Practical Dermoscopy
Slow-Growing Salmon-Pink Nodule on the Buttock
Nódulo rosado de lento crecimiento en glúteo
E. Rodríguez-Lomba
, B. Lozano-Masdemont, J.A. Avilés-Izquierdo
Autor para correspondencia
Servicio de Dermatología, Hospital General Universitario Gregorio Marañón, Madrid, España
Leído
7613
Vecesse ha leído el artículo
1893
Total PDF
5720
Total HTML
Compartir estadísticas
array:24 [ "pii" => "S157821901930263X" "issn" => "15782190" "doi" => "10.1016/j.adengl.2018.03.023" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "2081" "copyright" => "Elsevier España, S.L.U. and AEDV" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2019;110:763-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1 "HTML" => 1 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0001731018304472" "issn" => "00017310" "doi" => "10.1016/j.ad.2018.03.024" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "2081" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2019;110:763-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 423 "formatos" => array:2 [ "HTML" => 369 "PDF" => 54 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Dermatoscopia práctica</span>" "titulo" => "Nódulo rosado de lento crecimiento en glúteo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "763" "paginaFinal" => "764" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Slow-Growing Salmon-Pink Nodule on the Buttock" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 655 "Ancho" => 750 "Tamanyo" => 72084 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen clínica. Nódulo cupuliforme de color rosado y superficie lisa de 2<span class="elsevierStyleHsp" style=""></span>cm en glúteo derecho, con base subcutánea infiltrada y un nódulo satélite adyacente.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Rodríguez-Lomba, B. Lozano-Masdemont, J.A. Avilés-Izquierdo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez-Lomba" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Lozano-Masdemont" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Avilés-Izquierdo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S157821901930263X" "doi" => "10.1016/j.adengl.2018.03.023" "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/S157821901930263X?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731018304472?idApp=UINPBA000044" "url" => "/00017310/0000011000000009/v1_201911020642/S0001731018304472/v1_201911020642/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1578219019302665" "issn" => "15782190" "doi" => "10.1016/j.adengl.2019.07.020" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "2220" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2019;110:765-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 41 "HTML" => 41 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case for Diagnosis</span>" "titulo" => "Snow Falling Sign in a Long-Standing Tumor" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "765" "paginaFinal" => "766" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor de larga evolución con patrón «en copos de nieve»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 526 "Ancho" => 700 "Tamanyo" => 140510 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin-eosin: a) ×1; b) ×10; c) ×40; d) ×20.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Macías del Toro, Y.C. Pérez González, M.D. Mendoza Cembranos" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E. Macías del" "apellidos" => "Toro" ] 1 => array:2 [ "nombre" => "Y.C. Pérez" "apellidos" => "González" ] 2 => array:2 [ "nombre" => "M.D. Mendoza" "apellidos" => "Cembranos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019301851" "doi" => "10.1016/j.ad.2018.05.020" "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/S0001731019301851?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019302665?idApp=UINPBA000044" "url" => "/15782190/0000011000000009/v2_201911260739/S1578219019302665/v2_201911260739/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1578219019302513" "issn" => "15782190" "doi" => "10.1016/j.adengl.2019.07.018" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "2139" "copyright" => "Elsevier España, S.L.U. and AEDV" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2019;110:759-62" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1 "HTML" => 1 ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Brief Comunication</span>" "titulo" => "East-West Flap After Mohs Micrographic Surgery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:3 [ 0 => "en" 1 => "en" 2 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "759" "paginaFinal" => "762" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Colgajo este-oeste después de la cirugía micrográfica de Mohs" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 1 "multimedia" => array:5 [ "identificador" => "fig0015" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 551 "Ancho" => 1333 "Tamanyo" => 38442 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Magliano, M.P. Abelenda, J. Navarrete, C. Bazzano" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Magliano" ] 1 => array:2 [ "nombre" => "M.P." "apellidos" => "Abelenda" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Navarrete" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Bazzano" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0015"></elsevierMultimedia></p></span>" ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019300109" "doi" => "10.1016/j.ad.2018.08.007" "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/S0001731019300109?