Images in Dermatology
Ulcerated Plaques on the Groin of an Immunosuppressed Woman
Placas ulceradas en ingle en paciente inmunodeprimida
Read
5525
Timeswas read the article
1753
Total PDF
3772
Total HTML
Share statistics
array:24 [ "pii" => "S1578219016301421" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.06.011" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "1340" "copyright" => "Elsevier España, S.L.U. and AEDV" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:604" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 979 "formatos" => array:3 [ "EPUB" => 47 "HTML" => 798 "PDF" => 134 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731016000120" "issn" => "00017310" "doi" => "10.1016/j.ad.2015.07.020" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "1340" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:604" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 295 "formatos" => array:3 [ "EPUB" => 2 "HTML" => 229 "PDF" => 64 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Dermatología</span>" "titulo" => "Placas ulceradas en ingle en paciente inmunodeprimida" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "604" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Ulcerated Plaques on the Groin of an Immunosuppressed Woman" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1284 "Ancho" => 1649 "Tamanyo" => 577449 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Garrido-Colmenero, R. Ruiz-Villaverde, J. Aneiros-Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Garrido-Colmenero" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Ruiz-Villaverde" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Aneiros-Fernández" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219016301421" "doi" => "10.1016/j.adengl.2016.06.011" "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/S1578219016301421?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016000120?idApp=UINPBA000044" "url" => "/00017310/0000010700000007/v2_201609150132/S0001731016000120/v2_201609150132/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219016301433" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.06.012" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "1390" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2016;107:605-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 621 "formatos" => array:3 [ "EPUB" => 40 "HTML" => 398 "PDF" => 183 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Sarcoidosis and Tuberculosis: A Diagnostic Challenge" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "605" "paginaFinal" => "607" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sarcoidosis y tuberculosis: un desafío diagnóstico" ] ] "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" => 655 "Ancho" => 800 "Tamanyo" => 106582 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Erythematous papules with an atrophic central zone, situated in the frontal region.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. de la Fuente-Meira, T. Gracia-Cazaña, I. Pastushenko, M. Ara" "autores" => array:4 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "de la Fuente-Meira" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Gracia-Cazaña" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Pastushenko" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Ara" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731016300254" "doi" => "10.1016/j.ad.2016.02.009" "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/S0001731016300254?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016301433?idApp=UINPBA000044" "url" => "/15782190/0000010700000007/v2_201704140340/S1578219016301433/v2_201704140340/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S157821901630141X" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.06.010" "estado" => "S300" "fechaPublicacion" => "2016-09-01" "aid" => "1346" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2016;107:603" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 869 "formatos" => array:3 [ "EPUB" => 38 "HTML" => 666 "PDF" => 165 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "“Umbrella” Artifact Caused by Air Bubbles in Ultrasound Gel" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "603" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Artefacto en «paraguas» por burbujas en el gel ecográfico" ] ] "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" => 496 "Ancho" => 1305 "Tamanyo" => 124357 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F.J. García-Martínez, F. Alfageme Roldán, Á. Hernández Martín, M.A. Segurado Rodrígez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "F.J." "apellidos" => "García-Martínez" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Alfageme Roldán" ] 2 => array:2 [ "nombre" => "Á." "apellidos" => "Hernández Martín" ] 3 => array:2 [ "nombre" => "M.A." "apellidos" => "Segurado Rodrígez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731016000181" "doi" => "10.1016/j.ad.2015.07.021" "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/S0001731016000181?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901630141X?idApp=UINPBA000044" "url" => "/15782190/0000010700000007/v2_201704140340/S157821901630141X/v2_201704140340/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Ulcerated Plaques on the Groin of an Immunosuppressed Woman" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "604" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Garrido-Colmenero, R. Ruiz-Villaverde, J. Aneiros-Fernández" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Garrido-Colmenero" "email" => array:1 [ 0 => "cristinagarrido86@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" => "R." "apellidos" => "Ruiz-Villaverde" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Aneiros-Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Gestión Clínica de Anatomía Patológica, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Placas ulceradas en ingle en paciente inmunodeprimida" ] ] "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" => 664 "Tamanyo" => 158637 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 67-year-old woman with stage <span class="elsevierStyleSmallCaps">IV</span> breast cancer on treatment with hormone therapy and everolimus was seen for a 3-month history of ulcers in the right groin.