was read the article
array:24 [ "pii" => "S1578219016300373" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.03.019" "estado" => "S300" "fechaPublicacion" => "2016-06-01" "aid" => "1293" "copyright" => "Elsevier España, S.L.U. and AEDV" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:430" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1505 "formatos" => array:3 [ "EPUB" => 49 "HTML" => 1287 "PDF" => 169 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731015004895" "issn" => "00017310" "doi" => "10.1016/j.ad.2015.04.024" "estado" => "S300" "fechaPublicacion" => "2016-06-01" "aid" => "1293" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:430" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 308 "formatos" => array:3 [ "EPUB" => 3 "HTML" => 280 "PDF" => 25 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Dermatología</span>" "titulo" => "Púrpura retiforme asociada a déficit de proteína S" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "430" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Retiform Purpura Associated With Protein S Deficiency" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1088 "Ancho" => 1300 "Tamanyo" => 261053 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Agudo-García, F. Terrasa-Sagristà, E. Parera-Amer" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Agudo-García" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Terrasa-Sagristà" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Parera-Amer" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219016300373" "doi" => "10.1016/j.adengl.2016.03.019" "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/S1578219016300373?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731015004895?idApp=UINPBA000044" "url" => "/00017310/0000010700000005/v1_201605260143/S0001731015004895/v1_201605260143/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219016300270" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.03.013" "estado" => "S300" "fechaPublicacion" => "2016-06-01" "aid" => "1313" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2016;107:431-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 848 "formatos" => array:3 [ "EPUB" => 54 "HTML" => 622 "PDF" => 172 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Dyshidrotic Eczema Secondary to Intravenous Immunoglobulin Infusion: A Report of 2 Cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "431" "paginaFinal" => "433" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Eccema dishidrótico secundario a la infusión de inmunoglobulinas intravenosas: presentación de 2 casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 657 "Ancho" => 986 "Tamanyo" => 91376 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Vesicular lesions on an erythematous base on the palm of the second patient.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A.A. Garrido-Ríos, C. Martínez-Morán, J. Borbujo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A.A." "apellidos" => "Garrido-Ríos" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Martínez-Morán" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Borbujo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731015005141" "doi" => "10.1016/j.ad.2015.09.018" "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/S0001731015005141?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016300270?idApp=UINPBA000044" "url" => "/15782190/0000010700000005/v2_201703310310/S1578219016300270/v2_201703310310/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219016300269" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.03.012" "estado" => "S300" "fechaPublicacion" => "2016-06-01" "aid" => "1291" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:429" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 907 "formatos" => array:3 [ "EPUB" => 59 "HTML" => 705 "PDF" => 143 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Cutaneous Horn on the Upper Lip" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "429" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cuerno cutáneo en labio superior" ] ] "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" => 453 "Ancho" => 950 "Tamanyo" => 137916 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Blasco-Morente, S. Arias-Santiago, I. Pérez-López, J. Aneiros-Fernández" "autores" => array:4 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Blasco-Morente" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Arias-Santiago" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Pérez-López" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Aneiros-Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731015004871" "doi" => "10.1016/j.ad.2015.05.018" "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/S0001731015004871?