Practical Dermoscopy
Spot the Differences Between 2 Pigmented Papules
Encuentra las diferencias entre 2 pápulas pigmentadas
P. Zaballos Diego
Servicio de Dermatología, Hospital de Sant Pau i Santa Tecla de Tarragona, Tarragona, Spain
Read
8726
Timeswas read the article
2343
Total PDF
6383
Total HTML
Share statistics
array:24 [ "pii" => "S1578219013001820" "issn" => "15782190" "doi" => "10.1016/j.adengl.2013.02.010" "estado" => "S300" "fechaPublicacion" => "2013-10-01" "aid" => "836" "copyright" => "Elsevier España, S.L. and AEDV" "copyrightAnyo" => "2012" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2013;104:719-20" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2565 "formatos" => array:3 [ "EPUB" => 42 "HTML" => 2135 "PDF" => 388 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731013001531" "issn" => "00017310" "doi" => "10.1016/j.ad.2013.02.016" "estado" => "S300" "fechaPublicacion" => "2013-10-01" "aid" => "836" "copyright" => "Elsevier España, S.L. y AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2013;104:719-20" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3136 "formatos" => array:3 [ "EPUB" => 2 "HTML" => 2467 "PDF" => 667 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Dermatoscopia práctica</span>" "titulo" => "Encuentra las diferencias entre 2 pápulas pigmentadas" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "719" "paginaFinal" => "720" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spot the Differences Between 2 Pigmented Papules" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 849 "Ancho" => 2000 "Tamanyo" => 309572 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Varón de 60 años que presenta un nódulo pigmentado negruzco de 8<span class="elsevierStyleHsp" style=""></span>mm localizado en la pierna izquierda. Aparición y evolución desconocidas. B. Varón de 65 años que presenta un nódulo pigmentado negruzco de 8<span class="elsevierStyleHsp" style=""></span>mm localizado en la espalda. Aparición y evolución no aportadas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Zaballos Diego" "autores" => array:1 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Zaballos Diego" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219013001820" "doi" => "10.1016/j.adengl.2013.02.010" "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/S1578219013001820?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731013001531?idApp=UINPBA000044" "url" => "/00017310/0000010400000008/v1_201309240051/S0001731013001531/v1_201309240051/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219013001832" "issn" => "15782190" "doi" => "10.1016/j.adengl.2012.09.023" "estado" => "S300" "fechaPublicacion" => "2013-10-01" "aid" => "728" "copyright" => "Elsevier España, S.L. and AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2013;104:721-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3427 "formatos" => array:3 [ "EPUB" => 41 "HTML" => 2757 "PDF" => 629 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Superficial Granulomatous Pyoderma. Report of 2 Cases Treated With Topical Tacrolimus" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "721" "paginaFinal" => "724" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pioderma granulomatoso superficial. Presentación de 2 casos tratados con tacrolimus tópico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1221 "Ancho" => 1584 "Tamanyo" => 176373 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Plaques with ulcers on the buttocks. B, Horseshoe-shaped ulcer measuring 7<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>cm with an atrophic center and erythematous-violaceous borders on the upper back. C, Predominantly follicular inflammatory infiltrate with rupture of the follicular epithelium and granulomatous reaction with giant cells (hematoxylin-eosin, original magnification ×100). D, Residual scars on the buttocks. E, cribriform scars on the back.