial clinical and pathological diagnosis of drug-induced reaction was subsequently proven to be inaccurate&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">28</span></a> This last study suggests that the label of drug-induced reaction is overused in such cases&#44; especially in the case of maculopapular eruptions&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A recent study<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a> called into question the prognostic value of the severity of inflammatory dermal infiltrate in toxic epidermal necrolysis&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">30</span></a> The severity of dermal infiltrate had previously been considered to be directly correlated with the risk of death in the course of this disease&#46; In that study&#44; only the depth of the epidermal necrosis was shown to have prognostic significance&#44; and even that was not an independent predictor&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">29</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">In severe leukocytoclastic vasculitis&#44; exocytosis of neutrophils to the surface can lead to the appearance of microabscesses on the tips of papillae&#44; mimicking dermatitis herpetiformis&#46; The publication of a case of dermatitis herpetiformis that began with petechiae and leukocytoclastic vasculitis alerts us to the possibility of making the opposite mistake&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">31</span></a> Four new cases of&#8212;mostly systemic&#8212;diffuse nonbullous neutrophilic lupus erythematosus were reported during the year&#44; further defining a newly emerging entity that is very difficult to recognize microscopically&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">32</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">A rather curious study on biopsy samples destined for immunofluorescence testing examined the effect of accidental immersion of the samples in formalin before freezing&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">33</span></a> Unsurprisingly&#44; the study revealed that even 2<span class="elsevierStyleHsp" style=""></span>minutes of immersion in formalin led to complete loss of the staining characteristics in cases of pemphigus and under 10<span class="elsevierStyleHsp" style=""></span>minutes in those of pemphigoid&#46; The most fascinating finding was that immunologic deposits in the dermatitis herpetiformis samples resisted up to 2<span class="elsevierStyleHsp" style=""></span>hours of immersion in formalin&#46; It is also of note that&#44; after prolonged immersion in formalin&#44; keratinocyte nuclei acquire autofluorescence&#44; thereby simulating lupus erythematosus&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">An international group of European dermatopathologists has collected and studied 13 cases of lesions that had the clinical appearance and behavior of acute pityriasis lichenoides&#44; but in which the biopsy results included T-cell clonality and a large number of CD30<span class="elsevierStyleSup">&#43;</span> cells&#44; which often coexpressed CD8 &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a> Not only do these lesions microscopically simulate lymphomatoid papulosis&#44; they may&#44; in fact&#44; belong to the same spectrum as this disorder&#46; The same authors also found evidence of parvovirus 19 DNA in 40&#37; of the cases&#44; a finding which&#44; together with the immunophenotype consisting of CD8<span class="elsevierStyleSup">&#43;</span> and CD30<span class="elsevierStyleSup">&#43;</span> cells&#44; suggests a possible viral etiology&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">34</span></a></p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0075" class="elsevierStylePara elsevierViewall">Also described recently was a new pseudolymphomatous variant of granuloma annulare rich in CD8<span class="elsevierStyleSup">&#43;</span> T cells&#44; a new variant that has been added to the list of known forms of this disease &#40;necrobiotic&#44; incomplete or interstitial&#44; and the rare sarcoid and tuberculoid forms&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">35</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Also on the subject of pseudolymphomatous lesions&#44; a case of lipoatrophic panniculitis with the microscopic appearance of panniculitis-like T-cell lymphoma was reported in a pediatric patient&#59; the pathogenesis was probably autoimmune&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">36</span></a> Other forms of panniculitis that may pose problems in the differential diagnostic are those caused by cutaneous and mucosal mucormycosis&#44; which can convincingly mimic pancreatic or gouty panniculitis&#59; this similarity may&#44; in part&#44; be explained by the ability of these fungi to produce extracellular lipase&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">37</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Lymphoproliferative Disorders</span><p id="par0085" class="elsevierStylePara elsevierViewall">The most interesting advance in the field of lymphomas has been the characterization of primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small-to-medium-sized pleomorphic T-cell lymphoma&#44; a provisional entity in the World Health Organization &#40;WHO&#41; classification&#46; Owing to the low aggressiveness of these tumors&#44; especially in the case of single-lesion disease&#44; they are considered to represent a clonal T-cell lymphoproliferative disorder with an indolent clinical course&#46; This entity is characterized by a proliferation of follicular helper T cells characterized by the expression of PD-1 &#40;programmed cell death 1&#41;&#44; a feature that can be used to distinguish it from other types of cutaneous T-cell lymphomas&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a></p><p id="par0090" class="elsevierStylePara elsevierViewall">It is possible that the cases currently included in this provisional entity can be divided into 2 categories&#46; Most of these patients present a low-grade lymphoproliferative disorder analogous to a pseudo-T-cell lymphoma &#40;usually solitary lesions&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">38</span></a> while a small number of them present a follicular helper T-cell lymphoma &#40;usually multiple lesions&#41;&#44; which has a much more aggressive biological behavior and requires intense treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">39</span></a> In these lymphomas&#44; the presence of numerous B lymphocytes in the infiltrate and the expression of CD10 in the neoplastic lymphocytes may give rise to confusion with follicular lymphoma&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Adnexal Diseases</span><p id="par0095" class="elsevierStylePara elsevierViewall">Two cases have recently been described of eruptive hyperplasia of ectopic sebaceous glands after episodes of epidermal erosion caused by scald in one case<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">40</span></a> and following Stevens-Johnson syndrome in the other&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">41</span></a></p><p id="par0100" class="elsevierStylePara elsevierViewall">In the field of alopecia&#44; 2 new diagnostic clues have been reported&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">42&#44;43</span></a> The first report highlights the utility of polarized light microscopy to distinguish between the scars of scarring alopecia &#40;which are polarizable&#41; and the fibrous streamers of androgenic alopecia which&#44; despite having a very similar microscopic appearance&#44; do not polarize&#46;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">42</span></a> The second article&#44; by the same authors&#44; provides a clue to the diagnosis of frontal fibrosing alopecia&#44; which the authors have called the follicular triad&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a> The term refers to the simultaneous involvement of follicles of 3 types &#40;terminal&#44; vellus&#44; and intermediate&#41; in all 3 stages of cycling &#40;anagen&#44; catagen&#44; and telogen&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">43</span></a> This sign can be very useful in identifying this variant of lichenoid alopecia&#44; which is not restricted to the frontal region&#44; but can affect the entire scalp and other areas of the skin&#46; Another symptom that has recently been added is facial papules secondary to the involvement of facial vellus hair&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">44</span></a></p><p id="par0105" class="elsevierStylePara elsevierViewall">Still on the subject of alopecia&#44; 2 independent studies show that permanent alopecia caused by systemic chemotherapy has histologic features identical to those of androgenic alopecia&#44; leading to diagnostic difficulties&#46;<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">45&#44;46</span></a> Finally&#44; a new way has been proposed to optimize the yield of a single punch biopsy using a technique that produces both horizontal sections&#44; which are very useful in the diagnosis of alopecia&#44; and vertical sections&#44; which allow us to assess the involvement of the epidermis and