Images in Dermatology
Pruritic, Indurated Lesions on a Man's Forearms
Paciente con lesiones de pruriginosas e induras en antebrazos
a Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
b Department of Pathology, Virgen de las Nieves University Hospital, Granada, Spain
c Department of Dermatology, School of Medicine, Granada, Spain
d Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain
Read
4847
Timeswas read the article
1648
Total PDF
3199
Total HTML
Share statistics
array:24 [ "pii" => "S1578219016000408" "issn" => "15782190" "doi" => "10.1016/j.adengl.2015.03.022" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "1156" "copyright" => "AEDV" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:153-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 831 "formatos" => array:3 [ "EPUB" => 46 "HTML" => 601 "PDF" => 184 ] ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S0001731015001507" "issn" => "00017310" "doi" => "10.1016/j.ad.2015.03.004" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "1156" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:153-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 552 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 296 "PDF" => 211 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Pruritic, Indurated Lesions on a Man's Forearms" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "153" "paginaFinal" => "154" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paciente con lesiones de pruriginosas e induras en antebrazos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1029 "Ancho" => 1300 "Tamanyo" => 378675 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "K.H. Kim, J. Aneiros-Fernández, A. Buendía-Eisman, S. Arias-Santiago" "autores" => array:4 [ 0 => array:2 [ "nombre" => "K.H." "apellidos" => "Kim" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Aneiros-Fernández" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Buendía-Eisman" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Arias-Santiago" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219016000408" "doi" => "10.1016/j.adengl.2015.03.022" "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/S1578219016000408?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731015001507?idApp=UINPBA000044" "url" => "/00017310/0000010700000002/v2_201603080122/S0001731015001507/v2_201603080122/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S157821901600041X" "issn" => "15782190" "doi" => "10.1016/j.adengl.2015.05.025" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "1238" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2016;107:155-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 522 "formatos" => array:3 [ "EPUB" => 33 "HTML" => 397 "PDF" => 92 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Secondary Amyloid Deposition in Discoid Lupus Erythematosus" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "155" "paginaFinal" => "156" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Depósitos de amiloide secundarios a lupus eritematoso discoide" ] ] "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" => 1280 "Ancho" => 1701 "Tamanyo" => 425292 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Multiple keratotic plaques scattered on the face. (B) Biopsy showed parakeratosis with focal hyperkeratosis, follicular plugging, liquefaction changes to the basal layers of the epidermis, and cellular infiltrates in the upper dermis (hematoxylin–eosin stain, original magnification 100×). (C) Dylon staining revealed amyloid deposition in the upper dermis (original magnification 200×). (D) The upper dermis was also positive for keratin (original magnification 200×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Y. Hanami, T. Yamamoto" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Y." "apellidos" => "Hanami" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Yamamoto" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0001731015003427" "doi" => "10.1016/j.ad.2015.05.014" "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/S0001731015003427?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901600041X?idApp=UINPBA000044" "url" => "/15782190/0000010700000002/v2_201703220318/S157821901600041X/v2_201703220318/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219015003510" "issn" => "15782190" "doi" => "10.1016/j.adengl.2015.12.001" "estado" => "S300" "fechaPublicacion" => "2016-03-01" "aid" => "1181" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:151-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 646 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 506 "PDF" => 102 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Residents Forum</span>" "titulo" => "RF-Oral Nonsteroidal Anti-inflammatory Drug Use May Reduce the Risk of Cutaneous Squamous Cell Carcinoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "151" "paginaFinal" => "152" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "FR-El consumo oral de antiinflamatorios no esteroideos podría disminuir el riesgo de aparición de carcinoma espinocelular cutáneo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Bernárdez, E. Macías del Toro, J.L. Ramírez Bellver, F. Feltes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Bernárdez" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Macías del Toro" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Ramírez Bellver" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Feltes" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731015002112" "doi" => "10.1016/j.ad.2015.04.011" "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/S0001731015002112?