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Iznardo Ruiz, J.M. Mir-Bonafé, J.F. Mir-Bonafé" "autores" => array:3 [ 0 => array:2 [ "nombre" => "H." "apellidos" => "Iznardo Ruiz" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Mir-Bonafé" ] 2 => array:2 [ "nombre" => "J.F." "apellidos" => "Mir-Bonafé" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021001177?idApp=UINPBA000044" "url" => "/15782190/0000011200000006/v1_202106020933/S1578219021001177/v1_202106020933/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>" "titulo" => "Tinea Nigra: Dermoscopic Findings" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "539" "paginaFinal" => "540" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Label, J.J. Sole, M. Larralde" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Label" "email" => array:1 [ 0 => "andreslabel@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Sole" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Larralde" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Alemán, Ciudad Autónoma de Buenos Aires, Argentina" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatoscopia de <span class="elsevierStyleItalic">tinea nigra</span>" ] ] "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" => 1100 "Ancho" => 756 "Tamanyo" => 59803 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Brown macule with irregular contours on the inner aspect of the right hallux. B, Higher-magnification image showing a light brown lesion with irregular contours.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year-old patient with no remarkable past history presented with a light brown macule with irregular contours and a diameter of 3<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>4<span class="elsevierStyleHsp" style=""></span>cm on the inner aspect of the right hallux (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). It was asymptomatic and had been present for 6 months.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">What Is Your Diagnosis?</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Tinea nigra.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Tinea nigra is a superficial mycosis caused by <span class="elsevierStyleItalic">Hortaea werneckii</span>. It is endemic to tropical and subtropical countries and mainly affects children and young adults. Clinically, it presents as a unilateral brown macule with irregular, well-circumscribed contours, predominantly affecting the palmoplantar region. It follows an asymptomatic, chronic course and may be confused with melanocytic lesions.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The dermoscopic characteristics of tinea nigra were described by Gupta et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> in 1997 as “pigmented spicules” forming a reticular pattern; other findings included fine dots and wispy brownish strands not following the ridges or furrows of the skin. These strands and pigmented spicules correspond to pigmented hyphae in the stratum corneum.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Noguchi et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> later described a case of tinea nigra in which dermoscopy showed a parallel ridge pattern similar to that observed in acral melanoma.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Potassium hydroxide examination is thus recommended to confirm the presence of a superficial mycosis when a parallel ridge pattern is observed in a patient with suspected tinea nigra.</p><p id="par0035" class="elsevierStylePara elsevierViewall">In conclusion, dermoscopy is a valuable tool for evaluating pigmented lesions as it significantly increases diagnostic sensitivity and specificity.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Based on the literature and our experience, we recommend potassium hydroxide examination of pigmented acral lesions with a parallel ridge pattern on dermoscopy to confirm the presence of tinea nigra and avoid unnecessary invasive procedures such as biopsy.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "What Is Your Diagnosis?" "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Diagnosis" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Comment" ] ] ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Conflicts of Interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Label A, Sole JJ, Larralde M. Dermatoscopia de <span class="elsevierStyleItalic">tinea nigra</span>. Actas Dermosifiliogr. 2021;112:539–540.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1100 "Ancho" => 756 "Tamanyo" => 59803 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Brown macule with irregular contours on the inner aspect of the right hallux. B, Higher-magnification image showing a light brown lesion with irregular contours.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1445 "Ancho" => 625 "Tamanyo" => 94236 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Parallel ridge pattern and fine peripheral dots. B, Dermoscopic image showing parallel ridge pattern, reticular pattern, and fine peripheral dots.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tinea nigra showing a parallel ridge pattern on dermoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "H. Noguchi" 1 => "M. Hiruma" 2 => "Y. Inoue" 3 => "K. Miyata" 4 => "M. Tanaka" 5 => "H. 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Cavicchini" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2016.03.030" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2016" "volumen" => "75" "paginaInicial" => "e219" "paginaFinal" => "e220" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27846967" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy improves diagnosis of tinea nigra: a study of 50 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Piliouras" 1 => "S. Allison" 2 => "C. Rosendahl" 3 => "P.G. Buettner" 4 => "D. Weedon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1440-0960.2011.00790.x" "Revista" => array:7 [ "tituloSerie" => "Australas J Dermatol" "fecha" => "2011" "volumen" => "52" "paginaInicial" => "191" "paginaFinal" => "194" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21834814" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0091674911001205" "estado" => "S300" "issn" => "00916749" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011200000006/v1_202106020933/S157821902100144X/v1_202106020933/en/main.assets" "Apartado" => array:4 [ "identificador" => "19289" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Practical Dermoscopy" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011200000006/v1_202106020933/S157821902100144X/v1_202106020933/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821902100144X?idApp=UINPBA000044" ]
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