array:23 [
  "pii" => "S1578219017303682"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2017.11.012"
  "estado" => "S300"
  "fechaPublicacion" => "2018-01-01"
  "aid" => "1696"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2018;109:69-70"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 418
    "formatos" => array:3 [
      "EPUB" => 23
      "HTML" => 288
      "PDF" => 107
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731017302648"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2017.05.003"
      "estado" => "S300"
      "fechaPublicacion" => "2018-01-01"
      "aid" => "1696"
      "copyright" => "AEDV"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2018;109:69-70"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 297
        "formatos" => array:3 [
          "EPUB" => 4
          "HTML" => 207
          "PDF" => 86
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Foro de Residentes</span>"
        "titulo" => "FR-Luces y sombras de nuevos f&#225;rmacos en el tratamiento de la alopecia areata"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "69"
            "paginaFinal" => "70"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Good and Bad News About New Drugs for Treating Alopecia Areata"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "D&#46; Morgado-Carrasco, E&#46; Rodr&#237;guez-Lobato, J&#46; Riera-Monroig, J&#46; Ferrando"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Morgado-Carrasco"
              ]
              1 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Rodr&#237;guez-Lobato"
              ]
              2 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Riera-Monroig"
              ]
              3 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Ferrando"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219017303682"
          "doi" => "10.1016/j.adengl.2017.11.012"
          "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/S1578219017303682?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017302648?idApp=UINPBA000044"
      "url" => "/00017310/0000010900000001/v1_201801020548/S0001731017302648/v1_201801020548/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219017303694"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.013"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1735"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:71-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 308
      "formatos" => array:3 [
        "EPUB" => 21
        "HTML" => 216
        "PDF" => 71
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Videos of Surgical Procedures in Dermatology</span>"
      "titulo" => "Type <span class="elsevierStyleSmallCaps">I</span> Keystone Island Flap"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "71"
          "paginaFinal" => "72"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Colgajo de keystone tipo <span class="elsevierStyleSmallCaps">i</span>"
        ]
      ]
      "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" => 1565
              "Ancho" => 1625
              "Tamanyo" => 245408
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Design of the type<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleSmallCaps">i</span> keystone flap&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "H&#46;A&#46; Cocunubo-Blanco, A&#46; P&#233;rez-Bustillo, E&#46; Manrrique, M&#46;&#193;&#46; Rodr&#237;guez-Prieto"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "H&#46;A&#46;"
              "apellidos" => "Cocunubo-Blanco"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#233;rez-Bustillo"
            ]
            2 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Manrrique"
            ]
            3 => array:2 [
              "nombre" => "M&#46;&#193;&#46;"
              "apellidos" => "Rodr&#237;guez-Prieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017303459"
        "doi" => "10.1016/j.ad.2017.05.015"
        "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/S0001731017303459?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303694?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303694/v1_201801020547/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219017303670"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.011"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1749"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:67-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 390
      "formatos" => array:3 [
        "EPUB" => 22
        "HTML" => 286
        "PDF" => 82
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>"
      "titulo" => "Slow-Growing Pink Papule"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "67"
          "paginaFinal" => "68"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "P&#225;pula rosada de crecimiento lento"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 917
              "Ancho" => 2104
              "Tamanyo" => 158553
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermoscopic image showing structureless pale pink areas &#40;asterisks&#41; within the lesion and prominent peripheral vascularity&#46; B&#44; Detail of the blood vessels with the characteristic cherry blossom images&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;L&#46; Ram&#237;rez-Bellver, S&#46; Saenz Guirado"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ram&#237;rez-Bellver"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Saenz Guirado"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017303770"
