Case and Research Letters
Three Cases of Scalp Sarcoidosis with Alopecia
Tres casos de sarcoidosis del cuero cabelludo con alopecia
Departamento de Dermatología, Universidad de Medicina de Fukushima, Fukushima, Japón
Read
12790
Timeswas read the article
1872
Total PDF
10918
Total HTML
Share statistics
array:24 [ "pii" => "S1578219018303639" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.10.009" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1930" "copyright" => "Elsevier España, S.L.U. and AEDV" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2018;109:933-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731018300929" "issn" => "00017310" "doi" => "10.1016/j.ad.2017.11.017" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1930" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2018;109:933-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 138 "formatos" => array:2 [ "HTML" => 105 "PDF" => 33 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científico-clínica</span>" "titulo" => "Tres casos de sarcoidosis del cuero cabelludo con alopecia" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "933" "paginaFinal" => "934" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Three Cases of Scalp Sarcoidosis with Alopecia" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 879 "Ancho" => 1750 "Tamanyo" => 439642 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Características clínicas e histológicas de la sarcoidosis del cuero cabelludo (a y b: caso 1; c y d: caso 2; e y f: caso 3). Tinción hematoxilina-eosina, ampliación del original ×200.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Ishikawa, M. Ohtsuka, T. Yamamoto" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Ishikawa" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Ohtsuka" ] 2 => array:2 [ "nombre" => "T." "apellidos" => "Yamamoto" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219018303639" "doi" => "10.1016/j.adengl.2018.10.009" "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/S1578219018303639?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018300929?idApp=UINPBA000044" "url" => "/00017310/0000010900000010/v1_201812060614/S0001731018300929/v1_201812060614/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219018303573" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.10.004" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1974" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2018;109:934-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Stewart-Bluefarb Syndrome: Case Report and Review of the Literature" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "934" "paginaFinal" => "936" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Stewart-Bluefarb: caso clínico y revisión de la literatura" ] ] "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" => 1134 "Ancho" => 850 "Tamanyo" => 160094 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image showing raised lesions with perilesional eczema in the anterior pretibial surface and outermost supramalleolar region. An ulcer with perilesional cutaneous hyperpigmentation is visible at the center of the image.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V.E. García Blanco, E. Doiz Artázcoz, M.C. Galera Martínez, M. Rodríguez Piñero" "autores" => array:4 [ 0 => array:2 [ "nombre" => "V.E." "apellidos" => "García Blanco" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Doiz Artázcoz" ] 2 => array:2 [ "nombre" => "M.C." "apellidos" => "Galera Martínez" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Rodríguez Piñero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731018302126" "doi" => "10.1016/j.ad.2018.03.019" "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/S0001731018302126?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018303573?idApp=UINPBA000044" "url" => "/15782190/0000010900000010/v1_201812060634/S1578219018303573/v1_201812060634/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219018303615" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.10.007" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1889" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2018;109:929-32" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 8 "formatos" => array:2 [ "HTML" => 6 "PDF" => 2 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Urticarial Dermatitis. A Cutaneous Reaction Pattern" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "929" "paginaFinal" => "932" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatitis urticante. Un patrón de reacción cutánea" ] ] "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" => 1326 "Ancho" => 1050 "Tamanyo" => 138515 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Excoriated erythematous papules on the back of a patient. B, Use of the Fric test to confirm dermographism on the back of a patient with prurigo lesions at different stages of progression.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.C. García del Pozo, I. Poveda, P. Álvarez, J.F. Silvestre" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.C." "apellidos" => "García del Pozo" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Poveda" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Álvarez" ] 3 => array:2 [ "nombre" => "J.F." "apellidos" => "Silvestre" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731018300310" "doi" => "10.1016/j.ad.2017.09.021" "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/S0001731018300310?