array:24 [
  "pii" => "S1578219012001072"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2012.04.011"
  "estado" => "S300"
  "fechaPublicacion" => "2012-04-01"
  "aid" => "499"
  "copyright" => "Elsevier España, S.L. and AEDV"
  "copyrightAnyo" => "2011"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2012;103:239-40"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 11879
    "formatos" => array:3 [
      "EPUB" => 44
      "HTML" => 7575
      "PDF" => 4260
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731011004649"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2011.07.016"
      "estado" => "S300"
      "fechaPublicacion" => "2012-04-01"
      "aid" => "499"
      "copyright" => "Elsevier España, S.L. y AEDV"
      "documento" => "simple-article"
      "crossmark" => 0
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2012;103:239-40"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 9342
        "formatos" => array:3 [
          "EPUB" => 3
          "HTML" => 5918
          "PDF" => 3421
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Casos para el diagn&#243;stico</span>"
        "titulo" => "&#218;lcera escrotal aguda"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "239"
            "paginaFinal" => "240"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Sudden-Onset Scrotal Ulcer"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 713
                "Ancho" => 950
                "Tamanyo" => 201706
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hematoxilina-eosina x100&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46; Pulido-P&#233;rez, V&#46; Parra-Blanco, J&#46;A&#46; Avil&#233;s-Izquierdo"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Pulido-P&#233;rez"
              ]
              1 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Parra-Blanco"
              ]
              2 => array:2 [
                "nombre" => "J&#46;A&#46;"
                "apellidos" => "Avil&#233;s-Izquierdo"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219012001072"
          "doi" => "10.1016/j.adengl.2012.04.011"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001072?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011004649?idApp=UINPBA000044"
      "url" => "/00017310/0000010300000003/v1_201304241400/S0001731011004649/v1_201304241400/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219012001084"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2012.04.012"
    "estado" => "S300"
    "fechaPublicacion" => "2012-04-01"
    "aid" => "515"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2012;103:241-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4215
      "formatos" => array:3 [
        "EPUB" => 52
        "HTML" => 3469
        "PDF" => 694
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cases for Diagnosis</span>"
      "titulo" => "Multiple Asymptomatic Congenital Plaques on the Back"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "241"
          "paginaFinal" => "242"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "M&#250;ltiples placas asintom&#225;ticas cong&#233;nitas en la espalda"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 317
              "Ancho" => 476
              "Tamanyo" => 36138
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Rodr&#237;guez-V&#225;zquez, M&#46;L&#46; Mart&#237;nez-Mart&#237;nez, G&#46; Fern&#225;ndez-Arag&#243;n, M&#46; Garc&#237;a-Arpa"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Rodr&#237;guez-V&#225;zquez"
            ]
            1 => array:2 [
              "nombre" => "M&#46;L&#46;"
              "apellidos" => "Mart&#237;nez-Mart&#237;nez"
            ]
            2 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Fern&#225;ndez-Arag&#243;n"
            ]
            3 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Garc&#237;a-Arpa"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731011005084"
        "doi" => "10.1016/j.ad.2011.10.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011005084?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001084?idApp=UINPBA000044"
    "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012001084/v1_201304241257/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219012000959"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2012.04.002"
    "estado" => "S300"
    "fechaPublicacion" => "2012-04-01"
    "aid" => "442"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2012;103:233-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3047
      "formatos" => array:3 [
        "EPUB" => 47
        "HTML" => 2303
        "PDF" => 697
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Retrospective Study of Patients Diagnosed With Sweet Syndrome in the Health Area of a Tertiary Hospital in the Autonomous Community of Valencia"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "233"
