array:24 [
  "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"
  "copyrightAnyo" => "2016"
  "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
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731016301260"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2016.02.016"
      "estado" => "S300"
      "fechaPublicacion" => "2017-04-01"
      "aid" => "1422"
      "copyright" => "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" => 260
        "formatos" => array:3 [
          "EPUB" => 3
          "HTML" => 187
          "PDF" => 70
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Dermatolog&#237;a</span>"
        "titulo" => "Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "259"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ulcerated Indurated Necrotic Plaque on the Chest Wall"
          ]
        ]
        "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" => 500
                "Ancho" => 1253
                "Tamanyo" => 114116
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;A&#46; Flores-Terry, G&#46; Romero-Aguilera, M&#46; Garc&#237;a-Arpa"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "M&#46;A&#46;"
                "apellidos" => "Flores-Terry"
              ]
              1 => array:2 [
                "nombre" => "G&#46;"
                "apellidos" => "Romero-Aguilera"
              ]
              2 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Garc&#237;a-Arpa"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219017300288"
          "doi" => "10.1016/j.adengl.2017.02.013"
          "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/S1578219017300288?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016301260?idApp=UINPBA000044"
      "url" => "/00017310/0000010800000003/v1_201703250120/S0001731016301260/v1_201703250120/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219017300276"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.02.012"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1424"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and 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" => 998
      "formatos" => array:3 [
        "EPUB" => 60
        "HTML" => 815
        "PDF" => 123
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
      "titulo" => "Bullous Pemphigoid on the Areola of Breast"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "260"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Penfigoide ampolloso localizado en la ar&#233;ola mamaria"
        ]
      ]
      "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" => 992
              "Ancho" => 2666
              "Tamanyo" => 226698
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; L&#243;pez Jim&#233;nez, &#193;&#46; Vargas Nevado, E&#46; Herrera Ceballos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "P&#46; L&#243;pez"
              "apellidos" => "Jim&#233;nez"
            ]
            1 => array:2 [
              "nombre" => "&#193;&#46; Vargas"
              "apellidos" => "Nevado"
            ]
            2 => array:2 [
              "nombre" => "E&#46; Herrera"
              "apellidos" => "Ceballos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731016301284"
        "doi" => "10.1016/j.ad.2015.12.014"
        "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/S0001731016301284?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300276?idApp=UINPBA000044"
    "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300276/v1_201703250116/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219017300185"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.02.003"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1564"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2017;108:257-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 727
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 560
        "PDF" => 124
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Residents Forum</span>"
      "titulo" => "RF- Insufficient Exposure to Sunlight and Global Mortality&#58; Should We Advise Against or Recommend Sun Exposure&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "257"
          "paginaFinal" => "258"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR- Exposici&#243;n solar insuficiente y mortalidad global&#58; &#191;debemos recomendar o desaconsejar la exposici&#243;n solar a nuestros pacientes&#63;"
        ]
      ]
      "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" => 1737
              "Ancho" => 3423
              "Tamanyo" => 331294
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sistemic effects of UV radiation&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;T&#46; Monserrat-Garc&#237;a, A&#46; Ort&#237;z-Prieto, P&#46; Mart&#237;n-Carrasco, J&#46; Conejo-Mir-S&#225;nchez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;T&#46;"
              "apellidos" => "Monserrat-Garc&#237;a"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ort&#237;z-Prieto"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Mart&#237;n-Carrasco"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Conejo-Mir-S&#225;nchez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731016304306"