the uppermost layer of the dermis&#44; also a source of relevant information&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">47</span></a> The technique involves transecting the biopsy approximately 1<span class="elsevierStyleHsp" style=""></span>mm below the skin surface and using this to obtain vertical sections &#40;perpendicular to the epidermis&#41; and then sectioning the lower portion to obtain horizontal sections &#40;parallel to the epidermis&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Moving on to the subject of adnexal tumors&#44; one of the most striking items that appeared in the last year was the description of desmoplastic trichoepithelioma with perineural involvement&#44; an extremely unusual feature in benign tumors but one that can no longer be considered a reliable sign of malignancy in this context&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">48</span></a> Eosinophilia has also been proposed as a clue to the diagnosis of microcystic adnexal carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">49</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Epidermal Tumors</span><p id="par0115" class="elsevierStylePara elsevierViewall">The introduction of hedgehog pathway inhibitors for the treatment of advanced basal cell carcinoma<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">50</span></a> has stimulated the publication of numerous reports on cases of aggressive basal cell carcinoma&#46;<a class="elsevierStyleCrossRefs" href="#bib0255"><span class="elsevierStyleSup">51&#44;52</span></a> It is unclear why some of these tumors have such a high malignant potential that they grow to a large size&#44; invade deep tissues&#44; and even produce metastases&#46; In 1 review of the literature&#44;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">51</span></a> basosquamous cell carcinoma is cited as one of the most aggressive variants of this type of tumor and the one that most often metastasizes&#59; however in another study the same variant&#44; which is considered rare&#44; is said to have a similar prognosis to typical basal cell carcinoma even in transplant recipients&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">53</span></a> In any case&#44; the authors of the latter advocate the use of the Ber-EP4 antibody &#40;Clone Ber-EP4&#41; to confirm the diagnosis of this tumor&#59; this marker is positive in areas of basal cells and negative in those of squamous cells&#46;<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">53</span></a> A group of Spanish authors have also made an interesting discovery with respect to Ber-EP4&#44; observing that it stained both sides of the retraction spaces surrounding epithelial nests in basal cell carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">54</span></a> Ber-EP4&#44; also known as EpCAM &#40;epithelial cell adhesion molecule&#41;&#44; is directed against a specific epithelial antigen &#40;a surface glycoprotein&#41;&#44; so that staining on the exterior aspect of the retraction spaces would appear to indicate that these are epithelial in nature&#46; In short&#44; the retraction spaces typical of basal cell carcinoma are not&#44; as has always been thought&#44; located between the epithelium and the stroma&#44; but rather occupy a more peripheral portion of the epithelium&#46;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">54</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Finally&#44; several articles have appeared confirming the predictive value of the new American Joint Committee on Cancer staging system for squamous cell carcinoma&#44;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">55</span></a> which includes indicators of poor prognosis not included in the TNM cancer staging system&#44; such as poor histologic differentiation&#44; thickness greater than 2<span class="elsevierStyleHsp" style=""></span>mm&#44; a Clark level of IV or more&#44; the presence of vascular and&#47;or perineural invasion&#44; and location on the ear or lip&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Mesenchymal Tumors</span><p id="par0125" class="elsevierStylePara elsevierViewall">A recent article confirmed that the expression of p63 is rare in mesenchymal tumors&#44; and when it occurs is usually focal or weak&#44; confirming the usefulness of this protein in identifying pseudosarcomatous carcinomas &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">56</span></a> Similarly&#44; new studies have confirmed that the amplification of MYC &#40;avian myelocytomatosis virus&#41; is an excellent marker for the cutaneous angiosarcomas that appear after radiotherapy or in areas of lymphedema&#44; distinguishing them from other postradiation malignancies and angiosarcomas unrelated to radiotherapy&#46; Moreover&#44; immunohistochemical overexpression is as reliable as fluorescent in situ hybridization for the detection of this marker&#46;<a class="elsevierStyleCrossRefs" href="#bib0285"><span class="elsevierStyleSup">57&#44;58</span></a></p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Finally&#44; the term pleomorphic dermal sarcoma has been proposed to denominate lesions that resemble atypical fibroxanthomas microscopically but produce deep tissue invasion&#44; extensive necrosis&#44; and&#47;or lymphovascular or perineural invasion&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">59</span></a> We have even had room for controversy in this area&#44; such as that arising from the description of pseudomyogenic hemangioendothelioma&#44; previously called epithelioid sarcoma-like hemangioendothelioma&#46;<a class="elsevierStyleCrossRef" href="#bib0300"><span class="elsevierStyleSup">60</span></a></p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conclusion</span><p id="par0135" class="elsevierStylePara elsevierViewall">In conclusion&#44; in a year full of new developments&#44; significant advances have been made in the diagnosis&#44; staging&#44; and treatment of melanocytic lesions&#46; New drug-induced reactions have been described&#44; especially reactions to the drugs more recently introduced into the therapeutic arsenal&#46; Important advances have been made in the characterization of primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small-to-medium-sized pleomorphic T-cell lymphoma&#44; a provisional WHO entity that&#44; in many cases&#44; is consistent with T pseudolymphomas&#46; Likewise&#44; we have seen the publication of new diagnostic features for alopecia and reports on the presence of perineural invasion in desmoplastic trichoblastoma&#46; In addition&#44; there has been confirmation of the usefulness of p63 and MYC in the identification of pseudosarcomatous epithelial proliferations and angiosarcomas secondary to radiotherapy or arising on lymphedema&#46; Likewise&#44; it has been confirmed that there is an excellent correlation between the new American Joint Committee on Cancer staging system for squamous cell carcinoma of skin and the biological behavior of these lesions&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">These and other excellent advances which&#44; for reasons of space&#44; could not be included in this brief review&#44; are a reflection of the brilliant scientific production that continuously enriches the field of dermatopathology and allows us to be very optimistic about the future of this discipline&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Ethical Disclosures</span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Protection of Human and Animal Subjects</span><p id="par0145" class="elsevierStylePara elsevierViewall">The authors state that no experiments were performed on humans or animals for this investigation&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Confidentiality of Data</span><p id="par0150" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their workplace concerning the publication of patient data&#44; and that all the patients included in this study have been appropriately informed and gave their written informed consent to participate in this study&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Right to Privacy and Informed Consent</span><p id="par0155" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Conflicts of Interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:15 [
        0 => array:2 [
          "identificador" => "xres97876"
          "titulo" => "Abstract"
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec85032"
          "titulo" => "Keywords"
        ]
        2 => array:2 [
          "identificador" => "xres97877"
          "titulo" => "Resumen"
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec85033"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Melanocytic Proliferations"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Drug-Induced Reactions and Other Inflammatory Processes"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Lymphoproliferative Disorders"
        ]
        8 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Adnexal Diseases"
        ]
        9 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Epidermal Tumors"
        ]
        10 => array:2 [
          "identificador" => "sec0035"
          "titulo" => "Mesenchymal Tumors"
        ]
