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Aguilera" "autores" => array:1 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Aguilera" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219018303597" "doi" => "10.1016/j.adengl.2018.06.026" "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/S1578219018303597?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018303375?idApp=UINPBA000044" "url" => "/00017310/0000010900000010/v1_201812060614/S0001731018303375/v1_201812060614/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219018303810" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.09.014" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "2060" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Actas Dermosifiliogr. 2018;109:854" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2 "formatos" => array:2 [ "EPUB" => 1 "HTML" => 1 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Commentary</span>" "titulo" => "Dermatologic Manifestations in Kidney Transplant Recipients" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "854" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manifestaciones dermatológicas en los pacientes con trasplante renal" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Á. Pulpillo Ruiz" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Á." "apellidos" => "Pulpillo Ruiz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731018304265" "doi" => "10.1016/j.ad.2018.09.010" "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/S0001731018304265?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018303810?idApp=UINPBA000044" "url" => "/15782190/0000010900000010/v1_201812060634/S1578219018303810/v1_201812060634/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Commentary</span>" "titulo" => "Inducing Light Tolerance With Narrowband UV-B Therapy in Solar Urticaria" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "853" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P. Aguilera" "autores" => array:1 [ 0 => array:3 [ "nombre" => "P." "apellidos" => "Aguilera" "email" => array:1 [ 0 => "aguilisha@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Clínic, Barcelona, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Inducción de fototolerancia con ultravioleta B de banda estrecha en urticaria solar" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Chicharro et al. review the results of induction of light tolerance in patients with solar urticaria (SU). The mechanism by which tolerance is induced by UV radiation or visible light remains partially unknown. Patients with severe SU are rarely able to get enough exposure to acquire good tolerance. In moderate cases, however, repeated exposure to natural light can have a natural hardening effect and rarely gives rise to lesions on areas such as the face and the back of the hands. The proposed mechanisms include the saturation of IgE antigen-binding regions, the alteration of chromophores in the skin, and UV-induced immunosuppression (mast cell depletion or degranulation). The thickening and/or pigmentation of the epidermis can also contribute to this natural hardening. This phenomenon can be used to treat SU with incremental exposure to artificial light sources. Various treatment alternatives exist:</p><p id="par0010" class="elsevierStylePara elsevierViewall">Systemic psoralen–UV-A (PUVA)<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a>: This treatment has yielded satisfactory results but is not the first-line option due to its stronger association with photocarcinogenesis.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Hardening with the triggering light source: This treatment can require long-term maintenance and the effects only last a few days.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Inhibition spectrum treatment: In this treatment modality, the therapeutic spectrum is different from that which triggered the condition (narrowband UV-B radiation could be used in SU induced by UV-A and/or visible light). This modality, previously reported by other authors,<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2,3</span></a> is the one described by Chicharro et al. in the present issue. This is the second case series, after that of Calzavara-Pinton et al.,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> to describe the use of narrowband UV-B to treat patients with SU.</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: Aguilera P. Inducción de fototolerancia con ultravioleta B de banda estrecha en urticaria solar. Actas Dermosifiliogr. 2018;109:853.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solar urticaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N.C. Botto" 1 => "E.M. 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Venturini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2011.01.030" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2012" "volumen" => "67" "paginaInicial" => "e5" "paginaFinal" => "e9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21620516" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010900000010/v1_201812060634/S1578219018303597/v1_201812060634/en/main.assets" "Apartado" => array:4 [ "identificador" => "66476" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Commentaries" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000010/v1_201812060634/S1578219018303597/v1_201812060634/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018303597?idApp=UINPBA000044" ]
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