        "doi" => "10.1016/j.ad.2017.06.011"
        "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/S0001731017303770?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303670?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Forum</span>"
    "titulo" => "The Good and Bad News About New Drugs for Treating Alopecia Areata"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "69"
        "paginaFinal" => "70"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "D&#46; Morgado-Carrasco, E&#46; Rodr&#237;guez-Lobato, J&#46; Riera-Monroig, J&#46; Ferrando"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Morgado-Carrasco"
          ]
          1 => array:2 [
            "nombre" => "E&#46;"
            "apellidos" => "Rodr&#237;guez-Lobato"
          ]
          2 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Riera-Monroig"
          ]
          3 => array:4 [
            "nombre" => "J&#46;"
            "apellidos" => "Ferrando"
            "email" => array:1 [
              0 => "juanferrandobarbera&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Dermatology&#44; Hospital Cl&#237;nic&#44; Universitat de Barcelona&#44; Barcelona&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "FR-Luces y sombras de nuevos f&#225;rmacos en el tratamiento de la alopecia areata"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Alopecia areata &#40;AA&#41; is an autoimmune disease that is difficult to treat and has a limited therapeutic arsenal&#46; In some publications it has been suggested that the lipid-lowering drugs&#44; statins&#44; may be effective in the treatment of a number of dermatoses&#44; such as psoriasis&#46; In 2015&#44; Lattouf et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> conducted a prospective study of 29 patients with AA affecting 40&#37; to 70&#37; of the scalp&#44; treating them with a combination of simvastatin&#44; 40<span class="elsevierStyleHsp" style=""></span>mg&#44; plus ezetimibe&#44; 10<span class="elsevierStyleHsp" style=""></span>mg&#44; once a day for 24 weeks&#46; By 16 to 24 weeks&#44; 14 of the 29 patients had developed hair regrowth greater than 20&#37;&#46; Subsequently&#44; treatment was withdrawn in 7 of the responding patients&#44; leading to recurrence of the alopecia in 5 of them&#46; These promising results were considered to be produced by the anti-inflammatory and immunomodulatory effects of the statins&#46; However&#44; a similar study performed recently&#44; using simvastatin plus ezetimibe at the same dose and for the same period in 20 patients with severe AA &#40;involvement of more than 70&#37; of the scalp&#41;&#44; produced little effect&#44; with sparse hair growth in only 1 patient&#46; Additionally&#44; 15&#37; of the individuals presented adverse effects&#44; such as headache or myalgia&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The difference in the results of these studies could be due to the different degrees of severity of AA in the patients studied&#46; Mild or moderate AA can improve spontaneously&#44; whereas severe forms tend to be more refractory to treatment&#46; Our experience has been similar&#46; We have observed a poor clinical response to simvastatin plus ezetimibe in severe AA&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In recent years&#44; there have been reports of cases of AA with a clinical response to treatment with Janus kinase &#40;JAK&#41; inhibitors in patients with myeloproliferative disorders or psoriatic arthritis&#44; and JAK&#47;STAT &#40;signal transducer and activator of transcription&#41; overexpression has been detected in AA&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> A recent clinical trial using ruxolitinib&#44; a JAK1&#47;2 inhibitor&#44; 20<span class="elsevierStyleHsp" style=""></span>mg by mouth twice a day for 3 to 6 months&#44; produced encouraging results in 12 patients with moderate or severe AA followed up for 3 months after completing treatment&#58; 75&#37; of the individuals presented considerable hair growth &#40;mean&#44; 92&#37;&#41;&#46; Surprisingly&#44; this hair growth was observed after 4 weeks of treatment and the incidence of adverse effects was very low&#46; Some patients presented hair loss after treatment withdrawal&#44; but none returned to pretreatment levels&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Similar findings were reported in a retrospective study of 90 patients treated with tofacitinib&#44; a JAK1&#47;3 inhibitor&#44; after a mean treatment period of 12 months&#44; with a clinical response in 79&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Furthermore&#44; in the clinical trial with ruxolitinib&#44; biopsies were taken from affected areas of the scalp at trial entry and after 12 weeks of treatment&#44; measuring gene expression related to &#947;-interferon and cytotoxic T-cell activation&#46; A notable reduction was observed in the expression of these inflammatory mediators of a type <span class="elsevierStyleSmallCaps">I</span> immune response&#44; which could help to explain the effect of this drug&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">New treatment protocols are now being designed with ruxolitinib&#44; baricitinib&#44; and tofacitinib &#40;<a href="http://www.clinicaltrials.gov/">http&#58;&#47;&#47;www&#46;clinicaltrials&#46;gov</a>&#41;&#44; JAK kinase inhibitors that we believe could revolutionize the treatment of AA&#46; In contrast&#44; we do not consider the widespread use of statins to be justified in this disease&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec933519"