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Ormaechea-Pérez, A. López-Pestaña, C. Lobo-Morán, A. Tuneu-Valls" "autores" => array:4 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Ormaechea-Pérez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "López-Pestaña" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Lobo-Morán" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Tuneu-Valls" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731012004450" "doi" => "10.1016/j.ad.2012.09.004" "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/S0001731012004450?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013001832?idApp=UINPBA000044" "url" => "/15782190/0000010400000008/v1_201309240048/S1578219013001832/v1_201309240048/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219013001819" "issn" => "15782190" "doi" => "10.1016/j.adengl.2013.03.007" "estado" => "S300" "fechaPublicacion" => "2013-10-01" "aid" => "831" "copyright" => "Elsevier España, S.L. and AEDV" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2013;104:717-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2203 "formatos" => array:3 [ "EPUB" => 44 "HTML" => 1662 "PDF" => 497 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case for Diagnosis</span>" "titulo" => "Smoker With Raynaud Phenomenon and Painful Nodules on the Legs" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "717" "paginaFinal" => "718" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fumador con fenómeno de Raynaud y nódulos dolorosos en las piernas" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 500 "Ancho" => 666 "Tamanyo" => 54584 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.U. Floristán, R. Almodovar, F.J. Salamanca" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.U." "apellidos" => "Floristán" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Almodovar" ] 2 => array:2 [ "nombre" => "F.J." "apellidos" => "Salamanca" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731013001300" "doi" => "10.1016/j.ad.2013.03.002" "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/S0001731013001300?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013001819?idApp=UINPBA000044" "url" => "/15782190/0000010400000008/v1_201309240048/S1578219013001819/v1_201309240048/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>" "titulo" => "Spot the Differences Between 2 Pigmented Papules" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "719" "paginaFinal" => "720" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P. Zaballos Diego" "autores" => array:1 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Zaballos Diego" "email" => array:1 [ 0 => "pzaballos@aedv.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital de Sant Pau i Santa Tecla de Tarragona, Tarragona, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Encuentra las diferencias entre 2 pápulas pigmentadas" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 739 "Ancho" => 2000 "Tamanyo" => 206474 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Comment</span><p id="par0005" class="elsevierStylePara elsevierViewall">The 2 patients presented pigmented lesions with a similar clinical (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and dermoscopic (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) appearance. However, detailed evaluation of the dermoscopic images provides clues to the diagnosis in each case. Both tumors are formed of multiple, dark, round or oval structures in apposition. In my opinion, one of the diagnostic keys is to determine whether or not these structures are dark lacunae. Dark lacunae are multiple, well-defined, round or oval structures that are dark blue, violaceous, or black. Histologically, these structures are seen to be partially or completely thrombosed dilated blood vessels in the dermis, and their presence is highly suggestive of solitary angiokeratoma (sensitivity, 93.8%; specificity, 99.1%).<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> An important negative finding of lacunae is that there are no vascular structures in their interior.