          "paginaFinal" => "237"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Estudio retrospectivo de pacientes diagnosticados de S&#237;ndrome de Sweet en el &#225;rea de un hospital terciario de la Comunidad Valenciana"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "T&#46; D&#237;az-Corpas, A&#46; Mateu-Puchades, M&#46;M&#46; Morales-Su&#225;rez-Varela, A&#46; Castells-Rodellas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "D&#237;az-Corpas"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Mateu-Puchades"
            ]
            2 => array:2 [
              "nombre" => "M&#46;M&#46;"
              "apellidos" => "Morales-Su&#225;rez-Varela"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Castells-Rodellas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731011003176"
        "doi" => "10.1016/j.ad.2011.04.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011003176?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012000959?idApp=UINPBA000044"
    "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012000959/v1_201304241257/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case for Diagnosis</span>"
    "titulo" => "Sudden-Onset Scrotal Ulcer"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "239"
        "paginaFinal" => "240"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Pulido-P&#233;rez, V&#46; Parra-Blanco, J&#46;A&#46; Avil&#233;s-Izquierdo"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Pulido-P&#233;rez"
            "email" => array:1 [
              0 => "ana&#46;pulido&#64;madrimasd&#46;net"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Parra-Blanco"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Avil&#233;s-Izquierdo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "&#218;lcera escrotal aguda"
      ]
    ]
    "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" => 713
            "Ancho" => 950
            "Tamanyo" => 185507
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcer on the right side of the scrotum&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Medical History</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 27-year-old man with no relevant medical history presented with a scrotal lesion&#44; preceded by localized pruritus&#44; that had appeared in the previous 24<span class="elsevierStyleHsp" style=""></span>hours&#46; He reported painful swallowing&#44; had a temperature of 38<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; and denied ingestion of drugs or toxic substances&#44; engagement in high-risk sexual practices&#44; local injury&#44; and application of topical products&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Physical Examination</span><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed an ulcer of 30<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>25<span class="elsevierStyleHsp" style=""></span>mm with necrosis in the center and slightly erythematous edges located on the right side of the scrotum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; There were no palpable lymph nodes in the groin area&#46; Examination of the throat revealed extensive pharyngeal and tonsillar erythema&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Additional Tests</span><p id="par0015" class="elsevierStylePara elsevierViewall">Blood tests showed increased total leukocytes and acute phase reactants&#46; Ultrasound examination of the soft tissue and Doppler ultrasound showed no evidence of epididymal or testicular abnormalities&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Serology for viruses &#40;human immunodeficiency virus&#44; hepatitis B virus&#44; parvovirus B19&#44; cytomegalovirus&#44; Epstein&#8211;Barr virus&#41; and syphilis were negative&#46; <span class="elsevierStyleItalic">Staphylococcus epidermidis</span> was isolated in a culture from the base of the ulcer&#44; although this was interpreted as a probable case of contamination&#46; The direct immunofluorescence study and culture for herpes simplex virus were negative&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Biopsy of the edge of the ulcer showed a dense neutrophilic inflammatory infiltrate in the dermis&#44; with a predominant perivascular distribution&#46; Foci of neutrophil aggregates were seen in the walls of the small and medium-sized vessels&#44; with no evidence of fibrinoid necrosis &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">What Is Your Diagnosis&#63;</span></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Diagnosis</span><p id="par0035" class="elsevierStylePara elsevierViewall">Juvenile gangrenous vasculitis of the scrotum&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Clinical Course</span><p id="par0040" class="elsevierStylePara elsevierViewall">Once other potentially serious causes of scrotal ulceration had been ruled out&#44; the lesion was treated daily with physiological saline solution and petrolatum-impregnated dressings to provide protection&#46; The pharyngeal and tonsillar erythema disappeared in 5 days and the ulcer healed gradually&#44; resulting in complete reepithelialization&#46; No new lesions were detected at follow-up&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p id="par0045" class="elsevierStylePara elsevierViewall">Juvenile gangrenous vasculitis of the scrotum is a