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    "titulo" => "Interdigital Erythrasma&#58; Clinical&#44; Epidemiologic&#44; and Microbiologic Findings"
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    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Erythrasma is a superficial infection caused by <span class="elsevierStyleItalic">Corynebacterium minutissimum</span> and affects the major skin folds and the interdigital regions of the feet&#46; It is characterized by erythematous&#44; brown&#44; scaly patches and maceration&#44; and exhibits coral-red fluorescence under Wood light&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the frequency of erythrasma in patients with interdigital lesions&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">An open&#44; prospective&#44; longitudinal&#44; observational study was performed in a hospital in Mexico City between March and December&#44; 2006&#46; All patients with interdigital lesions were examined with a Wood lamp and direct examination was performed with 20&#37; potassium hydroxide&#46; Cultures were done in Sabouraud dextrose agar and brain heart infusion agar&#44; and smears were analyzed&#46; General characteristics and concomitant diseases were recorded&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We examined 73 patients&#44; of whom 24 &#40;32&#46;8&#37;&#41; were diagnosed with erythrasma based on coralred fluorescence under Wood light and identification of corynebacteria by Gram staining&#46; The disease was more common in women &#40;83&#46;33&#37;&#41; and the mean age of the patients was 43&#46;5 years&#46; The main clinical findings were scaling and maceration&#44; and the fourth interdigital web was the most commonly affected&#46; <span class="elsevierStyleItalic">Corynebacterium</span> could not be isolated in any of the cases&#46; Mycology was positive in 15 cases &#40;62&#46;5&#37;&#41; and the following microorganisms were isolated&#58; <span class="elsevierStyleItalic">Candida</span> &#40;16&#46;6&#37;&#41;&#44; dermatophytes &#40;12&#46;5&#37;&#41;&#44; and <span class="elsevierStyleItalic">Trichosporon</span> &#40;4&#46;1&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Interdigital erythrasma is a common condition and can be easily confused with interdigital tinea&#46; It persists if not treated appropriately&#46; Rapid diagnosis is easily obtained by examination with a Wood lamp&#44; while culture is difficult and unnecessary for diagnosis&#46; The coexistence of erythrasma with dermatophytes and <span class="elsevierStyleItalic">Candida</span> should be considered when the interdigital webs are affected&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p class="elsevierStyleSimplePara elsevierViewall">El eritrasma es una infecci&#243;n superficial causada por <span class="elsevierStyleItalic">Corynebacterium minutissimum</span>&#44; que afecta grandes pliegues y regiones interdigitales de los pies&#46; Existe eritema&#44; descamaci&#243;n&#44; manchas color marr&#243;n y maceraci&#243;n&#59; se presenta con fluorescencia rojo coral con luz de Wood&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar la frecuencia de eritrasma en pacientes con lesiones interdigitales&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio prospectivo&#44; abierto&#44; observacional y longitudinal en un hospital de la ciudad de M&#233;xico de marzo a diciembre de 2006&#46; A todos los pacientes con lesiones interdigitales se les realiz&#243; luz de Wood&#44; examen directo con hidr&#243;xido de potasio al 20&#37;&#44; cultivo en agar dextrosa Sabouraud&#44; frotis y cultivo en infusi&#243;n cerebro-coraz&#243;n&#46; Se documentaron los datos generales y enfermedades concomitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Examinamos 73 pacientes&#44; 24 &#40;32&#44;8&#37;&#41; presentaron eritrasma diagnosticado por la fluorescencia rojo coral y la identificaci&#243;n de la corinebacteria por tinci&#243;n de Gram&#46; Fue m&#225;s frecuente en mujeres &#40;83&#44;33&#37;&#41; y la edad promedio fue 43&#44;5 a&#241;os&#46; Los principales datos cl&#237;nicos fueron descamaci&#243;n y maceraci&#243;n y el cuarto pliegue fue el m&#225;s afectado&#46; En ning&#250;n caso se pudo aislar el microorganismo en el cultivo&#46; El examen micol&#243;gico fue positivo en 15 casos &#40;62&#44;5&#37;&#41; y se aislaron&#58; <span class="elsevierStyleItalic">Candida</span> &#40;16&#44;6&#37;&#41;&#44; dermatofitos &#40;12&#44;5&#37;&#41; y <span class="elsevierStyleItalic">Trichosporon</span> &#40;4&#44;1&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El eritrasma interdigital es frecuente y puede confundirse f&#225;cilmente con ti&#241;a interdigital&#46; Es persistente sin tratamiento adecuado&#46; El diagn&#243;stico es r&#225;pido y accesible con luz de Wood y el cultivo es dif&#237;cil y no es indispensable para el diagn&#243;stico&#46; Debe considerarse la coexistencia de eritrasma con dermatofitos y <span class="elsevierStyleItalic">Candida</span> cuando afecta los pliegues inerdigitales&#46;</p>"
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Original articles
Interdigital Erythrasma: Clinical, Epidemiologic, and Microbiologic Findings
Eritrasma Interdigital: Datos Clínicos, Epidemiológicos y Microbiológicos
M.L. Morales-Trujillo, R. Arenas
Autor para correspondencia
rarenas98@hotmail.com

Correspondence: Sección de Micología, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Tlalpan, México D.F. CP 14000, México.
