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López Gómez, Z. Ezsol Lendvai, M.I. de la Hera Matute" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "López Gómez" "email" => array:1 [ 0 => "alicialopezgomez1987@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Z." "apellidos" => "Ezsol Lendvai" ] 2 => array:2 [ "nombre" => "M.I." "apellidos" => "de la Hera Matute" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital de la Vega Lorenzo Guirao, Cieza, Murcia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "«Antes de la siguiente aplicación, retira la película blanca»" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 757 "Ancho" => 1007 "Tamanyo" => 145114 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Appearance of patient's forehead on entering the consulting room.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 84-year-old woman visited our department with a lesion on the right side of the forehead that had been growing progressively. The patient presented a yellow-whiteish, compact, stony material on the skin with agglutinated hair and strongly adhered to the surface of the skin (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). After carefully removing the material, the underlying skin revealed an erythematous plaque with a hyperkeratotic central area.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">When taking the patient’s history, the patient’s family member stated that they had been applying Actikerall® solution (fluorouracil + salicylic acid) daily to the lesion since it had appeared, prescribed by her primary-care physician, but without removing the film that forms on the skin when the solution dries before each application. This led to the accumulation of material in layers with the appearance of puff pastry.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The lesion was finally excised with a histopathology diagnosis of squamous cell carcinoma in situ.</p><p id="par0020" class="elsevierStylePara elsevierViewall">This case illustrates the importance of dedicating the necessary time in the consultation so that patients or their family members understand clearly the treatments we prescribe, as well as the utility of providing them with information leaflets that clearly describe the instructions for correct application.</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: López Gómez A, Ezsol Lendvai Z, de la Hera Matute MI. «Antes de la siguiente aplicación, retira la película blanca». Actas Dermosifiliogr. 2020;111:611.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 757 "Ancho" => 1007 "Tamanyo" => 145114 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Appearance of patient's forehead on entering the consulting room.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011100000007/v1_202009190930/S1578219020302134/v1_202009190930/en/main.assets" "Apartado" => array:4 [ "identificador" => "41141" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000007/v1_202009190930/S1578219020302134/v1_202009190930/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302134?idApp=UINPBA000044" ]
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