        "doi" => "10.1016/j.ad.2016.11.004"
        "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/S0001731016304306?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300185?idApp=UINPBA000044"
    "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300185/v1_201703250116/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
    "titulo" => "Ulcerated Indurated Necrotic Plaque on the Chest Wall"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "259"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;A&#46; Flores-Terry, G&#46; Romero-Aguilera, M&#46; Garc&#237;a-Arpa"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Flores-Terry"
            "email" => array:1 [
              0 => "miguelterry85&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Romero-Aguilera"
          ]
          2 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Garc&#237;a-Arpa"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a M&#233;dico-Quir&#250;rgica y Venereolog&#237;a&#44; Hospital General Universitario de Ciudad Real&#44; Ciudad Real&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax"
      ]
    ]
    "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
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman was referred to our dermatology department in 2015 for the appearance of skin lesions that affected practically her whole left anterior chest wall and neck&#44; proximal area of her left arm&#44; and upper back on the same side&#46; Physical examination revealed an indurated plaque with multiple superficial red-violaceous nodules&#44; and areas of ulceration and necrosis&#59; numerous satellite nodules were also observed on the contralateral chest wall and on the abdomen&#46; In 2005&#44; the patient had been diagnosed with hormone-receptor negative&#44; infiltrating ductal carcinoma of the right breast&#44; with no axillary lymph nodes&#46; This had been treated by conservative surgery with adjuvant hormone therapy &#40;tamoxifen<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>goserelin&#41; and radiotherapy&#46; Six years later she had presented tumor recurrence with involvement of the contralateral axilla&#46; Total right mastectomy with left axillary lymphadenectomy was therefore performed&#44; followed by radiotherapy and further cycles of chemotherapy between 2011 and 2015 &#40;docetaxel<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>cyclophosphamide&#59; carboplatin-paclitaxel-bevacizumab&#59; doxorubicina&#59; carboplatin<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>gemcitabine&#41;&#44; but the disease progressed &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Histopathology revealed lymphangitis carcinomatosa compatible with carcinoma en cuirasse&#46; The patient died 2 months later&#46; Carcinoma en cuirasse was first described by Velpeau in 1838 and is a rare type of skin metastasis with a poor prognosis&#46; It occurs almost exclusively due to tumor infiltration by breast carcinoma&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Flores-Terry MA&#44; Romero-Aguilera G&#44; Garc&#237;a-Arpa M&#46; Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax&#46; Actas Dermosifiliogr&#46; 2017&#59;108&#58;259&#46;</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" => 500
            "Ancho" => 1253
            "Tamanyo" => 114116
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300288/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/S1578219017300288/v1_201703250116/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300288?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Images in Dermatology
Ulcerated Indurated Necrotic Plaque on the Chest Wall
Placa indurada con ulceración y necrosis en tórax
M.A. Flores-Terry
Autor para correspondencia
miguelterry85@hotmail.com

Corresponding author.
, G. Romero-Aguilera, M. García-Arpa
Servicio de Dermatología Médico-Quirúrgica y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Leído
5741
Veces
se ha leído el artículo
1809
Total PDF
3932
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S1578219017300288"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2017.02.013"
  "estado" => "S300"
  "fechaPublicacion" => "2017-04-01"
  "aid" => "1422"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
  "copyrightAnyo" => "2016"
  "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
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731016301260"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2016.02.016"
      "estado" => "S300"
      "fechaPublicacion" => "2017-04-01"
      "aid" => "1422"
      "copyright" => "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" => 260
        "formatos" => array:3 [
          "EPUB" => 3
          "HTML" => 187
          "PDF" => 70
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Dermatolog&#237;a</span>"