          "palabras" => array:5 [
            0 => "Alopecia areata"
            1 => "Statins"
            2 => "JAK inhibitors"
            3 => "Tofacitinib"
            4 => "Ruxolitinib"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Morgado-Carrasco D&#44; Rodr&#237;guez-Lobato E&#44; Riera-Monroig J&#44; Ferrando J&#46; The Good and Bad News About New Drugs for Treating Alopecia Areata&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;69&#8211;70&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of alopecia areata with simvastatin&#47;ezetimibe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Lattouf"
                            1 => "J&#46;J&#46; Jimenez"
                            2 => "A&#46; Tosti"
                            3 => "M&#46; Miteva"
                            4 => "T&#46;C&#46; Wikramanayake"
                            5 => "C&#46; Kittles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2014.11.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2015"
                        "volumen" => "72"
                        "paginaInicial" => "359"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25592347"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alopecia areata &#40;AA&#41; and treatment with simvastatin&#47;ezetimibe&#58; Experience of 20 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Loi"
                            1 => "M&#46; Starace"
                            2 => "B&#46;M&#46; Piraccini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2015.09.071"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2016"
                        "volumen" => "74"
                        "paginaInicial" => "e99"
                        "paginaFinal" => "e100"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27085249"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "JAK3 as an emerging target for topical treatment of inflammatory skin diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;K&#46; Alves de Medeiros"
                            1 => "R&#46; Speeckaert"
                            2 => "E&#46; Desmet"
                            3 => "M&#46; Van Gele"
                            4 => "S&#46; De Schepper"
                            5 => "J&#46; Lambert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1371/journal.pone.0164080"
                      "Revista" => array:4 [
                        "tituloSerie" => "PLoS ONE&#46;"
                        "fecha" => "2016"
                        "volumen" => "11"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28002457"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oral ruxolitinib induces hair regrowth in patients with moderate-to-severe alopecia areata"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Mackay-Wiggan"
                            1 => "A&#46; Jabbari"
                            2 => "N&#46; Nguyen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1172/jci.insight.89790"
                      "Revista" => array:5 [
                        "tituloSerie" => "JCI Insight&#46;"
                        "fecha" => "2016"
                        "volumen" => "1"
                        "paginaInicial" => "e89790"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27699253"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tofacitinib for the treatment of severe alopecia areata and variants&#58; A study of 90 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;Y&#46; Liu"
                            1 => "B&#46;G&#46; Craiglow"
                            2 => "F&#46; Dai"
                            3 => "B&#46;A&#46; King"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2016.09.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2017"
                        "volumen" => "76"
                        "paginaInicial" => "22"
                        "paginaFinal" => "28"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27816293"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303682/v1_201801020547/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "34945"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Resident&#39;s Forum"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000001/v1_201801020547/S1578219017303682/v1_201801020547/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303682?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Resident's Forum
The Good and Bad News About New Drugs for Treating Alopecia Areata
FR-Luces y sombras de nuevos fármacos en el tratamiento de la alopecia areata
D. Morgado-Carrasco, E. Rodríguez-Lobato, J. Riera-Monroig, J. Ferrando
Corresponding author
juanferrandobarbera@gmail.com

Corresponding author.
