array:23 [
  "pii" => "S1578219020301645"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.10.036"
  "estado" => "S300"
  "fechaPublicacion" => "2020-07-01"
  "aid" => "2330"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2020;111:518-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219020301657"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.11.027"
    "estado" => "S300"
    "fechaPublicacion" => "2020-07-01"
    "aid" => "2338"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2020;111:520-1"
    "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">Resident&#39;s Forum</span>"
      "titulo" => "RF - Diagnostic Biopsy for Amyloidosis&#58; Subcutaneous Fat or Minor Salivary Gland&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "520"
          "paginaFinal" => "521"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR - Diagn&#243;stico de amiloidosis&#58; &#191;biopsia de grasa subcut&#225;nea o de gl&#225;ndula salivar menor&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1016
              "Ancho" => 1510
              "Tamanyo" => 117816
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Algorithm for diagnosis of amyloidosis&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "T&#46; R&#243;denas-Herranz, L&#46; Linares-Gonzalez, R&#46; Ruiz-Villaverde"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "R&#243;denas-Herranz"
            ]
            1 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Linares-Gonzalez"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Ruiz-Villaverde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020301149"
        "doi" => "10.1016/j.ad.2018.11.012"
        "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/S0001731020301149?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301657?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301657/v1_202008141732/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219020301682"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2019.03.030"
    "estado" => "S300"
    "fechaPublicacion" => "2020-07-01"
    "aid" => "2352"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:513-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Brief Communication</span>"
      "titulo" => "Psychosocial Impact of Atopic Dermatitis in Adults&#58; A Qualitative Study"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "513"
          "paginaFinal" => "517"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Impacto psicosocial en adultos con dermatitis at&#243;pica&#58; estudio cualitativo"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S&#46;E&#46; Marron, J&#46; Cebrian-Rodriguez, V&#46;M&#46; Alcalde-Herrero, F&#46;J&#46; Garcia-Latasa de Aranibar, L&#46; Tomas-Aragones"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "S&#46;E&#46;"
              "apellidos" => "Marron"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Cebrian-Rodriguez"
            ]
            2 => array:2 [
              "nombre" => "V&#46;M&#46;"
              "apellidos" => "Alcalde-Herrero"
            ]
            3 => array:2 [
              "nombre" => "F&#46;J&#46;"
              "apellidos" => "Garcia-Latasa de Aranibar"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Tomas-Aragones"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020301289"
        "doi" => "10.1016/j.ad.2019.03.018"
        "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/S0001731020301289?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301682?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301682/v1_202008141732/en/main.assets"
  ]
  "en" => array:17 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Forum</span>"
    "titulo" => "RF- Melanoma and Tattoos&#46; An Association Under Debate"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "518"
        "paginaFinal" => "519"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "T&#46; R&#243;denas-Herranz, L&#46; Linares-Gonzalez, J&#46; Aneiros-Fern&#225;ndez, R&#46; Ruiz-Villaverde"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "T&#46;"
            "apellidos" => "R&#243;denas-Herranz"
            "email" => array:1 [
              0 => "teresarodenash@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Linares-Gonzalez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Aneiros-Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Ruiz-Villaverde"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Universitario San Cecilio&#44; Granada&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatomia Patologica&#44; Hospital Universitario San Cecilio&#44; Granada&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "FR- Melanoma y tatuajes&#46; Una asociaci&#243;n controvertida"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 815
            "Ancho" => 1255
            "Tamanyo" => 315654
