Images in Dermatology
Erosive Nodular Lesion in the Auricle of a Teenager's Ear
Lesión nodular erosiva en el pabellón auricular de una adolescente
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Garcia-Zamora, E. Naz-Villalba, F. Pinedo-Moraleda" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Garcia-Zamora" "email" => array:1 [ 0 => "garciazamoraelena@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" => "E." "apellidos" => "Naz-Villalba" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Pinedo-Moraleda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesión nodular erosiva en el pabellón auricular de una adolescente" ] ] "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" => 972 "Ancho" => 1400 "Tamanyo" => 340496 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 14-year-old girl with no past history of interest was seen for an asymptomatic lesion that had arisen on the helix of the auricle of her left ear 2 months earlier. The lesion had appeared during the month of August and had not changed since that time.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Examination revealed an 8<span class="elsevierStyleHsp" style=""></span>mm nodular lesion with well-defined, slightly elevated borders and a central erosion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Epidermal hyperplasia, hyperkeratosis, acanthosis, and hypergranulosis were observed on biopsy, associated with nests of nonpigmented epithelioid cells in the epidermis, extending down to the reticular dermis. Fibrillary eosinophilic globules consistent with Kamino bodies were identified in the papillary dermis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><p id="par0020" class="elsevierStylePara elsevierViewall">With a diagnosis of Spitz nevus, the lesion was excised and has not recurred after 2 years of follow-up.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Spitz nevus is an acquired benign melanocytic tumor that typically arises before 20 years of age. It presents as an asymptomatic, firm, well-defined solitary papule of variable color. The nevus typically arises on the head and neck, lower limbs, or trunk. The differential diagnosis includes other melanocytic nevi, hemangioma, pyogenic granuloma, molluscum contagiosum, and keloids. The age of our patient and the appearance of the lesion during the summer also led to a suspicion of cutaneous leishmaniasis. Chondrodermatitis nodularis helicis was excluded by the age of the patient.</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: Garcia-Zamora E, Naz-Villalba E, Pinedo-Moraleda F. Lesión nodular erosiva en el pabellón auricular de una adolescente. Actas Dermosifiliogr. 2017;108:777.</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" => 972 "Ancho" => 1400 "Tamanyo" => 340496 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010800000008/v1_201710010015/S1578219017302445/v1_201710010015/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/15782190/0000010800000008/v1_201710010015/S1578219017302445/v1_201710010015/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017302445?idApp=UINPBA000044" ]
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