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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">On the occasion of the 100th anniversary of Professor Joaqu&#237;n Pi&#241;ol Aguad&#233;&#8217;s birth&#44; we take great satisfaction in recalling his first contribution to a meeting of the Catalan section of the Spanish Academy of Dermatology and Syphilology on January 27&#44; 1944&#46; He described a patient with erythema multiforme associated with rectal lymphogranulomatosis that was successfully treated with sulfonamides&#46; The case offered a context for a broad discussion of the nature of erythema multiforme&#44; and the paper was subsequently publish in volume 35 of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span><span class="elsevierStyleSmallCaps">&#46;</span><a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Professor Pi&#241;ol was faithful to the association throughout his career&#44; and this first article was followed by nearly a hundred more in our journal&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Joaqu&#237;n Pi&#241;ol Aguad&#233; &#40;1917&#8211;1977&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; received his medical degree in 1942 and was appointed Associate Professor of Dermatology at the University of Barcelona in 1960&#46; In 1967 he became a full professor&#44; continuing in that position until his premature death at the age of 59 years&#46; His life has been extensively documented<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> and is therefore not the focus of this article&#44; which will instead summarize his contributions to medical knowledge in his time&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol was untiringly studious&#46; His memory was formidable and he poured himself into his work&#46; Headstrong&#44; he could be obsessive when there was a problem to solve&#44; and he was always generous with his time&#46; These character traits influenced his academic interests and marked his scientific output&#46; Never losing sight of the close relationship between the skin and all it covered&#44; he stressed the importance of the cutaneous signs of internal diseases&#46; One great interest was the simplification of skin disease classifications&#44; which were still grouped in complex ways and described through varying terminology until the middle years of the 20th century&#46; He emphasized the key features of each disease and downplayed the role of secondary signs that might mask the true diagnosis&#46; Treatments&#44; the side effects of medications&#44; and finding new diagnostic approaches were key issues for him&#46; His careful observation of cases allowed him to discern diseases that had not yet been described and for whose discovery he was internationally recognized&#46; His wide-ranging knowledge was reflected in numerous articles&#44; his PhD thesis&#44; monographs&#44; and book chapters&#46; An exhaustive description of all his contributions would be too lengthy for this paper&#44; which seeks only to offer a brief summary of his work organized according to areas of knowledge&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Blistering Diseases</span><p id="par0020" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol felt that various blistering diseases were being grouped under the term pemphigus in the 1950s&#46; Many writers&#44; he said&#44; included &#8220;an extraordinary number of unwarranted subdivisions&#44;&#8221; and he warned that it was wrong to &#8220;place too much value on the minute description of the morphology of rashes&#46;&#8221;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Diagnosis should be based on the findings of pathology&#44; he asserted&#44; stressing the importance of Tzanck&#39;s cytology in diagnosis&#46; He also argued for the recognition of Senear-Usher syndrome as a separate diagnosis within the pemphigus spectrum&#44; a concept not fully accepted at the time&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Genodermatoses</span><p id="par0025" class="elsevierStylePara elsevierViewall">Genodermatoses were among the conditions Professor Pi&#241;ol studied&#44; and he published over 20 case reports and extensive review articles in this area&#46; An important publication dealt with a family whose members had dyskeratotic tumors under the nail&#44; a condition that might have been an unusual expression of the verrucous phase of incontinentia pigmenti&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Rheumatism&#44; Panniculitis&#44; and Systemic Diseases</span><p id="par0030" class="elsevierStylePara elsevierViewall">With the rheumatologists Jaume Rot&#233;s and Pere Barcel&#243;&#44; Professor Pi&#241;ol reviewed 20 cases of psoriasis with joint involvement&#44; providing a careful&#44; detailed description of arthropathy associated with this skin disease&#46; Later&#44; he and Professor Xavier Vilanova analyzed 54 cases and 150 case histories of psoriatic arthritis as a specific diagnostic entity&#46; It was published in the British journal <span class="elsevierStyleItalic">Rheumatism</span> in 1951<span class="elsevierStyleItalic">&#46;</span><a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol was also very interested in the difficult-to-diagnose inflammations of adipose tissue&#44; the subject of his 1963 PhD thesis&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> which included a strong critique of the number of distinct diagnoses current at the time&#46; This thesis established bases for identifying clearly distinguishable forms of panniculitis as follows&#58; 1&#41; fat necrosis of the newborn&#44; 