array:24 [
  "pii" => "S1578219018301306"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.04.011"
  "estado" => "S300"
  "fechaPublicacion" => "2018-06-01"
  "aid" => "1813"
  "copyright" => "Elsevier España, S.L.U. and AEDV"
  "copyrightAnyo" => "2017"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2018;109:455-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 57
    "formatos" => array:3 [
      "EPUB" => 1
      "HTML" => 52
      "PDF" => 4
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731017305410"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2017.08.013"
      "estado" => "S300"
      "fechaPublicacion" => "2018-06-01"
      "aid" => "1813"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2018;109:455-7"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 192
        "formatos" => array:2 [
          "HTML" => 117
          "PDF" => 75
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fico-cl&#237;nica</span>"
        "titulo" => "Pitiriasis versicolor atr&#243;fica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "455"
            "paginaFinal" => "457"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Atrophying Pityriasis Versicolor"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 600
                "Ancho" => 900
                "Tamanyo" => 74939
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Placas de psoriasis en el seno de algunas &#225;reas deprimidas&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "F&#46; Allegue, C&#46; Fachal, D&#46; Gonz&#225;lez-Vilas, A&#46; Zulaica"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Allegue"
              ]
              1 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Fachal"
              ]
              2 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Gonz&#225;lez-Vilas"
              ]
              3 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Zulaica"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219018301306"
          "doi" => "10.1016/j.adengl.2018.04.011"
          "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/S1578219018301306?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017305410?idApp=UINPBA000044"
      "url" => "/00017310/0000010900000005/v2_201806270447/S0001731017305410/v2_201806270447/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219018301318"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.04.012"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1815"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:457-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 46
      "HTML" => 46
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Human Papilloma Virus and the Risk of Squamous Cell Carcinoma Arising in Hidradenitis Suppurativa"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "457"
          "paginaFinal" => "459"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Virus del papiloma humano y riesgo de desarrollo de carcinoma escamocelular en la hidradenitis supurativa"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 1400
              "Ancho" => 1867
              "Tamanyo" => 774607
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#44; Well-differentiated squamous cell carcinoma covering the fistulous tract&#46; B&#44; Expansive growth pattern of squamous cell carcinoma in greater detail&#46; C&#44; Areas with a koilocytic appearance&#46; D&#44; Extensive nuclear and cytoplasmic positivity to p16&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;M&#46; Segura Palacios, P&#46; Garc&#237;a Montero, R&#46; F&#250;nez Li&#233;bana, J&#46;B&#46; Repiso Jim&#233;nez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Segura Palacios"
            ]
            1 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Garc&#237;a Montero"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "F&#250;nez Li&#233;bana"
            ]
            3 => array:2 [
              "nombre" => "J&#46;B&#46;"
              "apellidos" => "Repiso Jim&#233;nez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017305495"
        "doi" => "10.1016/j.ad.2017.06.019"
        "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/S0001731017305495?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018301318?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000005/v1_201806040407/S1578219018301318/v1_201806040407/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S157821901830129X"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.04.010"
    "estado" => "S300"
    "fechaPublicacion" => "2018-06-01"
    "aid" => "1811"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:453-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 47
      "HTML" => 47
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Ultrasound Diagnosis of Nodular Hidradenoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "453"
          "paginaFinal" => "455"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Diagn&#243;stico ecogr&#225;fico del hidradenoma nodular"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 938
              "Ancho" => 1250
              "Tamanyo" => 304226
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Histopathology&#46; A&#44;<span class="elsevierStyleHsp" style=""></span>Well-defined&#44; nonencapsulated dermal-hypodermal lesion with solid cystic areas &#40;hematoxylin-eosin&#44; original magnification &#215;10&#41;&#46; B and C&#44;<span class="elsevierStyleHsp" style=""></span>Two types of cell can be distinguished in the solid portion of the tumor&#46; Polyhedral cells&#44; with a long vesicular nucleus and eosinophilic cytoplasm &#40;B&#41;&#44; and large cells with an eccentric nucleus and abundant clear cytoplasm &#40;C&#41; &#40;hematoxylin-eosin&#44; original magnification&#44; &#215;20 and &#215;40&#41;&#46; D&#41;<span class="elsevierStyleHsp" style=""></span>Positive immunohistochemistry result for CK-7 &#40;CK-7&#44; &#215;40&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "I&#46; V&#225;zquez-Osorio, P&#46; Gonzalvo-Rodr&#237;guez, E&#46; Rodr&#237;guez-D&#237;az"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "V&#225;zquez-Osorio"
            ]
            1 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Gonzalvo-Rodr&#237;guez"
            ]
            2 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Rodr&#237;guez-D&#237;az"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017305392"
        "doi" => "10.1016/j.ad.2017.06.017"
        "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/S0001731017305392?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901830129X?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000005/v1_201806040407/S157821901830129X/v1_201806040407/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
    "titulo" => "Atrophying Pityriasis Versicolor"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">To the Editor&#58;</span>"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "455"
        "paginaFinal" => "457"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "F&#46; Allegue, C&#46; Fachal, D&#46; Gonz&#225;lez-Vilas, A&#46; Zulaica"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "F&#46;"
            "apellidos" => "Allegue"
            "email" => array:1 [
              0 => "fallegue&#64;mundo-r&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Fachal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "D&#46;"
            "apellidos" => "Gonz&#225;lez-Vilas"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Zulaica"
            "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 do Meixoeiro&#44; Vigo&#44; Pontevedra&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#46; Hospital &#193;lvaro Cunqueiro&#44; EOXI&#44; Vigo&#44; Pontevedra&#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" => "Pitiriasis versicolor atr&#243;fica"
      ]
    ]
    "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" => 1350
            "Ancho" => 900
            "Tamanyo" => 127228
