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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymphomatoid papulosis is a rare CD30&#43; T-cell lymphoproliferative disease with an excellent prognosis&#46; It is usually seen in adults and is rare in children&#46; The clinical and pathologic manifestations and the risk of progression to other types of lymphoma are thus not clearly defined in the pediatric age group&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To describe the characteristics of lymphomatoid papulosis in a group of children and perform a review of the literature&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A retrospective study was performed of 9 patients under 18 years of age diagnosed with lymphomatoid papulosis and treated in our department between 1995 and 2009</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study included 7 boys and 2 girls aged between 2 and 17 years&#46; Lesions compatible with pityriasis lichenoides acuta appeared before the lymphomatoid papulosis in 2 cases and afterwards in 1 case&#46; The lymphomatoid papulosis lesions resolved spontaneously&#44; leaving postinflammatory hyperpigmentation &#40;77&#37;&#41; or hypopigmentation &#40;23&#37;&#41;&#46; Scarring occurred in 77&#37; of cases&#46; Histologically&#44; all cases showed features compatible with lymphomatoid papulosis type A&#46; Molecular studies showed monoclonality in all 3 cases in which this technique was performed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Lymphomatoid papulosis is a rare disease in childhood and the manifestations are similar to the adult form&#46; This lymphoproliferative disease&#44; occasionally associated with pityriasis lichenoides acuta&#44; has histological features compatible with a type A or histiocytoid pattern&#46; Progression to other lymphoproliferative disorders during followup is less common in the childhood form than in adults&#46; The frequent association of pityriasis lichenoides acuta and lymphomatoid papulosis observed in our study&#44; and the difficulty distinguishing between these 2 conditions in some cases&#44; suggest that these diseases could be part of a single clinical-pathological spectrum&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La papulosis linfomatoide es un proceso linfoproliferativo de c&#233;lulas T CD30&#43; poco frecuente y de pron&#243;stico excelente que generalmente afecta a adultos y&#44; en menor medida a ni&#241;os&#44; por lo que tanto el espectro cl&#237;nico-patol&#243;gico como el riesgo de progresi&#243;n a otro tipo de linfoma en el grupo pedi&#225;trico no est&#225;n bien establecidos&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Analizar las caracter&#237;sticas de la papulosis linfomatoide infantil a partir de la descripci&#243;n de nuevos casos y de la revisi&#243;n de la literatura&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio retrospectivo de 9 pacientes menores de 18 a&#241;os diagnosticados de papulosis linfomatoide atendidos en nuestro servicio entre 1995 y 2009&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 7 ni&#241;os y 2 ni&#241;as de edades entre 2 y 17 a&#241;os&#46; Las lesiones de papulosis linfomatoide se vieron precedidas en 2 casos y seguidas en 1 de otras compatibles con pitiriasis liquenoide aguda&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">La resoluci&#243;n de las lesiones fue espont&#225;nea&#44; dejando hiperpigmentaci&#243;n &#40;77&#37;&#41; o hipopigmentaci&#243;n postinflamatoria &#40;23&#37;&#41; y cicatrices en el 77&#37; de los casos&#46; Histol&#243;gicamente todos los casos presentaron el patr&#243;n tipo A de papulosis linfomatoide&#46; El estudio molecular mostr&#243; monoclonalidad en los 3 casos en los que fue realizado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">La papulosis linfomatoide infantil es una entidad rara que se manifiesta cl&#237;nicamente como la forma adulta&#46; Esta enfermedad linfoproliferativa&#44; que ocasionalmente se asocia a pitiriasis liquenoide aguda&#44; muestra hallazgos histol&#243;gicos compatibles con el patr&#243;n histiocitoide o tipo A&#46; El desarrollo de otros procesos linfoproliferativos malignos en el seguimiento posterior es menos frecuente en la papulosis linfomatoide infantil comparado con la variante adulta&#46; La frecuente asociaci&#243;n de pitiriasis liquenoide y de papulosis linfomatoide encontrada en nuestro an&#225;lisis&#44; as&#237; como la dificultad que supone en algunos casos el diferenciar entre ambos procesos&#44; permiten sugerir que ambas patolog&#237;as podr&#237;an formar parte de un espectro cl&#237;nico-patol&#243;gico com&#250;n&#46;</p>"
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Original article
Lymphomatoid Papulosis in Children: Report of 9 Cases and Review of the Literature
Papulosis linfomatoide en la infancia: presentación de 9 casos y revisión de la literatura
A. Martorell-Calatayuda,
Autor para correspondencia
antmarto@hotmail.com

Corresponding author.