2&#41; infective panniculitis&#44; 3&#41; panniculitis in proximity with other conditions&#44; 4&#41; panniculitis forming part of other well defined syndromes &#40;eg&#44; sarcoidosis or lupus erythematosus&#41;&#44; 5&#41; nodular vasculitis and indurated erythema&#44; 6&#41; Weber-Christian syndrome&#44; 7&#41; erythema nodosum&#44; 7&#41; Rothmann-Makai panniculitis&#44; and 8&#41; subacute nodular migratory hypodermitis&#46; He reserved the term <span class="elsevierStyleItalic">indeterminate panniculitis</span> for forms that were difficult to identify&#46; The first description of subacute nodular migratory panniculitis had appeared in a 1956 publication authored with Professor Vilanova&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The list of publications on systemic diseases with cutaneous manifestations is extensive and far-ranging&#44; an example of Professor Pi&#241;ol&#39;s interest in recognizing the skin signs that would facilitate the early diagnosis of potentially serious multiorgan diseases&#46; By writing about such cases &#8220;from the vantage of dermatology&#44;&#8221; he attempted &#8220;to arouse interest among internists in the study and diagnosis of these &#91;cutaneous&#93; conditions&#44; which they see and are asked to diagnose much more often than we are&#46;&#8221; In 1977 he published a report of 4 cases with a peculiar clinical picture&#46; The title &#40;here translated&#41; of the article was &#8220;Focal Epidermal Necrolysis&#58; A Variant of Lupus Erythematosus or a New Disease&#63;&#8221;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> This paper predated by several years J&#46; N&#46; Gilliam and R&#46; D&#46; Sontheimer&#39;s English-language description of subacute cutaneous lupus erythematosus as a distinctive entity&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Lymphomas</span><p id="par0045" class="elsevierStylePara elsevierViewall">The years 1953&#44; 1955&#44; and 1964 saw the publication of case reports signed by Vilanova and Pi&#241;ol&#46; The patients described had developed subcutaneous nodular lesions that progressed to necrosis&#44; and the prognosis was very poor&#46; In these reports the coauthors discussed whether they were seeing systemic panniculitis resulting in death&#44; extrafacial Wegener syndrome&#44; or true cases of malignant reticulosis affecting subcutaneous tissue&#46; They later observed evident anaplastic cells as well as erythrophagia in the infiltrate of subcutaneous nodules in a new case that appeared in 1972&#44; at which point they called the clinical picture necrotic reticulosis&#46; Autopsy information available for this and yet another case allowed them to link this disease to histiocytic medullary reticulosis&#44; which had been described in English in 1939 by Scott and Robb-Smith&#44; who Pi&#241;ol and Vilanova named in their 1974 title&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> The disease remained selectively subcutaneous&#44; however&#44; until its final stages&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The diagnostic problem they described was found again and again in cases of infiltrative&#44; necrotic lesions of the nose and central portion of the face because granulomatous infiltration and necrosis had masked the true origin of the process in lymphoma&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This line of study raised the problem of the malignant nature of disease processes that were difficult to categorize in their early stages&#44; and it also warned of the risk of attributing malignancy to processes that were entirely benign&#44; such as acute varioliform parapsoriasis or lymphomatoid papulosis&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Shortly before his death&#44; Professor Pi&#241;ol published a monograph on cutaneous lymphomas in which he brought to bear the full depth of his understanding of the subject&#46; He proposed a classification system based on cytologic&#44; cytochemical&#44; and ultrastructural features that he adapted to the general classifications current at that time&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Skin Allergies&#44; Contact Eczema&#44; and Photobiology</span><p id="par0065" class="elsevierStylePara elsevierViewall">Studies proposed by Professor Pi&#241;ol were able to identify allergens in optical whiteners found in detergents&#44; in nylon used for the pockets of trousers&#44; and in polyurethane used in shoes&#46; These substances were causing genuine epidemics of contact dermatitis at the time&#44; and he was able to work with the industry to prevent new cases of sensitizations&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">That certain chemicals cause skin lesions when exposed to light was made clear in Professor Pi&#241;ol&#39;s 1972 monograph on photobiology&#44; where he referred to such concepts as phototoxic dermatitis and photoallergic reactions and through which the terms <span class="elsevierStyleItalic">dermatitis lum&#237;nica</span>&#44; <span class="elsevierStyleItalic">fototoxia</span>&#44; and <span class="elsevierStyleItalic">fotoalergia</span> were to become fully absorbed into our practice of dermatology in Spain&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Cytology</span><p id="par0075" class="elsevierStylePara elsevierViewall">In order to increase the number of diagnostic tests available&#44; Professor Pi&#241;ol focused his efforts on the study of tumor morphology and cytology to complement histologic diagnosis&#46; That research led to a paper on the cytologic features of basal cell carcinomas&#44; published in the <span class="elsevierStyleItalic">Journal