Case reports
Pyoderma Gangrenosum Following Cesarean Delivery
Pioderma Gangrenoso Después del Parto por Cesárea
C. Sanz-Muñoz
, C. Martínez-Morán, A. Miranda-Romero
Autor para correspondencia
Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
Leído
6259
Vecesse ha leído el artículo
2824
Total PDF
3435
Total HTML
Compartir estadísticas
array:23 [ "pii" => "S1578219008702932" "issn" => "15782190" "doi" => "10.1016/S1578-2190(08)70293-2" "estado" => "S300" "fechaPublicacion" => "2008-08-01" "aid" => "70293" "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L." "copyrightAnyo" => "2008" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2008;99:477-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2517 "formatos" => array:3 [ "EPUB" => 35 "HTML" => 1472 "PDF" => 1010 ] ] "itemSiguiente" => array:18 [ "pii" => "S1578219008702944" "issn" => "15782190" "doi" => "10.1016/S1578-2190(08)70294-4" "estado" => "S300" "fechaPublicacion" => "2008-08-01" "aid" => "70294" "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2008;99:481-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2515 "formatos" => array:3 [ "EPUB" => 34 "HTML" => 1528 "PDF" => 953 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>" "titulo" => "Exacerbation of Skin Lesions During Fever in a Patient With Chronic Infantile Neurologic Cutaneous Articular Syndrome" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "481" "paginaFinal" => "484" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome Cinca: Presentación de un Caso Con Exacerbación Febril de Sus Lesiones Cutáneas" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Aboín-González, I. Aldanondo-Fernández de la Mora, C.R. García-Acebes, R. Carrillo-Gijón, A. Harto-Castaño, P. Jaén-Olasolo" "autores" => array:6 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Aboín-González" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Aldanondo-Fernández de la Mora" ] 2 => array:2 [ "nombre" => "C.R." "apellidos" => "García-Acebes" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Carrillo-Gijón" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Harto-Castaño" ] 5 => array:2 [ "nombre" => "P." "apellidos" => "Jaén-Olasolo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702944?idApp=UINPBA000044" "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702944/v1_201304241435/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1578219008702920" "issn" => "15782190" "doi" => "10.1016/S1578-2190(08)70292-0" "estado" => "S300" "fechaPublicacion" => "2008-08-01" "aid" => "70292" "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2008;99:474-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3292 "formatos" => array:3 [ "EPUB" => 33 "HTML" => 1403 "PDF" => 1856 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>" "titulo" => "Rhabdomyomatous Mesenchymal Hamartoma" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "474" "paginaFinal" => "476" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hamartoma Mesenquimal Rabdomiomatoso" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.A. Díaz-Pérez, C.A. García-Ramírez, J.A. García-Vera, M.A. Melo-Uribe, C.J. Uribe" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Díaz-Pérez" ] 1 => array:2 [ "nombre" => "C.A." "apellidos" => "García-Ramírez" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "García-Vera" ] 3 => array:2 [ "nombre" => "M.A." "apellidos" => "Melo-Uribe" ] 4 => array:2 [ "nombre" => "C.J." "apellidos" => "Uribe" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702920?idApp=UINPBA000044" "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702920/v1_201304241435/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>" "titulo" => "Pyoderma Gangrenosum Following Cesarean Delivery" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "477" "paginaFinal" => "480" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Sanz-Muñoz, C. Martínez-Morán, A. Miranda-Romero" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Sanz-Muñoz" "email" => array:1 [ 0 => "carolsanzm@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Martínez-Morán" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Miranda-Romero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: C/ Corpus Christi n.° 9, 2.