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In the dermoscopic image of the first patient there are multiple, well-defined, round, oval, or occasionally polygonal structures (slightly out of focus on the right side of the image) that are violaceous or dark blue and do not contain blood vessels. These structures are dark lacunae and the diagnosis suggested by the dermoscopic image is solitary angiokeratoma.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the dermoscopic image of the second patient the structures are slightly different. They are multiple, round or oval structures but they are poorly defined and are grayish-blue in color. Furthermore, a vascular structure, in perfect focus, formed of a thick central blood vessel that branches into smaller vessels, is visible in one of the structures at the left inferior pole of the nodule. Based on the comments above, these structures cannot be called lacunae. However, their description does match that of a recognized dermoscopic feature: large blue-gray ovoid nests. This is 98% specific for basal cell carcinoma.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Thus, if no criteria for a melanocytic lesion are observed and we recognize that the vascular structure described is a tree-like or arborizing telangiectasia, which has a positive predictive value of 94% for basal cell carcinoma,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> we should make a dermoscopic diagnosis of pigmented basal cell carcinoma.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of Interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The author declares that he has no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Comment" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Zaballos Diego P. Encuentra las diferencias entre 2 pápulas pigmentadas. Actas Dermosifiliogr. 2013;104:719–20.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 849 "Ancho" => 2000 "Tamanyo" => 336871 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, A dark pigmented nodule of 8-mm diameter on the left leg of a 60-year-old man. Time since onset and clinical course not reported. B, A dark pigmented nodule of 8-mm diameter on the left leg of a 65-year-old man. Time since onset and clinical course not reported.</p>" ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 739 "Ancho" => 2000 "Tamanyo" => 206474 ] ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of solitary angiokeratomas: A morphological study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Zaballos" 1 => "C. Daufí" 2 => "S. Puig" 3 => "G. Argenziano" 4 => "D. Moreno-Ramírez" 5 => "H. Cabo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/archderm.143.3.318" "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "2007" "volumen" => "143" "paginaInicial" => "318" "paginaFinal" => "325" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17372096" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surface microscopy of pigmented basal cell carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.W. Menzies" 1 => "K. Westerhoff" 2 => "H. Rabinovitz" 3 => "A.W. Kopf" 4 => "W.H. McCarthy" 5 => "B. Katz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "2000" "volumen" => "136" "paginaInicial" => "1012" "paginaFinal" => "1016" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10926737" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vascular structures in skin tumors: A dermoscopy study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Argenziano" 1 => "I. Zalaudek" 2 => "R. Corona" 3 => "F. Sera" 4 => "L. Cicale" 5 => "G. Petrillo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/archderm.140.12.1485" "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "2004" "volumen" => "140" "paginaInicial" => "1485" "paginaFinal" => "1489" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15611426" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010400000008/v1_201309240048/S1578219013001820/v1_201309240048/en/main.assets" "Apartado" => array:4 [ "identificador" => "19289" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Practical Dermoscopy" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010400000008/v1_201309240048/S1578219013001820/v1_201309240048/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219013001820?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 10 | 23 |