of Investigative Dermatology</span> in 1962&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Porphyria</span><p id="par0080" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol started working on one of his preferred areas of research&#44; porphyria&#44; with his first case report on the disease in 1950&#46; A 1969 description of a biochemically unclassifiable case became one of his most important contributions on the topic&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> He was later able to use more advanced diagnostic techniques to identify the composition of urinary and blood porphyrins&#44; as described in a 1975 report&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> He used the term hepatoerythrocytic porphyria to describe the form identified&#44; and his name remains associated with it in the international literature&#46; Years later&#44; enzyme assays and genetic testing were able to demonstrate that this form is a homozygous hereditary porphyria cutanea tarda&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="par0085" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol&#39;s work established the ground for later research undertaken by his followers&#46; In a speech&#44; read for him on the occasion of his posthumous investiture into the Royal Academy of Medicine of Barcelona&#44; he wrote&#44; &#8220;I will not contemplate the splendid branches of trees I have planted&#44; nor even see germinate and sprout seeds I have placed in the ground&#46;&#8221; Forty years after his death&#44; we can say that the seeds Professor Pi&#241;ol sowed have indeed germinated and grown proud thanks to his example and guidance&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conflicts of Interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The author declares that she has no conflicts of interest&#46;</p></span></span>"
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        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0095" class="elsevierStylePara elsevierViewall">To the Resource Center for Learning and Research &#40;CRAI&#41; libraries of the University of Barcelona &#40;campus of the Hospital Cl&#237;nic de Barcelona and the Cervera Depository&#41; for allowing access to all their material concerning Professor Joaqu&#237;n Pi&#241;ol Aguad&#233;&#46;</p> <p id="par0100" class="elsevierStylePara elsevierViewall">To the College of Physicians of Barcelona for organizing the commemoration of Dr&#46; Pi&#241;ol i Aguad&#233;&#8217;s life and work &#40;&#8220;2017&#58; Year of Joaquim Pi&#241;ol i Aguad&#233;&#8221;&#41;&#46;</p>"
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History and Humanities in Dermatology
Professor Joaquín Piñol Aguadé: An Important Figure in Dermatology
La figura del Profesor Joaquín Piñol Aguadé
C. Herrero-Mateu
Ex miembro del Servicio de Dermatología del Hospital Clínic y de la Cátedra de Dermatología de la Facultad de Medicina de la Universidad de Barcelona, Barcelona, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">On the occasion of the 100th anniversary of Professor Joaqu&#237;n Pi&#241;ol Aguad&#233;&#8217;s birth&#44; we take great satisfaction in recalling his first contribution to a meeting of the Catalan section of the Spanish Academy of Dermatology and Syphilology on January 27&#44; 1944&#46; He described a patient with erythema multiforme associated with rectal lymphogranulomatosis that was successfully treated with sulfonamides&#46; The case offered a context for a broad discussion of the nature of erythema multiforme&#44; and the paper was subsequently publish in volume 35 of <span class="elsevierStyleItalic">Actas Dermo-Sifiliogr&#225;ficas</span><span class="elsevierStyleSmallCaps">&#46;</span><a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Professor Pi&#241;ol was faithful to the association throughout his career&#44; and this first article was followed by nearly a hundred more in our journal&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Joaqu&#237;n Pi&#241;ol Aguad&#233; &#40;1917&#8211;1977&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; received his medical degree in 1942 and was appointed Associate Professor of Dermatology at the University of Barcelona in 1960&#46; In 1967 he became a full professor&#44; continuing in that position until his premature death at the age of 59 years&#46; His life has been extensively documented<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> and is therefore not the focus of this article&#44; which will instead summarize his contributions to medical knowledge in his time&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol was untiringly studious&#46; His memory was formidable and he poured himself into his work&#46; Headstrong&#44; he could be obsessive when there was a problem to solve&#44; and he was always generous with his time&#46; These character traits influenced his academic interests and marked his scientific output&#46; Never losing sight of the close relationship between the skin and all it covered&#44; he stressed the importance of the cutaneous signs of internal diseases&#46; One great interest was the simplification of skin disease classifications&#44; which were still grouped in complex ways and described through varying terminology until the middle years of the 20th century&#46; He emphasized the key features of each disease and downplayed the role of secondary signs that might mask the true diagnosis&#46; Treatments&#44; the side effects of medications&#44; and finding new diagnostic approaches were key issues for him&#46; His careful observation of cases allowed him to