, S. Arroyo
Sección de Micología, Hospital General Dr. Manuel Gea González, Secretaría de Salud, Tlalpan, Mexico
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Erythrasma is a superficial infection caused by <span class="elsevierStyleItalic">Corynebacterium minutissimum</span> and affects the major skin folds and the interdigital regions of the feet&#46; It is characterized by erythematous&#44; brown&#44; scaly patches and maceration&#44; and exhibits coral-red fluorescence under Wood light&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to determine the frequency of erythrasma in patients with interdigital lesions&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">An open&#44; prospective&#44; longitudinal&#44; observational study was performed in a hospital in Mexico City between March and December&#44; 2006&#46; All patients with interdigital lesions were examined with a Wood lamp and direct examination was performed with 20&#37; potassium hydroxide&#46; Cultures were done in Sabouraud dextrose agar and brain heart infusion agar&#44; and smears were analyzed&#46; General characteristics and concomitant diseases were recorded&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">We examined 73 patients&#44; of whom 24 &#40;32&#46;8&#37;&#41; were diagnosed with erythrasma based on coralred fluorescence under Wood light and identification of corynebacteria by Gram staining&#46; The disease was more common in women &#40;83&#46;33&#37;&#41; and the mean age of the patients was 43&#46;5 years&#46; The main clinical findings were scaling and maceration&#44; and the fourth interdigital web was the most commonly affected&#46; <span class="elsevierStyleItalic">Corynebacterium</span> could not be isolated in any of the cases&#46; Mycology was positive in 15 cases &#40;62&#46;5&#37;&#41; and the following microorganisms were isolated&#58; <span class="elsevierStyleItalic">Candida</span> &#40;16&#46;6&#37;&#41;&#44; dermatophytes &#40;12&#46;5&#37;&#41;&#44; and <span class="elsevierStyleItalic">Trichosporon</span> &#40;4&#46;1&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Interdigital erythrasma is a common condition and can be easily confused with interdigital tinea&#46; It persists if not treated appropriately&#46; Rapid diagnosis is easily obtained by examination with a Wood lamp&#44; while culture is difficult and unnecessary for diagnosis&#46; The coexistence of erythrasma with dermatophytes and <span class="elsevierStyleItalic">Candida</span> should be considered when the interdigital webs are affected&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Antecedentes</span><p class="elsevierStyleSimplePara elsevierViewall">El eritrasma es una infecci&#243;n superficial causada por <span class="elsevierStyleItalic">Corynebacterium minutissimum</span>&#44; que afecta grandes pliegues y regiones interdigitales de los pies&#46; Existe eritema&#44; descamaci&#243;n&#44; manchas color marr&#243;n y maceraci&#243;n&#59; se presenta con fluorescencia rojo coral con luz de Wood&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Determinar la frecuencia de eritrasma en pacientes con lesiones interdigitales&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio prospectivo&#44; abierto&#44; observacional y longitudinal en un hospital de la ciudad de M&#233;xico de marzo a diciembre de 2006&#46; A todos los pacientes con lesiones interdigitales se les realiz&#243; luz de Wood&#44; examen directo con hidr&#243;xido de potasio al 20&#37;&#44; cultivo en agar dextrosa Sabouraud&#44; frotis y cultivo en infusi&#243;n cerebro-coraz&#243;n&#46; Se documentaron los datos generales y enfermedades concomitantes&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Examinamos 73 pacientes&#44; 24 &#40;32&#44;8&#37;&#41; presentaron eritrasma diagnosticado por la fluorescencia rojo coral y la identificaci&#243;n de la corinebacteria por tinci&#243;n de Gram&#46; Fue m&#225;s frecuente en mujeres &#40;83&#44;33&#37;&#41; y la edad promedio fue 43&#44;5 a&#241;os&#46; Los principales datos cl&#237;nicos fueron descamaci&#243;n y maceraci&#243;n y el cuarto pliegue fue el m&#225;s afectado&#46; En ning&#250;n caso se pudo aislar el microorganismo en el cultivo&#46; El examen micol&#243;gico fue positivo en 15 casos &#40;62&#44;5&#37;&#41; y se aislaron&#58; <span class="elsevierStyleItalic">Candida</span> &#40;16&#44;6&#37;&#41;&#44; dermatofitos &#40;12&#44;5&#37;&#41; y <span class="elsevierStyleItalic">Trichosporon</span> &#40;4&#44;1&#37;&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El eritrasma interdigital es frecuente y puede confundirse f&#225;cilmente con ti&#241;a interdigital&#46; Es persistente sin tratamiento adecuado&#46; El diagn&#243;stico es r&#225;pido y accesible con luz de Wood y el cultivo es dif&#237;cil y no es indispensable para el diagn&#243;stico&#46; Debe considerarse la coexistencia de eritrasma con dermatofitos y <span class="elsevierStyleItalic">Candida</span> cuando afecta los pliegues inerdigitales&#46;</p>"
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