° B, 47005 Valladolid, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pioderma Gangrenoso Después del Parto por Cesárea" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-12-12" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84239" "palabras" => array:3 [ 0 => "pyoderma gangrenosum" 1 => "cesarean section" 2 => "pregnancy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84240" "palabras" => array:3 [ 0 => "pioderma gangrenoso" 1 => "parto por cesárea" 2 => "embarazo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 30-year-old woman who, 5 days after giving birth to her first child by cesarean section, presented with dehiscence of one end of the surgical wound and a lesion on her leg that developed into a well-defined ulcer; both lesions were very painful. The patient was initially diagnosed with a skin infection and later with superficial pyoderma gangrenosum. The lesions were treated with topical corticosteroids and a good response was observed. No evidence was found of underlying disease. Isolated cases of pyoderma gangrenosum associated with pregnancy or cesarean delivery have been reported in the literature. The etiology of pyoderma gangrenosum is currently unknown, but some theories suggest an immunologic mechanism. Gestation is known to generate a state of immune tolerance that could play a role in the development of the disease and future studies may help to clarify the significance of this association.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una mujer de 30 años, primípara, que 5 días después del parto por cesárea presenta dehiscencia de uno de los extremos de la herida quirúrgica y una lesión en la pierna, que evolucionó a una úlcera bien constituida, ambas lesiones muy dolorosas. Fue diagnosticada inicialmente de infección cutánea y posteriormente de pioderma gangrenoso superficial; se trataron las lesiones con corticoides tópicos con buena respuesta al tratamiento. Tras el estudio de la paciente no se encontró patología subyacente. La asociación del pioderma gangrenoso con el embarazo o parto por cesárea se encuentra en la literatura como casos individuales. En la actualidad no se conoce la etiología del pioderma gangrenoso, aunque algunas teorías apuntan a un trastorno de la función inmunológica. Se sabe que la gestación determina un estado de inmunotolerancia que podría tener algún papel en el desarrollo del pioderma gangrenoso; futuras investigaciones podrán aclarar la relevancia de esta asociación.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum complicating caesarian section" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C.C. Harland" 1 => "W. Jaffe" 2 => "C.A. Holden" 3 => "L.D. Ross" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Obstet Gynaecol" "fecha" => "1993" "volumen" => "13" "paginaInicial" => "115" "paginaFinal" => "116" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum complicating caesarian section" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N. Stone" 1 => "C. Harland" 2 => "L. Ross" 3 => "C. Holden" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "1996" "volumen" => "21" "paginaInicial" => "468" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9167357" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum after caesarian section: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "F. Banga" 1 => "N. Schuitemaker" 2 => "P. Meijer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Reprod Health" "fecha" => "2006" "volumen" => "22" "paginaInicial" => "1" "paginaFinal" => "5" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum in a kindred" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.W. Shands" 1 => "F.P. Flowers" 2 => "H.M. Hill" 3 => "O. Smith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "1987" "volumen" => "16" "paginaInicial" => "931" "paginaFinal" => "934" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3584575" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum in pregnancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.A. Karim" 1 => "N. Ahmed" 2 => "T.A. Salman" 3 => "N.M. Craven" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/01443610600759186" "Revista" => array:6 [ "tituloSerie" => "J Obstet Gynaecol" "fecha" => "2006" "volumen" => "26" "paginaInicial" => "463" "paginaFinal" => "466" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16846880" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum following caesarean delivery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "U.A. Steadman" 