discern diseases that had not yet been described and for whose discovery he was internationally recognized&#46; His wide-ranging knowledge was reflected in numerous articles&#44; his PhD thesis&#44; monographs&#44; and book chapters&#46; An exhaustive description of all his contributions would be too lengthy for this paper&#44; which seeks only to offer a brief summary of his work organized according to areas of knowledge&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Blistering Diseases</span><p id="par0020" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol felt that various blistering diseases were being grouped under the term pemphigus in the 1950s&#46; Many writers&#44; he said&#44; included &#8220;an extraordinary number of unwarranted subdivisions&#44;&#8221; and he warned that it was wrong to &#8220;place too much value on the minute description of the morphology of rashes&#46;&#8221;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Diagnosis should be based on the findings of pathology&#44; he asserted&#44; stressing the importance of Tzanck&#39;s cytology in diagnosis&#46; He also argued for the recognition of Senear-Usher syndrome as a separate diagnosis within the pemphigus spectrum&#44; a concept not fully accepted at the time&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Genodermatoses</span><p id="par0025" class="elsevierStylePara elsevierViewall">Genodermatoses were among the conditions Professor Pi&#241;ol studied&#44; and he published over 20 case reports and extensive review articles in this area&#46; An important publication dealt with a family whose members had dyskeratotic tumors under the nail&#44; a condition that might have been an unusual expression of the verrucous phase of incontinentia pigmenti&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Rheumatism&#44; Panniculitis&#44; and Systemic Diseases</span><p id="par0030" class="elsevierStylePara elsevierViewall">With the rheumatologists Jaume Rot&#233;s and Pere Barcel&#243;&#44; Professor Pi&#241;ol reviewed 20 cases of psoriasis with joint involvement&#44; providing a careful&#44; detailed description of arthropathy associated with this skin disease&#46; Later&#44; he and Professor Xavier Vilanova analyzed 54 cases and 150 case histories of psoriatic arthritis as a specific diagnostic entity&#46; It was published in the British journal <span class="elsevierStyleItalic">Rheumatism</span> in 1951<span class="elsevierStyleItalic">&#46;</span><a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol was also very interested in the difficult-to-diagnose inflammations of adipose tissue&#44; the subject of his 1963 PhD thesis&#44;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> which included a strong critique of the number of distinct diagnoses current at the time&#46; This thesis established bases for identifying clearly distinguishable forms of panniculitis as follows&#58; 1&#41; fat necrosis of the newborn&#44; 2&#41; infective panniculitis&#44; 3&#41; panniculitis in proximity with other conditions&#44; 4&#41; panniculitis forming part of other well defined syndromes &#40;eg&#44; sarcoidosis or lupus erythematosus&#41;&#44; 5&#41; nodular vasculitis and indurated erythema&#44; 6&#41; Weber-Christian syndrome&#44; 7&#41; erythema nodosum&#44; 7&#41; Rothmann-Makai panniculitis&#44; and 8&#41; subacute nodular migratory hypodermitis&#46; He reserved the term <span class="elsevierStyleItalic">indeterminate panniculitis</span> for forms that were difficult to identify&#46; The first description of subacute nodular migratory panniculitis had appeared in a 1956 publication authored with Professor Vilanova&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The list of publications on systemic diseases with cutaneous manifestations is extensive and far-ranging&#44; an example of Professor Pi&#241;ol&#39;s interest in recognizing the skin signs that would facilitate the early diagnosis of potentially serious multiorgan diseases&#46; By writing about such cases &#8220;from the vantage of dermatology&#44;&#8221; he attempted &#8220;to arouse interest among internists in the study and diagnosis of these &#91;cutaneous&#93; conditions&#44; which they see and are asked to diagnose much more often than we are&#46;&#8221; In 1977 he published a report of 4 cases with a peculiar clinical picture&#46; The title &#40;here translated&#41; of the article was &#8220;Focal Epidermal Necrolysis&#58; A Variant of Lupus Erythematosus or a New Disease&#63;&#8221;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> This paper predated by several years J&#46; N&#46; Gilliam and R&#46; D&#46; Sontheimer&#39;s English-language description of subacute cutaneous lupus erythematosus as a distinctive entity&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Lymphomas</span><p id="par0045" class="elsevierStylePara elsevierViewall">The years 1953&#44; 1955&#44; and 1964 saw the publication of case reports signed by Vilanova and Pi&#241;ol&#46; The patients described had developed subcutaneous nodular lesions that progressed to necrosis&#44; and the prognosis was very poor&#46; In these reports the coauthors discussed whether they were seeing systemic panniculitis resulting in death&#44; extrafacial Wegener syndrome&#44; or true cases of malignant reticulosis affecting subcutaneous tissue&#46; They later observed evident anaplastic cells as well as erythrophagia in the infiltrate of subcutaneous nodules in a new case that appeared in 1972&#44; at which point they called the clinical picture necrotic reticulosis&#46; Autopsy information available for this and yet another case allowed them to