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#44; Pigmented lesion with abnormal ABCD clinical criteria on the right arm over a tattoo&#46; B&#44; Dermatoscopy &#40;DermLite&#174; DL3&#41; &#215;10&#58; Melanoma lesion with areas of regression&#44; broken and atypical pigmented network&#44; asymmetry and manifest polychromasia&#44; confirmed histologically as superficial-spreading melanoma&#44; Breslow depth 0&#46;25&#8239;mm&#46; C&#44; H&#38;E&#44; &#215;2&#58; Low-magnification view of superficial-spreading melanoma with pagetoid distribution&#46; D&#44; Melan A&#58; Detail of melanoma staining and pigment in the superficial dermis&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Currently&#44; decorative tattoos are widespread&#44; with a prevalence greater than 25&#37; in the United States in individuals aged between 18 and 50 years&#44; and a slightly lower prevalence in Europe and Australia&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Depending on the series&#44; in the last 40 years&#44; between 18 and 50 cases of malignant melanoma have been reported after tattoos for decorative purposes or for radiotherapy &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> The first case report dates from 1938&#44; but it was not until 1969 that Kirsch described a melanoma with axillary lymph node metastasis in an arm where the patient had had a tattoo 27 years previously&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Currently&#44; we are seeing an increase in the number of cases of melanoma diagnosed in patients who had been tattooed previously&#46; Although this association may merely be a coincidence&#44; it is important to reflect on a couple of points of importance given their diagnostic and therapeutic ramifications&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">First&#44; from the pathogenic point of view&#44; 4 factors have been suggested that could explain this relationship&#58; A&#44; trauma associated with the tattoo&#59; B&#44; local catabolites produced after introducing the ink&#59; C&#44; photoreaction secondary to introducing the ink in the dermis and hypodermis&#59; and D&#44; the chronic inflammatory process that persists after tattooing&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Second&#44; it is important to reflect on why melanoma appears on tattoos that are predominantly black and blue&#44; whereas nonmelanoma skin cancer appears on reddish pigments&#44; although to date no causal relationship has been established&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> We should remember that pigments based on mercury&#44; cobalt sulfate&#44; and other soluble salts are classed as group 2B agents of possible human carcinogens&#44; whereas cadmium and its derivatives belong to group I of the International Agency for Research on Cancer &#40;carcinogenic for humans&#41;&#44; and that the composition of tattoo inks is not internationally regulated or standardized&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> It is important to note that the use of mercury pigments and other heavy metal pigments that were used in the past is now forbidden for any type of pigment production&#44; although they may be present as impurities&#46; Thus&#44; nowadays&#44; metal pigments have been replaced mainly by synthetic azoic and polycyclic pigments&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Klujer and Koljonen&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> who in 2012 published an interesting review on the association between skin cancer and tattoos&#44; remind us that any potential link would be multifactorial&#46; Trauma is not considered a direct pathogenic factor for melanoma&#59; moreover&#44; tattoos are often done on skin with extensive intermittent exposure to sunlight&#44; and this factor clearly is associated with malignant melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; it is important to note the complications derived from dermatoscopy<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and diagnostic techniques such as selective lymph node biopsy&#46; The presence of pigment in regional lymph nodes may be responsible for diagnostic errors&#44; and these should be recognized by the dermatology surgeon and consultation with the pathologist is essential in all cases&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In conclusion&#44; we should be alert to this new reality in our clinics to avoid delays in diagnosis of melanoma on tattoos&#44; as delay is associated with worse prognosis for the patient&#44; even though the cases published to date have not established a causal relationship and the presence of such melanomas may be coincidental&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-10-09"
    "fechaAceptado" => "2018-10-22"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1262793"
          "palabras" => array:4 [
            0 => "Melanoma"
            1 => "Tattoo"
            2 => "Skin cancer"
            3 => "Dermatopathology"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; R&#243;denas-Herranz T&#44; Linares-Gonzalez L&#44; Aneiros-Fern&#225;ndez J&#44; Ruiz-Villaverde R&#46; FR- Melanoma y tatuajes&#46; Una asociaci&#243;n controvertida&#46; Actas Dermosifiliogr&#46; 2020&#59;111&#58;518&#8211;519&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 815