        "titulo" => "Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "259"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Ulcerated Indurated Necrotic Plaque on the Chest Wall"
          ]
        ]
        "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" => 500
                "Ancho" => 1253
                "Tamanyo" => 114116
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46;A&#46; Flores-Terry, G&#46; Romero-Aguilera, M&#46; Garc&#237;a-Arpa"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "M&#46;A&#46;"
                "apellidos" => "Flores-Terry"
              ]
              1 => array:2 [
                "nombre" => "G&#46;"
                "apellidos" => "Romero-Aguilera"
              ]
              2 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Garc&#237;a-Arpa"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219017300288"
          "doi" => "10.1016/j.adengl.2017.02.013"
          "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/S1578219017300288?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731016301260?idApp=UINPBA000044"
      "url" => "/00017310/0000010800000003/v1_201703250120/S0001731016301260/v1_201703250120/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219017300276"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.02.012"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1424"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and 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" => 998
      "formatos" => array:3 [
        "EPUB" => 60
        "HTML" => 815
        "PDF" => 123
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
      "titulo" => "Bullous Pemphigoid on the Areola of Breast"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "260"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Penfigoide ampolloso localizado en la ar&#233;ola mamaria"
        ]
      ]
      "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" => 992
              "Ancho" => 2666
              "Tamanyo" => 226698
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; L&#243;pez Jim&#233;nez, &#193;&#46; Vargas Nevado, E&#46; Herrera Ceballos"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "P&#46; L&#243;pez"
              "apellidos" => "Jim&#233;nez"
            ]
            1 => array:2 [
              "nombre" => "&#193;&#46; Vargas"
              "apellidos" => "Nevado"
            ]
            2 => array:2 [
              "nombre" => "E&#46; Herrera"
              "apellidos" => "Ceballos"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731016301284"
        "doi" => "10.1016/j.ad.2015.12.014"
        "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/S0001731016301284?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300276?idApp=UINPBA000044"
    "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300276/v1_201703250116/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219017300185"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.02.003"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1564"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2017;108:257-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 727
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 560
        "PDF" => 124
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Residents Forum</span>"
      "titulo" => "RF- Insufficient Exposure to Sunlight and Global Mortality&#58; Should We Advise Against or Recommend Sun Exposure&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "257"
          "paginaFinal" => "258"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR- Exposici&#243;n solar insuficiente y mortalidad global&#58; &#191;debemos recomendar o desaconsejar la exposici&#243;n solar a nuestros pacientes&#63;"
        ]
      ]
      "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" => 1737
              "Ancho" => 3423
              "Tamanyo" => 331294
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sistemic effects of UV radiation&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46;T&#46; Monserrat-Garc&#237;a, A&#46; Ort&#237;z-Prieto, P&#46; Mart&#237;n-Carrasco, J&#46; Conejo-Mir-S&#225;nchez"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "M&#46;T&#46;"
              "apellidos" => "Monserrat-Garc&#237;a"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Ort&#237;z-Prieto"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Mart&#237;n-Carrasco"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Conejo-Mir-S&#225;nchez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731016304306"
        "doi" => "10.1016/j.ad.2016.11.004"
        "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/S0001731016304306?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300185?idApp=UINPBA000044"
    "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300185/v1_201703250116/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
    "titulo" => "Ulcerated Indurated Necrotic Plaque on the Chest Wall"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "259"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46;A&#46; Flores-Terry, G&#46; Romero-Aguilera, M&#46; Garc&#237;a-Arpa"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Flores-Terry"
