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Utilidad de la ecografía cutánea" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1432 "Ancho" => 1800 "Tamanyo" => 236336 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A, Clinical examination of the left thigh shows a scar-like macule with poorly defined borders. B, B mode Doppler ultrasound shows a solid, hypoechoic, spherical lesion with a regular border at the dermal-hypodermal interface. A hypoechoic prolongation in the form of a stalk is seen in the upper part of the lesion. 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Padilla-España, C. Hernández-Ibáñez, R. Fúnez-Liébana" "autores" => array:3 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Padilla-España" "email" => array:2 [ 0 => "eplaura85@hotmail.com" 1 => "laupadesp@gmail.com" ] "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" => "C." "apellidos" => "Hernández-Ibáñez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Fúnez-Liébana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Costa del Sol, Marbella, Málaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Costa del Sol, Marbella, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mácula equimótica sobre lesión pigmentada tras traumatismo" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 505 "Ancho" => 981 "Tamanyo" => 109629 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Medical History</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 12-year-old boy with a family history of melanoma consulted for changes in a pigmented lesion on the back first observed 2 months earlier. The patient's family reported that the lesion had existed for years and that it had increased in size and acquired a purple hue following a trauma. The only symptom reported by the patient was discomfort caused by rubbing.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Physical Examination</span><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed a pigmented macule in the left scapular region; its purplish red coloration gave the lesion a bruise-like appearance and ecchymotic spots were visible in the central area (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) The most characteristic dermoscopic findings were areas characterized by a lightish brown fine reticular pattern around the periphery and a pseudo-lacunar background pattern dotted with thrombosed vessels in the central area (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Histopathology</span><p id="par0015" class="elsevierStylePara elsevierViewall">Histologic examination of a sample obtained by punch biopsy revealed irregular dilated vessels in the superficial dermis and protuberant endothelial cells in the vascular lining with characteristic hobnail morphology. Slight epidermal hyperplasia and hyperpigmentation of the basal layer were also observed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Immunohistochemistry completed the histologic study, and the endothelial cells lining the vessels in the lesion tested positive for D2-40, an antibody that identifies podoplanin and is specific to the lymphatic endothelium (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B).</p><p id="par0025" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">What Is Your Diagnosis?</span></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Diagnosis</span><p id="par0030" class="elsevierStylePara elsevierViewall">Targetoid hemosiderotic hemangioma (hobnail hemangioma).</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Clinical Course and Treatment</span><p id="par0035" class="elsevierStylePara elsevierViewall">When informed of the histologic findings and the benign nature of the lesion, the family decided to adopt an attitude of watchful waiting.