Images in Dermatology
Bullous Pemphigoid on the Areola of Breast
Penfigoide ampolloso localizado en la aréola mamaria
P. López Jiménez, Á. Vargas Nevado
, E. Herrera Ceballos
Autor para correspondencia
Servicio de Dermatología, Hospital Universitario Virgen de la Victoria, Málaga, Spain
Leído
6526
Vecesse ha leído el artículo
1844
Total PDF
4682
Total HTML
Compartir estadísticas
array:24 [ "pii" => "S1578219017300276" "issn" => "15782190" "doi" => "10.1016/j.adengl.2017.02.012" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1424" "copyright" => "Elsevier España, S.L.U. and AEDV" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2017;108:260" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 998 "formatos" => array:3 [ "EPUB" => 60 "HTML" => 815 "PDF" => 123 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731016301284" "issn" => "00017310" "doi" => "10.1016/j.ad.2015.12.014" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1424" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2017;108:260" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 219 "formatos" => array:3 [ "EPUB" => 2 "HTML" => 170 "PDF" => 47 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Dermatología</span>" "titulo" => "Penfigoide ampolloso localizado en la aréola mamaria" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "260" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bullous Pemphigoid on the Areola of Breast" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 992 "Ancho" => 2666 "Tamanyo" => 230945 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. López Jiménez, Á. Vargas Nevado, E. Herrera Ceballos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "López Jiménez" ] 1 => array:2 [ "nombre" => "Á." "apellidos" => "Vargas Nevado" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Herrera Ceballos" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219017300276" "doi" => "10.1016/j.adengl.2017.02.012" "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/S1578219017300276?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016301284?idApp=UINPBA000044" "url" => "/00017310/0000010800000003/v1_201703250120/S0001731016301284/v1_201703250120/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219017300318" "issn" => "15782190" "doi" => "10.1016/j.adengl.2016.09.016" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1533" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2017;108:261-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1658 "formatos" => array:3 [ "EPUB" => 45 "HTML" => 1428 "PDF" => 185 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>" "titulo" => "Paraffin Wax Baths for the Treatment of Chronic Hand Eczema" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "261" "paginaFinal" => "264" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Baños de parafina para el tratamiento del eccema crónico de las manos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1316 "Ancho" => 1500 "Tamanyo" => 216301 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Introduction of the hands into the device with the liquid paraffin. B, The hand is removed from the tank and the procedure repeated until the paraffin coats the hand like a glove. C, The hands are inserted into plastic bags for 15 to 20<span class="elsevierStyleHsp" style=""></span>minutes. D, Remove the paraffin wax.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.F. Mir-Bonafé, E. Serra-Baldrich, E. Rozas-Muñoz, L. Puig" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.F." "apellidos" => "Mir-Bonafé" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Serra-Baldrich" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Rozas-Muñoz" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Puig" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S000173101630343X" "doi" => "10.1016/j.ad.2016.09.019" "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/S000173101630343X?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300318?idApp=UINPBA000044" "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300318/v1_201703250116/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219017300288" "issn" => "15782190" "doi" => "10.1016/j.adengl.2017.02.013" "estado" => "S300" "fechaPublicacion" => "2017-04-01" "aid" => "1422" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2017;108:259" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1103 "formatos" => array:3 [ "EPUB" => 55 "HTML" => 929 "PDF" => 119 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Ulcerated Indurated Necrotic Plaque on the Chest Wall" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "259" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Placa indurada con ulceración y necrosis en tórax" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 500 "Ancho" => 1253 "Tamanyo" => 114116 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.A. Flores-Terry, G. Romero-Aguilera, M. García-Arpa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.A." "apellidos" => "Flores-Terry" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Romero-Aguilera" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "García-Arpa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731016301260" "doi" => "10.1016/j.ad.2016.02.016" "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/S0001731016301260?