Case and research letter
Allergic contact dermatitis due to acrylates in acrylic gel nails: a report of 3 cases
Dermatitis alérgica de contacto a acrilatos por uñas artificiales acrílicas: estudio de 3 casos
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Vázquez-Osorio, M. Espasandín-Arias, J. García-Gavín, V. Fernández-Redondo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "I." "apellidos" => "Vázquez-Osorio" "email" => array:1 [ 0 => "rogivaos@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Espasandín-Arias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "García-Gavín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "V." "apellidos" => "Fernández-Redondo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario, Santiago de Compostela, A Coruña, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario, Vigo, Pontevedra, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatitis alérgica de contacto a acrilatos por uñas artificiales acrílicas: estudio de 3 casos" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Acrylates in artificial nails are a well-known cause of allergic contact dermatitis (ACD).<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The recent emergence of photobonded acrylic gel nails has resulted in a growing number of cases of ACD in both manicurists and clients.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> As the number of beauty salons offering these new type of nails in Spain is increasing, we might soon see an increase in the incidence of ACD due to acrylates. We describe the case of 3 women, 2 manicurists and a client, with ACD induced by acrylic gel nails. The clinical presentation was different for each patient. Interestingly, 1 of the manicurists experienced an airborne reaction to nail sanding dust.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The epidemiological data, clinical manifestations, and patch test results are summarized in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Patch tests were performed according to the International Contact Dermatitis Research Group criteria using the Spanish baseline series (T.R.U.E. TEST and allergEAZE) and an extended series of acrylates (Chemotechnique Diagnostics AB). Positive reactions were observed for 2-hydroxyethyl methacrylate (2-HEMA) and ethylene glycol dimethacrylate (EGDMA) in all 3 patients and for 2-hydroxyethyl acrylate (2-HEA) and nickel in the client. The manicurists’ symptoms improved in a few weeks after avoiding contact with the nail gel. The dermatitis on the fingertips of the client resolved following removal of the artificial nails, although nail dystrophy persisted for several months.</p><p id="par0020" class="elsevierStylePara elsevierViewall">ACD due to acrylates in artificial nails was first described in 1956 by Canizares,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> who reported a case of eczema due to acrylic materials present in artificial nails on the left hand of a manicurist. Since then, many other cases have been reported. In Spain, Roche et al.,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> in an observational, retrospective study of patients with ACD due to acrylates used in sculptured artificial nails, concluded that acrylate monomers were important sensitizers for contact and occupational dermatitis.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Artificial nails can contain many kinds of acrylic monomers,<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> but most cases of ACD are induced by 2-HEMA, 2-hydroxypropyl methacrylate (2-HPMA), and EGDMA.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Both manicurists and clients can be affected.<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,6</span></a> Patients present a wide variety of symptoms, such as hand eczema (the most common symptom), nail changes, paraesthesia, and airborne dermatitis.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Photobonded acrylic gel nails are the latest trend in artificial nails and need weak exposure to UV radiation to polymerize.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In 1990, Fisher<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> presented a case of a woman with paraesthesia and nail dystrophy secondary to sculptured acrylic nails. Acrylic gel nails were recently introduced in Spain, and as they are quite affordable, it is possible that we will see many new cases in the coming years. Most patients usually present with fingertip and/or nailfold dermatitis but other manifestations include facial dermatitis and paraesthesia.