            "Ancho" => 1255
            "Tamanyo" => 315654
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#44; Pigmented lesion with abnormal ABCD clinical criteria on the right arm over a tattoo&#46; B&#44; Dermatoscopy &#40;DermLite&#174; DL3&#41; &#215;10&#58; Melanoma lesion with areas of regression&#44; broken and atypical pigmented network&#44; asymmetry and manifest polychromasia&#44; confirmed histologically as superficial-spreading melanoma&#44; Breslow depth 0&#46;25&#8239;mm&#46; C&#44; H&#38;E&#44; &#215;2&#58; Low-magnification view of superficial-spreading melanoma with pagetoid distribution&#46; D&#44; Melan A&#58; Detail of melanoma staining and pigment in the superficial dermis&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tattoos&#44; inks&#44; and cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46; Kluger"
                            1 => "V&#46; Koljonen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S1470-2045(11)70340-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Oncol"
                        "fecha" => "2012"
                        "volumen" => "13"
                        "paginaInicial" => "e161"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22469126"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Melanoma and tattoos&#58; a case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Ricci"
                            1 => "A&#46; Paradisi"
                            2 => "S&#46;A&#46; Maier"
                            3 => "M&#46; Kovacs"
                            4 => "M&#46; Podda"
                            5 => "K&#46; Peris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1684/ejd.2017.3184"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "28"
                        "paginaInicial" => "50"
                        "paginaFinal" => "55"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29171408"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma developing in a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "N&#46; Kirsch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1969"
                        "volumen" => "99"
                        "paginaInicial" => "596"
                        "paginaFinal" => "598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5780967"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673619317854"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma in a tattoo&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Paradisi"
                            1 => "R&#46; Capizzi"
                            2 => "C&#46; De Simone"
                            3 => "B&#46; Fossati"
                            4 => "I&#46; Proietti"
                            5 => "P&#46;L&#46; Amerio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.cmr.0000222591.75858.fb"
                      "Revista" => array:6 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2006"
                        "volumen" => "16"
                        "paginaInicial" => "375"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16845335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma disguised in a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;P&#46; Anthony"
                            1 => "A&#46; Godbolt"
                            2 => "F&#46; Tang"
                            3 => "E&#46;K&#46; McMeniman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ajd.12219"
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2015"
                        "volumen" => "56"
                        "paginaInicial" => "232"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26201372"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "When a melanoma is uncovered by a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46; Caccavale"
                            1 => "E&#46; Moscarella"
                            2 => "G&#46; De Fata Salvatores"
                            3 => "V&#46; Piccolo"
                            4 => "T&#46; Russo"
                            5 => "G&#46; Argenziano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ijd.13124"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2016"
                        "volumen" => "55"
                        "paginaInicial" => "79"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26518737"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301645/v1_202008141732/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/15782190/0000011100000006/v1_202008141732/S1578219020301645/v1_202008141732/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301645?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Resident's Forum
RF- Melanoma and Tattoos. An Association Under Debate
FR- Melanoma y tatuajes. Una asociación controvertida
T. Ródenas-Herranza,
Corresponding author
teresarodenash@gmail.com

Corresponding author.