Department of Dermatology, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
Read
7326
Times
was read the article
2836
Total PDF
4490
Total HTML
Share statistics
 array:23 [
  "pii" => "S1578219017303682"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2017.11.012"
  "estado" => "S300"
  "fechaPublicacion" => "2018-01-01"
  "aid" => "1696"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2018;109:69-70"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 418
    "formatos" => array:3 [
      "EPUB" => 23
      "HTML" => 288
      "PDF" => 107
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731017302648"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2017.05.003"
      "estado" => "S300"
      "fechaPublicacion" => "2018-01-01"
      "aid" => "1696"
      "copyright" => "AEDV"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2018;109:69-70"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 297
        "formatos" => array:3 [
          "EPUB" => 4
          "HTML" => 207
          "PDF" => 86
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Foro de Residentes</span>"
        "titulo" => "FR-Luces y sombras de nuevos f&#225;rmacos en el tratamiento de la alopecia areata"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "69"
            "paginaFinal" => "70"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Good and Bad News About New Drugs for Treating Alopecia Areata"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "D&#46; Morgado-Carrasco, E&#46; Rodr&#237;guez-Lobato, J&#46; Riera-Monroig, J&#46; Ferrando"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Morgado-Carrasco"
              ]
              1 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Rodr&#237;guez-Lobato"
              ]
              2 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Riera-Monroig"
              ]
              3 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Ferrando"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219017303682"
          "doi" => "10.1016/j.adengl.2017.11.012"
          "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/S1578219017303682?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017302648?idApp=UINPBA000044"
      "url" => "/00017310/0000010900000001/v1_201801020548/S0001731017302648/v1_201801020548/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219017303694"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.013"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1735"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:71-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 308
      "formatos" => array:3 [
        "EPUB" => 21
        "HTML" => 216
        "PDF" => 71
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Videos of Surgical Procedures in Dermatology</span>"
      "titulo" => "Type <span class="elsevierStyleSmallCaps">I</span> Keystone Island Flap"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "71"
          "paginaFinal" => "72"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Colgajo de keystone tipo <span class="elsevierStyleSmallCaps">i</span>"
        ]
      ]
      "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" => 1565
              "Ancho" => 1625
              "Tamanyo" => 245408
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Design of the type<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleSmallCaps">i</span> keystone flap&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "H&#46;A&#46; Cocunubo-Blanco, A&#46; P&#233;rez-Bustillo, E&#46; Manrrique, M&#46;&#193;&#46; Rodr&#237;guez-Prieto"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "H&#46;A&#46;"
              "apellidos" => "Cocunubo-Blanco"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "P&#233;rez-Bustillo"
            ]
            2 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Manrrique"
            ]
            3 => array:2 [
              "nombre" => "M&#46;&#193;&#46;"
              "apellidos" => "Rodr&#237;guez-Prieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017303459"
        "doi" => "10.1016/j.ad.2017.05.015"
        "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/S0001731017303459?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303694?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303694/v1_201801020547/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219017303670"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.011"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1749"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:67-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 390
      "formatos" => array:3 [
        "EPUB" => 22
        "HTML" => 286
        "PDF" => 82
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>"
      "titulo" => "Slow-Growing Pink Papule"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "67"
          "paginaFinal" => "68"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "P&#225;pula rosada de crecimiento lento"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 917
              "Ancho" => 2104
              "Tamanyo" => 158553
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermoscopic image showing structureless pale pink areas &#40;asterisks&#41; within the lesion and prominent peripheral vascularity&#46; B&#44; Detail of the blood vessels with the characteristic cherry blossom images&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;L&#46; Ram&#237;rez-Bellver, S&#46; Saenz Guirado"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ram&#237;rez-Bellver"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Saenz Guirado"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017303770"
        "doi" => "10.1016/j.ad.2017.06.011"