1 => "T.E. Brennan" 2 => "L.A. Daman" 3 => "S.L. Curry" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "1998" "volumen" => "91" "paginaInicial" => "834" "paginaFinal" => "836" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9572181" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum after caesarean delivery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.C. Rönnau" 1 => "S. Schmiedeberg" 2 => "P. Bielfeld" 3 => "T. Ruzicka" 4 => "H.C. Schuppe" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "2000" "volumen" => "183" "paginaInicial" => "502" "paginaFinal" => "504" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10942497" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum associated with anticardiolipin antibodies in a pregnant patient" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.M. Freedman" 1 => "R.G. Phelps" 2 => "M. Lebwohl" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol" "fecha" => "1997" "volumen" => "36" "paginaInicial" => "205" "paginaFinal" => "207" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9159005" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum in pregnancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Aytekin" 1 => "N. Tarlan" 2 => "N. Kalkanli" 3 => "M. Yaldiz" 4 => "G. Unlu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2002" "volumen" => "16" "paginaInicial" => "546" "paginaFinal" => "548" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12428867" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcome of pregnancy in a patient with relapsing polychondritis and pyoderma gangrenosum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.D. Tsanadis" 1 => "S.T. Chouliara" 2 => "P.V. Voulgari" 3 => "G.V. Makrydimas" 4 => "A.A. Drosos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s100670200132" "Revista" => array:5 [ "tituloSerie" => "Clin Rheumatol" "fecha" => "2002" "volumen" => "21" "paginaInicial" => "538" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12447644" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acquired ichthyosis and pyoderma gangrenosum in a patient with systemic lupus erythematosus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. Roger" 1 => "J.C. Aldigier" 2 => "P. Peyronnet" 3 => "J.M. Bonnetblanc" 4 => "C. Leroux-Robert" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "1993" "volumen" => "18" "paginaInicial" => "268" "paginaFinal" => "270" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8348724" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum as a precursor of myeloid leukemia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H. Maier" 1 => "E. Diem" 2 => "A. Gotschim" 3 => "B. Ortel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Hautarzt" "fecha" => "1995" "volumen" => "46" "paginaInicial" => "647" "paginaFinal" => "650" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7591771" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pregnancy: a possible etiology of pyoderma gangrenosum. A case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "F. Sergent" 1 => "P. Joly" 2 => "A. Gravier" 3 => "E. Verspyck" 4 => "L. Marpeau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Gynecol Obstet Biol Reprod" "fecha" => "2002" "volumen" => "31" "paginaInicial" => "506" "paginaFinal" => "511" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum with pathergic phenomenon in pregnancy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "B. Sassolas" 1 => "Y. Le Ru" 2 => "P. Platin" 3 => "G. Lair" 4 => "P.F. Dupre" 5 => "G. Cochard" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Dermatol" "fecha" => "2000" "volumen" => "142" "paginaInicial" => "827" "paginaFinal" => "828" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10792250" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pyoderma gangrenosum complicating ulcerative colitis: successful treatment with methylprednisolone pulse therapy and cyclosporine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Futami" 1 => "M. Kodaira" 2 => "T. Furuta" 3 => "H. Hanai" 4 => "E. Kaneko" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Gastroenterol" "fecha" => "1998" "volumen" => "33" "paginaInicial" => "408" "paginaFinal" => "411" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9658322" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/en/main.assets" "Apartado" => array:4 [ "identificador" => "6183" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702932?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 2 | 14 | 16 |