            "email" => array:1 [
              0 => "miguelterry85&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "G&#46;"
            "apellidos" => "Romero-Aguilera"
          ]
          2 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Garc&#237;a-Arpa"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Dermatolog&#237;a M&#233;dico-Quir&#250;rgica y Venereolog&#237;a&#44; Hospital General Universitario de Ciudad Real&#44; Ciudad Real&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax"
      ]
    ]
    "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
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman was referred to our dermatology department in 2015 for the appearance of skin lesions that affected practically her whole left anterior chest wall and neck&#44; proximal area of her left arm&#44; and upper back on the same side&#46; Physical examination revealed an indurated plaque with multiple superficial red-violaceous nodules&#44; and areas of ulceration and necrosis&#59; numerous satellite nodules were also observed on the contralateral chest wall and on the abdomen&#46; In 2005&#44; the patient had been diagnosed with hormone-receptor negative&#44; infiltrating ductal carcinoma of the right breast&#44; with no axillary lymph nodes&#46; This had been treated by conservative surgery with adjuvant hormone therapy &#40;tamoxifen<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>goserelin&#41; and radiotherapy&#46; Six years later she had presented tumor recurrence with involvement of the contralateral axilla&#46; Total right mastectomy with left axillary lymphadenectomy was therefore performed&#44; followed by radiotherapy and further cycles of chemotherapy between 2011 and 2015 &#40;docetaxel<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>cyclophosphamide&#59; carboplatin-paclitaxel-bevacizumab&#59; doxorubicina&#59; carboplatin<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>gemcitabine&#41;&#44; but the disease progressed &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Histopathology revealed lymphangitis carcinomatosa compatible with carcinoma en cuirasse&#46; The patient died 2 months later&#46; Carcinoma en cuirasse was first described by Velpeau in 1838 and is a rare type of skin metastasis with a poor prognosis&#46; It occurs almost exclusively due to tumor infiltration by breast carcinoma&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Flores-Terry MA&#44; Romero-Aguilera G&#44; Garc&#237;a-Arpa M&#46; Placa indurada con ulceraci&#243;n y necrosis en t&#243;rax&#46; Actas Dermosifiliogr&#46; 2017&#59;108&#58;259&#46;</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" => 500
            "Ancho" => 1253
            "Tamanyo" => 114116
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010800000003/v1_201703250116/S1578219017300288/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/S1578219017300288/v1_201703250116/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017300288?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 14 3 17
2024 Octubre 66 46 112
2024 Septiembre 76 17 93
2024 Agosto 111 52 163
2024 Julio 88 28 116
2024 Junio 97 25 122
2024 Mayo 81 37 118
2024 Abril 85 25 110
2024 Marzo 105 27 132
2024 Febrero 70 32 102
2024 Enero 64 33 97
2023 Diciembre 55 16 71
2023 Noviembre 66 24 90
2023 Octubre 53 23 76
2023 Septiembre 56 29 85
2023 Agosto 49 14 63
2023 Julio 72 32 104
2023 Junio 45 24 69
2023 Mayo 46 20 66
2023 Abril 66 14 80
2023 Marzo 48 36 84
2023 Febrero 44 26 70
2023 Enero 56 36 92
2022 Diciembre 48 46 94
2022 Noviembre 37 33 70
2022 Octubre 27 17 44
2022 Septiembre 33 26 59
2022 Agosto 36 31 67
2022 Julio 22 31 53
2022 Junio 25 23 48
2022 Mayo 33 40 73
2022 Abril 39 29 68
2022 Marzo 52 40 92
2022 Febrero 36 30 66
2022 Enero 37 41 78
2021 Diciembre 33 37 70
2021 Noviembre 43 48 91
2021 Octubre 52 67 119
2021 Septiembre 41 36 77
2021 Agosto 42 37 79
2021 Julio 47 31 78
2021 Junio 47 42 89
2021 Mayo 55 43 98
2021 Abril 59 48 107
2021 Marzo 89 34 123
2021 Febrero 81 30 111
2021 Enero 49 28 77
2020 Diciembre 58 30 88
2020 Noviembre 43 18 61
2020 Octubre 11 11 22
2020 Septiembre 55 23 78
2020 Agosto 36 28 64
2020 Julio 32 18 50
2020 Junio 66 36 102
2020 Mayo 30 16 46
2020 Abril 41 10 51
2020 Marzo 47 12 59
2020 Febrero 9 1 10
2020 Enero 10 0 10
2019 Diciembre 10 0 10
2019 Noviembre 8 0 8
2019 Septiembre 7 0 7
2019 Agosto 9 0 9
2019 Julio 12 0 12
2019 Junio 7 0 7
2019 Mayo 10 0 10
2019 Abril 6 5 11
2019 Marzo 5 0 5
2019 Febrero 4 0 4
2019 Enero 2 0 2
2018 Diciembre 10 0 10
2018 Noviembre 5 0 5
2018 Octubre 10 0 10
2018 Septiembre 16 0 16
2018 Febrero 35 7 42
2018 Enero 82 2 84
2017 Diciembre 59 7 66
2017 Noviembre 42 3 45
2017 Octubre 47 5 52
2017 Septiembre 51 9 60
2017 Agosto 55 8 63
2017 Julio 57 4 61
2017 Junio 87 10 97
2017 Mayo 62 9 71
2017 Abril 198 30 228
2017 Marzo 22 18 40
2017 Febrero 0 2 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?