Images in Dermatology
Adult Colloid Milium
Milium coloide del adulto
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Placas eritemato purpúricas en la oreja de un paciente que además presenta telangiectasias en los párpados y queilitis. B) Placas eritemato purpúricas con descamación en el dorso de las manos, con afectación más extensa que la observada en las típicas pápulas de Gottron. C) Eritema palmar. D) Máculas purpúricas los dedos de los pies. E) Placas eritemato descamativas en el dorso de los dedos de los pies. F) Placas eritemato descamativas en los dedos de los pies, asociada a descamación, fisuración y una úlcera en la región plantar de los dedos.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Giacaman, M.C. Mir Perelló, L. Rodríguez Diez, A. Martín-Santiago" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Giacaman" ] 1 => array:2 [ "nombre" => "M.C." "apellidos" => "Mir Perelló" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Rodríguez Diez" ] 3 => array:2 [ "nombre" => "A." 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Corral-Chávez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Macedo-Pérez" "email" => array:1 [ 0 => "marysolmacpe@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "A.V." "apellidos" => "Delgado-Gaytán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "P." "apellidos" => "Fernández-Rueda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J.C." "apellidos" => "Corral-Chávez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Departamento de Medicina Interna, Hospital Español, Ciudad de México, Mexico" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Dermatología, Hospital Regional 1.° Octubre, ISSSTE, Ciudad de México, Mexico" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Dermotopatología, Práctica Privada, Zacatecas, Mexico" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Milium</span> coloide del adulto" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 479 "Ancho" => 1005 "Tamanyo" => 154757 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A male patient with a personal history of habitual occupational sun exposure (taxi driver) presented with an asymptomatic dermatosis on the back of the left hand that had appeared 7 years earlier and had since grown slowly and progressively (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). He had undergone topical corticosteroid treatment, without improvement. Examination revealed multiple translucent yellow papules with red-violet areas that coalesced to form a poorly defined plaque. Dermoscopic evaluation with polarized light at 10× magnification showed a diffuse orange background with some milia cysts and violet–red areas (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Histology of an incisional biopsy revealed a deposit of homogeneous pale eosinophilic material, fissures in the dermal papillae, and a surrounding discrete inflammatory infiltrate consisting mainly of lymphocytes. Periodic acid-Schiff and Congo red immunostaining of this deposited material were positive and negative, respectively.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 656 "Ancho" => 1005 "Tamanyo" => 135026 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 479 "Ancho" => 1005 "Tamanyo" => 154757 ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack652802" "titulo" => "Acknowledgment" "texto" => "<p id="par0010" class="elsevierStylePara elsevierViewall">We wish to express our gratitude to Gabriela Rueda Díaz de León for her technical support.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/00017310/0000011400000002/v3_202302211823/S0001731022010122/v3_202302211823/en/main.assets" "Apartado" => array:4 [ "identificador" => "41021" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en Dermatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011400000002/v3_202302211823/S0001731022010122/v3_202302211823/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022010122?idApp=UINPBA000044" ]
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