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219019302513?idApp=UINPBA000044" "url" => "/15782190/0000011000000009/v2_201911260739/S1578219019302513/v2_201911260739/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>" "titulo" => "Slow-Growing Salmon-Pink Nodule on the Buttock" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "763" "paginaFinal" => "764" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "E. Rodríguez-Lomba, B. Lozano-Masdemont, J.A. Avilés-Izquierdo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "E." "apellidos" => "Rodríguez-Lomba" "email" => array:1 [ 0 => "enriquerlomba@outlook.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Lozano-Masdemont" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Avilés-Izquierdo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital General Universitario Gregorio Marañón, Madrid, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Nódulo rosado de lento crecimiento en glúteo" ] ] "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" => 655 "Ancho" => 750 "Tamanyo" => 72211 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical image. Smooth pinkish dome-shaped nodule measuring 2<span class="elsevierStyleHsp" style=""></span>cm on the right buttock. Note the infiltrated subcutaneous base and the adjacent satellite nodule.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case Presentation</span><p id="par0005" class="elsevierStylePara elsevierViewall">The patient was a 76-year-old woman with no personal history of interest who consulted for a nodular lesion measuring 2<span class="elsevierStyleHsp" style=""></span>cm on her right buttock. The lesion had first appeared 1 year previously, had gradually increased in size, and was accompanied by an adjacent satellite nodule. Both lesions were firm in consistency with an infiltrated subcutaneous base (<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">Diagnosis</span><p id="par0015" class="elsevierStylePara elsevierViewall">Primary cutaneous marginal zone B-cell lymphoma.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0020" class="elsevierStylePara elsevierViewall">Dermoscopy revealed a homogeneous salmon-pink nodule with poorly focused prominent linear-irregular vessels distributed mainly on the periphery (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Poorly defined whitish structures were visible in the center of the lesion. There was no desquamation, pigmented base, or ulceration.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Suspicion of cutaneous lymphoma, cutaneous metastasis, amelanotic melanoma, or soft tissue sarcoma prompted us to remove the lesion. Histology revealed a diffuse nodular lymphocytic infiltrate separated from a preserved epidermis by a Grenz zone. Immunohistochemistry revealed positive results for CD20, CD79a, Bcl2, and κ light chain restriction. Together with clonal rearrangement of the <span class="elsevierStyleItalic">IGH</span> gene in polymerase chain reaction, these findings confirmed the diagnosis of cutaneous marginal zone B-cell lymphoma. The absence of findings in the extension study confirmed the mainly cutaneous origin.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Cutaneous lymphomas comprise a heterogeneous group of malignant neoplasms with very diverse clinical and histopathological manifestations.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,2</span></a> Therefore, diagnosis is usually complicated, and the lesion may go undetected in the initial phases, even for clinical experts.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> While diagnosis must be confirmed by biopsy and immunohistochemistry, some recent studies indicate that dermoscopy is a useful tool in the initial suspected diagnosis.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3–5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">In 2018, Geller et al.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> reported on the dermoscopic features of a series of 58 cutaneous B-cell lymphomas. The most frequent findings were a homogeneous salmon-pink color (79.3%) and prominent blood vessels (77.6%) that were of serpentine (linear-irregular) morphology (67.2%). The salmon pink color is thought to be associated with the lymphocytic infiltration and increased vascular flow, whereas the prominent blood vessels are associated with the angiogenesis that accompanies the neoplasm. It is noteworthy that in this study we did not record significant differences in dermoscopy findings between the various B-cell lymphoma histologic subtypes (follicle-center, marginal zone, and diffuse large B-cell) or depending on the anatomic location.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The most common clinical differential diagnosis in this series was with basal cell carcinoma (in up to 17.4% of cases), squamous cell carcinoma, dermatofibrosarcoma protuberans, cutaneous metastasis, melanoma, cysts, and arthropod bite. Strikingly, agreement between the 2 observing dermoscopy experts was relatively low for the 17 histologically confirmed cases, thus demonstrating the low specificity of these findings.