        "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/S0001731017303770?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303670?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Forum</span>"
    "titulo" => "The Good and Bad News About New Drugs for Treating Alopecia Areata"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "69"
        "paginaFinal" => "70"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "D&#46; Morgado-Carrasco, E&#46; Rodr&#237;guez-Lobato, J&#46; Riera-Monroig, J&#46; Ferrando"
        "autores" => array:4 [
          0 => array:2 [
            "nombre" => "D&#46;"
            "apellidos" => "Morgado-Carrasco"
          ]
          1 => array:2 [
            "nombre" => "E&#46;"
            "apellidos" => "Rodr&#237;guez-Lobato"
          ]
          2 => array:2 [
            "nombre" => "J&#46;"
            "apellidos" => "Riera-Monroig"
          ]
          3 => array:4 [
            "nombre" => "J&#46;"
            "apellidos" => "Ferrando"
            "email" => array:1 [
              0 => "juanferrandobarbera&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Department of Dermatology&#44; Hospital Cl&#237;nic&#44; Universitat de Barcelona&#44; Barcelona&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "FR-Luces y sombras de nuevos f&#225;rmacos en el tratamiento de la alopecia areata"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Alopecia areata &#40;AA&#41; is an autoimmune disease that is difficult to treat and has a limited therapeutic arsenal&#46; In some publications it has been suggested that the lipid-lowering drugs&#44; statins&#44; may be effective in the treatment of a number of dermatoses&#44; such as psoriasis&#46; In 2015&#44; Lattouf et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> conducted a prospective study of 29 patients with AA affecting 40&#37; to 70&#37; of the scalp&#44; treating them with a combination of simvastatin&#44; 40<span class="elsevierStyleHsp" style=""></span>mg&#44; plus ezetimibe&#44; 10<span class="elsevierStyleHsp" style=""></span>mg&#44; once a day for 24 weeks&#46; By 16 to 24 weeks&#44; 14 of the 29 patients had developed hair regrowth greater than 20&#37;&#46; Subsequently&#44; treatment was withdrawn in 7 of the responding patients&#44; leading to recurrence of the alopecia in 5 of them&#46; These promising results were considered to be produced by the anti-inflammatory and immunomodulatory effects of the statins&#46; However&#44; a similar study performed recently&#44; using simvastatin plus ezetimibe at the same dose and for the same period in 20 patients with severe AA &#40;involvement of more than 70&#37; of the scalp&#41;&#44; produced little effect&#44; with sparse hair growth in only 1 patient&#46; Additionally&#44; 15&#37; of the individuals presented adverse effects&#44; such as headache or myalgia&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> The difference in the results of these studies could be due to the different degrees of severity of AA in the patients studied&#46; Mild or moderate AA can improve spontaneously&#44; whereas severe forms tend to be more refractory to treatment&#46; Our experience has been similar&#46; We have observed a poor clinical response to simvastatin plus ezetimibe in severe AA&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In recent years&#44; there have been reports of cases of AA with a clinical response to treatment with Janus kinase &#40;JAK&#41; inhibitors in patients with myeloproliferative disorders or psoriatic arthritis&#44; and JAK&#47;STAT &#40;signal transducer and activator of transcription&#41; overexpression has been detected in AA&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> A recent clinical trial using ruxolitinib&#44; a JAK1&#47;2 inhibitor&#44; 20<span class="elsevierStyleHsp" style=""></span>mg by mouth twice a day for 3 to 6 months&#44; produced encouraging results in 12 patients with moderate or severe AA followed up for 3 months after completing treatment&#58; 75&#37; of the individuals presented considerable hair growth &#40;mean&#44; 92&#37;&#41;&#46; Surprisingly&#44; this hair growth was observed after 4 weeks of treatment and the incidence of adverse effects was very low&#46; Some patients presented hair loss after treatment withdrawal&#44; but none returned to pretreatment levels&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Similar findings were reported in a retrospective study of 90 patients treated with tofacitinib&#44; a JAK1&#47;3 inhibitor&#44; after a mean treatment period of 12 months&#44; with a clinical response in 79&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Furthermore&#44; in the clinical trial with ruxolitinib&#44; biopsies were taken from affected areas of the scalp at trial entry and after 12 weeks of treatment&#44; measuring gene expression related to &#947;-interferon and cytotoxic T-cell activation&#46; A notable reduction was observed in the expression of these inflammatory mediators of a type <span class="elsevierStyleSmallCaps">I</span> immune response&#44; which could help to explain the effect of this drug&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">New treatment protocols are now being designed with ruxolitinib&#44; baricitinib&#44; and tofacitinib &#40;<a href="http://www.clinicaltrials.gov/">http&#58;&#47;&#47;www&#46;clinicaltrials&#46;gov</a>&#41;&#44; JAK kinase inhibitors that we believe could revolutionize the treatment of AA&#46; In contrast&#44; we do not consider the widespread use of statins to be justified in this disease&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec933519"
          "palabras" => array:5 [
            0 => "Alopecia areata"
            1 => "Statins"
            2 => "JAK inhibitors"
            3 => "Tofacitinib"