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Slightly depressed hypopigmented and pink plaques of various sizes on the patient&#39;s back&#46; Mild desquamation can be observed on some&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pityriasis versicolor &#40;PV&#41; is a common superficial fungal infection caused by yeasts of the genus <span class="elsevierStyleItalic">Malassezia</span>&#46; In clinical terms&#44; it generally presents on the trunk as round or oval macules that vary in color from hypopigmentation to blackish&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">1</span></a> Its symptoms are easily recognizable&#44; with several atypical forms reported&#44; including the variant with atrophic lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">A 28-year-old man with plaque psoriasis treated with topical corticosteroids consulted for the appearance of cutaneous abnormalities that he perceived as being different from his psoriasis lesions&#46; The physical examination revealed several circular areas on the back and the extensor surface of the upper right limb&#46; The areas measured 0&#46;5<span class="elsevierStyleHsp" style=""></span>cm to 4<span class="elsevierStyleHsp" style=""></span>cm and were depressed and atrophic in appearance &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Some were hypopigmented&#44; whereas others were slightly pink&#59; some had mild desquamation&#44; whereas others were similar to typical psoriasis lesions &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The Wood lamp examination did not reveal fluorescence&#46; The skin biopsy revealed laminated hyperkeratosis in the epidermis&#44; with flattening of the rete ridges and an edematous appearance with vascular dilations in the dermis that was more evident in the papillary dermis&#46; The vessels were surrounded by a discreet lymphocytic infiltrate&#46; Periodic acid&#8211;Schiff staining revealed abundant short&#44; septate hyphae and spores between the layers of keratin&#46; Orcein staining revealed diminished elastic fibers in the papillary dermis and fragmentation thereof in the superficial reticular dermis &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; Direct examination of the lesions revealed the presence of yeasts and pseudomycelium&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was prescribed itraconazole 200<span class="elsevierStyleHsp" style=""></span>mg&#47;d for 7 days combined with topical flutrimazole at night for 1 month&#46; The topical corticosteroid was replaced by calcitriol ointment for treatment of his psoriasis&#46; Although improvement was slow&#44; the patient had fully recovered at 6 months&#44; with no new lesions after 1 year of follow-up&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Atrophying or atrophic PV is an uncommon presentation of this condition&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">2&#8211;10</span></a> It manifests clinically as depressed erythematous or hypopigmented areas with discreet desquamation located mainly on the trunk&#44; generally the back and shoulders&#46; The lesions are usually numerous&#44; tend to group together&#44; and measure a few millimeters to several centimeters&#44; although they are generally uniform on the same patient&#46; The diagnostic suspicion can be confirmed by direct examination&#44; which reveals accumulations of yeasts and short hyphae&#59; if these occur together&#44; they have the typical &#8220;spaghetti and meatballs&#8221; appearance&#46; Skin biopsy may help in atypical cases such as the present one&#46; The most characteristic and differentiating histopathological findings of the atrophic variant include an epidermis with flattened rete ridges and&#44; especially&#44; reduction and fragmentation of the dermal elastic fibers&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">5&#44;9</span></a> The differential diagnosis includes processes that induce skin atrophy&#44; that is&#44; anetoderma&#44; morphea&#47;atrophoderma&#44; mycosis fungoides&#44; sarcoidosis&#44; and corticosteroid-induced atrophy&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">6&#44;9&#44;10</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The mechanism by which species of <span class="elsevierStyleItalic">Malasezzia</span> can induce atrophy in the skin remains unclear&#46; Since many of the patients reported were being treated with topical corticosteroids<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">2&#8211;7</span></a> or systemic corticosteroids&#44;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">8</span></a> atrophy was associated with the atrophogenic effect of the drugs&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">3&#8211;7</span></a> The fungal infection is thought to alter the epidermal barrier&#44; thus increasing absorption of corticosteroids in the PV lesions and inducing local cutaneous atrophy&#46; However&#44; in corticosteroid-induced atrophy&#44; in addition to epidermal atrophy and vasodilation&#44; we can see atrophy of skin adnexa and reduction and fragmentation of dermal collagen&#44; whereas in atrophic PV&#44; we do not see alteration of collagen but alteration of the elastic fibers&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">5&#44;6&#44;9&#44;10</span></a> We did not find collagen abnormalities in the case we report&#44; suggesting the possibility of another pathogenic mechanism&#44; given that cases not associated with corticosteroids have been reported&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">9&#44;10</span></a> Crowson and Magro<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">9</span></a> proposed that this form of PV appeared through a type 1 helper T-cell immune response to <span class="elsevierStyleItalic">Malassezia</span> antigens&#44; in which histocytes recruited and activated by interferon-&#978; would generate the elastases responsible for the dermal elastolysis observed&#46; Flattening of the rete ridges&#44; on the other hand&#44; is mediated by cytokines&#44; such as tumor necrosis factor &#945; and interleukin 1&#946;&#44; which can inhibit the nuclear factor &#954;B pathway of keratinocytes to induce apoptosis and hinder proliferation thereof&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">9</span></a> In parallel&#44; the reduced thickness and loss of hair in areas of PV has also been related to this mechanism&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">11</span></a> Furthermore&#44; a type 2 helper T cell response&#44; which could favor fungal overgrowth&#44; has been implicated&#44; together with the type 1 response&#44; in the pathogenesis of atrophic PV&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">10</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Treatment of this variant of PV is standard&#44;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">10</span></a> although it has been suggested that longer regimens may be necessary and even that oral and topical approaches should be combined&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">5</span></a> Obviously&#44; corticosteroids should be withdrawn&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">5</span></a> As a rule&#44; the atrophy disappears&#59; therefore&#44; compared with other atrophying diseases&#44; atrophying PV has a good prognosis&#46;</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&#46;</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
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Allegue F&#44; Fachal C&#44; Gonz&#225;lez-Vilas D&#44; Zulaica A&#46; Pitiriasis versicolor atr&#243;fica&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;455&#8211;457&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1350
            "Ancho" => 900
            "Tamanyo" => 127228
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Slightly depressed hypopigmented and pink plaques of various sizes on the patient&#39;s back&#46; Mild desquamation can be observed on some&#46;</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" => 600
            "Ancho" => 900