        11 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conclusion"
        ]
        12 => array:3 [
          "identificador" => "sec0045"
          "titulo" => "Ethical Disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Protection of Human and Animal Subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Confidentiality of Data"
            ]
            2 => array:2 [
              "identificador" => "sec0060"
              "titulo" => "Right to Privacy and Informed Consent"
            ]
          ]
        ]
        13 => array:2 [
          "identificador" => "sec0065"
          "titulo" => "Conflicts of Interest"
        ]
        14 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-06-20"
    "fechaAceptado" => "2012-10-16"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec85032"
          "palabras" => array:3 [
            0 => "Update"
            1 => "Dermatopathology"
            2 => "Review"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec85033"
          "palabras" => array:3 [
            0 => "Actualizaci&#243;n"
            1 => "Dermatopatolog&#237;a"
            2 => "Revisi&#243;n"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This past year has seen a wealth of new developments in dermatopathology that appear to herald the dawning of a new era&#46; Advances in molecular biology and the simplification of techniques have put molecular tests within reach of routine clinical practice and led to a radical change in our approach to lesions such as melanoma&#59; in the future&#44; the genetic characterization of these lesions will be an essential requirement for establishing diagnosis&#44; prognosis&#44; and therapy&#46; Technological innovations have also reached dermatology departments&#58; the introduction of ultrasound scans has propitiated the use of fine-needle aspiration cytology&#44; which allows samples to be stained and studied immediately&#44; thereby facilitating diagnosis of superficial and lymph-node lesions&#44; and allowing staging of tumors such as melanoma&#46; Targeted cancer therapies have led to the introduction of more sensitive and specific systems for identifying new targets&#44; have reawakened interest in forgotten diseases such as aggressive basal cell carcinoma&#44; and have led to dermatological reactions that&#44; together with those caused by biologic drugs&#44; we are just beginning to recognize&#46; Consolidated techniques such as immunohistochemistry continue to advance with the addition of new antibodies that contribute considerably to improved diagnosis&#46; New clinicopathologic diseases have also been described or characterized this year&#44; including 2 new types of melanoma&#44; and progress has been made in our knowledge of other diseases&#44; such as primary cutaneous CD4<span class="elsevierStyleSup">&#43;</span> small&#47;medium-sized pleomorphic T-cell lymphoma&#46; These topics&#44; together with new developments in adnexal tumors&#44; alopecia&#44; and other lesions&#44; will be discussed in this review&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Este &#250;ltimo a&#241;o ha sido rico en novedades dermatopatol&#243;gicas que se vislumbran como el inicio de una nueva era&#46; Los avances en las t&#233;cnicas de biolog&#237;a molecular y su simplificaci&#243;n&#44; que las hace asequibles al uso rutinario&#44; han supuesto un cambio radical en el concepto de lesiones como el melanoma&#44; cuya caracterizaci&#243;n gen&#233;tica ser&#225; en el futuro un requisito indispensable para establecer el diagn&#243;stico&#44; el pron&#243;stico y la terap&#233;utica&#46; Las innovaciones tecnol&#243;gicas tambi&#233;n han llegado a los servicios de Dermatolog&#237;a&#59; la introducci&#243;n de ec&#243;grafos ha propiciado el uso de t&#233;cnicas de citolog&#237;a por punci&#243;n-aspiraci&#243;n que pueden ser te&#241;idas y estudiadas de manera inmediata&#44; facilitando el diagn&#243;stico de lesiones superficiales y ganglionares&#44; y permitiendo la estadificaci&#243;n de neoplasias como el melanoma&#46; La aparici&#243;n de tratamientos oncol&#243;gicos dirigidos contra &#171;dianas terap&#233;uticas&#187; ha conllevado la introducci&#243;n de sistemas m&#225;s sensibles y espec&#237;ficos para su idetificaci&#243;n&#44; ha reactivado el inter&#233;s por patolog&#237;as olvidadas como el carcinoma basocelular agresivo y ha comportado la aparici&#243;n de reacciones dermatol&#243;gicas que&#44; junto con las secundarias a f&#225;rmacos biol&#243;gicos&#44; empezamos a reconocer&#46; T&#233;cnicas consolidadas como la inmunohistoqu&#237;mica contin&#250;an progresando con la incorporaci&#243;n de nuevos anticuerpos que contribuyen de manera notable al diagn&#243;stico&#46; Este a&#241;o&#44; adem&#225;s&#44; se han descrito o caracterizado nuevas entidades clinicopatol&#243;gicas&#44; y entre ellas 2 nuevos tipos de melanoma&#46; Tambi&#233;n se ha avanzado en el conocimiento de otras&#44; como el linfoma T pleom&#243;rfico CD4&#43; de c&#233;lulas peque&#241;as&#47;medianas&#46; Estos temas&#44; junto con novedades en tumores anexiales&#44; alopecias y otras lesiones&#44; ser&#225;n comentados en esta revisi&#243;n&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Please cite this article as&#58; Fern&#225;ndez-Figueras MT&#44; Puig L&#46; Actualizaci&#243;n en dermatopatolog&#237;a&#46; Actas Dermosifiliogr&#46; 2013&#59;104&#58;204&#8211;11&#46;</p>"
      ]
    ]
    "multimedia" => array:5 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2475
            "Ancho" => 1665
            "Tamanyo" => 883773
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#44; The presence of small intracapsular nodal nevi in the sentinel lymph nodes of a melanoma is not uncommon&#44; and this phenomenon can cause diagnostic difficulties when the primary tumor is a nevoid melanoma&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The preservation of p16 expression could be an additional indication of a benign neoplasm&#46; &#40;p16&#44; original magnification x200&#46;&#41;&#46;</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" => 1253
            "Ancho" => 1665
            "Tamanyo" => 380200
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Melanoma demonstrating angiotropism and neurotropism&#46; Angiotropism&#44; a phenomenon analogous to neurotropism&#44; is found in both benign and malignant melanocytic tumors&#46; It could explain how melanocytes spread to lymph nodes without being true metastases&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1253
            "Ancho" => 1665
            "Tamanyo" => 390872
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Patient with metastatic melanoma treated with the B-Raf inhibitor vemurafenib&#58; a papillomatous lesion showing scant atypia and columns of parakeratosis sometimes containing small amounts of hemorrhage&#44; similar to common viral warts&#46; &#40;Hematoxylin-eosin&#44; original magnification x400&#46;&#41;&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "fig0020"
        "etiqueta" => "Figure 4"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr4.jpeg"
            "Alto" => 2560
            "Ancho" => 1665
            "Tamanyo" => 1033341
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A&#44; Lichenoid eruption in a child&#46; The lesion has the clinical features of pityriasis lichenoides et varioliformis acuta but demonstrates lymphocytic atypia&#46; &#40;Hematoxylin-eosin&#44; original magnification x200&#46;&#41; B&#44; The lesion contains abundant CD30<span class="elsevierStyleSup">&#43;</span> lymphoid cells&#46; &#40;CD30&#44; original magnification x200&#46;&#41;&#46;</p>"
        ]
      ]
      4 => array:7 [
        "identificador" => "fig0025"
        "etiqueta" => "Figure 5"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr5.jpeg"
            "Alto" => 2558
            "Ancho" => 1665
            "Tamanyo" => 793015
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermis replaced by dense collagen surrounding spindle cells with a mesenchymal appearance&#46; &#40;Hematoxylin-eosin&#44; original magnification x100&#46;&#41; B&#44; p63 positivity demonstrates the epithelial origin and facilitates the diagnosis of spindle cell squamous cell carcinoma&#46; &#40;p63&#44; original magnification x100&#46;&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:60 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fluorescence in situ hybridization &#40;FISH&#41; as an ancillary diagnostic tool in the diagnosis of melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Gerami"
                            1 => "S&#46;S&#46; Jewell"
                            2 => "L&#46;E&#46; Morrison"
                            3 => "B&#46; Blondin"
                            4 => "J&#46; Schulz"
                            5 => "T&#46; Ruffalo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e3181a1ef36"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2009"
                        "volumen" => "33"
                        "paginaInicial" => "1146"
                        "paginaFinal" => "1156"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19561450"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Classifying ambiguous melanocytic lesions with FISH and correlation with clinical long-term follow up"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Gaiser"