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Acrylic gel nails contain similar acrylic compounds to those found in other artificial nails, with 2-HEMA and EGDMA being the most common.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Our 3 patients had all been in contact with gel nails before they developed ACD.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Our 3 case reports illustrate that exposure to acrylates in gel nails can induce a wide variety of clinical manifestations in both manicurists and clients. These manifestations include nail dystrophy and airborne dermatitis caused by nail dust. Moreover, acrylates may be present in other common materials such as dental materials or orthopedic prostheses,<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> so previously sensitized patients may experience allergic reactions—and even cross-reactions with other acrylic monomers—after re-exposure.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Individuals with ACD to acrylates in artificial nails can safely use silk wrap nails providing they are not allergic to ethyl cyanoacrylate,<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> which is present in all nail glues. Furthermore, in cases of occupational ACD, manicurists who decide to continue working with these nails should wear a mask and 4H gloves, which are safer than others as the penetration time for acrylates is over 4<span class="elsevierStyleHsp" style=""></span>h.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Finally, it is important to alert both manicurists and wearers of artificial nails about the sensitizing potential of acrylates to facilitate the adoption of preventive measures.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:3 [ "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Abbreviations</span>: 2-HEA, 2-hydroxyehtyl acrylate; 2-HEMA, 2-hydroxyethyl methacrylate; EGDMA, ethylene glycol dimethacrylate; F, female; pet, petrolatum.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="4" align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Epidemiological data</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Clinical presentation \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Time<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " colspan="2" align="center" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Positive patch test results</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Case \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Age, y \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Sex \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Manicurist or client \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Baseline series \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">Acrylate series \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">27</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">F</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Manicurist</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Fingertip dermatitis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">1–2 wk</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nickel sulfate 5% pet</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2-HEA 0.1% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Nail dystrophy \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2-HEMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Periungual hyperkeratosis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">EGDMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="8" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">52</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">F</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Manicurist</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Airborne dermatitis (cheeks, eyelids, forehead and temple area) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 wk</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">–</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2-HEMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Fingertip dermatitis \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">EGDMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="8" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">59</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">F</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Client</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Fingertip dermatitis</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">4–6 wk</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " rowspan="2" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">–</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2-HEMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">EGDMA 2% pet (++) \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab493210.