variant of scrotal gangrene with unique clinical and histopathological characteristics first described by Pi&#241;ol et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The etiology is unknown and the condition presents almost exclusively in healthy young adults&#46; Pruritus and&#47;or burning in the scrotal area precedes the appearance of 1 or several areas of cutaneous necrosis&#46; The infection tends to be accompanied by an increase in body temperature with no clear source of infection&#46; Pharyngeal and tonsillar infection is common in the preceding days or weeks&#46; Blood tests reveal increased total leukocytes and acute phase reactants&#46; Blood cultures are sterile and no microorganisms are isolated from the lesions&#46; Tests for antinuclear antibodies are negative and evaluation of other parameters indicative of autoimmune response gives normal values&#46; Histopathology shows an area of extensive epidermal necrosis accompanied by a dense inflammatory infiltrate consisting of neutrophils&#46; These polymorphonuclear leukocytes can invade the vessel walls&#44; and imaging techniques reveal leukocytoclasia&#44; without fibrinoid necrosis&#44; in the walls of the small blood vessels of the dermis&#46; However&#44; focal presence of fibrinoid necrosis does not rule out a diagnosis of juvenile gangrenous vasculitis of the scrotum&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a> The condition resolves spontaneously in less than a month&#44; although good hygiene and suitable dressings around the lesion can accelerate reepithelialization&#46; Nonrecurrence is listed as a main diagnostic criterion for this condition&#46; Differential diagnosis should include other causes of acute scrotal ulceration such as Fournier gangrene&#44; Beh&#231;et disease&#44; polyarthritis nodosa&#44; herpes virus infections&#44; primary syphilis&#44; trauma-induced scrotal ulcers&#44; dermatitis artefacta&#44; pyoderma gangrenosum&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and cocaine consumption&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> among others&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In summary&#44; we present the case of a rare and generally little-known entity that is significant for its benign course and clinical similarity to other causes of scrotal ulceration that have different therapeutic and prognostic implications&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:7 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Medical History"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Physical Examination"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Additional Tests"
        ]
        3 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Diagnosis"
        ]
        4 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Clinical Course"
        ]
        5 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Discussion"
        ]
        6 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Please cite this article as&#58; Pulido-P&#233;rez A&#44; et al&#46; &#218;lcera escrotal aguda&#46; Actas Dermosifiliogr&#46; 2012&#59;103&#58;239&#8211;40&#46;</p>"
      ]
    ]
    "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" => 713
            "Ancho" => 950
            "Tamanyo" => 185507
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcer on the right side of the scrotum&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 713
            "Ancho" => 946
            "Tamanyo" => 202855
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin&#8211;eosin&#44; original magnification &#215;100&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A propos de cinq observationes d&#8217;une forme particuliere de vascularite gangreneuse du scrotum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Pi&#241;ol"
                            1 => "A&#46; Castells"
                            2 => "M&#46; Lecha"
                            3 => "J&#46; Ferrando"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "XIV Congres de L&#8217;assoc&#46; Des Derm&#46; Et Syphil&#46; De Langue Francaise"
                        "paginaInicial" => "112"
                        "paginaFinal" => "120"
                        "serieFecha" => "1974"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del escroto&#46; Aportaci&#243;n de un nuevo caso y revisi&#243;n de la literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Garc&#237;a"
                            1 => "F&#46; Garc&#237;a"
                            2 => "J&#46; Navas"
                            3 => "A&#46; Chaves"
                            4 => "A&#46; Sempere"
                            5 => "J&#46;L&#46; Rico"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Urol Esp"
                        "fecha" => "2001"
                        "volumen" => "25"
                        "paginaInicial" => "230"
                        "paginaFinal" => "232"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11402538"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del escroto"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Julve"
