Practical Dermoscopy
Slow-Growing Pink Papule
Pápula rosada de crecimiento lento
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Ramírez-Bellver, S. Saenz Guirado" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.L." "apellidos" => "Ramírez-Bellver" "email" => array:1 [ 0 => "jluisrbellver@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Saenz Guirado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Fundación Jiménez Díaz, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Complejo Hospitalario Universitario de Granada, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pápula rosada de crecimiento lento" ] ] "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" => 917 "Ancho" => 2104 "Tamanyo" => 158553 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Dermoscopic image showing structureless pale pink areas (asterisks) within the lesion and prominent peripheral vascularity. B, Detail of the blood vessels with the characteristic cherry blossom images.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case Report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman consulted for an asymptomatic erythematous-pink papule that had arisen 3 years earlier on the posterior aspect of her right lower limb. The lesion was round, with lobulated borders, and measured 1<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>cm. (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">What is Your Diagnosis?</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Eccrine poroma</p></span></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dermoscopy revealed a well-defined, erythematous-pink tumor (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A) with prominent, more or less evenly distributed blood vessels, with characteristic cherry blossom images mostly at the periphery of the tumor (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B), and pale pink structureless areas (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A). With a suspected diagnosis of eccrine poroma, the lesion was excised and the histological findings confirmed the diagnosis. Eccrine poroma is an adnexal tumor derived from the intraepidermal eccrine duct or acrosyringium. It is typically located on the palms, soles, or fingers.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Pigmented variants have been reported; clinically and dermoscopically these can mimic a pigmented basal cell carcinoma or malignant melanocytic lesion.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> The differential diagnosis of the nonpigmented variant includes basal cell carcinoma, squamous cell carcinoma, and hypo- or amelanocytic melanoma.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A number of dermoscopic patterns and structures have been associated with this tumor, almost all of them referring to the vessels in the lesions: glomerular vessels, hairpin vessels, and linear irregular vessels. Some authors draw attention to the presence of a whitish halo around these vessels, as occurs in keratinizing lesions, but which, in this context, corresponds histopathologically to the presence of perivascular fibrinoid edema.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Chalice-form vessels, frog egg-like round structures and cherry blossom vessels, sometimes difficult to differentiate from the chalice-form vessels have also been described.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3,4</span></a> The presence of structureless whitish-pink areas is a common finding, corresponding histopathologically to areas of dermal lamellar fibroplasia. Although the vessels in eccrine poroma are similar to those in melanoma, the distribution tends to be more regular and symmetrical in eccrine poroma. Another finding that facilitates differentiation of these 2 tumors is that blood vessels are present in the milky-red areas of melanoma. In addition, structures exist in eccrine poroma that have not been described in melanoma (chalice-form vessels, and frog egg-like and cherry blossom structures). Other structures, such as chrysalids,<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> are not present in eccrine poroma. In conclusion, we consider this case interesting as it demonstrates how the presence of 2 dermoscopic features (structureless pink areas and cherry blossom vessels) made a presumptive diagnosis of eccrine poroma possible. However, we believe that any nonpigmented lesion with prominent vascularity should undergo histopathological study due to the possibility of an amelanotic melanoma.