            "Tamanyo" => 74939
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Psoriatic plaques in the center of depressed areas&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 975
            "Ancho" => 1300
            "Tamanyo" => 260065
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Epidermis with abundant hyphae and spores in the stratum corneum and flattening of the rete ridges &#40;periodic acid&#8211;Schiff&#44; original magnification &#215;200&#41;&#46; The inset shows diminished fine elastic fibers in the papillary dermis &#40;arrow&#41; and fragmented elastic fibers in the superficial reticular dermis&#44; as well as vascular ectasia &#40;orcein stain&#44; original magnification &#215;100&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:11 [
            0 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La pitiriasis versicolor y las levaduras del g&#233;nero <span class="elsevierStyleItalic">Malassezia</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Crespo-Erchiga"
                            1 => "E&#46; G&#243;mez-Moyano"
                            2 => "M&#46; Crespo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2008"
                        "volumen" => "99"
                        "paginaInicial" => "764"
                        "paginaFinal" => "771"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19091214"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pitfalls of easy diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Patalano"
                            1 => "E&#46; Fiammenghi"
                            2 => "C&#46; Chianese"
                            3 => "G&#46; Calabr&#242;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Journal of Plastic Dermatology"
                        "fecha" => "2013"
                        "volumen" => "9"
                        "paginaInicial" => "149"
                        "paginaFinal" => "152"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atrophie sur pitiriasis versicolor apres corticotherapie locale prolongee"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; De Graciansky"
                            1 => "F&#46; Mery"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Bull Soc Fr Dermatol Syphiligr"
                        "fecha" => "1971"
                        "volumen" => "78"
                        "paginaInicial" => "295"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pitiriasis versicolor atr&#243;fica inducida por corticoides t&#243;picos fluorados"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Vera Casa&#241;o"
                            1 => "L&#46; Trasobares Marugan"
                            2 => "M&#46; del Valle Mart&#237;n"
                            3 => "J&#46;M&#46; Hern&#225;nz Hermosa"
                            4 => "A&#46; del Palacio Hern&#225;nz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "1989"
                        "volumen" => "80"
                        "paginaInicial" => "101"
                        "paginaFinal" => "103"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atrophying pitiriasis versicolor&#58; is this a new variant of pityriasis versicolor&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Y&#46;S&#46; Yang"
                            1 => "M&#46;K&#46; Shin"
                            2 => "C&#46;R&#46; Haw"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.5021/ad.2010.22.4.456"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Dermatol"
                        "fecha" => "2010"
                        "volumen" => "22"
                        "paginaInicial" => "456"
                        "paginaFinal" => "459"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21165220"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pityriasis versicolor atrophicans&#58; Is it true atrophy or pseudoatrophy&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;Y&#46; Moon"
                            1 => "W&#46;J&#46; Lee"
                            2 => "S&#46;J&#46; Lee"
                            3 => "D&#46;W&#46; Kim"
                            4 => "J&#46;H&#46; Jang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/cup.12596"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2016"
                        "volumen" => "43"
                        "paginaInicial" => "187"
                        "paginaFinal" => "189"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26488217"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pityriasis versicolor with cutaneous atrophy induced by topical steroid application"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "F&#46;M&#46; Tatnall"
                            1 => "R&#46;J&#46; Rycroft"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "1985"
                        "volumen" => "10"
                        "paginaInicial" => "258"
                        "paginaFinal" => "261"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4006289"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "comentario" => "pii&#58; bcr2016218108"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atrophic pityriasis versicolor occurring in a patient with Sj&#246;gren&#39;s syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Marinello"
                            1 => "S&#46; Piaserico"
                            2 => "M&#46; Alaibac"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bcr-2016-218108"
                      "Revista" => array:2 [
                        "tituloSerie" => "BMJ Case Rep"
                        "fecha" => "2017"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atrophying tinea versicolor&#58; A clinical and histological study of 12 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;N&#46; Crowson"
                            1 => "C&#46;M&#46; Magro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2003"
                        "volumen" => "42"
                        "paginaInicial" => "928"
                        "paginaFinal" => "932"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14636183"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Atrophying pityriasis versicolor as an idiosyncratic T cell-mediated response to Malassezia&#58; A case series"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Levy"
                            1 => "C&#46; Magro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2016.08.062"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2017"
                        "volumen" => "76"
                        "paginaInicial" => "730"
                        "paginaFinal" => "735"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27816291"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hair loss in pityriasis versicolor lesions&#58; A descriptive clinicopathological study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;Z&#46; Mostafa"
                            1 => "M&#46;I&#46; Assaf"
                            2 => "I&#46;A&#46; Ameen"
                            3 => "O&#46;S&#46; El Safoury"
                            4 => "A&#46;S&#46; Al Suhl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2012.03.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2013"
                        "volumen" => "69"
                        "paginaInicial" => "e19"
                        "paginaFinal" => "e23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22575159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010900000005/v1_201806040407/S1578219018301306/v1_201806040407/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/15782190/0000010900000005/v1_201806040407/S1578219018301306/v1_201806040407/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018301306?idApp=UINPBA000044"
]
Compartir
Información de la revista
Vol. 109. Núm. 5.
Páginas 455-457 (junio 2018)
Vol. 109. Núm. 5.
Páginas 455-457 (junio 2018)
Case and Research Letters
Acceso a texto completo
Atrophying Pityriasis Versicolor
Pitiriasis versicolor atrófica
Visitas
7759
F. Alleguea,
Autor para correspondencia
fallegue@mundo-r.com