                            1 => "H&#46; Kutzner"
                            2 => "G&#46; Palmedo"
                            3 => "M&#46;D&#46; Siegelin"
                            4 => "T&#46; Wiesner"
                            5 => "T&#46; Bruckner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2009.177"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2010"
                        "volumen" => "23"
                        "paginaInicial" => "413"
                        "paginaFinal" => "419"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20081813"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fluorescence in situ hybridization&#44; a diagnostic aid in ambiguous melanocytic tumors&#58; European study of 113 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Vergier"
                            1 => "M&#46; Prochazkova-Carlotti"
                            2 => "A&#46; de la Fouchardi&#232;re"
                            3 => "L&#46; Cerroni"
                            4 => "D&#46; Massi"
                            5 => "V&#46; de Giorgi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2010.228"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2011"
                        "volumen" => "24"
                        "paginaInicial" => "613"
                        "paginaFinal" => "623"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21151100"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pigmented spindle cell nevus&#58; clues for differentiating it from spindle cell malignant melanoma&#46; A comprehensive survey including clinicopathologic&#44; immunohistochemical&#44; and FISH studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; D&#237;az"
                            1 => "A&#46; Valera"
                            2 => "C&#46; Carrera"
                            3 => "S&#46; Hakim"
                            4 => "P&#46; Aguilera"
                            5 => "A&#46; Garc&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318229cf66"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1733"
                        "paginaFinal" => "1742"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21997694"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642011011511"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of copy number status of chromosomes 6 and 11 by FISH provides independent prognostic information in primary melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;P&#46; North"
                            1 => "J&#46;T&#46; Vetto"
                            2 => "R&#46; Murali"
                            3 => "K&#46;P&#46; White"
                            4 => "C&#46;R&#46; White Jr&#46;"
                            5 => "B&#46;C&#46; Bastian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318222a634"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1146"
                        "paginaFinal" => "1150"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21716079"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0039625797001197"
                          "estado" => "S300"
                          "issn" => "00396257"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Distinctive clinical and histologic features in cutaneous melanoma with copy number gains in 8q24"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Pouryazdanparast"
                            1 => "D&#46;P&#46; Cowen"
                            2 => "B&#46;A&#46; Beilfuss"
                            3 => "Z&#46; Haghighat"
                            4 => "J&#46; Guitart"
                            5 => "A&#46; Rademaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31823425cc"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "253"
                        "paginaFinal" => "264"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22020039"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Expression of CD10 predicts tumor progression and unfavorable prognosis in malignant melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Oba"
                            1 => "T&#46; Nakahara"
                            2 => "S&#46; Hayashida"
                            3 => "M&#46; Kido"
                            4 => "L&#46; Xie"
                            5 => "Takahara"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.10.019"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "1152"
                        "paginaFinal" => "1160"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21700362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "p16 expression&#58; a marker of differentiation between childhood malignant melanomas and Spitz nevi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Al Dhaybi"
                            1 => "M&#46; Agoumi"
                            2 => "I&#46; Gagn&#233;"
                            3 => "C&#46; McCuaig"
                            4 => "J&#46; Powell"
                            5 => "V&#46; Kokta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.07.031"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "357"
                        "paginaFinal" => "363"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21550132"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of proliferation markers in metastatic melanoma in sentinel lymph nodes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Joannou-Coetzee"
                            1 => "N&#46; Villena"
                            2 => "B&#46;W&#46; Powell"
                            3 => "M&#46;G&#46; Cook"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/jclinpath-2011-200242"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Clin Pathol"
                        "fecha" => "2011"
                        "volumen" => "64"
                        "paginaInicial" => "1108"
                        "paginaFinal" => "1111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21896579"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335011000149"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Selective loss of wild-type p16&#40;INK4a&#41; expression in human nevi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46;L&#46; Scurr"
                            1 => "H&#46;A&#46; McKenzie"
                            2 => "T&#46;M&#46; Becker"
                            3 => "M&#46; Irvine"
                            4 => "K&#46; Lai"
                            5 => "G&#46;J&#46; Mann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/jid.2011.197"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2011"
                        "volumen" => "131"
                        "paginaInicial" => "2329"
                        "paginaFinal" => "2332"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21734716"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642010007062"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long-term outcome of Spitz-type melanocytic tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Sepehr"
                            1 => "E&#46; Chao"
                            2 => "B&#46; Trefrey"
                            3 => "A&#46; Blackford"
                            4 => "L&#46;M&#46; Duncan"
                            5 => "T&#46;J&#46; Flotte"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.170"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1173"
                        "paginaFinal" => "1179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21680758"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642012001303"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sentinel node biopsy in atypical melanocytic neoplasms in childhood&#58; a single institution experience in 24 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "O&#46;L&#46; Mills"
                            1 => "S&#46; Marzban"
                            2 => "J&#46;S&#46; Zager"
                            3 => "V&#46;K&#46; Sondak"
                            4 => "J&#46;L&#46; Messina"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01853.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "331"
                        "paginaFinal" => "336"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22335592"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical relevance of detection of lymphovascular invasion in primary melanoma using endothelial markers D2-40 and CD34"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;E&#46; Rose"
                            1 => "P&#46;J&#46; Christos"
                            2 => "D&#46; Lackaye"
                            3 => "R&#46;L&#46; Shapiro"
                            4 => "R&#46; Berman"
                            5 => "M&#46; Mazumdar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31822573f5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1441"
                        "paginaFinal" => "1449"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21881483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multimodality approach to the sentinel node&#58; an algorithm for the use of presentinel lymph node biopsy ultrasound &#40;after lymphoscintigraphy&#41; in conjunction with presentinel lymph node biopsy fine needle aspiration cytology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;A&#46; Voit"