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Examination revealed a number of well-defined, ulcerated, erythematous exophytic plaques with a whitish exudate (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient had received topical treatment with 0.25% prednicarbate cream, with no improvement. Skin biopsy was performed to clarify our differential diagnosis of skin metastases from her breast cancer, pemphigus vegetans, squamous cell carcinoma, or vegetative pyoderma. Histology revealed an epidermis with pseudoepitheliomatous hyperplasia, a predominantly neutrophilic inflammatory infiltrate in the dermis, with abscess formation and the presence of pseudofilaments in the corneal layer (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Culture isolated <span class="elsevierStyleItalic">Candida albicans</span>. Based on these findings, we made a diagnosis of vegetative pyoderma due to <span class="elsevierStyleItalic">C. albicans</span>. Treatment was prescribed with oral itraconazole, 100<span class="elsevierStyleHsp" style=""></span>mg every 12<span class="elsevierStyleHsp" style=""></span>hours for 8 weeks, leading to resolution of the lesion. Vegetative pyoderma typically presents as verrucous plaques with pustules and elevated borders. It is usually caused by aerobic or anaerobic bacteria and some species of <span class="elsevierStyleItalic">Candida</span>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">A diagnosis of vegetative pyoderma must be considered in immunosuppressed patients with chronic exophytic lesions.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Garrido-Colmenero C, Ruiz-Villaverde R, Aneiros-Fernández J. Placas ulceradas en ingle en paciente inmunodeprimida. Actas Dermosifiliogr. 2016;107:604.</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" => 500 "Ancho" => 666 "Tamanyo" => 81833 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin and eosin, original magnification ×20.</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" => 500 "Ancho" => 664 "Tamanyo" => 158637 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000007/v2_201704140340/S1578219016301421/v2_201704140340/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/15782190/0000010700000007/v2_201704140340/S1578219016301421/v2_201704140340/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016301421?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 10 | 14 |
| 2024 October | 71 | 34 | 105 |
| 2024 September | 81 | 25 | 106 |
| 2024 August | 103 | 60 | 163 |
| 2024 July | 81 | 32 | 113 |
| 2024 June | 97 | 35 | 132 |
| 2024 May | 115 | 34 | 149 |
| 2024 April | 100 | 24 | 124 |
| 2024 March | 87 | 37 | 124 |
| 2024 February | 62 | 31 | 93 |
| 2024 January | 43 | 32 | 75 |
| 2023 December | 54 | 20 | 74 |
| 2023 November | 59 | 24 | 83 |
| 2023 October | 65 | 22 | 87 |
| 2023 September | 46 | 24 | 70 |
| 2023 August | 49 | 17 | 66 |
| 2023 July | 53 | 29 | 82 |
| 2023 June | 49 | 23 | 72 |
| 2023 May | 58 | 22 | 80 |
| 2023 April | 59 | 20 | 79 |
| 2023 March | 62 | 24 | 86 |
| 2023 February | 55 | 28 | 83 |
| 2023 January | 50 | 20 | 70 |
| 2022 December | 50 | 37 | 87 |
| 2022 November | 20 | 31 | 51 |
| 2022 October | 23 | 20 | 43 |
| 2022 September | 27 | 43 | 70 |
| 2022 August | 21 | 30 | 51 |
| 2022 July | 18 | 38 | 56 |
| 2022 June | 25 | 21 | 46 |
| 2022 May | 50 | 43 | 93 |
| 2022 April | 67 | 23 | 90 |
| 2022 March | 68 | 43 | 111 |
| 2022 February | 44 | 24 | 68 |
| 2022 January | 51 | 36 | 87 |
| 2021 December | 50 | 38 | 88 |
| 2021 November | 57 | 37 | 94 |
| 2021 October | 47 | 47 | 94 |
| 2021 September | 23 | 42 | 65 |
| 2021 August | 43 | 16 | 59 |
| 2021 July | 38 | 37 | 75 |
| 2021 June | 40 | 24 | 64 |
| 2021 May | 45 | 45 | 90 |
| 2021 April | 83 | 81 | 164 |
| 2021 March | 89 | 23 | 112 |
| 2021 February | 77 | 26 | 103 |
| 2021 January | 41 | 19 | 60 |
| 2020 December | 41 | 20 | 61 |
| 2020 November | 34 | 19 | 53 |
| 2020 October | 32 | 9 | 41 |
| 2020 September | 37 | 15 | 52 |
| 2020 August | 36 | 22 | 58 |
| 2020 July | 38 | 13 | 51 |
| 2020 June | 39 | 28 | 67 |
| 2020 May | 30 | 17 | 47 |
| 2020 April | 36 | 11 | 47 |
| 2020 March | 44 | 14 | 58 |
| 2020 February | 8 | 0 | 8 |
| 2020 January | 10 | 0 | 10 |
| 2019 December | 11 | 0 | 11 |
| 2019 November | 8 | 0 | 8 |
| 2019 October | 1 | 1 | 2 |
| 2019 September | 6 | 0 | 6 |
| 2019 August | 6 | 0 | 6 |
| 2019 July | 12 | 0 | 12 |
| 2019 June | 6 | 0 | 6 |
| 2019 May | 11 | 0 | 11 |
| 2019 April | 4 | 5 | 9 |
| 2019 March | 6 | 0 | 6 |
| 2019 February | 2 | 0 | 2 |
| 2018 December | 10 | 0 | 10 |
| 2018 November | 6 | 0 | 6 |
| 2018 October | 5 | 0 | 5 |
| 2018 September | 3 | 0 | 3 |
| 2018 February | 59 | 2 | 61 |
| 2018 January | 108 | 8 | 116 |
| 2017 December | 103 | 5 | 108 |
| 2017 November | 41 | 6 | 47 |
| 2017 October | 46 | 6 | 52 |
| 2017 September | 40 | 4 | 44 |
| 2017 August | 51 | 8 | 59 |
| 2017 July | 35 | 10 | 45 |
| 2017 June | 31 | 5 | 36 |
| 2017 May | 29 | 6 | 35 |
| 2017 April | 16 | 4 | 20 |
| 2017 March | 17 | 2 | 19 |
| 2017 February | 14 | 5 | 19 |
| 2017 January | 13 | 3 | 16 |
| 2016 December | 32 | 19 | 51 |
| 2016 November | 20 | 16 | 36 |
| 2016 October | 33 | 18 | 51 |
| 2016 September | 1 | 1 | 2 |
| 2016 August | 1 | 0 | 1 |
Show all