                            1 => "A&#46;J&#46; Marquez"
                            2 => "B&#46; Cabra"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Esp Urol"
                        "fecha" => "2003"
                        "volumen" => "56"
                        "paginaInicial" => "303"
                        "paginaFinal" => "304"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12768993"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del adulto"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Arce"
                            1 => "H&#46; Acaso"
                            2 => "O&#46; Angerri"
                            3 => "J&#46; Caffaratti"
                            4 => "J&#46;M&#46; Garat"
                            5 => "H&#46; Villavicencio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Actas Urol Esp"
                        "fecha" => "2008"
                        "volumen" => "32"
                        "paginaInicial" => "574"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18605016"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Juvenile gangrenous vasculitis of the scrotum&#58; is it a variant of pyoderma gangrenosum&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Caputo"
                            1 => "A&#46;V&#46; Marzano"
                            2 => "A&#46; Di Benedetto"
                            3 => "S&#46; Ramoni"
                            4 => "S&#46; Cambiaghi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2005.11.1031"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2006"
                        "volumen" => "55"
                        "paginaInicial" => "S50"
                        "paginaFinal" => "S53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16843125"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cocaine-related vasculitis causing scrotal gangrene"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;C&#46; Chen"
                            1 => "M&#46;Y&#46; Jang"
                            2 => "C&#46;S&#46; Wang"
                            3 => "K&#46;B&#46; Tsai"
                            4 => "S&#46;H&#46; Chuang"
                            5 => "H&#46;C&#46; Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1345/aph.1L487"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Pharmacother"
                        "fecha" => "2009"
                        "volumen" => "43"
                        "paginaInicial" => "375"
                        "paginaFinal" => "378"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19193577"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012001072/v1_201304241257/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6171"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Cases for Diagnosis"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010300000003/v1_201304241257/S1578219012001072/v1_201304241257/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001072?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Case for Diagnosis
Sudden-Onset Scrotal Ulcer
Úlcera escrotal aguda
A. Pulido-Péreza,
Autor para correspondencia
ana.pulido@madrimasd.net

Corresponding author.
, V. Parra-Blancob, J.A. Avilés-Izquierdoa
a Servicio de Dermatología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
b Servicio de Anatomía Patológica, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Leído
33795
Veces
se ha leído el artículo
10500
Total PDF
23295
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S1578219012001072"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2012.04.011"
  "estado" => "S300"
  "fechaPublicacion" => "2012-04-01"
  "aid" => "499"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
  "copyrightAnyo" => "2011"
  "documento" => "simple-article"
  "crossmark" => 0
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2012;103:239-40"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 11879
    "formatos" => array:3 [
      "EPUB" => 44
      "HTML" => 7575
      "PDF" => 4260
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731011004649"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2011.07.016"
      "estado" => "S300"
      "fechaPublicacion" => "2012-04-01"
      "aid" => "499"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; y AEDV"
      "documento" => "simple-article"
      "crossmark" => 0
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2012;103:239-40"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 9342
        "formatos" => array:3 [
          "EPUB" => 3
          "HTML" => 5918
          "PDF" => 3421
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Casos para el diagn&#243;stico</span>"
        "titulo" => "&#218;lcera escrotal aguda"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "239"
            "paginaFinal" => "240"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Sudden-Onset Scrotal Ulcer"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 713
                "Ancho" => 950
                "Tamanyo" => 201706
