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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 14-year-old boy was referred by his primary care pediatrician for evaluation of a 6-month history of painful unilateral clubbing of the right great toe &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a><span class="elsevierStyleHsp" style=""></span>A&#41;&#44; with no other associated alterations&#46; There was no history of trauma&#46; On plain x-rays of the right foot&#44; an area of increased density was identified on the lateral aspect of the phalanx of the right great toe&#44; compatible with bone exostosis &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a><span class="elsevierStyleHsp" style=""></span>B&#41;&#46; Histologic examination revealed a disc of disorganized cartilaginous tissue beneath a fibrous periostium&#44; with ossification at its base that was continuous with the bone trabeculae &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a><span class="elsevierStyleHsp" style=""></span>C&#41;&#59; these findings were consistent with subungual osteochondroma&#46; The absence of exostoses on the distal femur or proximal tibia and the absence of similar lesions in family members helped to exclude hereditary multiple exostoses&#46; The patient was followed up at 9 months and no recurrence of the lesion was observed&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Subungual osteochondroma is a rare benign tumor that usually affects young adolescents and is more common in males&#46; The growth of endochondral bone is asymptomatic during childhood&#44; but can become evident during adolescence&#46; There is usually no history of trauma&#46; Subungual osteochondroma is differentiated histologically from exostosis by the presence of hyaline cartilage&#44; and morphologically exostoses are typically flat or dome-shaped on plain x-rays&#44; while osteochondromas are sessile&#44; pedunculated&#44; and clearly circumscribed&#46;</p></span>"
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Images in Dermatology
What Lies Beneath: Acropachy Hiding Subungual Osteochondroma
Lo que la acropaquia esconde: osteocondroma subungueal
M. Galán-Gutierreza, F. Ramos Pleguezuelosb, R. Ruiz-Villaverdec,
Autor para correspondencia
ismenios@hotmail.com

Corresponding author.
a Unidad de Dermatología, Complejo Hospitalario de Jaén, Jaén, Spain
b Unidad de Anatomía Patológica, Complejo Hospitalario de Jaén, Jaén España
c Unidad de Dermatología, Complejo Hospitalario de Granada, Granada, Spain
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