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016300269?idApp=UINPBA000044" "url" => "/15782190/0000010700000005/v2_201703310310/S1578219016300269/v2_201703310310/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Retiform Purpura Associated With Protein S Deficiency" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "430" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Agudo-García, F. Terrasa-Sagristà, E. Parera-Amer" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Agudo-García" "email" => array:1 [ 0 => "azahara.agudo@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Terrasa-Sagristà" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Parera-Amer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Son Llàtzer, Palma de Mallorca, Islas Baleares, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Son Llàtzer, Palma de Mallorca, Islas Baleares, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Púrpura retiforme asociada a déficit de proteína S" ] ] "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" => 816 "Ancho" => 975 "Tamanyo" => 188402 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 67-year-old woman with a past history of hypertension and ischemic stroke presented reticulated purpuric lesions with a base covered by necrotic slough (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The lesions had appeared on both legs over a period of 3 weeks. There was no history of catheterization. The lesions were clinically compatible with retiform purpura, and a number of tests were performed based on the fact that this condition can be secondary to vascular occlusion or a lesion of the blood vessel walls: blood tests including autoimmunity, thrombophilia studies, and phosphorus and calcium metabolism; skin biopsy; transthoracic echocardiography; and blood cultures. Biopsy revealed vascular thrombosis and occlusion with secondary dermoepidermal ischemia, with no signs of vasculitis. The only abnormal finding in the other tests was a low free and functional protein S, suggesting a type <span class="elsevierStyleSmallCaps">I</span> or type <span class="elsevierStyleSmallCaps">III</span> hereditary deficit. During her admission, the lesions ulcerated and erythema developed, associated with increased local temperature and an exudate (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Antibiotic therapy and heparin anticoagulation were therefore started, with a good response and a progressive improvement. Protein S acts as an antithrombotic factor, inhibiting factors Va and VIIIa; its deficit therefore produces a state of hypercoagulability. Given the high probability of hereditary thrombophilia, we discharged our patient on anticoagulant treatment with acenocoumarol to prevent further thrombotic episodes and undertook study of her family, which excluded further cases among her relatives. We draw attention to the importance of identifying retiform purpura in order to diagnose the underlying cause and start treatment to prevent potentially serious consequences.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Agudo-García A, Terrasa-Sagristà F, Parera-Amer E. Púrpura retiforme asociada a déficit de proteína S. Actas Dermosifiliogr. 2016;107:430.</p>" ] ] "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" => 816 "Ancho" => 975 "Tamanyo" => 188402 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000005/v2_201703310310/S1578219016300373/v2_201703310310/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/15782190/0000010700000005/v2_201703310310/S1578219016300373/v2_201703310310/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016300373?idApp=UINPBA000044" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 11 | 19 |
2024 October | 72 | 44 | 116 |
2024 September | 84 | 26 | 110 |
2024 August | 100 | 54 | 154 |
2024 July | 84 | 34 | 118 |
2024 June | 99 | 55 | 154 |
2024 May | 86 | 38 | 124 |
2024 April | 85 | 26 | 111 |
2024 March | 72 | 33 | 105 |
2024 February | 63 | 33 | 96 |
2024 January | 48 | 30 | 78 |
2023 December | 72 | 13 | 85 |
2023 November | 102 | 34 | 136 |
2023 October | 71 | 18 | 89 |
2023 September | 95 | 28 | 123 |
2023 August | 43 | 16 | 59 |
2023 July | 56 | 36 | 92 |
2023 June | 54 | 18 | 72 |
2023 May | 72 | 26 | 98 |
2023 April | 67 | 28 | 95 |
2023 March | 66 | 24 | 90 |
2023 February | 67 | 24 | 91 |
2023 January | 52 | 35 | 87 |
2022 December | 65 | 43 | 108 |
2022 November | 31 | 25 | 56 |
2022 October | 42 | 18 | 60 |
2022 September | 29 | 38 | 67 |
2022 August | 29 | 26 | 55 |
2022 July | 26 | 32 | 58 |
2022 June | 31 | 20 | 51 |
2022 May | 57 | 44 | 101 |
2022 April | 62 | 34 | 96 |
2022 March | 60 | 43 | 103 |
2022 February | 45 | 32 | 77 |
2022 January | 66 | 36 | 102 |
2021 December | 49 | 36 | 85 |
2021 November | 53 | 40 | 93 |
2021 October | 65 | 48 | 113 |
2021 September | 47 | 38 | 85 |
2021 August | 58 | 33 | 91 |
2021 July | 43 | 31 | 74 |
2021 June | 55 | 27 | 82 |
2021 May | 42 | 41 | 83 |
2021 April | 84 | 51 | 135 |
2021 March | 131 | 24 | 155 |
2021 February | 94 | 34 | 128 |
2021 January | 70 | 12 | 82 |
2020 December | 71 | 20 | 91 |
2020 November | 55 | 29 | 84 |
2020 October | 59 | 13 | 72 |
2020 September | 123 | 15 | 138 |
2020 August | 31 | 18 | 49 |
2020 July | 59 | 22 | 81 |
2020 June | 54 | 29 | 83 |
2020 May | 41 | 15 | 56 |
2020 April | 55 | 22 | 77 |
2020 March | 47 | 18 | 65 |
2020 February | 9 | 0 | 9 |
2020 January | 8 | 0 | 8 |
2019 December | 12 | 0 | 12 |
2019 November | 6 | 0 | 6 |
2019 September | 7 | 0 | 7 |
2019 August | 8 | 0 | 8 |
2019 July | 12 | 0 | 12 |
2019 June | 8 | 0 | 8 |
2019 May | 9 | 0 | 9 |
2019 April | 4 | 1 | 5 |
2019 March | 2 | 3 | 5 |
2019 February | 4 | 0 | 4 |
2018 December | 6 | 0 | 6 |
2018 November | 8 | 0 | 8 |
2018 October | 15 | 0 | 15 |
2018 September | 11 | 0 | 11 |
2018 February | 64 | 3 | 67 |
2018 January | 73 | 4 | 77 |
2017 December | 93 | 7 | 100 |
2017 November | 50 | 4 | 54 |
2017 October | 44 | 5 | 49 |
2017 September | 83 | 6 | 89 |
2017 August | 216 | 5 | 221 |
2017 July | 48 | 1 | 49 |
2017 June | 57 | 19 | 76 |
2017 May | 64 | 9 | 73 |
2017 April | 54 | 7 | 61 |
2017 March | 36 | 10 | 46 |
2017 February | 28 | 9 | 37 |
2017 January | 48 | 9 | 57 |
2016 December | 65 | 16 | 81 |
2016 November | 69 | 19 | 88 |
2016 October | 71 | 27 | 98 |
2016 June | 0 | 3 | 3 |
2016 May | 0 | 1 | 1 |
2016 April | 0 | 1 | 1 |