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hematoxilina-eosina x100&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46; Pulido-P&#233;rez, V&#46; Parra-Blanco, J&#46;A&#46; Avil&#233;s-Izquierdo"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Pulido-P&#233;rez"
              ]
              1 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Parra-Blanco"
              ]
              2 => array:2 [
                "nombre" => "J&#46;A&#46;"
                "apellidos" => "Avil&#233;s-Izquierdo"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219012001072"
          "doi" => "10.1016/j.adengl.2012.04.011"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001072?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011004649?idApp=UINPBA000044"
      "url" => "/00017310/0000010300000003/v1_201304241400/S0001731011004649/v1_201304241400/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219012001084"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2012.04.012"
    "estado" => "S300"
    "fechaPublicacion" => "2012-04-01"
    "aid" => "515"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2012;103:241-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4215
      "formatos" => array:3 [
        "EPUB" => 52
        "HTML" => 3469
        "PDF" => 694
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Cases for Diagnosis</span>"
      "titulo" => "Multiple Asymptomatic Congenital Plaques on the Back"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "241"
          "paginaFinal" => "242"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "M&#250;ltiples placas asintom&#225;ticas cong&#233;nitas en la espalda"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 317
              "Ancho" => 476
              "Tamanyo" => 36138
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Rodr&#237;guez-V&#225;zquez, M&#46;L&#46; Mart&#237;nez-Mart&#237;nez, G&#46; Fern&#225;ndez-Arag&#243;n, M&#46; Garc&#237;a-Arpa"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Rodr&#237;guez-V&#225;zquez"
            ]
            1 => array:2 [
              "nombre" => "M&#46;L&#46;"
              "apellidos" => "Mart&#237;nez-Mart&#237;nez"
            ]
            2 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Fern&#225;ndez-Arag&#243;n"
            ]
            3 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Garc&#237;a-Arpa"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731011005084"
        "doi" => "10.1016/j.ad.2011.10.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011005084?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001084?idApp=UINPBA000044"
    "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012001084/v1_201304241257/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219012000959"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2012.04.002"
    "estado" => "S300"
    "fechaPublicacion" => "2012-04-01"
    "aid" => "442"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2012;103:233-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3047
      "formatos" => array:3 [
        "EPUB" => 47
        "HTML" => 2303
        "PDF" => 697
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Retrospective Study of Patients Diagnosed With Sweet Syndrome in the Health Area of a Tertiary Hospital in the Autonomous Community of Valencia"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "233"
          "paginaFinal" => "237"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Estudio retrospectivo de pacientes diagnosticados de S&#237;ndrome de Sweet en el &#225;rea de un hospital terciario de la Comunidad Valenciana"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "T&#46; D&#237;az-Corpas, A&#46; Mateu-Puchades, M&#46;M&#46; Morales-Su&#225;rez-Varela, A&#46; Castells-Rodellas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "D&#237;az-Corpas"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Mateu-Puchades"
            ]
            2 => array:2 [
              "nombre" => "M&#46;M&#46;"
              "apellidos" => "Morales-Su&#225;rez-Varela"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Castells-Rodellas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731011003176"
        "doi" => "10.1016/j.ad.2011.04.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731011003176?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012000959?idApp=UINPBA000044"
    "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012000959/v1_201304241257/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case for Diagnosis</span>"
    "titulo" => "Sudden-Onset Scrotal Ulcer"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "239"
        "paginaFinal" => "240"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Pulido-P&#233;rez, V&#46; Parra-Blanco, J&#46;A&#46; Avil&#233;s-Izquierdo"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Pulido-P&#233;rez"
            "email" => array:1 [
              0 => "ana&#46;pulido&#64;madrimasd&#46;net"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Parra-Blanco"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Avil&#233;s-Izquierdo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital General Universitario Gregorio Mara&#241;&#243;n&#44; Madrid&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "&#218;lcera escrotal aguda"