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Comment</span><p id="par0040" class="elsevierStylePara elsevierViewall">Targetoid hemosiderotic hemangioma (THH) is a vascular lesion usually found on the trunk or extremities in young adults. The typical clinical presentation is a single violaceous papule surrounded by a brownish erythematous halo, which may increase or decrease in size or even disappear periodically leaving only the central papule.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> When complemented by a careful and comprehensive medical history, dermoscopy is a useful noninvasive tool in the diagnosis of these lesions. It has been suggested that THH may appear as a result of trauma to a preexisting hemangioma.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> In the case described here the patient reported prior trauma and dermoscopic examination revealed a non-palpable lesion with a reticular pigmented pattern on an erythematous macule characterized by a pseudo-lacunar appearance and the presence of ecchymotic dots suggestive of thrombosed vessels in the central area.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Only 7 cases of THH with dermoscopic findings have been reported.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–5</span></a> Most of the patients were young adults and the lesions were described as being targetoid with a palpable central lacunar pattern surrounded by an erythematous-violaceous halo. A fine pigmented reticular pattern around the periphery has only been described in 2 cases.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,3</span></a> This histologic feature has been correlated with hemosiderin deposition in the mid dermis<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and also with lentiginous epidermal hyperplasia and elongation of the rete ridges.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The second of these hypotheses would appear to be the most accurate since the presence of hemosiderin deposits in the dermis would give rise to blue-gray areas and/or dots on dermoscopy.</p><p id="par0050" class="elsevierStylePara elsevierViewall">No consensus has yet been reached on the etiology of the condition; Franke et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> proposed a lymphatic origin based on positive staining for D2-40 antibodies, as was the case in our patient.</p><p id="par0055" class="elsevierStylePara elsevierViewall">The differential diagnosis should be posed primarily with other vascular lesions, such as the plaque forms of Kaposi sarcoma (especially lymphangioma-type) or acquired progressive lymphangioma, melanocytic lesions, such as melanocytic nevi, and other benign tumors, including dermatofibroma and inflammatory lesions such as insect bites.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">As it is a benign lesion that has no clinical repercussions THH does not require treatment. Dermoscopy and clinical history are usually the most useful tools for making a correct diagnosis, but in doubtful cases or when there are aesthetic reasons for removing the lesion, excision is the definitive treatment. No recurrence has ever been reported.</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" => "Histopathology" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Diagnosis" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Clinical Course and Treatment" ] 5 => array:2 [ "identificador" => "sec0030" "titulo" => "Comment" ] 6 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Padilla-España L, Hernández-Ibáñez C, Fúnez-Liébana R. Mácula equimótica sobre lesión pigmentada tras traumatismo. Actas Dermosifiliogr. 2014;105:707–708.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 505 "Ancho" => 981 "Tamanyo" => 109629 ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 381 "Ancho" => 982 "Tamanyo" => 147528 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Hematoxylin-eosin, original magnification ×<span class="elsevierStyleHsp" style=""></span>100. B, Podoplanin, original magnification ×<span class="elsevierStyleHsp" style=""></span>200.