            4 => "Ruxolitinib"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Morgado-Carrasco D&#44; Rodr&#237;guez-Lobato E&#44; Riera-Monroig J&#44; Ferrando J&#46; The Good and Bad News About New Drugs for Treating Alopecia Areata&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;69&#8211;70&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of alopecia areata with simvastatin&#47;ezetimibe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Lattouf"
                            1 => "J&#46;J&#46; Jimenez"
                            2 => "A&#46; Tosti"
                            3 => "M&#46; Miteva"
                            4 => "T&#46;C&#46; Wikramanayake"
                            5 => "C&#46; Kittles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2014.11.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2015"
                        "volumen" => "72"
                        "paginaInicial" => "359"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25592347"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Alopecia areata &#40;AA&#41; and treatment with simvastatin&#47;ezetimibe&#58; Experience of 20 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46; Loi"
                            1 => "M&#46; Starace"
                            2 => "B&#46;M&#46; Piraccini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2015.09.071"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2016"
                        "volumen" => "74"
                        "paginaInicial" => "e99"
                        "paginaFinal" => "e100"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27085249"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "JAK3 as an emerging target for topical treatment of inflammatory skin diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;K&#46; Alves de Medeiros"
                            1 => "R&#46; Speeckaert"
                            2 => "E&#46; Desmet"
                            3 => "M&#46; Van Gele"
                            4 => "S&#46; De Schepper"
                            5 => "J&#46; Lambert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1371/journal.pone.0164080"
                      "Revista" => array:4 [
                        "tituloSerie" => "PLoS ONE&#46;"
                        "fecha" => "2016"
                        "volumen" => "11"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28002457"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Oral ruxolitinib induces hair regrowth in patients with moderate-to-severe alopecia areata"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46; Mackay-Wiggan"
                            1 => "A&#46; Jabbari"
                            2 => "N&#46; Nguyen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1172/jci.insight.89790"
                      "Revista" => array:5 [
                        "tituloSerie" => "JCI Insight&#46;"
                        "fecha" => "2016"
                        "volumen" => "1"
                        "paginaInicial" => "e89790"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27699253"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tofacitinib for the treatment of severe alopecia areata and variants&#58; A study of 90 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;Y&#46; Liu"
                            1 => "B&#46;G&#46; Craiglow"
                            2 => "F&#46; Dai"
                            3 => "B&#46;A&#46; King"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2016.09.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2017"
                        "volumen" => "76"
                        "paginaInicial" => "22"
                        "paginaFinal" => "28"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27816293"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303682/v1_201801020547/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "34945"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Resident&#39;s Forum"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000001/v1_201801020547/S1578219017303682/v1_201801020547/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303682?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 9 10 19
2024 October 239 48 287
2024 September 225 27 252
2024 August 122 51 173
2024 July 110 28 138
2024 June 117 44 161
2024 May 115 35 150
2024 April 113 37 150
2024 March 101 43 144
2024 February 102 33 135
2024 January 99 38 137
2023 December 73 20 93
2023 November 92 97 189
2023 October 83 133 216
2023 September 70 121 191
2023 August 80 42 122
2023 July 101 38 139
2023 June 88 21 109
2023 May 95 25 120
2023 April 99 26 125
2023 March 117 37 154
2023 February 81 30 111
2023 January 77 31 108
2022 December 85 40 125
2022 November 51 41 92
2022 October 47 29 76
2022 September 48 63 111
2022 August 36 60 96
2022 July 39 66 105
2022 June 33 93 126
2022 May 58 113 171
2022 April 90 104 194
2022 March 97 53 150
2022 February 70 31 101
2022 January 79 45 124
2021 December 56 42 98
2021 November 50 60 110
2021 October 61 64 125
2021 September 49 65 114
2021 August 72 53 125
2021 July 46 41 87
2021 June 39 43 82
2021 May 51 58 109
2021 April 107 112 219
2021 March 56 41 97
2021 February 66 52 118
2021 January 48 43 91
2020 December 40 42 82
2020 November 52 48 100
2020 October 47 20 67
2020 September 42 28 70
2020 August 27 28 55
2020 July 33 21 54
2020 June 35 40 75
2020 May 15 22 37
2020 April 34 30 64
2020 March 29 23 52
2020 February 6 0 6
2020 January 4 0 4
2019 December 8 0 8
2019 November 4 0 4
2019 September 8 0 8
2019 August 4 0 4
2019 July 3 0 3
2019 June 6 0 6
2019 May 4 0 4
2019 April 2 0 2
2019 March 4 0 4
2019 January 2 0 2
2018 December 5 0 5
2018 November 1 0 1
2018 October 1 0 1
2018 September 6 0 6
2018 February 102 40 142
2018 January 115 50 165
2017 December 9 17 26
Show all

Follow this link to access the full text of the article

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?