      ]
    ]
    "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" => 713
            "Ancho" => 950
            "Tamanyo" => 185507
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcer on the right side of the scrotum&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Medical History</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 27-year-old man with no relevant medical history presented with a scrotal lesion&#44; preceded by localized pruritus&#44; that had appeared in the previous 24<span class="elsevierStyleHsp" style=""></span>hours&#46; He reported painful swallowing&#44; had a temperature of 38<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; and denied ingestion of drugs or toxic substances&#44; engagement in high-risk sexual practices&#44; local injury&#44; and application of topical products&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Physical Examination</span><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed an ulcer of 30<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>25<span class="elsevierStyleHsp" style=""></span>mm with necrosis in the center and slightly erythematous edges located on the right side of the scrotum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; There were no palpable lymph nodes in the groin area&#46; Examination of the throat revealed extensive pharyngeal and tonsillar erythema&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Additional Tests</span><p id="par0015" class="elsevierStylePara elsevierViewall">Blood tests showed increased total leukocytes and acute phase reactants&#46; Ultrasound examination of the soft tissue and Doppler ultrasound showed no evidence of epididymal or testicular abnormalities&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Serology for viruses &#40;human immunodeficiency virus&#44; hepatitis B virus&#44; parvovirus B19&#44; cytomegalovirus&#44; Epstein&#8211;Barr virus&#41; and syphilis were negative&#46; <span class="elsevierStyleItalic">Staphylococcus epidermidis</span> was isolated in a culture from the base of the ulcer&#44; although this was interpreted as a probable case of contamination&#46; The direct immunofluorescence study and culture for herpes simplex virus were negative&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Biopsy of the edge of the ulcer showed a dense neutrophilic inflammatory infiltrate in the dermis&#44; with a predominant perivascular distribution&#46; Foci of neutrophil aggregates were seen in the walls of the small and medium-sized vessels&#44; with no evidence of fibrinoid necrosis &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">What Is Your Diagnosis&#63;</span></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Diagnosis</span><p id="par0035" class="elsevierStylePara elsevierViewall">Juvenile gangrenous vasculitis of the scrotum&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Clinical Course</span><p id="par0040" class="elsevierStylePara elsevierViewall">Once other potentially serious causes of scrotal ulceration had been ruled out&#44; the lesion was treated daily with physiological saline solution and petrolatum-impregnated dressings to provide protection&#46; The pharyngeal and tonsillar erythema disappeared in 5 days and the ulcer healed gradually&#44; resulting in complete reepithelialization&#46; No new lesions were detected at follow-up&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Discussion</span><p id="par0045" class="elsevierStylePara elsevierViewall">Juvenile gangrenous vasculitis of the scrotum is a variant of scrotal gangrene with unique clinical and histopathological characteristics first described by Pi&#241;ol et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The etiology is unknown and the condition presents almost exclusively in healthy young adults&#46; Pruritus and&#47;or burning in the scrotal area precedes the appearance of 1 or several areas of cutaneous necrosis&#46; The infection tends to be accompanied by an increase in body temperature with no clear source of infection&#46; Pharyngeal and tonsillar infection is common in the preceding days or weeks&#46; Blood tests reveal increased total leukocytes and acute phase reactants&#46; Blood cultures are sterile and no microorganisms are isolated from the lesions&#46; Tests for antinuclear antibodies are negative and evaluation of other parameters indicative of autoimmune response gives normal values&#46; Histopathology shows an area of extensive epidermal necrosis accompanied by a dense inflammatory infiltrate consisting of neutrophils&#46; These polymorphonuclear leukocytes can invade the vessel walls&#44; and imaging techniques reveal leukocytoclasia&#44; without fibrinoid necrosis&#44; in the walls of the small blood vessels of the dermis&#46; However&#44; focal presence of fibrinoid necrosis does not rule out a diagnosis of juvenile gangrenous vasculitis of the scrotum&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;4</span></a> The