Images in Dermatology
Long-standing Plaque of Alopecia on the Scalp
Placa alopécica en cuero cabelludo de larga evolución
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Garrido-Colmenero, J. Aneiros-Fernandez, R. Ruiz-Villaverde" "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" => "J." "apellidos" => "Aneiros-Fernandez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Ruiz-Villaverde" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "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" => "Placa alopécica en cuero cabelludo de larga evolución" ] ] "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" => 675 "Ancho" => 900 "Tamanyo" => 190170 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A woman aged 35 years, with no background of interest, was seen for a 3-year history of an asymptomatic plaque of alopecia of cicatricial appearance on her scalp (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). She had performed treatment with 0.5% clobetasol propionate foam twice a day for the 2 months prior to consultation, with no improvement. Physical examination of the interparietal region revealed a plaque of alopecia with hairs of distinct sizes and skin that was difficult to pinch into a fold. Dermoscopy showed hairs curved around their longitudinal axis, known as comma hairs and corkscrew hairs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Skin biopsy and culture were performed because of the longstanding nature of the lesions and to exclude systemic causes of alopecia; our differential diagnosis included tinea capitis, chronic discoid lupus lesions, lichen planopilaris, and trichotillomania. Culture was positive for <span class="elsevierStyleItalic">Trichophyton rubrum</span>, and histopathology revealed the presence of long septate filamentous fungi within the hair follicles (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). The patient was treated with oral terbinafine, 250<span class="elsevierStyleHsp" style=""></span>mg/d for 8 weeks, leading to resolution of the lesions. The clinical and dermoscopic findings of comma and corkscrew hairs are highly suggestive of tinea of trichophytic etiology, even in longstanding plaques of alopecia.</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: Garrido-Colmenero C, Aneiros-Fernandez J, Ruiz-Villaverde R. Placa alopécica en cuero cabelludo de larga evolución. Actas Dermosifiliogr. 2016;107:685.</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" => 675 "Ancho" => 900 "Tamanyo" => 190170 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000008/v2_201704100057/S157821901630155X/v2_201704100057/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/15782190/0000010700000008/v2_201704100057/S157821901630155X/v2_201704100057/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901630155X?idApp=UINPBA000044" ]
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