, L. Linares-Gonzaleza, J. Aneiros-Fernándezb, R. Ruiz-Villaverdea
a Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, Spain
b Servicio de Anatomia Patologica, Hospital Universitario San Cecilio, Granada, Spain
Read
4815
Times
was read the article
1639
Total PDF
3176
Total HTML
Share statistics
 array:23 [
  "pii" => "S1578219020301645"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.10.036"
  "estado" => "S300"
  "fechaPublicacion" => "2020-07-01"
  "aid" => "2330"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2020;111:518-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219020301657"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.11.027"
    "estado" => "S300"
    "fechaPublicacion" => "2020-07-01"
    "aid" => "2338"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2020;111:520-1"
    "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">Resident&#39;s Forum</span>"
      "titulo" => "RF - Diagnostic Biopsy for Amyloidosis&#58; Subcutaneous Fat or Minor Salivary Gland&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "520"
          "paginaFinal" => "521"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR - Diagn&#243;stico de amiloidosis&#58; &#191;biopsia de grasa subcut&#225;nea o de gl&#225;ndula salivar menor&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1016
              "Ancho" => 1510
              "Tamanyo" => 117816
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Algorithm for diagnosis of amyloidosis&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "T&#46; R&#243;denas-Herranz, L&#46; Linares-Gonzalez, R&#46; Ruiz-Villaverde"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "R&#243;denas-Herranz"
            ]
            1 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Linares-Gonzalez"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Ruiz-Villaverde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020301149"
        "doi" => "10.1016/j.ad.2018.11.012"
        "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/S0001731020301149?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301657?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301657/v1_202008141732/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219020301682"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2019.03.030"
    "estado" => "S300"
    "fechaPublicacion" => "2020-07-01"
    "aid" => "2352"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2020;111:513-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Brief Communication</span>"
      "titulo" => "Psychosocial Impact of Atopic Dermatitis in Adults&#58; A Qualitative Study"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "513"
          "paginaFinal" => "517"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Impacto psicosocial en adultos con dermatitis at&#243;pica&#58; estudio cualitativo"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S&#46;E&#46; Marron, J&#46; Cebrian-Rodriguez, V&#46;M&#46; Alcalde-Herrero, F&#46;J&#46; Garcia-Latasa de Aranibar, L&#46; Tomas-Aragones"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "S&#46;E&#46;"
              "apellidos" => "Marron"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Cebrian-Rodriguez"
            ]
            2 => array:2 [
              "nombre" => "V&#46;M&#46;"
              "apellidos" => "Alcalde-Herrero"
            ]
            3 => array:2 [
              "nombre" => "F&#46;J&#46;"
              "apellidos" => "Garcia-Latasa de Aranibar"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Tomas-Aragones"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020301289"
        "doi" => "10.1016/j.ad.2019.03.018"
        "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/S0001731020301289?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301682?idApp=UINPBA000044"
    "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301682/v1_202008141732/en/main.assets"
  ]
  "en" => array:17 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Forum</span>"
    "titulo" => "RF- Melanoma and Tattoos&#46; An Association Under Debate"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "518"
        "paginaFinal" => "519"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "T&#46; R&#243;denas-Herranz, L&#46; Linares-Gonzalez, J&#46; Aneiros-Fern&#225;ndez, R&#46; Ruiz-Villaverde"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "T&#46;"
            "apellidos" => "R&#243;denas-Herranz"
            "email" => array:1 [
              0 => "teresarodenash@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "L&#46;"
            "apellidos" => "Linares-Gonzalez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Aneiros-Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Ruiz-Villaverde"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Universitario San Cecilio&#44; Granada&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatomia Patologica&#44; Hospital Universitario San Cecilio&#44; Granada&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "FR- Melanoma y tatuajes&#46; Una asociaci&#243;n controvertida"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 815
            "Ancho" => 1255
            "Tamanyo" => 315654