</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" => "Targetoid hemosiderotic hemangioma: Clinical and dermoscopic findings" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.M. Morales-Callaghan" 1 => "G. Marínez-García" 2 => "H. Aragoneses-Fraile" 3 => "A. Miranda-Romero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Eur Acad Dermatol" "fecha" => "2007" "volumen" => "21" "paginaInicial" => "267" "paginaFinal" => "269" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Targetoid haemosiderotic haemangioma: Dermoscopic monitoring of three cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.T. Sahin" 1 => "M.A. Demir" 2 => "K. Gunduz" 3 => "S. Özturkan" 4 => "A. 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año/Mes | Html | Total | |
---|---|---|---|
2024 Noviembre | 4 | 2 | 6 |
2024 Octubre | 90 | 37 | 127 |
2024 Septiembre | 106 | 22 | 128 |
2024 Agosto | 120 | 52 | 172 |
2024 Julio | 98 | 34 | 132 |
2024 Junio | 105 | 32 | 137 |
2024 Mayo | 66 | 32 | 98 |
2024 Abril | 60 | 17 | 77 |
2024 Marzo | 77 | 36 | 113 |
2024 Febrero | 63 | 33 | 96 |
2024 Enero | 59 | 34 | 93 |
2023 Diciembre | 63 | 11 | 74 |
2023 Noviembre | 81 | 24 | 105 |
2023 Octubre | 73 | 22 | 95 |
2023 Septiembre | 103 | 23 | 126 |
2023 Agosto | 54 | 16 | 70 |
2023 Julio | 61 | 28 | 89 |
2023 Junio | 72 | 23 | 95 |
2023 Mayo | 68 | 24 | 92 |
2023 Abril | 52 | 30 | 82 |
2023 Marzo | 64 | 20 | 84 |
2023 Febrero | 42 | 18 | 60 |
2023 Enero | 47 | 31 | 78 |
2022 Diciembre | 72 | 45 | 117 |
2022 Noviembre | 34 | 18 | 52 |
2022 Octubre | 23 | 23 | 46 |
2022 Septiembre | 29 | 38 | 67 |
2022 Agosto | 29 | 46 | 75 |
2022 Julio | 28 | 28 | 56 |
2022 Junio | 24 | 26 | 50 |
2022 Mayo | 47 | 36 | 83 |
2022 Abril | 56 | 32 | 88 |
2022 Marzo | 38 | 31 | 69 |
2022 Febrero | 47 | 25 | 72 |
2022 Enero | 54 | 39 | 93 |
2021 Diciembre | 32 | 26 | 58 |
2021 Noviembre | 51 | 43 | 94 |
2021 Octubre | 45 | 47 | 92 |
2021 Septiembre | 53 | 47 | 100 |
2021 Agosto | 42 | 29 | 71 |
2021 Julio | 46 | 36 | 82 |
2021 Junio | 44 | 22 | 66 |
2021 Mayo | 47 | 18 | 65 |
2021 Abril | 112 | 25 | 137 |
2021 Marzo | 97 | 12 | 109 |
2021 Febrero | 62 | 36 | 98 |
2021 Enero | 40 | 10 | 50 |
2020 Diciembre | 30 | 7 | 37 |
2020 Noviembre | 19 | 11 | 30 |
2020 Octubre | 22 | 9 | 31 |
2020 Septiembre | 30 | 7 | 37 |
2020 Agosto | 22 | 11 | 33 |
2020 Julio | 24 | 9 | 33 |
2020 Junio | 37 | 22 | 59 |
2020 Mayo | 31 | 16 | 47 |
2020 Abril | 41 | 11 | 52 |
2020 Marzo | 31 | 16 | 47 |
2020 Febrero | 3 | 0 | 3 |
2019 Diciembre | 4 | 2 | 6 |
2019 Septiembre | 4 | 0 | 4 |
2019 Julio | 0 | 3 | 3 |
2019 Mayo | 2 | 12 | 14 |
2019 Abril | 0 | 2 | 2 |
2019 Marzo | 3 | 6 | 9 |
2019 Febrero | 1 | 0 | 1 |
2019 Enero | 1 | 0 | 1 |
2018 Diciembre | 5 | 0 | 5 |
2018 Noviembre | 7 | 0 | 7 |
2018 Octubre | 16 | 0 | 16 |
2018 Septiembre | 4 | 0 | 4 |
2018 Marzo | 0 | 1 | 1 |
2018 Febrero | 55 | 2 | 57 |
2018 Enero | 43 | 8 | 51 |
2017 Diciembre | 56 | 6 | 62 |
2017 Noviembre | 38 | 7 | 45 |
2017 Octubre | 33 | 6 | 39 |
2017 Septiembre | 28 | 7 | 35 |
2017 Agosto | 42 | 7 | 49 |
2017 Julio | 39 | 6 | 45 |
2017 Junio | 31 | 17 | 48 |
2017 Mayo | 26 | 11 | 37 |
2017 Abril | 32 | 7 | 39 |
2017 Marzo | 19 | 49 | 68 |
2017 Febrero | 20 | 8 | 28 |
2017 Enero | 16 | 14 | 30 |
2016 Diciembre | 36 | 11 | 47 |
2016 Noviembre | 33 | 14 | 47 |
2016 Octubre | 45 | 11 | 56 |
2016 Septiembre | 50 | 12 | 62 |
2016 Agosto | 2 | 17 | 19 |
2016 Julio | 3 | 0 | 3 |
2016 Junio | 6 | 1 | 7 |
2016 Mayo | 8 | 6 | 14 |
2016 Abril | 7 | 4 | 11 |
2016 Marzo | 7 | 7 | 14 |
2016 Febrero | 9 | 12 | 21 |
2016 Enero | 15 | 1 | 16 |
2015 Diciembre | 16 | 9 | 25 |
2015 Noviembre | 16 | 9 | 25 |
2015 Octubre | 10 | 6 | 16 |
2015 Septiembre | 14 | 1 | 15 |
2015 Agosto | 13 | 5 | 18 |
2015 Julio | 27 | 7 | 34 |
2015 Junio | 33 | 6 | 39 |
2015 Mayo | 39 | 7 | 46 |
2015 Abril | 20 | 3 | 23 |
2015 Marzo | 34 | 7 | 41 |
2015 Febrero | 20 | 5 | 25 |
2015 Enero | 23 | 4 | 27 |
2014 Diciembre | 23 | 5 | 28 |
2014 Noviembre | 21 | 8 | 29 |
2014 Octubre | 23 | 6 | 29 |
2014 Septiembre | 18 | 4 | 22 |