| 2024 October | 85 | 58 | 143 |
| 2024 September | 112 | 42 | 154 |
| 2024 August | 131 | 61 | 192 |
| 2024 July | 101 | 41 | 142 |
| 2024 June | 87 | 51 | 138 |
| 2024 May | 80 | 50 | 130 |
| 2024 April | 76 | 38 | 114 |
| 2024 March | 98 | 34 | 132 |
| 2024 February | 107 | 36 | 143 |
| 2024 January | 83 | 48 | 131 |
| 2023 December | 146 | 34 | 180 |
| 2023 November | 148 | 33 | 181 |
| 2023 October | 201 | 34 | 235 |
| 2023 September | 248 | 41 | 289 |
| 2023 August | 155 | 33 | 188 |
| 2023 July | 121 | 45 | 166 |
| 2023 June | 104 | 23 | 127 |
| 2023 May | 114 | 23 | 137 |
| 2023 April | 75 | 25 | 100 |
| 2023 March | 85 | 26 | 111 |
| 2023 February | 61 | 25 | 86 |
| 2023 January | 71 | 27 | 98 |
| 2022 December | 72 | 43 | 115 |
| 2022 November | 35 | 38 | 73 |
| 2022 October | 51 | 27 | 78 |
| 2022 September | 55 | 55 | 110 |
| 2022 August | 27 | 42 | 69 |
| 2022 July | 51 | 40 | 91 |
| 2022 June | 44 | 31 | 75 |
| 2022 May | 71 | 52 | 123 |
| 2022 April | 92 | 36 | 128 |
| 2022 March | 82 | 59 | 141 |
| 2022 February | 48 | 32 | 80 |
| 2022 January | 62 | 34 | 96 |
| 2021 December | 58 | 55 | 113 |
| 2021 November | 53 | 55 | 108 |
| 2021 October | 60 | 58 | 118 |
| 2021 September | 45 | 45 | 90 |
| 2021 August | 40 | 30 | 70 |
| 2021 July | 21 | 41 | 62 |
| 2021 June | 32 | 17 | 49 |
| 2021 May | 66 | 34 | 100 |
| 2021 April | 194 | 43 | 237 |
| 2021 March | 102 | 26 | 128 |
| 2021 February | 46 | 26 | 72 |
| 2021 January | 31 | 19 | 50 |
| 2020 December | 38 | 19 | 57 |
| 2020 November | 37 | 23 | 60 |
| 2020 October | 25 | 11 | 36 |
| 2020 September | 21 | 8 | 29 |
| 2020 August | 19 | 19 | 38 |
| 2020 July | 25 | 12 | 37 |
| 2020 June | 44 | 29 | 73 |
| 2020 May | 33 | 18 | 51 |
| 2020 April | 34 | 20 | 54 |
| 2020 March | 30 | 18 | 48 |
| 2020 February | 3 | 3 | 6 |
| 2020 January | 5 | 13 | 18 |
| 2019 December | 8 | 4 | 12 |
| 2019 November | 4 | 5 | 9 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 8 | 2 | 10 |
| 2019 August | 4 | 4 | 8 |
| 2019 July | 5 | 6 | 11 |
| 2019 June | 3 | 10 | 13 |
| 2019 May | 7 | 56 | 63 |
| 2019 April | 2 | 1 | 3 |
| 2019 March | 0 | 7 | 7 |
| 2019 February | 4 | 0 | 4 |
| 2018 December | 3 | 0 | 3 |
| 2018 November | 3 | 0 | 3 |
| 2018 October | 2 | 0 | 2 |
| 2018 September | 3 | 0 | 3 |
| 2018 June | 0 | 1 | 1 |
| 2018 May | 0 | 1 | 1 |
| 2018 April | 0 | 1 | 1 |
| 2018 March | 3 | 0 | 3 |
| 2018 February | 44 | 4 | 48 |
| 2018 January | 53 | 5 | 58 |
| 2017 December | 50 | 8 | 58 |
| 2017 November | 36 | 1 | 37 |
| 2017 October | 41 | 5 | 46 |
| 2017 September | 46 | 8 | 54 |
| 2017 August | 66 | 9 | 75 |
| 2017 July | 65 | 8 | 73 |
| 2017 June | 76 | 10 | 86 |
| 2017 May | 50 | 3 | 53 |
| 2017 April | 33 | 4 | 37 |
| 2017 March | 33 | 44 | 77 |
| 2017 February | 29 | 5 | 34 |
| 2017 January | 45 | 8 | 53 |
| 2016 December | 53 | 4 | 57 |
| 2016 November | 64 | 9 | 73 |
| 2016 October | 75 | 11 | 86 |
| 2016 September | 139 | 6 | 145 |
| 2016 August | 68 | 5 | 73 |
| 2016 July | 40 | 5 | 45 |
| 2016 June | 7 | 0 | 7 |
| 2016 May | 5 | 5 | 10 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 4 | 0 | 4 |
| 2016 February | 3 | 5 | 8 |
| 2016 January | 14 | 1 | 15 |
| 2015 December | 13 | 3 | 16 |
| 2015 November | 16 | 0 | 16 |
| 2015 October | 17 | 6 | 23 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 7 | 1 | 8 |
| 2015 July | 113 | 7 | 120 |
| 2015 June | 58 | 2 | 60 |
| 2015 May | 55 | 1 | 56 |
| 2015 April | 42 | 5 | 47 |
| 2015 March | 36 | 2 | 38 |
| 2015 February | 47 | 4 | 51 |
| 2015 January | 48 | 1 | 49 |
| 2014 December | 46 | 5 | 51 |
| 2014 November | 35 | 5 | 40 |
| 2014 October | 54 | 2 | 56 |
| 2014 September | 39 | 4 | 43 |
| 2014 August | 34 | 4 | 38 |
| 2014 July | 24 | 9 | 33 |
| 2014 June | 38 | 6 | 44 |
| 2014 May | 37 | 7 | 44 |
| 2014 April | 36 | 6 | 42 |
| 2014 March | 44 | 4 | 48 |
| 2014 February | 25 | 3 | 28 |
| 2014 January | 39 | 2 | 41 |
| 2013 December | 15 | 5 | 20 |
| 2013 November | 2 | 2 | 4 |
| 2013 October | 2 | 2 | 4 |
Show all