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "a" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Time between first contact with gel nails and 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 72 | 62 | 134 |
| 2024 Septiembre | 84 | 45 | 129 |
| 2024 Agosto | 89 | 53 | 142 |
| 2024 Julio | 75 | 57 | 132 |
| 2024 Junio | 83 | 41 | 124 |
| 2024 Mayo | 92 | 41 | 133 |
| 2024 Abril | 64 | 25 | 89 |
| 2024 Marzo | 87 | 33 | 120 |
| 2024 Febrero | 80 | 36 | 116 |
| 2024 Enero | 61 | 25 | 86 |
| 2023 Diciembre | 95 | 28 | 123 |
| 2023 Noviembre | 71 | 37 | 108 |
| 2023 Octubre | 53 | 39 | 92 |
| 2023 Septiembre | 50 | 33 | 83 |
| 2023 Agosto | 69 | 26 | 95 |
| 2023 Julio | 70 | 35 | 105 |
| 2023 Junio | 75 | 42 | 117 |
| 2023 Mayo | 57 | 28 | 85 |
| 2023 Abril | 55 | 21 | 76 |
| 2023 Marzo | 50 | 16 | 66 |
| 2023 Febrero | 71 | 26 | 97 |
| 2023 Enero | 42 | 28 | 70 |
| 2022 Diciembre | 37 | 31 | 68 |
| 2022 Noviembre | 35 | 41 | 76 |
| 2022 Octubre | 53 | 40 | 93 |
| 2022 Septiembre | 34 | 42 | 76 |
| 2022 Agosto | 46 | 43 | 89 |
| 2022 Julio | 38 | 43 | 81 |
| 2022 Junio | 31 | 32 | 63 |
| 2022 Mayo | 27 | 41 | 68 |
| 2022 Abril | 36 | 21 | 57 |
| 2022 Marzo | 35 | 55 | 90 |
| 2022 Febrero | 39 | 29 | 68 |
| 2022 Enero | 46 | 36 | 82 |
| 2021 Diciembre | 46 | 38 | 84 |
| 2021 Noviembre | 50 | 50 | 100 |
| 2021 Octubre | 56 | 47 | 103 |
| 2021 Septiembre | 34 | 33 | 67 |
| 2021 Agosto | 39 | 35 | 74 |
| 2021 Julio | 19 | 31 | 50 |
| 2021 Junio | 31 | 26 | 57 |
| 2021 Mayo | 28 | 36 | 64 |
| 2021 Abril | 52 | 42 | 94 |
| 2021 Marzo | 57 | 21 | 78 |
| 2021 Febrero | 50 | 30 | 80 |
| 2021 Enero | 26 | 11 | 37 |
| 2020 Diciembre | 32 | 14 | 46 |
| 2020 Noviembre | 16 | 17 | 33 |
| 2020 Octubre | 27 | 11 | 38 |
| 2020 Septiembre | 20 | 7 | 27 |
| 2020 Agosto | 22 | 24 | 46 |
| 2020 Julio | 34 | 5 | 39 |
| 2020 Junio | 20 | 27 | 47 |
| 2020 Mayo | 32 | 17 | 49 |
| 2020 Abril | 47 | 16 | 63 |
| 2020 Marzo | 37 | 22 | 59 |
| 2020 Febrero | 3 | 3 | 6 |
| 2020 Enero | 6 | 0 | 6 |
| 2019 Diciembre | 8 | 2 | 10 |
| 2019 Noviembre | 4 | 1 | 5 |
| 2019 Octubre | 0 | 3 | 3 |
| 2019 Septiembre | 4 | 0 | 4 |
| 2019 Agosto | 6 | 1 | 7 |
| 2019 Julio | 5 | 4 | 9 |
| 2019 Junio | 4 | 1 | 5 |
| 2019 Mayo | 6 | 12 | 18 |
| 2019 Abril | 2 | 1 | 3 |
| 2019 Marzo | 4 | 6 | 10 |
| 2019 Febrero | 1 | 1 | 2 |
| 2019 Enero | 5 | 2 | 7 |
| 2018 Diciembre | 2 | 1 | 3 |
| 2018 Noviembre | 3 | 2 | 5 |
| 2018 Octubre | 5 | 1 | 6 |
| 2018 Septiembre | 4 | 0 | 4 |
| 2018 Julio | 0 | 1 | 1 |
| 2018 Mayo | 0 | 3 | 3 |
| 2018 Abril | 0 | 3 | 3 |
| 2018 Marzo | 0 | 5 | 5 |
| 2018 Febrero | 28 | 5 | 33 |
| 2018 Enero | 26 | 8 | 34 |
| 2017 Diciembre | 28 | 8 | 36 |
| 2017 Noviembre | 25 | 7 | 32 |
| 2017 Octubre | 33 | 10 | 43 |
| 2017 Septiembre | 29 | 14 | 43 |
| 2017 Agosto | 22 | 26 | 48 |
| 2017 Julio | 35 | 16 | 51 |
| 2017 Junio | 39 | 20 | 59 |
| 2017 Mayo | 23 | 10 | 33 |
| 2017 Abril | 36 | 16 | 52 |
| 2017 Marzo | 15 | 9 | 24 |
| 2017 Febrero | 20 | 9 | 29 |
| 2017 Enero | 18 | 15 | 33 |
| 2016 Diciembre | 24 | 7 | 31 |
| 2016 Noviembre | 24 | 10 | 34 |
| 2016 Octubre | 68 | 25 | 93 |
| 2016 Septiembre | 31 | 5 | 36 |
| 2016 Agosto | 32 | 7 | 39 |
| 2016 Julio | 21 | 3 | 24 |
| 2016 Junio | 8 | 9 | 17 |
| 2016 Mayo | 6 | 3 | 9 |
| 2016 Abril | 4 | 3 | 7 |
| 2016 Marzo | 10 | 1 | 11 |
| 2016 Febrero | 13 | 9 | 22 |
| 2016 Enero | 7 | 1 | 8 |
| 2015 Diciembre | 8 | 1 | 9 |
| 2015 Noviembre | 9 | 6 | 15 |
| 2015 Octubre | 5 | 1 | 6 |
| 2015 Septiembre | 8 | 2 | 10 |
| 2015 Agosto | 7 | 1 | 8 |
| 2015 Julio | 43 | 0 | 43 |
| 2015 Junio | 39 | 1 | 40 |
| 2015 Mayo | 54 | 0 | 54 |
| 2015 Abril | 32 | 1 | 33 |
| 2015 Marzo | 44 | 1 | 45 |
| 2015 Febrero | 23 | 1 | 24 |
| 2015 Enero | 26 | 0 | 26 |
| 2014 Diciembre | 22 | 0 | 22 |
| 2014 Noviembre | 20 | 0 | 20 |
| 2014 Octubre | 40 | 0 | 40 |
| 2014 Septiembre | 19 | 0 | 19 |
| 2014 Agosto | 16 | 0 | 16 |
| 2014 Julio | 20 | 0 | 20 |
| 2014 Junio | 18 | 0 | 18 |
| 2014 Mayo | 29 | 0 | 29 |
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