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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In their article&#44; Rodr&#237;guez-Bandera et al<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> describe interesting ultrasound features of idiopathic facial aseptic granuloma &#40;IFAG&#41;&#44; including a lesion axis that tends to lie parallel to the skin surface and the presence of hypervascularization in the periphery of the lesion during the most inflammatory phase&#46; Their description of the shape&#44; echogenicity&#44; and location of the lesion is similar to that of V&#225;zquez-Osorio et al<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a>&#58; an ovoid&#44; hypoechoic lesion located predominantly in the dermis&#46; The features described by both authors are consistent with our ultrasound findings in IFAG patients&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The authors propose that the hyperechogenicity in the hypodermis underlying the lesion is indicative of edema in the subcutaneous adipose tissue surrounding the lesion&#46; While I agree that this hyperechogenicity may be secondary to tissue inflammation&#44; one could argue that it is further enhanced by the perilesional hypervascularization that predominates in the sublesional part&#46; Posterior acoustic reinforcement artifact&#44; which is typical of fluid-containing structures&#44; could be generated by these dilated blood vessels&#44; subsequently attenuating with the reduction in inflammation and consequent decreases in vessel caliber and hypervascularization&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The use of ultrasound to define lesion patterns&#44; establish differential diagnoses with other skin conditions&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> and perform noninvasive follow-up can greatly facilitate early diagnosis and help avoid unnecessary biopsy&#46; The role of ultrasound is of particular importance in the case of IFAG&#44; which is primarily a disease of childhood and tends to affect the face&#46;</p></span>"
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