link this disease to histiocytic medullary reticulosis&#44; which had been described in English in 1939 by Scott and Robb-Smith&#44; who Pi&#241;ol and Vilanova named in their 1974 title&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> The disease remained selectively subcutaneous&#44; however&#44; until its final stages&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The diagnostic problem they described was found again and again in cases of infiltrative&#44; necrotic lesions of the nose and central portion of the face because granulomatous infiltration and necrosis had masked the true origin of the process in lymphoma&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This line of study raised the problem of the malignant nature of disease processes that were difficult to categorize in their early stages&#44; and it also warned of the risk of attributing malignancy to processes that were entirely benign&#44; such as acute varioliform parapsoriasis or lymphomatoid papulosis&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Shortly before his death&#44; Professor Pi&#241;ol published a monograph on cutaneous lymphomas in which he brought to bear the full depth of his understanding of the subject&#46; He proposed a classification system based on cytologic&#44; cytochemical&#44; and ultrastructural features that he adapted to the general classifications current at that time&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Skin Allergies&#44; Contact Eczema&#44; and Photobiology</span><p id="par0065" class="elsevierStylePara elsevierViewall">Studies proposed by Professor Pi&#241;ol were able to identify allergens in optical whiteners found in detergents&#44; in nylon used for the pockets of trousers&#44; and in polyurethane used in shoes&#46; These substances were causing genuine epidemics of contact dermatitis at the time&#44; and he was able to work with the industry to prevent new cases of sensitizations&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">That certain chemicals cause skin lesions when exposed to light was made clear in Professor Pi&#241;ol&#39;s 1972 monograph on photobiology&#44; where he referred to such concepts as phototoxic dermatitis and photoallergic reactions and through which the terms <span class="elsevierStyleItalic">dermatitis lum&#237;nica</span>&#44; <span class="elsevierStyleItalic">fototoxia</span>&#44; and <span class="elsevierStyleItalic">fotoalergia</span> were to become fully absorbed into our practice of dermatology in Spain&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Cytology</span><p id="par0075" class="elsevierStylePara elsevierViewall">In order to increase the number of diagnostic tests available&#44; Professor Pi&#241;ol focused his efforts on the study of tumor morphology and cytology to complement histologic diagnosis&#46; That research led to a paper on the cytologic features of basal cell carcinomas&#44; published in the <span class="elsevierStyleItalic">Journal of Investigative Dermatology</span> in 1962&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Porphyria</span><p id="par0080" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol started working on one of his preferred areas of research&#44; porphyria&#44; with his first case report on the disease in 1950&#46; A 1969 description of a biochemically unclassifiable case became one of his most important contributions on the topic&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> He was later able to use more advanced diagnostic techniques to identify the composition of urinary and blood porphyrins&#44; as described in a 1975 report&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> He used the term hepatoerythrocytic porphyria to describe the form identified&#44; and his name remains associated with it in the international literature&#46; Years later&#44; enzyme assays and genetic testing were able to demonstrate that this form is a homozygous hereditary porphyria cutanea tarda&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="par0085" class="elsevierStylePara elsevierViewall">Professor Pi&#241;ol&#39;s work established the ground for later research undertaken by his followers&#46; In a speech&#44; read for him on the occasion of his posthumous investiture into the Royal Academy of Medicine of Barcelona&#44; he wrote&#44; &#8220;I will not contemplate the splendid branches of trees I have planted&#44; nor even see germinate and sprout seeds I have placed in the ground&#46;&#8221; Forty years after his death&#44; we can say that the seeds Professor Pi&#241;ol sowed have indeed germinated and grown proud thanks to his example and guidance&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conflicts of Interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The author declares that she has no conflicts of interest&#46;</p></span></span>"
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        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0095" class="elsevierStylePara elsevierViewall">To the Resource Center for Learning and Research &#40;CRAI&#41; libraries of the University of Barcelona &#40;campus of the Hospital Cl&#237;nic de Barcelona and the Cervera Depository&#41; for allowing access to all their material concerning Professor Joaqu&#237;n Pi&#241;ol Aguad&#233;&#46;</p> <p id="par0100" class="elsevierStylePara elsevierViewall">To the College of Physicians of Barcelona for organizing the commemoration of Dr&#46; Pi&#241;ol i Aguad&#233;&#8217;s life and work &#40;&#8220;2017&#58; Year of Joaquim Pi&#241;ol i Aguad&#233;&#8221;&#41;&#46;</p>"
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