Estadísticas

 array:25 [
  "pii" => "S000173102201016X"
  "issn" => "00017310"
  "doi" => "10.1016/j.ad.2022.08.028"
  "estado" => "S300"
  "fechaPublicacion" => "2023-02-01"
  "aid" => "3318"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2022"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2023;114:T163-T164"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0001731022006780"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2022.01.047"
    "estado" => "S300"
    "fechaPublicacion" => "2023-02-01"
    "aid" => "3164"
    "copyright" => "AEDV"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2023;114:165"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">IM&#193;GENES EN DERMATOLOG&#205;A</span>"
      "titulo" => "Los condilomas planos o condiloma lata como un s&#237;ntoma gu&#237;a de una s&#237;filis secundaria"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "165"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Condyloma Lata&#58; A Useful Sign Pointing to a Diagnosis of Secondary Syphilis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0010"
          "etiqueta" => "Figura 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 710
              "Ancho" => 900
              "Tamanyo" => 88471
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Martin-Gorgojo, G&#46; Bastidas-P&#233;rez, F&#46;J&#46; Bru-Gorraiz"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Martin-Gorgojo"
            ]
            1 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Bastidas-P&#233;rez"
            ]
            2 => array:2 [
              "nombre" => "F&#46;J&#46;"
              "apellidos" => "Bru-Gorraiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022006780?idApp=UINPBA000044"
    "url" => "/00017310/0000011400000002/v3_202302211823/S0001731022006780/v3_202302211823/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0001731022008079"
    "issn" => "00017310"
    "doi" => "10.1016/j.ad.2022.08.021"
    "estado" => "S300"
    "fechaPublicacion" => "2023-02-01"
    "aid" => "3212"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2023;114:163-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Videos de cirug&#237;a dermatol&#243;gica</span>"
      "titulo" => "Biopsia de gl&#225;ndulas salivales menores en Dermatolog&#237;a"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "163"
          "paginaFinal" => "164"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Minor Salivary Gland Biopsy in Dermatology"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 462
              "Ancho" => 2000
              "Tamanyo" => 147649
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Pinza chalaci&#243;n colocada en el labio inferior&#46; &#40;b&#41; Disecci&#243;n superficial&#46; &#40;c&#41; Sutura pre-retirada de la pinza chalaci&#243;n<span class="elsevierStyleItalic">&#46;</span></p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; Ramos-Rodr&#237;guez, I&#46; Gracia-Darder, A&#46; Bauz&#225; Alonso"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Ramos-Rodr&#237;guez"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Gracia-Darder"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Bauz&#225; Alonso"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022008079?idApp=UINPBA000044"
    "url" => "/00017310/0000011400000002/v3_202302211823/S0001731022008079/v3_202302211823/es/main.assets"
  ]
  "asociados" => array:1 [
    0 => array:19 [
      "pii" => "S0001731022008079"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2022.08.021"
      "estado" => "S300"
      "fechaPublicacion" => "2023-02-01"
      "aid" => "3212"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2023;114:163-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Videos de cirug&#237;a dermatol&#243;gica</span>"
        "titulo" => "Biopsia de gl&#225;ndulas salivales menores en Dermatolog&#237;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "163"
            "paginaFinal" => "164"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Minor Salivary Gland Biopsy in Dermatology"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 462
                "Ancho" => 2000
                "Tamanyo" => 147649
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Pinza chalaci&#243;n colocada en el labio inferior&#46; &#40;b&#41; Disecci&#243;n superficial&#46; &#40;c&#41; Sutura pre-retirada de la pinza chalaci&#243;n<span class="elsevierStyleItalic">&#46;</span></p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "D&#46; Ramos-Rodr&#237;guez, I&#46; Gracia-Darder, A&#46; Bauz&#225; Alonso"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "D&#46;"
                "apellidos" => "Ramos-Rodr&#237;guez"
              ]
              1 => array:2 [
                "nombre" => "I&#46;"
                "apellidos" => "Gracia-Darder"
              ]
              2 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Bauz&#225; Alonso"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731022008079?idApp=UINPBA000044"
      "url" => "/00017310/0000011400000002/v3_202302211823/S0001731022008079/v3_202302211823/es/main.assets"
    ]
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Videos of Surgical Procedures in Dermatology</span>"
    "titulo" => " Minor Salivary Gland Biopsy in Dermatology"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "T163"
        "paginaFinal" => "T164"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "D&#46; Ramos-Rodr&#237;guez, I&#46; Gracia-Darder, A&#46; Bauz&#225; Alonso"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "D&#46;"
            "apellidos" => "Ramos-Rodr&#237;guez"
            "email" => array:1 [
              0 => "negrinmelian@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "I&#46;"
            "apellidos" => "Gracia-Darder"
          ]
          2 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Bauz&#225; Alonso"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio Dermatolog&#237;a&#44; Hospital Universitari Son Espases&#44; Palma&#44; Mallorca&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Biopsia de gl&#225;ndulas salivales menores en Dermatolog&#237;a"
      ]
    ]
    "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" => 578
            "Ancho" => 2500
            "Tamanyo" => 199860