condition resolves spontaneously in less than a month&#44; although good hygiene and suitable dressings around the lesion can accelerate reepithelialization&#46; Nonrecurrence is listed as a main diagnostic criterion for this condition&#46; Differential diagnosis should include other causes of acute scrotal ulceration such as Fournier gangrene&#44; Beh&#231;et disease&#44; polyarthritis nodosa&#44; herpes virus infections&#44; primary syphilis&#44; trauma-induced scrotal ulcers&#44; dermatitis artefacta&#44; pyoderma gangrenosum&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> and cocaine consumption&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> among others&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In summary&#44; we present the case of a rare and generally little-known entity that is significant for its benign course and clinical similarity to other causes of scrotal ulceration that have different therapeutic and prognostic implications&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:7 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Medical History"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Physical Examination"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Additional Tests"
        ]
        3 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Diagnosis"
        ]
        4 => array:2 [
          "identificador" => "sec0025"
          "titulo" => "Clinical Course"
        ]
        5 => array:2 [
          "identificador" => "sec0030"
          "titulo" => "Discussion"
        ]
        6 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Please cite this article as&#58; Pulido-P&#233;rez A&#44; et al&#46; &#218;lcera escrotal aguda&#46; Actas Dermosifiliogr&#46; 2012&#59;103&#58;239&#8211;40&#46;</p>"
      ]
    ]
    "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" => 713
            "Ancho" => 950
            "Tamanyo" => 185507
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ulcer on the right side of the scrotum&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 713
            "Ancho" => 946
            "Tamanyo" => 202855
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin&#8211;eosin&#44; original magnification &#215;100&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A propos de cinq observationes d&#8217;une forme particuliere de vascularite gangreneuse du scrotum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Pi&#241;ol"
                            1 => "A&#46; Castells"
                            2 => "M&#46; Lecha"
                            3 => "J&#46; Ferrando"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "XIV Congres de L&#8217;assoc&#46; Des Derm&#46; Et Syphil&#46; De Langue Francaise"
                        "paginaInicial" => "112"
                        "paginaFinal" => "120"
                        "serieFecha" => "1974"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del escroto&#46; Aportaci&#243;n de un nuevo caso y revisi&#243;n de la literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Garc&#237;a"
                            1 => "F&#46; Garc&#237;a"
                            2 => "J&#46; Navas"
                            3 => "A&#46; Chaves"
                            4 => "A&#46; Sempere"
                            5 => "J&#46;L&#46; Rico"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Urol Esp"
                        "fecha" => "2001"
                        "volumen" => "25"
                        "paginaInicial" => "230"
                        "paginaFinal" => "232"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11402538"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del escroto"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; Julve"
                            1 => "A&#46;J&#46; Marquez"
                            2 => "B&#46; Cabra"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Esp Urol"
                        "fecha" => "2003"
                        "volumen" => "56"
                        "paginaInicial" => "303"
                        "paginaFinal" => "304"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12768993"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vasculitis gangrenosa juvenil del adulto"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Arce"
                            1 => "H&#46; Acaso"
                            2 => "O&#46; Angerri"
                            3 => "J&#46; Caffaratti"
                            4 => "J&#46;M&#46; Garat"
                            5 => "H&#46; Villavicencio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Actas Urol Esp"
                        "fecha" => "2008"
                        "volumen" => "32"
                        "paginaInicial" => "574"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18605016"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Juvenile gangrenous vasculitis of the scrotum&#58; is it a variant of pyoderma gangrenosum&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Caputo"
                            1 => "A&#46;V&#46; Marzano"