                            1 => "A&#46;J&#46; van Akkooi"
                            2 => "G&#46; Sch&#228;fer-Hesterberg"
                            3 => "W&#46; Sterry"
                            4 => "A&#46;M&#46; Eggermont"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CMR.0b013e3283485f27"
                      "Revista" => array:7 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2011"
                        "volumen" => "21"
                        "paginaInicial" => "450"
                        "paginaFinal" => "456"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21673603"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335004006601"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fine needle aspiration cytology of palpable and nonpalpable lymph nodes to detect metastatic melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;A&#46; Voit"
                            1 => "A&#46;C&#46; van Akkooi"
                            2 => "A&#46;M&#46; Eggermont"
                            3 => "G&#46; Sch&#228;fer-Hesterberg"
                            4 => "M&#46; Kron"
                            5 => "J&#46; Ulrich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/jnci/djr381"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Natl Cancer Inst"
                        "fecha" => "2011"
                        "volumen" => "103"
                        "paginaInicial" => "1771"
                        "paginaFinal" => "1777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21940673"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Histological and genetic evidence for a variant of superficial spreading melanoma composed predominantly of large nests"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46; Kutzner"
                            1 => "G&#46; Metzler"
                            2 => "Z&#46; Argenyi"
                            3 => "L&#46; Requena"
                            4 => "G&#46; Palmedo"
                            5 => "T&#46; Mentzel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2012.35"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2012"
                        "volumen" => "25"
                        "paginaInicial" => "838"
                        "paginaFinal" => "845"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22388759"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Germline mutations in BAP1 predispose to melanocytic tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Wiesner"
                            1 => "A&#46;C&#46; Obenauf"
                            2 => "R&#46; Murali"
                            3 => "I&#46; Fried"
                            4 => "K&#46;G&#46; Griewank"
                            5 => "P&#46; Ulz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/ng.910"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Genet"
                        "fecha" => "2011"
                        "volumen" => "43"
                        "paginaInicial" => "1018"
                        "paginaFinal" => "1021"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21874003"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Germline BAP1 inactivation is preferentially associated with metastatic ocular melanoma and cutaneous-ocular melanoma families"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;N&#46; Njauw"
                            1 => "I&#46; Kim"
                            2 => "A&#46; Piris"
                            3 => "M&#46; Gabree"
                            4 => "M&#46; Taylor"
                            5 => "A&#46;M&#46; Lane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1371/journal.pone.0035295"
                      "Revista" => array:5 [
                        "tituloSerie" => "PLoS One"
                        "fecha" => "2012"
                        "volumen" => "7"
                        "paginaInicial" => "e35295"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22545102"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A distinct subset of atypical Spitz tumors is characterized by <span class="elsevierStyleItalic">BRAF</span> mutation and loss of BAP1 expression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Wiesner"
                            1 => "R&#46; Murali"
                            2 => "I&#46; Fried"
                            3 => "L&#46; Cerroni"
                            4 => "K&#46; Busam"
                            5 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e3182498be5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "818"
                        "paginaFinal" => "830"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22367297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Panniculitis with arthralgia in patients with melanoma treated with selective BRAF inhibitors and its management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L&#46; Zimmer"
                            1 => "E&#46; Livingstone"
                            2 => "U&#46; Hillen"
                            3 => "S&#46; D&#246;mkes"
                            4 => "A&#46; Becker"
                            5 => "D&#46; Schadendorf"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.2842"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "357"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22250191"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642011002247"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous side effects of inhibitors of the RAS&#47;RAF&#47;MEK&#47;ERK signalling pathway and their management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "I&#46; Manousaridis"
                            1 => "S&#46; Mavridou"
                            2 => "S&#46; Goerdt"
                            3 => "M&#46; Leverkus"
                            4 => "J&#46; Utikal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
                        "fecha" => "2012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin tumors induced by sorafenib&#59; paradoxic RAS-RAF pathway activation and oncogenic mutations of <span class="elsevierStyleItalic">HRAS</span>&#44; <span class="elsevierStyleItalic">TP53</span>&#44; and <span class="elsevierStyleItalic">TGFBR1</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;P&#46; Arnault"
                            1 => "C&#46; Mateus"
                            2 => "B&#46; Escudier"
                            3 => "G&#46; Tomasic"
                            4 => "J&#46; Wechsler"
                            5 => "E&#46; Hollville"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1158/1078-0432.CCR-11-1344"
                      "Revista" => array:7 [
                        "tituloSerie" => "Clin Cancer Res"
                        "fecha" => "2012"
                        "volumen" => "18"
                        "paginaInicial" => "263"
                        "paginaFinal" => "272"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22096025"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642012003211"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sorafenib-induced eruption resembling pityriasis rubra pilaris"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Paz"
                            1 => "C&#46; Querfeld"
                            2 => "C&#46;R&#46; Shea"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.03.015"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "452"
                        "paginaFinal" => "453"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21763585"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Broad range of adverse cutaneous eruptions in patients on TNF-alpha antagonists"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;B&#46; Hawryluk"
                            1 => "K&#46;R&#46; Linskey"
                            2 => "L&#46;M&#46; Duncan"
                            3 => "R&#46;M&#46; Nazarian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01894.x"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "481"
                        "paginaFinal" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22515220"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642010001867"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous pseudolymphoma induced by adalimumab and reproduced by infliximab in a patient with arthropathic psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46; Imafuku"
                            1 => "K&#46; Ito"
                            2 => "J&#46; Nakayama"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10607.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "675"
                        "paginaFinal" => "678"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21910704"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lymphomatoid drug reaction to ustekinumab"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Jung"
                            1 => "E&#46;C&#46; Levin"
                            2 => "R&#46; Jarrett"
                            3 => "D&#46; Lu"
                            4 => "C&#46; Mann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.213"