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Chalazion forceps placed on the lower lip&#46; &#40;B&#41; Surface dissection&#46; &#40;C&#41; Suture before withdrawal of the chalazion forceps<span class="elsevierStyleItalic">&#46;</span></p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Introduction and Indications for the Technique</span><p id="par0005" class="elsevierStylePara elsevierViewall">Minor salivary gland biopsy is a procedure that is included in the diagnostic criteria for Sj&#246;gren syndrome&#46; It can also prove useful for the diagnosis of various diseases such as amyloidosis&#44; sarcoidosis&#44; neonatal hemochromatosis&#44; and lymphoma in patients with Sj&#246;gren syndrome&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The technique was first described by Chisholm and Mason in 1968&#44; although many modifications to the original technique have been proposed&#46; In the explanatory video &#40;<a class="elsevierStyleCrossRef" href="#sec0035">video 1</a>&#41;&#44; we describe salivary gland biopsy performed with chalazion forceps<span class="elsevierStyleItalic">&#44;</span> an instrument used in ophthalmological surgery&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Description of the Technique</span><p id="par0015" class="elsevierStylePara elsevierViewall">Below&#44; we set out a series of factors to be considered when applying this technique&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Area to be biopsied&#58; The ideal site is the mucous membrane of the lower lip because it is easy to access and work with and the number of salivary glands is higher&#46; The midline of the buccal vestibule should be avoided because of the lower number of glands in the area &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Procedure&#58; The area to be biopsied should be sterilized with chlorhexidine 0&#46;12&#37;&#8211;0&#46;20&#37; or povidone iodine&#46; The chalazion forceps are placed in position and pressed to avoid bleeding&#46; A line is then drawn parallel to the vermilion border &#40;approximately 1<span class="elsevierStyleHsp" style=""></span>cm&#41;&#46; A superficial incision is made to reveal the minor salivary glands &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; Between 6 and 8 glands should be obtained in order to ensure a sound histopathology study&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Suture&#58; The first sutures should be placed before removing the chalazion forceps &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; Reabsorbable suture should be used&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Immediately after the procedure&#44; we apply folded gauze at the biopsy site and instruct the patient to maintain pressure in the area for 15&#8211;20<span class="elsevierStyleHsp" style=""></span>min&#59; we also provide postoperative instructions in writing&#46; The patient is recommended to avoid hot drinks&#44; smoking&#44; and vigorous rinsing for 24&#8211;48<span class="elsevierStyleHsp" style=""></span>h after the intervention&#46; Although we use reabsorbable sutures&#44; the patient is asked to attend to have them removed after 7&#8211;10 days if they do not fall out by themselves&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Complications</span><p id="par0040" class="elsevierStylePara elsevierViewall">The various surgical complications include bleeding&#44; hematoma&#44; wound dehiscence&#44; local inflammation&#44; surgical bed infection&#44; pyogenic granulomas&#44; and hypertrophic scarring&#46; However&#44; the most common complication is local paresthesia&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1&#44;2</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conclusions</span><p id="par0045" class="elsevierStylePara elsevierViewall">Minor salivary gland biopsy is a rapid&#44; easy&#44; and safe procedure in dermatology&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of Interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:6 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction and Indications for the Technique"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Description of the Technique"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Complications"
        ]
        3 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conclusions"
        ]
        4 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Conflicts of Interest"
        ]
        5 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "apendice" => array:1 [
      0 => array:1 [
        "seccion" => array:1 [
          0 => array:4 [
            "apendice" => "<p id="par0060" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0035"
          ]
        ]
      ]
    ]
    "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" => 578
            "Ancho" => 2500
            "Tamanyo" => 199860
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Chalazion forceps placed on the lower lip&#46; &#40;B&#41; Surface dissection&#46; &#40;C&#41; Suture before withdrawal of the chalazion forceps<span class="elsevierStyleItalic">&#46;</span></p>"
        ]
      ]
      1 => array:5 [
        "identificador" => "upi0005"
        "tipo" => "MULTIMEDIAECOMPONENTE"
        "mostrarFloat" => false
        "mostrarDisplay" => true
        "Ecomponente" => array:3 [
          "fichero" => "mmc1.mp4"
          "ficheroTamanyo" => 13292730
          "Video" => array:2 [
            "flv" => array:5 [
              "fichero" => "mmc1.flv"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
            "mp4" => array:5 [
              "fichero" => "mmc1.m4v"
              "poster" => "mmc1.jpg"
              "tiempo" => 0
              "alto" => 0
              "ancho" => 0
            ]
          ]
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:2 [
            0 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Minor salivary gland biopsy in Sj&#246;gren&#39;s syndrome&#58; a review and introduction of a new tool to ease the procedure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Varela-Centelles"
                            1 => "J&#46;M&#46; Seoane-Romero"
                            2 => "M&#46; S&#225;nchez-S&#225;nchez"
                            3 => "A&#46; Gonz&#225;lez- Mosquera"
                            4 => "P&#46; Diz-Dios"
                            5 => "J&#46; Seoane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4317/medoral.19131"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Oral Patol Oral Cir Bucal"
                        "fecha" => "2014"
                        "volumen" => "19"
                        "paginaInicial" => "e20"
                        "paginaFinal" => "e23"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23986014"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Salivary gland biopsy&#58; a comprehensive review of techniques and related complications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "G&#46; Colella"
                            1 => "R&#46; Cannavale"
                            2 => "A&#46; Vicidomini"
                            3 => "A&#46; Itro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/rheumatology/keq225"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rheumatology"
                        "fecha" => "2010"
                        "volumen" => "49"
                        "paginaInicial" => "2117"
                        "paginaFinal" => "2121"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20660500"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/00017310/0000011400000002/v3_202302211823/S000173102201016X/v3_202302211823/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6159"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Videos de cirug&#237;a dermatol&#243;gica"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00017310/0000011400000002/v3_202302211823/S000173102201016X/v3_202302211823/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102201016X?idApp=UINPBA000044"
]