Corresponding author.
, C. Fachalb, D. González-Vilasa, A. Zulaicaa
a Servicio de Dermatología, Hospital do Meixoeiro, Vigo, Pontevedra, Spain
b Servicio de Anatomía Patológica. Hospital Álvaro Cunqueiro, EOXI, Vigo, Pontevedra, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Bibliografía
Descargar PDF
Estadísticas
Figuras (3)
Mostrar másMostrar menos
Texto completo
To the Editor:

Pityriasis versicolor (PV) is a common superficial fungal infection caused by yeasts of the genus Malassezia. In clinical terms, it generally presents on the trunk as round or oval macules that vary in color from hypopigmentation to blackish.1 Its symptoms are easily recognizable, with several atypical forms reported, including the variant with atrophic lesions.2

A 28-year-old man with plaque psoriasis treated with topical corticosteroids consulted for the appearance of cutaneous abnormalities that he perceived as being different from his psoriasis lesions. The physical examination revealed several circular areas on the back and the extensor surface of the upper right limb. The areas measured 0.5cm to 4cm and were depressed and atrophic in appearance (Fig. 1). Some were hypopigmented, whereas others were slightly pink; some had mild desquamation, whereas others were similar to typical psoriasis lesions (Fig. 2). The Wood lamp examination did not reveal fluorescence. The skin biopsy revealed laminated hyperkeratosis in the epidermis, with flattening of the rete ridges and an edematous appearance with vascular dilations in the dermis that was more evident in the papillary dermis. The vessels were surrounded by a discreet lymphocytic infiltrate. Periodic acid–Schiff staining revealed abundant short, septate hyphae and spores between the layers of keratin. Orcein staining revealed diminished elastic fibers in the papillary dermis and fragmentation thereof in the superficial reticular dermis (Fig. 3). Direct examination of the lesions revealed the presence of yeasts and pseudomycelium.