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "992"
                        "paginaFinal" => "993"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21844471"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335009009298"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tissue eosinophilia&#58; not an indicator of drug-induced subacute cutaneous lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46;B&#46; Hillesheim"
                            1 => "S&#46; Bahrami"
                            2 => "B&#46;G&#46; Jeffy"
                            3 => "J&#46;P&#46; Callen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.290"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "190"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22004879"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is drug allergy less prevalent than previously assumed&#63; A 5-year analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;M&#46; Heinzerling"
                            1 => "D&#46; Tomsitz"
                            2 => "M&#46;D&#46; Anliker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10623.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "107"
                        "paginaFinal" => "114"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21916887"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prognostic value of histologic features of toxic epidermal necrolysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Valeyrie-Allanore"
                            1 => "S&#46; Bastuji-Garin"
                            2 => "S&#46; Gu&#233;gan"
                            3 => "N&#46; Ortonne"
                            4 => "M&#46; Bagot"
                            5 => "J&#46;C&#46; Roujeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939408000020"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Uncovering histologic criteria with prognostic significance in toxic epidermal necrolysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;M&#46; Quinn"
                            1 => "K&#46; Brown"
                            2 => "B&#46;K&#46; Bonish"
                            3 => "J&#46; Curry"
                            4 => "K&#46;B&#46; Gordon"
                            5 => "J&#46; Sinacore"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.141.6.683"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2005"
                        "volumen" => "141"
                        "paginaInicial" => "683"
                        "paginaFinal" => "687"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15967913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Leukocytoclastic vasculitis as the presenting feature of dermatitis herpetiformis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "E&#46; Naylor"
                            1 => "A&#46; Atwater"
                            2 => "M&#46;A&#46; Selim"
                            3 => "R&#46; Hall"
                            4 => "P&#46;K&#46; Puri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.293"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1313"
                        "paginaFinal" => "1316"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22106118"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nonbullous neutrophilic lupus erythematosus&#58; a newly recognized variant of cutaneous lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;K&#46; Brinster"
                            1 => "J&#46; Nunley"
                            2 => "R&#46; Pariser"
                            3 => "B&#46; Horvath"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2009.05.019"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "92"
                        "paginaFinal" => "97"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22050914"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939409007326"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Can direct immunofluorescence testing still be accurate if performed on biopsy specimens after brief inadvertent immersion in formalin&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Arbesman"
                            1 => "R&#46; Grover"
                            2 => "T&#46;N&#46; Helm"
                            3 => "E&#46;H&#46; Beutner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.06.019"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "106"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21570155"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pityriasis lichenoides et varioliformis acuta with numerous CD30&#43; cells&#58; A variant mimicking lymphomatoid papulosis and other cutaneous lymphomas&#46; A clinicopathologic&#44; immunohistochemical&#44; and molecular biological study of 13 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "W&#46; Kempf"
                            1 => "D&#46;V&#46; Kazakov"
                            2 => "G&#46; Palmedo"
                            3 => "S&#46; Fraitag"
                            4 => "L&#46; Schaerer"
                            5 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31824f4f66"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "1021"
                        "paginaFinal" => "1029"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22472952"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S088633501000862X"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Granuloma annulare with prominent lymphoid infiltrates &#40;&#8220;pseudolymphomatous&#8221; granuloma annulare&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Cota"
                            1 => "G&#46; Ferrara"
                            2 => "L&#46; Cerroni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e31822a2aca"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2012"
                        "volumen" => "34"
                        "paginaInicial" => "259"
                        "paginaFinal" => "262"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22207445"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642008010749"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoatrophic panniculitis of the ankles in childhood&#58; differential diagnosis with subcutaneous panniculitis-like T-cell lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46; Santonja"
                            1 => "I&#46; Gonzalo"
                            2 => "M&#46; Feito"
                            3 => "M&#46; Beato-Merino"
                            4 => "L&#46; Requena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e31822e68ca"
                      "Revista" => array:7 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2012"
                        "volumen" => "34"
                        "paginaInicial" => "295"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22513806"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642009005351"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous and mucosal mucormycosis mimicking pancreatic panniculitis and gouty panniculitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Requena"
                            1 => "P&#46; Sitthinamsuwan"
                            2 => "C&#46; Santonja"
                            3 => "M&#46;T&#46; Fern&#225;ndez-Figueras"
                            4 => "J&#46;L&#46; Rodr&#237;guez-Peralto"
                            5 => "Z&#46; Argenyi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2011.06.024"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "975"
                        "paginaFinal" => "984"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21958652"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudolinfomas&#46; Expression of programmed death-1 in primary cutaneous CD4-positive small&#47;medium-sized pleomorphic T-cell lymphoma&#44; cutaneous pseudo-T-cell lymphoma&#44; and other types of cutaneous T-cell lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Cetin&#246;zman"
                            1 => "P&#46;M&#46; Jansen"
                            2 => "R&#46; Willemze"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e318230df87"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                        "paginaInicial" => "109"
                        "paginaFinal" => "116"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21989349"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Primary cutaneous follicular helper T-cell lymphoma&#58; A new subtype of cutaneous T-cell lymphoma reported in a series of 5 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Battistella"
                            1 => "M&#46; Beylot-Barry"
                            2 => "H&#46; Bachelez"
                            3 => "J&#46; Rivet"
                            4 => "B&#46; Vergier"
                            5 => "M&#46; Bagot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.3269"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "832"
                        "paginaFinal" => "839"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22508770"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sebaceous hyperplasia within epidermis after scald"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Z&#46; Yin"
                            1 => "J&#46; Xu"
                            2 => "D&#46; Luo"