, A. Hernández-Martína, I. Colmenerob, S. Vañó-Galvána, C. López-Obregóna, A. Armanda, M. Gambra Arzozc, A. Torreloa
a Servicio de Dermatología, Hospital Infantil Niño Jesús, Madrid, Spain
b Servicio de Anatomía Patológica, Hospital Infantil Niño Jesús, Madrid, Spain
c Servicio de Pediatría, Hospital Infantil Niño Jesús, Madrid, Spain
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        "titulo" => "Papulosis linfomatoide en la infancia&#58; presentaci&#243;n de 9 casos y revisi&#243;n de la literatura"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lymphomatoid papulosis is a rare CD30&#43; T-cell lymphoproliferative disease with an excellent prognosis&#46; It is usually seen in adults and is rare in children&#46; The clinical and pathologic manifestations and the risk of progression to other types of lymphoma are thus not clearly defined in the pediatric age group&#46;</p> <span class="elsevierStyleSectionTitle">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To describe the characteristics of lymphomatoid papulosis in a group of children and perform a review of the literature&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A retrospective study was performed of 9 patients under 18 years of age diagnosed with lymphomatoid papulosis and treated in our department between 1995 and 2009</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study included 7 boys and 2 girls aged between 2 and 17 years&#46; Lesions compatible with pityriasis lichenoides acuta appeared before the lymphomatoid papulosis in 2 cases and afterwards in 1 case&#46; The lymphomatoid papulosis lesions resolved spontaneously&#44; leaving postinflammatory hyperpigmentation &#40;77&#37;&#41; or hypopigmentation &#40;23&#37;&#41;&#46; Scarring occurred in 77&#37; of cases&#46; Histologically&#44; all cases showed features compatible with lymphomatoid papulosis type A&#46; Molecular studies showed monoclonality in all 3 cases in which this technique was performed&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Lymphomatoid papulosis is a rare disease in childhood and the manifestations are similar to the adult form&#46; This lymphoproliferative disease&#44; occasionally associated with pityriasis lichenoides acuta&#44; has histological features compatible with a type A or histiocytoid pattern&#46; Progression to other lymphoproliferative disorders during followup is less common in the childhood form than in adults&#46; The frequent association of pityriasis lichenoides acuta and lymphomatoid papulosis observed in our study&#44; and the difficulty distinguishing between these 2 conditions in some cases&#44; suggest that these diseases could be part of a single clinical-pathological spectrum&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La papulosis linfomatoide es un proceso linfoproliferativo de c&#233;lulas T CD30&#43; poco frecuente y de pron&#243;stico excelente que generalmente afecta a adultos y&#44; en menor medida a ni&#241;os&#44; por lo que tanto el espectro cl&#237;nico-patol&#243;gico como el riesgo de progresi&#243;n a otro tipo de linfoma en el grupo pedi&#225;trico no est&#225;n bien establecidos&#46;</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Analizar las caracter&#237;sticas de la papulosis linfomatoide infantil a partir de la descripci&#243;n de nuevos casos y de la revisi&#243;n de la literatura&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; un estudio retrospectivo de 9 pacientes menores de 18 a&#241;os diagnosticados de papulosis linfomatoide atendidos en nuestro servicio entre 1995 y 2009&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 7 ni&#241;os y 2 ni&#241;as de edades entre 2 y 17 a&#241;os&#46; Las lesiones de papulosis linfomatoide se vieron precedidas en 2 casos y seguidas en 1 de otras compatibles con pitiriasis liquenoide aguda&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">La resoluci&#243;n de las lesiones fue espont&#225;nea&#44; dejando hiperpigmentaci&#243;n &#40;77&#37;&#41; o hipopigmentaci&#243;n postinflamatoria &#40;23&#37;&#41; y cicatrices en el 77&#37; de los casos&#46; Histol&#243;gicamente todos los casos presentaron el patr&#243;n tipo A de papulosis linfomatoide&#46; El estudio molecular mostr&#243; monoclonalidad en los 3 casos en los que fue realizado&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">La papulosis linfomatoide infantil es una entidad rara que se manifiesta cl&#237;nicamente como la forma adulta&#46; Esta enfermedad linfoproliferativa&#44; que ocasionalmente se asocia a pitiriasis liquenoide aguda&#44; muestra hallazgos histol&#243;gicos compatibles con el patr&#243;n histiocitoide o tipo A&#46; El desarrollo de otros procesos linfoproliferativos malignos en el seguimiento posterior es menos frecuente en la papulosis linfomatoide infantil comparado con la variante adulta&#46; La frecuente asociaci&#243;n de pitiriasis liquenoide y de papulosis linfomatoide encontrada en nuestro an&#225;lisis&#44; as&#237; como la dificultad que supone en algunos casos el diferenciar entre ambos procesos&#44; permiten sugerir que ambas patolog&#237;as podr&#237;an formar parte de un espectro cl&#237;nico-patol&#243;gico com&#250;n&#46;</p>"
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