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018303615?idApp=UINPBA000044" "url" => "/15782190/0000010900000010/v1_201812060634/S1578219018303615/v1_201812060634/en/main.assets" ] "en" => array:18 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Three Cases of Scalp Sarcoidosis with Alopecia" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "933" "paginaFinal" => "934" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Ishikawa, M. Ohtsuka, T. Yamamoto" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Ishikawa" "email" => array:1 [ 0 => "ishimasa@fmu.ac.jp" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Ohtsuka" ] 2 => array:2 [ "nombre" => "T." "apellidos" => "Yamamoto" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Dermatología, Universidad de Medicina de Fukushima, Fukushima, Japón" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tres casos de sarcoidosis del cuero cabelludo con alopecia" ] ] "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" => 879 "Ancho" => 1750 "Tamanyo" => 440271 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical and histological characteristics of scalp sarcoidosis (hematoxylin-eosin staining, original magnification ×200). A and B, Case 1. C and D, Case 2. E and F, Case 3.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Scalp sarcoidosis is a relatively infrequent disease that mainly affects African-American women.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> To date, very few cases of this disease have been described. We describe 3 patients with scalp sarcoidosis, which manifested as infiltrated plaques with alopecia.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Case 1. The patient was a 50-year-old woman who was admitted to our hospital with exertional dyspnea, photophobia, and skin rash. The physical examination revealed several indurated brown plaques on both lower limbs, as well as partial, irregularly distributed alopecia and scaling erythema (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Radiography and computed tomography (CT) of the thorax revealed bilateral hilar lymphadenopathy (BHL) and mediastinal lymphadenopathy. Serum levels of angiotensin converting enzyme (ACE) were elevated (72.8 U/L; normal range, 7–25 U/L). The patient had a negative reaction in the tuberculin test. The ophthalmological examination revealed uveitis. Biopsy of the scalp showed non-necrotizing epithelioid granulomas located in the upper to mid dermis with minimal lymphocytic infiltration (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Naked granulomas were also detected in another sample taken from the leg. The patient was treated with local topical steroids, to which she responded poorly.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Case 2. The patient was a 51-year-old man who was referred to our department with pulmonary sarcoidosis and uveitis. He complained of blurred vision. The ophthalmological examination revealed nodules in the iris, inflammation of the anterior segment, and vitreous opacity. Radiography and a chest CT scan revealed BHL. Serum ACE levels were elevated (64.5 U/L). The patient had a negative reaction in the tuberculin test. The physical examination revealed indurated reddish-brown plaques and regularly distributed areas of alopecia with black spots on the scalp (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), as well as dark red subcutaneous nodules on the legs. Biopsies of the scalp and legs revealed sarcoid granulomas located in the dermis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). The patient was treated with local topical steroids, to which he responded poorly.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Case 3. The patient was a 71-year-old man who was referred to our department with uveitis. He reported skin rash on the scalp and the right leg. Physical examination of the scalp revealed multiple erythematous, scaly, indurated areas and an egg-sized, indurated alopecic plaque with black spots (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E). There were dark red subcutaneous nodules on the right leg. Radiography and a chest CT scan revealed BHL. Serum ACE levels were elevated (42.5 U/L). The patient had a negative reaction in the tuberculin test. He complained of myodesopsia and the ophthalmological examination revealed iritis and lens opacity. Biopsy of the plaque on the scalp showed sarcoid granulomas extending from the mid to deep dermis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>F). The patient was treated with local topical steroids, to which he responded poorly.</p><p id="par0025" class="elsevierStylePara elsevierViewall">All 3 patients were treated with local topical steroids, with a poor outcome in all cases. No systemic treatments were administered.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The clinical presentation of scalp sarcoidosis consists of indurated verrucous plaques and nodular lesions, often accompanied by alopecia, and can resemble that of discoid lupus erythematosus, necrobiosis lipoidica, organoid nevus, and cicatricial alopecia.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–5</span></a> In general, scalp sarcoidosis is accompanied by sarcoid skin lesions in other locations.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,2</span></a> Our 3 patients had infiltrated plaques with alopecia. Unfortunately, a trichoscopic examination, which is necessary to identify the trichoscopic features of scalp sarcoidosis, was not performed prior to biopsy. The alopecia may have been a consequence of the effects of the sarcoid granuloma on the follicles or of follicular replacement by the granuloma. All 3 patients had cutaneous sarcoidosis on the legs as well as the scalp. Sarcoidosis of other organs is common in patients with scalp sarcoidosis, and pulmonary and ophthalmologic sarcoidosis was observed in all 3 patients. In most cases, scalp sarcoidosis affects patients with active systemic sarcoidosis. We have previous experience with 2 other cases of scalp sarcoidosis in which biopsies were taken from locations other than the scalp. In both cases the patients’ alopecia was strongly suggestive of sarcoidosis. Scalp involvement is common in cases of cutaneous sarcoidosis, and therefore a careful examination of the scalp should be performed if sarcoidosis is suspected. Indeed, scalp sarcoidosis may be less rare than previously thought. It is therefore important to include a scalp examination in the clinical examination of sarcoidosis patients.