Figure 1.

Slightly depressed hypopigmented and pink plaques of various sizes on the patient's back. Mild desquamation can be observed on some.

(0.12MB).
Figure 2.

Psoriatic plaques in the center of depressed areas.

(0.07MB).
Figure 3.

Epidermis with abundant hyphae and spores in the stratum corneum and flattening of the rete ridges (periodic acid–Schiff, original magnification ×200). The inset shows diminished fine elastic fibers in the papillary dermis (arrow) and fragmented elastic fibers in the superficial reticular dermis, as well as vascular ectasia (orcein stain, original magnification ×100).

(0.25MB).

The patient was prescribed itraconazole 200mg/d for 7 days combined with topical flutrimazole at night for 1 month. The topical corticosteroid was replaced by calcitriol ointment for treatment of his psoriasis. Although improvement was slow, the patient had fully recovered at 6 months, with no new lesions after 1 year of follow-up.

Atrophying or atrophic PV is an uncommon presentation of this condition.2–10 It manifests clinically as depressed erythematous or hypopigmented areas with discreet desquamation located mainly on the trunk, generally the back and shoulders. The lesions are usually numerous, tend to group together, and measure a few millimeters to several centimeters, although they are generally uniform on the same patient. The diagnostic suspicion can be confirmed by direct examination, which reveals accumulations of yeasts and short hyphae; if these occur together, they have the typical “spaghetti and meatballs” appearance. Skin biopsy may help in atypical cases such as the present one. The most characteristic and differentiating histopathological findings of the atrophic variant include an epidermis with flattened rete ridges and, especially, reduction and fragmentation of the dermal elastic fibers.5,9 The differential diagnosis includes processes that induce skin atrophy, that is, anetoderma, morphea/atrophoderma, mycosis fungoides, sarcoidosis, and corticosteroid-induced atrophy.6,9,10