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case Report" ] 1 => array:3 [ "identificador" => "sec0010" "titulo" => "What is Your Diagnosis?" "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0020" "titulo" => "Diagnosis" ] ] ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Comment" ] 3 => array:2 [ "identificador" => "xack326622" "titulo" => "Acknowledgments" ] 4 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ramírez-Bellver J, Saenz Guirado S. Pápula rosada de crecimiento lento. Actas Dermosifiliogr. 2018;109:67–68.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 737 "Ancho" => 900 "Tamanyo" => 72505 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pink papule measuring 1<span class="elsevierStyleHsp" style=""></span>cm in diameter on the posterior surface of the right lower limb.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 917 "Ancho" => 2104 "Tamanyo" => 158553 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A, Dermoscopic image showing structureless pale pink areas (asterisks) within the lesion and prominent peripheral vascularity. B, Detail of the blood vessels with the characteristic cherry blossom images.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Eccrine poroma: A clinical-dermoscopic study of seven cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. Ferrari" 1 => "P. Buccini" 2 => "V. Silipo" 3 => "P. de Simone" 4 => "G. Mariani" 5 => "S. 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Vázquez-Martínez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2016.07.003" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2017" "volumen" => "76" "paginaInicial" => "S46" "paginaFinal" => "S48" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28087028" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack326622" "titulo" => "Acknowledgments" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">Our thanks to José Aneiros, dermatopathologist at Complejo Hospitalario Universitario de Granada.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/en/main.assets" "Apartado" => array:4 [ "identificador" => "19289" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Practical Dermoscopy" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303670?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 12 | 9 | 21 |
| 2024 Octubre | 130 | 55 | 185 |
| 2024 Septiembre | 161 | 49 | 210 |
| 2024 Agosto | 166 | 100 | 266 |
| 2024 Julio | 116 | 78 | 194 |
| 2024 Junio | 96 | 99 | 195 |
| 2024 Mayo | 94 | 70 | 164 |
| 2024 Abril | 85 | 31 | 116 |
| 2024 Marzo | 150 | 34 | 184 |
| 2024 Febrero | 102 | 42 | 144 |
| 2024 Enero | 92 | 38 | 130 |
| 2023 Diciembre | 89 | 22 | 111 |
| 2023 Noviembre | 114 | 28 | 142 |
| 2023 Octubre | 159 | 29 | 188 |
| 2023 Septiembre | 114 | 36 | 150 |
| 2023 Agosto | 90 | 20 | 110 |
| 2023 Julio | 106 | 33 | 139 |
| 2023 Junio | 81 | 25 | 106 |
| 2023 Mayo | 135 | 39 | 174 |
| 2023 Abril | 136 | 32 | 168 |
| 2023 Marzo | 98 | 30 | 128 |
| 2023 Febrero | 69 | 32 | 101 |
| 2023 Enero | 81 | 41 | 122 |
| 2022 Diciembre | 87 | 41 | 128 |
| 2022 Noviembre | 42 | 32 | 74 |
| 2022 Octubre | 47 | 26 | 73 |
| 2022 Septiembre | 43 | 41 | 84 |
| 2022 Agosto | 50 | 51 | 101 |
| 2022 Julio | 46 | 49 | 95 |
| 2022 Junio | 45 | 28 | 73 |
| 2022 Mayo | 74 | 43 | 117 |
| 2022 Abril | 73 | 43 | 116 |
| 2022 Marzo | 74 | 59 | 133 |
| 2022 Febrero | 75 | 33 | 108 |
| 2022 Enero | 87 | 57 | 144 |
| 2021 Diciembre | 59 | 53 | 112 |
| 2021 Noviembre | 78 | 61 | 139 |
| 2021 Octubre | 77 | 50 | 127 |
| 2021 Septiembre | 67 | 57 | 124 |
| 2021 Agosto | 71 | 57 | 128 |
| 2021 Julio | 37 | 37 | 74 |
| 2021 Junio | 51 | 49 | 100 |
| 2021 Mayo | 66 | 81 | 147 |
| 2021 Abril | 118 | 86 | 204 |
| 2021 Marzo | 113 | 53 | 166 |
| 2021 Febrero | 112 | 53 | 165 |
| 2021 Enero | 71 | 47 | 118 |
| 2020 Diciembre | 82 | 41 | 123 |
| 2020 Noviembre | 44 | 38 | 82 |
| 2020 Octubre | 44 | 23 | 67 |
| 2020 Septiembre | 64 | 29 | 93 |
| 2020 Agosto | 27 | 21 | 48 |
| 2020 Julio | 44 | 25 | 69 |
| 2020 Junio | 37 | 39 | 76 |
| 2020 Mayo | 11 | 11 | 22 |
| 2020 Abril | 43 | 18 | 61 |
| 2020 Marzo | 34 | 18 | 52 |
| 2020 Febrero | 5 | 0 | 5 |
| 2020 Enero | 4 | 0 | 4 |
| 2019 Diciembre | 8 | 0 | 8 |
| 2019 Noviembre | 4 | 0 | 4 |
| 2019 Septiembre | 8 | 0 | 8 |
| 2019 Agosto | 4 | 0 | 4 |
| 2019 Julio | 4 | 0 | 4 |
| 2019 Junio | 6 | 0 | 6 |
| 2019 Mayo | 4 | 0 | 4 |
| 2019 Abril | 2 | 0 | 2 |
| 2019 Marzo | 4 | 0 | 4 |
| 2019 Febrero | 5 | 0 | 5 |
| 2019 Enero | 2 | 0 | 2 |
| 2018 Diciembre | 2 | 0 | 2 |
| 2018 Octubre | 2 | 0 | 2 |
| 2018 Septiembre | 3 | 0 | 3 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Abril | 1 | 0 | 1 |
| 2018 Febrero | 68 | 21 | 89 |
| 2018 Enero | 146 | 39 | 185 |
| 2017 Diciembre | 7 | 22 | 29 |
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