Images in Dermatology
Disseminated Superficial Actinic Porokeratosis
Poroqueratosis actínica superficial diseminada
N. Quiroz-Valencia
, M.J. Vargas Bermudez
Autor para correspondencia
Dermatología y Cirugía Dermatológica, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia
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Quiroz-Valencia, M.J. Vargas Bermudez" "autores" => array:2 [ 0 => array:4 [ "nombre" => "N." "apellidos" => "Quiroz-Valencia" "email" => array:2 [ 0 => "nathaliequiroz@hotmail.com" 1 => "nathaliequiroz@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "M.J." "apellidos" => "Vargas Bermudez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Dermatología y Cirugía Dermatológica, Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Poroqueratosis actínica superficial diseminada" ] ] "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" => 1247 "Ancho" => 815 "Tamanyo" => 266496 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Porokeratosis is a hereditary disorder of keratinization. It manifests clinically by the presence of annular plaques with hyperkeratotic borders, mostly in acral regions. The characteristic histologic finding is a compact parakeratotic column called the cornoid lamella.</p><p id="par0010" class="elsevierStylePara elsevierViewall">This image is from a 64-year-old man with no past history of interest. He presented multiple desquamating annular erythematous lesions with well-defined hyperkeratotic borders that had arisen 3 years earlier on his lower limbs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The clinical diagnosis of disseminated superficial actinic porokeratosis was confirmed histologically by the presence of cornoid lamellae. The lesions in this patient are particularly striking, given their prominent, very well-defined borders and the large number of lesions showing the same morphology (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient had used numerous topical treatments with no improvement, and it was therefore decided to start low-dose oral ciclosporin, which achieved a good response and improvement of the lesions.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Quiroz-Valencia N, Vargas Bermudez M. Poroqueratosis actínica superficial diseminada. Actas Dermosifiliogr. 2016;107:858.</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" => 1000 "Ancho" => 1333 "Tamanyo" => 222112 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1247 "Ancho" => 815 "Tamanyo" => 266496 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010700000010/v1_201611260103/S157821901630227X/v1_201611260103/en/main.assets" "Apartado" => array:4 [ "identificador" => "41141" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010700000010/v1_201611260103/S157821901630227X/v1_201611260103/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901630227X?idApp=UINPBA000044" ]
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