                            3 => "M&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01783.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "75"
                        "paginaFinal" => "77"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22077362"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Disseminated eruption of ectopic sebaceous glands following Stevens-Johnson syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;A&#46; Moosbrugger"
                            1 => "B&#46;B&#46; Adams"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.02.035"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "65"
                        "paginaInicial" => "446"
                        "paginaFinal" => "448"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21763581"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Polarized microscopy as a helpful tool to distinguish chronic nonscarring alopecia from scarring alopecia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Miteva"
                            1 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.344"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2012"
                        "volumen" => "148"
                        "paginaInicial" => "91"
                        "paginaFinal" => "94"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22250238"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The follicular triad&#58; a pathological clue to the diagnosis of early frontal fibrosing alopecia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Miteva"
                            1 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2011.10533.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2012"
                        "volumen" => "166"
                        "paginaInicial" => "440"
                        "paginaFinal" => "442"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21787366"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Facial papules in frontal fibrosing alopecia&#58; evidence of vellus follicle involvement"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Donati"
                            1 => "L&#46; Molina"
                            2 => "I&#46; Doche"
                            3 => "N&#46;S&#46; Valente"
                            4 => "R&#46; Romiti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archdermatol.2011.321"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2011"
                        "volumen" => "147"
                        "paginaInicial" => "1424"
                        "paginaFinal" => "1427"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22184764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Permanent alopecia after systemic chemotherapy&#58; a clinicopathological study of 10 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Miteva"
                            1 => "C&#46; Misciali"
                            2 => "P&#46;A&#46; Fanti"
                            3 => "C&#46; Vincenzi"
                            4 => "P&#46; Romanelli"
                            5 => "A&#46; Tosti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e3181fcfc25"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2011"
                        "volumen" => "33"
                        "paginaInicial" => "345"
                        "paginaFinal" => "350"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21430504"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Permanent scalp alopecia related to breast cancer chemotherapy by sequential fluorouracil&#47;epirubicin&#47;cyclophosphamide &#40;FEC&#41; and docetaxel&#58; a prospective study of 20 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "N&#46; Kluger"
                            1 => "W&#46; Jacot"
                            2 => "E&#46; Frouin"
                            3 => "V&#46; Rigau"
                            4 => "S&#46; Poujol"
                            5 => "O&#46; Dereure"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/annonc/mds095"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Oncol"
                        "fecha" => "2012"
                        "volumen" => "23"
                        "paginaInicial" => "2879"
                        "paginaFinal" => "2884"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22571858"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0886335009006610"
                          "estado" => "S300"
                          "issn" => "08863350"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The HoVert technique&#58; a novel method for the sectioning of alopecia biopsies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;V&#46; Nguyen"
                            1 => "K&#46; Hudacek"
                            2 => "J&#46;A&#46; Whitten"
                            3 => "A&#46;I&#46; Rubin"
                            4 => "J&#46;T&#46; Seykora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2010.01669.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2011"
                        "volumen" => "38"
                        "paginaInicial" => "401"
                        "paginaFinal" => "406"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21251040"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Desmoplastic trichoepithelioma with perineural involvement&#58; a series of seven cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Jedrych"
                            1 => "D&#46; Leffell"
                            2 => "J&#46;M&#46; McNiff"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01876.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "317"
                        "paginaFinal" => "323"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22335590"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eosinophils as a clue to the diagnosis of microcystic adnexal carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "T&#46;H&#46; McCalmont"
                            1 => "J&#46; Ye"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01801_1.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2011"
                        "volumen" => "38"
                        "paginaInicial" => "849"
                        "paginaFinal" => "852"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21955309"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metastatic basal cell carcinoma in the era of hedgehog signaling pathway inhibitors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46;J&#46; Weiss"
                            1 => "R&#46;L&#46; Korn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/cncr.27532"
                      "Revista" => array:7 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "2012"
                        "volumen" => "118"
                        "paginaInicial" => "5310"
                        "paginaFinal" => "5319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22511370"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939409000063"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metastatic basal cell carcinoma of the posterior neck&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;B&#46; Gropper"
                            1 => "S&#46;D&#46; Girouard"
                            2 => "L&#46;P&#46; Hojman"
                            3 => "S&#46;J&#46; Huang"
                            4 => "X&#46; Qian"
                            5 => "G&#46;F&#46; Murphy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2012.01871.x"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "526"
                        "paginaFinal" => "534"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22515224"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0002939407010756"
                          "estado" => "S300"
                          "issn" => "00029394"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "52"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clear cell basal cell carcinoma with pulmonary metastasis&#58; case report and literature review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;J&#46; Fern&#225;ndez-Ace&#241;ero"
                            1 => "C&#46; Cenjor"
                            2 => "S&#46; C&#243;rdova"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/DAD.0b013e3181e2ef6a"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "2011"
                        "volumen" => "33"
                        "paginaInicial" => "379"
                        "paginaFinal" => "382"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21048492"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "53"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Basosquamous cell carcinoma in organ transplant patients&#58; A clinicopathologic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46; Mougel"
                            1 => "J&#46; Kanitakis"
                            2 => "M&#46; Faure"
                            3 => "S&#46; Euvrard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.11.045"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2012"
                        "volumen" => "66"
                        "paginaInicial" => "e151"