                            2 => "A&#46; Di Benedetto"
                            3 => "S&#46; Ramoni"
                            4 => "S&#46; Cambiaghi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2005.11.1031"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2006"
                        "volumen" => "55"
                        "paginaInicial" => "S50"
                        "paginaFinal" => "S53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16843125"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cocaine-related vasculitis causing scrotal gangrene"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;C&#46; Chen"
                            1 => "M&#46;Y&#46; Jang"
                            2 => "C&#46;S&#46; Wang"
                            3 => "K&#46;B&#46; Tsai"
                            4 => "S&#46;H&#46; Chuang"
                            5 => "H&#46;C&#46; Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1345/aph.1L487"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Pharmacother"
                        "fecha" => "2009"
                        "volumen" => "43"
                        "paginaInicial" => "375"
                        "paginaFinal" => "378"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19193577"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010300000003/v1_201304241257/S1578219012001072/v1_201304241257/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6171"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Cases for Diagnosis"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010300000003/v1_201304241257/S1578219012001072/v1_201304241257/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219012001072?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 142 11 153
2024 Octubre 962 68 1030
2024 Septiembre 965 67 1032
2024 Agosto 1135 85 1220
2024 Julio 893 62 955
2024 Junio 706 93 799
2024 Mayo 756 58 814
2024 Abril 576 72 648
2024 Marzo 582 63 645
2024 Febrero 599 64 663
2024 Enero 651 74 725
2023 Diciembre 734 65 799
2023 Noviembre 528 58 586
2023 Octubre 356 77 433
2023 Septiembre 315 64 379
2023 Agosto 281 42 323
2023 Julio 311 85 396
2023 Junio 277 60 337
2023 Mayo 249 57 306
2023 Abril 244 42 286
2023 Marzo 151 50 201
2023 Febrero 144 61 205
2023 Enero 198 65 263
2022 Diciembre 234 67 301
2022 Noviembre 102 90 192
2022 Octubre 50 70 120
2022 Septiembre 39 102 141
2022 Agosto 25 102 127
2022 Julio 22 108 130
2022 Junio 36 126 162
2022 Mayo 224 84 308
2022 Abril 254 53 307
2022 Marzo 242 82 324
2022 Febrero 236 77 313
2022 Enero 236 119 355
2021 Diciembre 193 103 296
2021 Noviembre 231 98 329
2021 Octubre 185 166 351
2021 Septiembre 127 166 293
2021 Agosto 232 172 404
2021 Julio 195 176 371
2021 Junio 188 180 368
2021 Mayo 92 200 292
2021 Abril 89 366 455
2021 Marzo 103 206 309
2021 Febrero 90 169 259
2021 Enero 52 145 197
2020 Diciembre 54 181 235
2020 Noviembre 42 169 211
2020 Octubre 69 154 223
2020 Septiembre 41 132 173
2020 Agosto 47 186 233
2020 Julio 44 147 191
2020 Junio 53 190 243
2020 Mayo 44 224 268
2020 Abril 56 158 214
2020 Marzo 36 21 57
2020 Febrero 3 21 24
2020 Enero 4 35 39
2019 Diciembre 8 33 41
2019 Noviembre 4 245 249
2019 Octubre 0 262 262
2019 Septiembre 8 256 264
2019 Agosto 4 231 235
2019 Julio 2 153 155
2019 Junio 13 142 155
2019 Mayo 1 230 231
2019 Abril 0 188 188
2019 Marzo 2 91 93
2019 Febrero 0 50 50
2019 Enero 2 60 62
2018 Diciembre 2 34 36
2018 Noviembre 1 0 1
2018 Octubre 3 0 3
2018 Septiembre 20 71 91
2018 Agosto 0 145 145
2018 Julio 0 125 125
2018 Junio 0 99 99
2018 Mayo 0 89 89
2018 Abril 0 56 56
2018 Marzo 13 68 81
2018 Febrero 203 73 276
2018 Enero 189 43 232
2017 Diciembre 208 57 265
2017 Noviembre 156 41 197
2017 Octubre 201 49 250
2017 Septiembre 192 49 241
2017 Agosto 199 50 249
2017 Julio 150 45 195
2017 Junio 126 60 186
2017 Mayo 109 44 153
2017 Abril 102 20 122
2017 Marzo 97 28 125
2017 Febrero 103 47 150
2017 Enero 112 32 144
2016 Diciembre 175 20 195
2016 Noviembre 167 16 183
2016 Octubre 200 45 245
2016 Septiembre 313 35 348
2016 Agosto 227 41 268
2016 Julio 130 43 173
2016 Junio 18 15 33
2016 Mayo 10 20 30
2016 Abril 7 27 34
2016 Marzo 11 25 36
2016 Febrero 11 1 12
2016 Enero 9 23 32
2015 Diciembre 10 1 11
2015 Noviembre 10 26 36
2015 Octubre 17 19 36
2015 Septiembre 14 13 27
2015 Agosto 16 7 23
2015 Julio 132 16 148
2015 Junio 107 10 117
2015 Mayo 165 11 176
2015 Abril 142 14 156
2015 Marzo 133 13 146
2015 Febrero 87 20 107
2015 Enero 133 10 143
2014 Diciembre 103 13 116
2014 Noviembre 117 10 127
2014 Octubre 147 13 160
2014 Septiembre 155 11 166
2014 Agosto 230 23 253
2014 Julio 255 21 276
2014 Junio 245 15 260
2014 Mayo 265 18 283
2014 Abril 210 11 221
2014 Marzo 157 13 170
2014 Febrero 117 36 153
2014 Enero 143 22 165
2013 Diciembre 172 27 199
2013 Noviembre 112 31 143
2013 Octubre 109 25 134
2013 Septiembre 102 13 115
2013 Agosto 70 34 104
2013 Julio 30 33 63
2013 Junio 16 34 50
2013 Mayo 19 15 34
2013 Abril 21 20 41
2013 Marzo 23 17 40
2013 Febrero 52 8 60
2013 Enero 180 7 187
2012 Diciembre 45 4 49
2012 Noviembre 1 1 2
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?