The mechanism by which species of Malasezzia can induce atrophy in the skin remains unclear. Since many of the patients reported were being treated with topical corticosteroids2–7 or systemic corticosteroids,8 atrophy was associated with the atrophogenic effect of the drugs.3–7 The fungal infection is thought to alter the epidermal barrier, thus increasing absorption of corticosteroids in the PV lesions and inducing local cutaneous atrophy. However, in corticosteroid-induced atrophy, in addition to epidermal atrophy and vasodilation, we can see atrophy of skin adnexa and reduction and fragmentation of dermal collagen, whereas in atrophic PV, we do not see alteration of collagen but alteration of the elastic fibers.5,6,9,10 We did not find collagen abnormalities in the case we report, suggesting the possibility of another pathogenic mechanism, given that cases not associated with corticosteroids have been reported.9,10 Crowson and Magro9 proposed that this form of PV appeared through a type 1 helper T-cell immune response to Malassezia antigens, in which histocytes recruited and activated by interferon-ϒ would generate the elastases responsible for the dermal elastolysis observed. Flattening of the rete ridges, on the other hand, is mediated by cytokines, such as tumor necrosis factor α and interleukin 1β, which can inhibit the nuclear factor κB pathway of keratinocytes to induce apoptosis and hinder proliferation thereof.9 In parallel, the reduced thickness and loss of hair in areas of PV has also been related to this mechanism.11 Furthermore, a type 2 helper T cell response, which could favor fungal overgrowth, has been implicated, together with the type 1 response, in the pathogenesis of atrophic PV.10

Treatment of this variant of PV is standard,10 although it has been suggested that longer regimens may be necessary and even that oral and topical approaches should be combined.5 Obviously, corticosteroids should be withdrawn.5 As a rule, the atrophy disappears; therefore, compared with other atrophying diseases, atrophying PV has a good prognosis.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

References
[1]
V. Crespo-Erchiga, E. Gómez-Moyano, M. Crespo.
La pitiriasis versicolor y las levaduras del género Malassezia.
Actas Dermosifiliogr, 99 (2008), pp. 764-771
[2]
A. Patalano, E. Fiammenghi, C. Chianese, G. Calabrò.
Pitfalls of easy diagnosis.
Journal of Plastic Dermatology, 9 (2013), pp. 149-152
[3]
P. De Graciansky, F. Mery.
Atrophie sur pitiriasis versicolor apres corticotherapie locale prolongee.
Bull Soc Fr Dermatol Syphiligr, 78 (1971), pp. 295
[4]
A. Vera Casaño, L. Trasobares Marugan, M. del Valle Martín, J.M. Hernánz Hermosa, A. del Palacio Hernánz.
Pitiriasis versicolor atrófica inducida por corticoides tópicos fluorados.
Actas Dermosifiliogr, 80 (1989), pp. 101-103
[5]
Y.S. Yang, M.K. Shin, C.R. Haw.
Atrophying pitiriasis versicolor: is this a new variant of pityriasis versicolor?.
Ann Dermatol, 22 (2010), pp. 456-459
[6]
S.Y. Moon, W.J. Lee, S.J. Lee, D.W. Kim, J.H. Jang.
Pityriasis versicolor atrophicans: Is it true atrophy or pseudoatrophy?.
J Cutan Pathol, 43 (2016), pp. 187-189
[7]
F.M. Tatnall, R.J. Rycroft.
Pityriasis versicolor with cutaneous atrophy induced by topical steroid application.
Clin Exp Dermatol, 10 (1985), pp. 258-261
[8]
E. Marinello, S. Piaserico, M. Alaibac.
Atrophic pityriasis versicolor occurring in a patient with Sjögren's syndrome.
pii: bcr2016218108
[9]
A.N. Crowson, C.M. Magro.
Atrophying tinea versicolor: A clinical and histological study of 12 patients.
Int J Dermatol, 42 (2003), pp. 928-932
[10]
J.M. Levy, C. Magro.
Atrophying pityriasis versicolor as an idiosyncratic T cell-mediated response to Malassezia: A case series.
J Am Acad Dermatol, 76 (2017), pp. 730-735
[11]
W.Z. Mostafa, M.I. Assaf, I.A. Ameen, O.S. El Safoury, A.S. Al Suhl.
Hair loss in pityriasis versicolor lesions: A descriptive clinicopathological study.
J Am Acad Dermatol, 69 (2013), pp. e19-e23

Please cite this article as: Allegue F, Fachal C, González-Vilas D, Zulaica A. Pitiriasis versicolor atrófica. Actas Dermosifiliogr. 2018;109:455–457.

Copyright © 2017. Elsevier España, S.L.U. and AEDV
Descargar PDF
Idiomas
Actas Dermo-Sifiliográficas
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?