| 2024 Octubre | 56 | 65 | 121 |
| 2024 Septiembre | 78 | 32 | 110 |
| 2024 Agosto | 89 | 67 | 156 |
| 2024 Julio | 49 | 39 | 88 |
| 2024 Junio | 57 | 31 | 88 |
| 2024 Mayo | 54 | 35 | 89 |
| 2024 Abril | 45 | 23 | 68 |
| 2024 Marzo | 56 | 56 | 112 |
| 2024 Febrero | 51 | 41 | 92 |
| 2024 Enero | 44 | 47 | 91 |
| 2023 Diciembre | 37 | 36 | 73 |
| 2023 Noviembre | 47 | 41 | 88 |
| 2023 Octubre | 41 | 48 | 89 |
| 2023 Septiembre | 40 | 47 | 87 |
| 2023 Agosto | 17 | 20 | 37 |
| 2023 Julio | 27 | 48 | 75 |
| 2023 Junio | 36 | 34 | 70 |
| 2023 Mayo | 38 | 36 | 74 |
| 2023 Abril | 17 | 16 | 33 |
| 2023 Marzo | 23 | 22 | 45 |
| 2023 Febrero | 17 | 24 | 41 |
| 2023 Enero | 20 | 28 | 48 |
| 2022 Diciembre | 23 | 31 | 54 |
| 2022 Noviembre | 23 | 37 | 60 |
| 2022 Octubre | 15 | 20 | 35 |
| 2022 Septiembre | 16 | 45 | 61 |
| 2022 Agosto | 14 | 41 | 55 |
| 2022 Julio | 12 | 20 | 32 |
| 2022 Junio | 15 | 39 | 54 |
| 2022 Mayo | 21 | 38 | 59 |
| 2022 Abril | 26 | 63 | 89 |
| 2022 Marzo | 36 | 49 | 85 |
| 2022 Febrero | 16 | 22 | 38 |
| 2022 Enero | 23 | 32 | 55 |
| 2021 Diciembre | 28 | 34 | 62 |
| 2021 Noviembre | 27 | 37 | 64 |
| 2021 Octubre | 19 | 40 | 59 |
| 2021 Septiembre | 23 | 35 | 58 |
| 2021 Agosto | 16 | 19 | 35 |
| 2021 Julio | 16 | 39 | 55 |
| 2021 Junio | 18 | 24 | 42 |
| 2021 Mayo | 23 | 26 | 49 |
| 2021 Abril | 52 | 61 | 113 |
| 2021 Marzo | 67 | 30 | 97 |
| 2021 Febrero | 69 | 21 | 90 |
| 2021 Enero | 42 | 17 | 59 |
| 2020 Diciembre | 29 | 12 | 41 |
| 2020 Noviembre | 19 | 12 | 31 |
| 2020 Octubre | 29 | 12 | 41 |
| 2020 Septiembre | 42 | 6 | 48 |
| 2020 Agosto | 70 | 17 | 87 |
| 2020 Julio | 36 | 7 | 43 |
| 2020 Junio | 22 | 20 | 42 |
| 2020 Mayo | 35 | 18 | 53 |
| 2020 Abril | 37 | 18 | 55 |
| 2020 Marzo | 56 | 21 | 77 |
| 2020 Febrero | 7 | 2 | 9 |
| 2020 Enero | 0 | 4 | 4 |
| 2019 Diciembre | 0 | 9 | 9 |
| 2019 Noviembre | 0 | 7 | 7 |
| 2019 Octubre | 0 | 5 | 5 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 2 | 2 |
| 2019 Julio | 0 | 19 | 19 |
| 2019 Junio | 0 | 5 | 5 |
| 2019 Mayo | 2 | 54 | 56 |
| 2019 Abril | 0 | 7 | 7 |
| 2019 Marzo | 0 | 5 | 5 |
| 2019 Febrero | 0 | 7 | 7 |
| 2018 Diciembre | 0 | 1 | 1 |
| 2018 Noviembre | 0 | 1 | 1 |
| 2018 Octubre | 0 | 2 | 2 |
| 2018 Junio | 0 | 3 | 3 |
| 2018 Mayo | 0 | 4 | 4 |
| 2018 Febrero | 14 | 4 | 18 |
| 2018 Enero | 13 | 8 | 21 |
| 2017 Diciembre | 22 | 8 | 30 |
| 2017 Noviembre | 20 | 7 | 27 |
| 2017 Octubre | 9 | 4 | 13 |
| 2017 Septiembre | 15 | 5 | 20 |
| 2017 Agosto | 10 | 7 | 17 |
| 2017 Julio | 11 | 5 | 16 |
| 2017 Junio | 16 | 14 | 30 |
| 2017 Mayo | 16 | 22 | 38 |
| 2017 Abril | 17 | 12 | 29 |
| 2017 Marzo | 12 | 36 | 48 |
| 2017 Febrero | 10 | 12 | 22 |
| 2017 Enero | 11 | 14 | 25 |
| 2016 Diciembre | 20 | 10 | 30 |
| 2016 Noviembre | 29 | 21 | 50 |
| 2016 Octubre | 28 | 12 | 40 |
| 2016 Septiembre | 29 | 18 | 47 |
| 2016 Agosto | 21 | 8 | 29 |
| 2016 Julio | 27 | 10 | 37 |
| 2016 Junio | 12 | 12 | 24 |
| 2016 Mayo | 11 | 5 | 16 |
| 2016 Abril | 9 | 5 | 14 |
| 2016 Marzo | 8 | 0 | 8 |
| 2016 Febrero | 5 | 2 | 7 |
| 2016 Enero | 6 | 1 | 7 |
| 2015 Diciembre | 9 | 2 | 11 |
| 2015 Noviembre | 9 | 1 | 10 |
| 2015 Octubre | 6 | 4 | 10 |
| 2015 Septiembre | 6 | 5 | 11 |
| 2015 Agosto | 17 | 4 | 21 |
| 2015 Julio | 35 | 9 | 44 |
| 2015 Junio | 28 | 11 | 39 |
| 2015 Mayo | 72 | 21 | 93 |
| 2015 Abril | 31 | 20 | 51 |
| 2015 Marzo | 34 | 16 | 50 |
| 2015 Febrero | 36 | 12 | 48 |
| 2015 Enero | 16 | 11 | 27 |
| 2014 Diciembre | 38 | 9 | 47 |
| 2014 Noviembre | 24 | 11 | 35 |
| 2014 Octubre | 42 | 24 | 66 |
| 2014 Septiembre | 28 | 14 | 42 |
| 2014 Agosto | 32 | 14 | 46 |
| 2014 Julio | 43 | 18 | 61 |
| 2014 Junio | 45 | 12 | 57 |
| 2014 Mayo | 50 | 14 | 64 |
| 2014 Abril | 40 | 10 | 50 |
| 2014 Marzo | 34 | 16 | 50 |
| 2014 Febrero | 41 | 20 | 61 |
| 2014 Enero | 36 | 20 | 56 |
| 2013 Diciembre | 42 | 13 | 55 |
| 2013 Noviembre | 25 | 19 | 44 |
| 2013 Octubre | 32 | 18 | 50 |
| 2013 Septiembre | 24 | 33 | 57 |
| 2013 Agosto | 28 | 44 | 72 |
| 2013 Julio | 31 | 41 | 72 |
| 2013 Junio | 17 | 27 | 44 |
| 2013 Mayo | 21 | 28 | 49 |
| 2013 Abril | 32 | 32 | 64 |
| 2013 Marzo | 28 | 30 | 58 |
| 2013 Febrero | 23 | 19 | 42 |
| 2013 Enero | 14 | 7 | 21 |
Mostrar todo