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300288?idApp=UINPBA000044" "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300288/v1_201703250116/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Bullous Pemphigoid on the Areola of Breast" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "260" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. López Jiménez, Á. Vargas Nevado, E. Herrera Ceballos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P. López" "apellidos" => "Jiménez" ] 1 => array:4 [ "nombre" => "Á. Vargas" "apellidos" => "Nevado" "email" => array:1 [ 0 => "avargasn88@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "E. Herrera" "apellidos" => "Ceballos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Virgen de la Victoria, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Penfigoide ampolloso localizado en la aréola mamaria" ] ] "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" => 992 "Ancho" => 2666 "Tamanyo" => 226698 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A woman aged 84 years with a past history of hypertension consulted for the appearance of vesiculobullous lesions on her left areola (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The lesions, which had appeared about 20 days earlier, were pruritic but were not associated with systemic symptoms. Initial treatment with topical antibiotics did not produce a response. Physical examination revealed tense vesicles and blisters with a serous or blood-stained content, and residues of blisters that had ruptured and erosions covered by serosanguinous scabs.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Skin biopsy showed a subepidermal blister with edema of the papillary dermis and an inflammatory infiltrate with abundant eosinophils. Direct immunofluorescence revealed linear deposits of immunoglobulin G and complement along the basement membrane (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Based on these findings, we made a diagnosis of localized bullous pemphigoid. Treatment was started with topical high-strength corticosteroids; improvement was observed after 2 weeks of treatment and no new lesions appeared over 2 years of follow-up. Mammography and screening for tumor markers were performed to exclude underlying neoplastic disease.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Localized bullous pemphigoid is a rare variant. With regard to its presentation only on the breast, triggers that have been suggested include trauma, UV exposure, and radiotherapy related to breast cancer.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Jiménez PL, Nevado ÁV, Ceballos EH. Penfigoide ampolloso localizado en la aréola mamaria. Actas Dermosifiliogr. 2017;108:260.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 992 "Ancho" => 2666 "Tamanyo" => 226698 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300276/v1_201703250116/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/15782190/0000010800000003/v1_201703250116/S1578219017300276/v1_201703250116/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300276?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 14 | 4 | 18 |
| 2024 Octubre | 108 | 33 | 141 |
| 2024 Septiembre | 109 | 16 | 125 |
| 2024 Agosto | 156 | 49 | 205 |
| 2024 Julio | 133 | 33 | 166 |
| 2024 Junio | 130 | 31 | 161 |
| 2024 Mayo | 112 | 31 | 143 |
| 2024 Abril | 114 | 33 | 147 |
| 2024 Marzo | 105 | 31 | 136 |
| 2024 Febrero | 81 | 42 | 123 |
| 2024 Enero | 73 | 30 | 103 |
| 2023 Diciembre | 78 | 20 | 98 |
| 2023 Noviembre | 84 | 20 | 104 |
| 2023 Octubre | 63 | 24 | 87 |
| 2023 Septiembre | 55 | 30 | 85 |
| 2023 Agosto | 49 | 11 | 60 |
| 2023 Julio | 62 | 33 | 95 |
| 2023 Junio | 65 | 20 | 85 |
| 2023 Mayo | 53 | 20 | 73 |
| 2023 Abril | 64 | 21 | 85 |
| 2023 Marzo | 53 | 24 | 77 |
| 2023 Febrero | 57 | 27 | 84 |
| 2023 Enero | 52 | 31 | 83 |
| 2022 Diciembre | 54 | 54 | 108 |
| 2022 Noviembre | 32 | 23 | 55 |
| 2022 Octubre | 33 | 20 | 53 |
| 2022 Septiembre | 26 | 25 | 51 |
| 2022 Agosto | 24 | 38 | 62 |
| 2022 Julio | 23 | 31 | 54 |
| 2022 Junio | 33 | 18 | 51 |
| 2022 Mayo | 80 | 35 | 115 |
| 2022 Abril | 86 | 32 | 118 |
| 2022 Marzo | 74 | 49 | 123 |
| 2022 Febrero | 45 | 29 | 74 |
| 2022 Enero | 65 | 36 | 101 |
| 2021 Diciembre | 46 | 39 | 85 |
| 2021 Noviembre | 65 | 53 | 118 |
| 2021 Octubre | 76 | 60 | 136 |
| 2021 Septiembre | 70 | 46 | 116 |
| 2021 Agosto | 73 | 41 | 114 |
| 2021 Julio | 48 | 35 | 83 |
| 2021 Junio | 69 | 33 | 102 |
| 2021 Mayo | 62 | 48 | 110 |
| 2021 Abril | 137 | 55 | 192 |
| 2021 Marzo | 102 | 30 | 132 |
| 2021 Febrero | 87 | 33 | 120 |
| 2021 Enero | 62 | 22 | 84 |
| 2020 Diciembre | 82 | 29 | 111 |
| 2020 Noviembre | 61 | 23 | 84 |
| 2020 Octubre | 45 | 13 | 58 |
| 2020 Septiembre | 72 | 26 | 98 |
| 2020 Agosto | 42 | 24 | 66 |
| 2020 Julio | 41 | 17 | 58 |
| 2020 Junio | 53 | 42 | 95 |
| 2020 Mayo | 45 | 14 | 59 |
| 2020 Abril | 42 | 17 | 59 |
| 2020 Marzo | 38 | 17 | 55 |
| 2020 Febrero | 5 | 0 | 5 |
| 2020 Enero | 6 | 0 | 6 |
| 2019 Diciembre | 11 | 0 | 11 |
| 2019 Noviembre | 5 | 0 | 5 |
| 2019 Septiembre | 11 | 0 | 11 |
| 2019 Agosto | 7 | 0 | 7 |
| 2019 Julio | 8 | 0 | 8 |
| 2019 Junio | 6 | 0 | 6 |
| 2019 Mayo | 11 | 0 | 11 |
| 2019 Abril | 10 | 4 | 14 |
| 2019 Febrero | 9 | 0 | 9 |
| 2018 Diciembre | 2 | 0 | 2 |
| 2018 Noviembre | 4 | 0 | 4 |
| 2018 Octubre | 4 | 0 | 4 |
| 2018 Septiembre | 5 | 0 | 5 |
| 2018 Febrero | 34 | 5 | 39 |
| 2018 Enero | 46 | 3 | 49 |
| 2017 Diciembre | 65 | 7 | 72 |
| 2017 Noviembre | 39 | 5 | 44 |
| 2017 Octubre | 40 | 6 | 46 |
| 2017 Septiembre | 42 | 7 | 49 |
| 2017 Agosto | 55 | 9 | 64 |
| 2017 Julio | 51 | 6 | 57 |
| 2017 Junio | 62 | 9 | 71 |
| 2017 Mayo | 65 | 9 | 74 |
| 2017 Abril | 198 | 29 | 227 |
| 2017 Marzo | 18 | 24 | 42 |
Mostrar todo