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of Interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of Interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2017-06-09" "fechaAceptado" => "2017-11-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ishikawa M, Ohtsuka M, Yamamoto T. Three Cases of Scalp Sarcoidosis with Alopecia. Actas Dermosifiliogr. 2018;109:933–934.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 879 "Ancho" => 1750 "Tamanyo" => 440271 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical and histological characteristics of scalp sarcoidosis (hematoxylin-eosin staining, original magnification ×200). A and B, Case 1. C and D, Case 2. E and F, Case 3.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "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" => "Sarcoidosis of the scalp: A case series and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Katta" 1 => "B. Nelson" 2 => "D. Chen" 3 => "H. Roenigk" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2000" "volumen" => "42" "paginaInicial" => "690" "paginaFinal" => "692" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10727323" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Scalp sarcoidosis with systemic involvement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. La Placa" 1 => "C. Vincenzi" 2 => "C. Misciali" 3 => "A. Tosti" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2008" "volumen" => "59" "paginaInicial" => "S126" "paginaFinal" => "S127" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidal alopecia as a mimic of discoid lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C.L. Henderson" 1 => "L. Lafleur" 2 => "R.D. Sontheimer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2008.02.014" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2008" "volumen" => "59" "paginaInicial" => "143" "paginaFinal" => "145" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18378353" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sarcoidosis presenting as a scarring alopecia resembling necrobiosis lipoidica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "K.E. Harman" 1 => "E. Calonje" 2 => "A. Robson" 3 => "M.M. Black" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "2003" "volumen" => "28" "paginaInicial" => "565" "paginaFinal" => "566" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12950362" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Scalp sarcoidosis mimicking organoid nevus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T. Yamamoto" 1 => "H. Yokozeki" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1684/ejd.2014.2460" "Revista" => array:6 [ "tituloSerie" => "Eur J Dermatol" "fecha" => "2015" "volumen" => "25" "paginaInicial" => "78" "paginaFinal" => "79" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25513859" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010900000010/v1_201812060634/S1578219018303639/v1_201812060634/en/main.assets" "Apartado" => array:4 [ "identificador" => "6157" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case and Research Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000010/v1_201812060634/S1578219018303639/v1_201812060634/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018303639?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 17 | 12 | 29 |
| 2024 October | 201 | 41 | 242 |
| 2024 September | 275 | 37 | 312 |
| 2024 August | 341 | 60 | 401 |
| 2024 July | 363 | 47 | 410 |
| 2024 June | 382 | 50 | 432 |
| 2024 May | 349 | 44 | 393 |
| 2024 April | 309 | 38 | 347 |
| 2024 March | 310 | 34 | 344 |
| 2024 February | 305 | 42 | 347 |
| 2024 January | 351 | 38 | 389 |
| 2023 December | 326 | 18 | 344 |
| 2023 November | 342 | 39 | 381 |
| 2023 October | 361 | 26 | 387 |
| 2023 September | 313 | 42 | 355 |
| 2023 August | 271 | 19 | 290 |
| 2023 July | 339 | 40 | 379 |
| 2023 June | 307 | 32 | 339 |
| 2023 May | 281 | 44 | 325 |
| 2023 April | 238 | 27 | 265 |
| 2023 March | 239 | 20 | 259 |
| 2023 February | 209 | 17 | 226 |
| 2023 January | 217 | 33 | 250 |
| 2022 December | 97 | 29 | 126 |
| 2022 November | 57 | 22 | 79 |
| 2022 October | 45 | 18 | 63 |
| 2022 September | 58 | 42 | 100 |
| 2022 August | 55 | 72 | 127 |
| 2022 July | 31 | 55 | 86 |
| 2022 June | 26 | 20 | 46 |
| 2022 May | 180 | 37 | 217 |
| 2022 April | 303 | 29 | 332 |
| 2022 March | 258 | 46 | 304 |
| 2022 February | 275 | 23 | 298 |
| 2022 January | 339 | 35 | 374 |
| 2021 December | 170 | 42 | 212 |
| 2021 November | 214 | 37 | 251 |
| 2021 October | 190 | 45 | 235 |
| 2021 September | 154 | 35 | 189 |
| 2021 August | 197 | 36 | 233 |
| 2021 July | 158 | 23 | 181 |
| 2021 June | 129 | 29 | 158 |
| 2021 May | 194 | 47 | 241 |
| 2021 April | 387 | 87 | 474 |
| 2021 March | 188 | 35 | 223 |
| 2021 February | 141 | 28 | 169 |
| 2021 January | 87 | 21 | 108 |
| 2020 December | 67 | 18 | 85 |
| 2020 November | 56 | 21 | 77 |
| 2020 October | 37 | 16 | 53 |
| 2020 September | 38 | 25 | 63 |
| 2020 August | 21 | 18 | 39 |
| 2020 July | 23 | 16 | 39 |
| 2020 June | 27 | 22 | 49 |
| 2020 May | 31 | 12 | 43 |
| 2020 April | 22 | 21 | 43 |
| 2020 March | 15 | 10 | 25 |
| 2020 February | 2 | 0 | 2 |
Show all