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219015003510?idApp=UINPBA000044" "url" => "/15782190/0000010700000002/v2_201703220318/S1578219015003510/v2_201703220318/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Pruritic, Indurated Lesions on a Man's Forearms" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "153" "paginaFinal" => "154" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "K.H. Kim, J. Aneiros-Fernández, A. Buendía-Eisman, S. Arias-Santiago" "autores" => array:4 [ 0 => array:4 [ "nombre" => "K.H." "apellidos" => "Kim" "email" => array:2 [ 0 => "khkim@uams.edu" 1 => "k7kim@hotmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Aneiros-Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Buendía-Eisman" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "S." "apellidos" => "Arias-Santiago" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Pathology, Virgen de las Nieves University Hospital, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Dermatology, School of Medicine, Granada, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paciente con lesiones de pruriginosas e induras en antebrazos" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1030 "Ancho" => 1301 "Tamanyo" => 383730 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A previously healthy man in his forties with no prior history of bites or stings presented with pruritic, erythematous plaques on his forearms that had developed 2 weeks earlier. His medical history included no medications or exposures associated with his skin condition. He had been previously treated with oral amoxicillin, with no response.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed whitish-gray indurated plaques with surrounding erythema on the forearms (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Laboratory tests including a complete blood count (no peripheral eosinophilia), serum electrolyte analysis, and bacterial and fungal cultures were negative. Skin biopsy showed spongiosis with subepidermal edema (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B), perivascular eosinophilic infiltrate (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), diffuse interstitial inflammatory infiltrate with eosinophils and flame figures (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D), and no evidence of vasculitis or foreign material.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Based on the clinical and histological findings, a diagnosis of Wells syndrome (eosinophilic cellulitis) was established. The patient began treatment with systemic steroids (1<span class="elsevierStyleHsp" style=""></span>mg/kg/d), which resulted in resolution of the lesions within 4 weeks. Subsequently, the dose of steroids was gradually reduced, and completely discontinued after 1 month.</p><p id="par0020" class="elsevierStylePara elsevierViewall">While its initial clinical presentation can resemble that of cellulitis and several types of dermatitis, eosinophilic cellulitis can be distinguished from other dermatoses by its histological features (edema and dermal inflammatory infiltrate with eosinophils and flame figures) and the presence of whitish-gray, morphea-like, indurated plaques.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1030 "Ancho" => 1301 "Tamanyo" => 383730 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000002/v2_201703220318/S1578219016000408/v2_201703220318/en/main.assets" "Apartado" => array:4 [ "identificador" => "41141" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010700000002/v2_201703220318/S1578219016000408/v2_201703220318/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016000408?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 14 | 9 | 23 |
| 2024 October | 94 | 37 | 131 |
| 2024 September | 117 | 20 | 137 |
| 2024 August | 106 | 45 | 151 |
| 2024 July | 83 | 31 | 114 |
| 2024 June | 87 | 34 | 121 |
| 2024 May | 90 | 29 | 119 |
| 2024 April | 68 | 16 | 84 |
| 2024 March | 86 | 33 | 119 |
| 2024 February | 61 | 33 | 94 |
| 2024 January | 42 | 32 | 74 |
| 2023 December | 49 | 17 | 66 |
| 2023 November | 58 | 31 | 89 |
| 2023 October | 56 | 19 | 75 |
| 2023 September | 58 | 27 | 85 |
| 2023 August | 31 | 13 | 44 |
| 2023 July | 38 | 28 | 66 |
| 2023 June | 40 | 23 | 63 |
| 2023 May | 38 | 23 | 61 |
| 2023 April | 30 | 19 | 49 |
| 2023 March | 32 | 25 | 57 |
| 2023 February | 32 | 11 | 43 |
| 2023 January | 33 | 23 | 56 |
| 2022 December | 45 | 40 | 85 |
| 2022 November | 23 | 17 | 40 |
| 2022 October | 20 | 15 | 35 |
| 2022 September | 14 | 32 | 46 |
| 2022 August | 16 | 22 | 38 |
| 2022 July | 20 | 33 | 53 |
| 2022 June | 17 | 19 | 36 |
| 2022 May | 22 | 24 | 46 |
| 2022 April | 41 | 37 | 78 |
| 2022 March | 35 | 42 | 77 |
| 2022 February | 27 | 18 | 45 |
| 2022 January | 38 | 45 | 83 |
| 2021 December | 25 | 30 | 55 |
| 2021 November | 35 | 43 | 78 |
| 2021 October | 42 | 44 | 86 |
| 2021 September | 26 | 36 | 62 |
| 2021 August | 60 | 23 | 83 |
| 2021 July | 42 | 29 | 71 |
| 2021 June | 49 | 22 | 71 |
| 2021 May | 42 | 35 | 77 |
| 2021 April | 75 | 31 | 106 |
| 2021 March | 53 | 25 | 78 |
| 2021 February | 58 | 23 | 81 |
| 2021 January | 46 | 18 | 64 |
| 2020 December | 42 | 14 | 56 |
| 2020 November | 28 | 19 | 47 |
| 2020 October | 37 | 9 | 46 |
| 2020 September | 49 | 19 | 68 |
| 2020 August | 40 | 16 | 56 |
| 2020 July | 34 | 16 | 50 |
| 2020 June | 43 | 30 | 73 |
| 2020 May | 33 | 20 | 53 |
| 2020 April | 45 | 17 | 62 |
| 2020 March | 31 | 21 | 52 |
| 2020 February | 8 | 2 | 10 |
| 2020 January | 10 | 1 | 11 |
| 2019 December | 12 | 1 | 13 |
| 2019 November | 8 | 0 | 8 |
| 2019 September | 19 | 0 | 19 |
| 2019 August | 7 | 0 | 7 |
| 2019 July | 8 | 0 | 8 |
| 2019 June | 8 | 0 | 8 |
| 2019 May | 12 | 0 | 12 |
| 2019 April | 4 | 1 | 5 |
| 2019 March | 2 | 6 | 8 |
| 2019 February | 7 | 0 | 7 |
| 2018 December | 7 | 0 | 7 |
| 2018 November | 7 | 0 | 7 |
| 2018 October | 13 | 0 | 13 |
| 2018 September | 8 | 0 | 8 |
| 2018 April | 0 | 4 | 4 |
| 2018 February | 67 | 5 | 72 |
| 2018 January | 53 | 10 | 63 |
| 2017 December | 62 | 11 | 73 |
| 2017 November | 39 | 7 | 46 |
| 2017 October | 28 | 8 | 36 |
| 2017 September | 26 | 3 | 29 |
| 2017 August | 35 | 10 | 45 |
| 2017 July | 25 | 9 | 34 |
| 2017 June | 18 | 6 | 24 |
| 2017 May | 20 | 10 | 30 |
| 2017 April | 12 | 6 | 18 |
| 2017 March | 12 | 27 | 39 |
| 2017 February | 11 | 7 | 18 |
| 2017 January | 8 | 9 | 17 |
| 2016 December | 17 | 11 | 28 |
| 2016 November | 16 | 9 | 25 |
| 2016 October | 14 | 18 | 32 |
| 2016 June | 0 | 2 | 2 |
| 2016 May | 0 | 3 | 3 |
Show all