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#44; Pigmented lesion with abnormal ABCD clinical criteria on the right arm over a tattoo&#46; B&#44; Dermatoscopy &#40;DermLite&#174; DL3&#41; &#215;10&#58; Melanoma lesion with areas of regression&#44; broken and atypical pigmented network&#44; asymmetry and manifest polychromasia&#44; confirmed histologically as superficial-spreading melanoma&#44; Breslow depth 0&#46;25&#8239;mm&#46; C&#44; H&#38;E&#44; &#215;2&#58; Low-magnification view of superficial-spreading melanoma with pagetoid distribution&#46; D&#44; Melan A&#58; Detail of melanoma staining and pigment in the superficial dermis&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Currently&#44; decorative tattoos are widespread&#44; with a prevalence greater than 25&#37; in the United States in individuals aged between 18 and 50 years&#44; and a slightly lower prevalence in Europe and Australia&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Depending on the series&#44; in the last 40 years&#44; between 18 and 50 cases of malignant melanoma have been reported after tattoos for decorative purposes or for radiotherapy &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A and B&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> The first case report dates from 1938&#44; but it was not until 1969 that Kirsch described a melanoma with axillary lymph node metastasis in an arm where the patient had had a tattoo 27 years previously&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Currently&#44; we are seeing an increase in the number of cases of melanoma diagnosed in patients who had been tattooed previously&#46; Although this association may merely be a coincidence&#44; it is important to reflect on a couple of points of importance given their diagnostic and therapeutic ramifications&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">First&#44; from the pathogenic point of view&#44; 4 factors have been suggested that could explain this relationship&#58; A&#44; trauma associated with the tattoo&#59; B&#44; local catabolites produced after introducing the ink&#59; C&#44; photoreaction secondary to introducing the ink in the dermis and hypodermis&#59; and D&#44; the chronic inflammatory process that persists after tattooing&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Second&#44; it is important to reflect on why melanoma appears on tattoos that are predominantly black and blue&#44; whereas nonmelanoma skin cancer appears on reddish pigments&#44; although to date no causal relationship has been established&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> We should remember that pigments based on mercury&#44; cobalt sulfate&#44; and other soluble salts are classed as group 2B agents of possible human carcinogens&#44; whereas cadmium and its derivatives belong to group I of the International Agency for Research on Cancer &#40;carcinogenic for humans&#41;&#44; and that the composition of tattoo inks is not internationally regulated or standardized&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> It is important to note that the use of mercury pigments and other heavy metal pigments that were used in the past is now forbidden for any type of pigment production&#44; although they may be present as impurities&#46; Thus&#44; nowadays&#44; metal pigments have been replaced mainly by synthetic azoic and polycyclic pigments&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Klujer and Koljonen&#44;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> who in 2012 published an interesting review on the association between skin cancer and tattoos&#44; remind us that any potential link would be multifactorial&#46; Trauma is not considered a direct pathogenic factor for melanoma&#59; moreover&#44; tattoos are often done on skin with extensive intermittent exposure to sunlight&#44; and this factor clearly is associated with malignant melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; it is important to note the complications derived from dermatoscopy<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and diagnostic techniques such as selective lymph node biopsy&#46; The presence of pigment in regional lymph nodes may be responsible for diagnostic errors&#44; and these should be recognized by the dermatology surgeon and consultation with the pathologist is essential in all cases&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In conclusion&#44; we should be alert to this new reality in our clinics to avoid delays in diagnosis of melanoma on tattoos&#44; as delay is associated with worse prognosis for the patient&#44; even though the cases published to date have not established a causal relationship and the presence of such melanomas may be coincidental&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-10-09"
    "fechaAceptado" => "2018-10-22"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1262793"
          "palabras" => array:4 [
            0 => "Melanoma"
            1 => "Tattoo"
            2 => "Skin cancer"
            3 => "Dermatopathology"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; R&#243;denas-Herranz T&#44; Linares-Gonzalez L&#44; Aneiros-Fern&#225;ndez J&#44; Ruiz-Villaverde R&#46; FR- Melanoma y tatuajes&#46; Una asociaci&#243;n controvertida&#46; Actas Dermosifiliogr&#46; 2020&#59;111&#58;518&#8211;519&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 815
            "Ancho" => 1255
            "Tamanyo" => 315654
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#44; Pigmented lesion with abnormal ABCD clinical criteria on the right arm over a tattoo&#46; B&#44; Dermatoscopy &#40;DermLite&#174; DL3&#41; &#215;10&#58; Melanoma lesion with areas of regression&#44; broken and atypical pigmented network&#44; asymmetry and manifest polychromasia&#44; confirmed histologically as superficial-spreading melanoma&#44; Breslow depth 0&#46;25&#8239;mm&#46; C&#44; H&#38;E&#44; &#215;2&#58; Low-magnification view of superficial-spreading melanoma with pagetoid distribution&#46; D&#44; Melan A&#58; Detail of melanoma staining and pigment in the superficial dermis&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tattoos&#44; inks&#44; and cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "N&#46; Kluger"