                        "paginaFinal" => "e157"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21696852"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "54"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "What is the cause of retraction spaces associated with basal cell carcinoma&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;J&#46; R&#237;os-Mart&#237;n"
                            1 => "D&#46; Moreno-Ram&#237;rez"
                            2 => "R&#46; Gonz&#225;lez-C&#225;mpora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "55"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A new American Joint Committee on Cancer staging system for cutaneous squamous cell carcinoma&#58; creation and rationale for inclusion of tumor &#40;T&#41; characteristics"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Farasat"
                            1 => "S&#46;S&#46; Yu"
                            2 => "V&#46;A&#46; Neel"
                            3 => "K&#46;S&#46; Nehal"
                            4 => "T&#46; Lardaro"
                            5 => "M&#46;C&#46; Mihm"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2010.08.033"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2011"
                        "volumen" => "64"
                        "paginaInicial" => "1051"
                        "paginaFinal" => "1059"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21255868"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            55 => array:3 [
              "identificador" => "bib0280"
              "etiqueta" => "56"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "p63 immunohistochemical staining is limited in soft tissue tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46;Y&#46; Jo"
                            1 => "C&#46;D&#46; Fletcher"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1309/AJCPXNUC7JZSKWEU"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Pathol"
                        "fecha" => "2011"
                        "volumen" => "136"
                        "paginaInicial" => "762"
                        "paginaFinal" => "766"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22031315"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            56 => array:3 [
              "identificador" => "bib0285"
              "etiqueta" => "57"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Postradiation cutaneous angiosarcoma after treatment of breast carcinoma is characterized by MYC amplification in contrast to atypical vascular lesions after radiotherapy and control cases&#58; clinicopathological&#44; immunohistochemical and molecular analysis of 66 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Mentzel"
                            1 => "H&#46;U&#46; Schildhaus"
                            2 => "G&#46; Palmedo"
                            3 => "R&#46; B&#252;ttner"
                            4 => "H&#46; Kutzner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.2011.134"
                      "Revista" => array:7 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2012"
                        "volumen" => "25"
                        "paginaInicial" => "75"
                        "paginaFinal" => "85"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21909081"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S016164201200070X"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            57 => array:3 [
              "identificador" => "bib0290"
              "etiqueta" => "58"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consistent <span class="elsevierStyleItalic">MYC</span> and <span class="elsevierStyleItalic">FLT4</span> gene amplification in radiation-induced angiosarcoma but not in other radiation-associated atypical vascular lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "T&#46; Guo"
                            1 => "L&#46; Zhang"
                            2 => "N&#46;E&#46; Chang"
                            3 => "S&#46; Singer"
                            4 => "R&#46;G&#46; Maki"
                            5 => "C&#46;R&#46; Antonescu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/gcc.20827"
                      "Revista" => array:6 [
                        "tituloSerie" => "Genes Chromosomes Cancer"
                        "fecha" => "2011"
                        "volumen" => "50"
                        "paginaInicial" => "25"
                        "paginaFinal" => "33"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20949568"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            58 => array:3 [
              "identificador" => "bib0295"
              "etiqueta" => "59"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleomorphic dermal sarcoma&#58; Adverse histologic features predict aggressive behavior and allow distinction from atypical fibroxanthoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46; Miller"
                            1 => "J&#46;R&#46; Goodlad"
                            2 => "T&#46; Brenn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2012"
                        "volumen" => "36"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            59 => array:3 [
              "identificador" => "bib0300"
              "etiqueta" => "60"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epithelioid sarcoma-like hemangioendothelioma &#40;pseudomyogenic hemangioendothelioma&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;D&#46; Billings"
                            1 => "A&#46;L&#46; Folpe"
                            2 => "S&#46;W&#46; Weiss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PAS.0b013e31821caf1c"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Surg Pathol"
                        "fecha" => "2011"
                        "volumen" => "35"
                        "paginaInicial" => "1088"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21677548"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0161642008012463"
                          "estado" => "S300"
                          "issn" => "01616420"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010400000003/v1_201304241622/S1578219013000334/v1_201304241622/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6176"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Controversies in Dermatology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010400000003/v1_201304241622/S1578219013000334/v1_201304241622/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013000334?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 14 12 26
2024 October 88 41 129
2024 September 74 30 104
2024 August 92 67 159
2024 July 65 29 94
2024 June 85 28 113
2024 May 71 44 115
2024 April 76 34 110
2024 March 72 42 114
2024 February 202 42 244
2024 January 67 53 120
2023 December 66 14 80
2023 November 103 32 135
2023 October 83 37 120
2023 September 89 24 113
2023 August 49 24 73
2023 July 60 28 88
2023 June 56 25 81
2023 May 51 22 73
2023 April 33 20 53
2023 March 64 18 82
2023 February 83 31 114
2023 January 67 29 96
2022 December 50 45 95
2022 November 41 25 66
2022 October 26 23 49
2022 September 33 41 74
2022 August 30 40 70
2022 July 23 33 56
2022 June 17 21 38
2022 May 31 42 73
2022 April 42 24 66
2022 March 27 56 83
2022 February 23 34 57
2022 January 24 34 58
2021 December 30 37 67
2021 November 34 37 71
2021 October 37 58 95
2021 September 29 39 68
2021 August 29 45 74
2021 July 25 39 64
2021 June 24 38 62
2021 May 26 39 65
2021 April 78 66 144
2021 March 41 29 70
2021 February 53 36 89
2021 January 30 17 47
2020 December 25 21 46
2020 November 20 22 42
2020 October 38 14 52
2020 September 26 9 35
2020 August 28 23 51
2020 July 25 18 43
2020 June 46 27 73
2020 May 28 14 42
2020 April 27 25 52
2020 March 30 9 39
2020 February 3 1 4
2020 January 0 5 5
2019 December 4 7 11
2019 November 0 2 2
2019 September 4 4 8
2019 August 2 0 2
2019 July 0 7 7
2019 June 0 5 5
2019 May 2 16 18
2019 April 0 13 13
2019 March 0 9 9
2019 February 2 0 2
2019 January 0 1 1
2018 December 1 0 1
2018 November 2 0 2
2018 September 4 0 4
2018 March 0 2 2
2018 February 40 6 46
2018 January 37 8 45
2017 December 52 5 57
2017 November 31 8 39
2017 October 41 8 49
2017 September 36 3 39
2017 August 74 14 88
2017 July 54 8 62
2017 June 80 17 97
2017 May 57 10 67
2017 April 52 11 63
2017 March 43 20 63
2017 February 33 10 43
2017 January 38 14 52
2016 December 51 10 61
2016 November 61 8 69
2016 October 76 6 82
2016 September 64 16 80
2016 August 61 14 75
2016 July 52 13 65
2016 June 12 8 20
2016 May 5 16 21
2016 April 5 2 7
2016 March 4 3 7
2016 February 4 3 7
2016 January 8 1 9
2015 December 8 7 15
2015 November 9 2 11
2015 October 7 1 8
2015 September 6 1 7
2015 August 9 2 11
2015 July 90 120 210
2015 June 88 20 108
2015 May 103 23 126
2015 April 83 15 98
2015 March 28 8 36
2015 February 29 5 34
2015 January 28 5 33
2014 December 38 4 42
2014 November 30 3 33
2014 October 58 9 67
2014 September 39 5 44
2014 August 42 3 45
2014 July 33 8 41
2014 June 44 4 48
2014 May 50 11 61
2014 April 50 4 54
2014 March 48 14 62
2014 February 46 11 57
2014 January 35 6 41
2013 December 39 15 54
2013 November 33 10 43
2013 October 26 9 35
2013 September 35 9 44
2013 August 31 21 52
2013 July 6 1 7
2013 June 5 8 13
2013 May 3 4 7
2013 April 7 16 23
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?