                            1 => "V&#46; Koljonen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S1470-2045(11)70340-0"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet Oncol"
                        "fecha" => "2012"
                        "volumen" => "13"
                        "paginaInicial" => "e161"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22469126"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Melanoma and tattoos&#58; a case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Ricci"
                            1 => "A&#46; Paradisi"
                            2 => "S&#46;A&#46; Maier"
                            3 => "M&#46; Kovacs"
                            4 => "M&#46; Podda"
                            5 => "K&#46; Peris"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1684/ejd.2017.3184"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Dermatol"
                        "fecha" => "2018"
                        "volumen" => "28"
                        "paginaInicial" => "50"
                        "paginaFinal" => "55"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29171408"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma developing in a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "N&#46; Kirsch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1969"
                        "volumen" => "99"
                        "paginaInicial" => "596"
                        "paginaFinal" => "598"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5780967"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673619317854"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma in a tattoo&#58; case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Paradisi"
                            1 => "R&#46; Capizzi"
                            2 => "C&#46; De Simone"
                            3 => "B&#46; Fossati"
                            4 => "I&#46; Proietti"
                            5 => "P&#46;L&#46; Amerio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/01.cmr.0000222591.75858.fb"
                      "Revista" => array:6 [
                        "tituloSerie" => "Melanoma Res"
                        "fecha" => "2006"
                        "volumen" => "16"
                        "paginaInicial" => "375"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16845335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malignant melanoma disguised in a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46;P&#46; Anthony"
                            1 => "A&#46; Godbolt"
                            2 => "F&#46; Tang"
                            3 => "E&#46;K&#46; McMeniman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ajd.12219"
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2015"
                        "volumen" => "56"
                        "paginaInicial" => "232"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26201372"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "When a melanoma is uncovered by a tattoo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46; Caccavale"
                            1 => "E&#46; Moscarella"
                            2 => "G&#46; De Fata Salvatores"
                            3 => "V&#46; Piccolo"
                            4 => "T&#46; Russo"
                            5 => "G&#46; Argenziano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ijd.13124"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2016"
                        "volumen" => "55"
                        "paginaInicial" => "79"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26518737"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011100000006/v1_202008141732/S1578219020301645/v1_202008141732/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/15782190/0000011100000006/v1_202008141732/S1578219020301645/v1_202008141732/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020301645?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 6 2 8
2024 October 78 29 107
2024 September 83 21 104
2024 August 113 50 163
2024 July 81 30 111
2024 June 92 33 125
2024 May 83 31 114
2024 April 97 22 119
2024 March 88 26 114
2024 February 71 32 103
2024 January 58 28 86
2023 December 61 18 79
2023 November 67 21 88
2023 October 89 19 108
2023 September 77 28 105
2023 August 49 17 66
2023 July 81 34 115
2023 June 75 22 97
2023 May 88 27 115
2023 April 46 17 63
2023 March 81 35 116
2023 February 51 25 76
2023 January 45 22 67
2022 December 69 41 110
2022 November 33 30 63
2022 October 29 19 48
2022 September 29 39 68
2022 August 33 39 72
2022 July 32 39 71
2022 June 33 30 63
2022 May 48 36 84
2022 April 61 28 89
2022 March 78 55 133
2022 February 56 24 80
2022 January 67 33 100
2021 December 65 41 106
2021 November 72 46 118
2021 October 77 55 132
2021 September 48 39 87
2021 August 96 40 136
2021 July 60 19 79
2021 June 56 20 76
2021 May 55 37 92
2021 April 61 92 153
2021 March 76 38 114
2021 February 48 41 89
2021 January 39 16 55
2020 December 21 17 38
2020 November 27 15 42
2020 October 28 14 42
2020 September 43 75 118
2020 August 49 17 66
2020 July 27 15 42
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?