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In conclusion, we believe that the presence of homogeneous salmon-pink areas and prominent linear-irregular blood vessels in pink nodules should lead us to consider cutaneous lymphoma as a possible diagnosis, although these findings are not completely confirmatory.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case Presentation" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Diagnosis" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Comment" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Conflicts of Interest" ] 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: Rodríguez-Lomba E, Lozano-Masdemont B, Avilés-Izquierdo JA. Nódulo rosado de lento crecimiento en glúteo Eczema y urticaria en Portugal. 2019;110:763–764.</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" => 655 "Ancho" => 750 "Tamanyo" => 72211 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Clinical image. Smooth pinkish dome-shaped nodule measuring 2<span class="elsevierStyleHsp" style=""></span>cm on the right buttock. Note the infiltrated subcutaneous base and the adjacent satellite nodule.</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" => 576 "Ancho" => 750 "Tamanyo" => 24864 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermoscopy image. Homogeneous salmon-pink color with multiple prominent poorly focused serpentine (linear-irregular) vessels. The lesions are found mainly on the periphery of the nodule. Note the whitish structures in the center of the lesion.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cutaneous lymphomas: An update Part 1: T-cell and natural killer/T-cell lymphomas and related conditions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W. Kempf" 1 => "D.V. Kazakov" 2 => "K. Kerl" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/DAD.0b013e318289b1db" "Revista" => array:6 [ "tituloSerie" => "Am J Dermatopathol" "fecha" => "2014" "volumen" => "36" "paginaInicial" => "105" "paginaFinal" => "123" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24556897" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cutaneous lymphomas: An update Part 2: B-cell lymphomas and related conditions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "W. Kempf" 1 => "D.V. Kazakov" 2 => "C. Mitteldorf" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/DAD.0b013e318289b20e" "Revista" => array:6 [ "tituloSerie" => "Am J Dermatopathol" "fecha" => "2014" "volumen" => "36" "paginaInicial" => "197" "paginaFinal" => "208" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24658377" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy and the diagnosis of primary cutaneous B-cell lymphoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Geller" 1 => "A.A. Marghoob" 2 => "A. Scope" 3 => "R.P. Braun" 4 => "P.L. Myskowski" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jdv.14549" "Revista" => array:6 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2018" "volumen" => "32" "paginaInicial" => "53" "paginaFinal" => "56" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28846171" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy pattern, histopathology and immunophenotype of primary cutaneous B-cell lymphoma presenting as a solitary skin nodule" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Mascolo" 1 => "V. Piccolo" 2 => "G. Argenziano" 3 => "C. Costa" 4 => "M. lo Presti" 5 => "G. de Rosa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000442251" "Revista" => array:6 [ "tituloSerie" => "Dermatology" "fecha" => "2016" "volumen" => "232" "paginaInicial" => "203" "paginaFinal" => "207" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26694025" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of primary cutaneous B-cell lymphoma (PCBCL)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "V. Piccolo" 1 => "M. Mascolo" 2 => "T. Russo" 3 => "S. Staibano" 4 => "G. Argenziano" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2016.02.1217" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2016" "volumen" => "75" "paginaInicial" => "e137" "paginaFinal" => "e139" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27646755" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011000000009/v2_201911260739/S157821901930263X/v2_201911260739/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/15782190/0000011000000009/v2_201911260739/S157821901930263X/v2_201911260739/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901930263X?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 10 | 14 |
| 2024 Octubre | 97 | 65 | 162 |
| 2024 Septiembre | 94 | 53 | 147 |
| 2024 Agosto | 127 | 76 | 203 |
| 2024 Julio | 102 | 58 | 160 |
| 2024 Junio | 84 | 58 | 142 |
| 2024 Mayo | 76 | 42 | 118 |
| 2024 Abril | 95 | 40 | 135 |
| 2024 Marzo | 84 | 39 | 123 |
| 2024 Febrero | 100 | 46 | 146 |
| 2024 Enero | 105 | 34 | 139 |
| 2023 Diciembre | 125 | 22 | 147 |
| 2023 Noviembre | 147 | 28 | 175 |
| 2023 Octubre | 148 | 30 | 178 |
| 2023 Septiembre | 129 | 29 | 158 |
| 2023 Agosto | 142 | 25 | 167 |
| 2023 Julio | 165 | 38 | 203 |
| 2023 Junio | 113 | 28 | 141 |
| 2023 Mayo | 184 | 36 | 220 |
| 2023 Abril | 114 | 23 | 137 |
| 2023 Marzo | 115 | 25 | 140 |
| 2023 Febrero | 111 | 27 | 138 |
| 2023 Enero | 126 | 42 | 168 |
| 2022 Diciembre | 121 | 52 | 173 |
| 2022 Noviembre | 91 | 30 | 121 |
| 2022 Octubre | 90 | 32 | 122 |
| 2022 Septiembre | 114 | 35 | 149 |
| 2022 Agosto | 104 | 39 | 143 |
| 2022 Julio | 54 | 45 | 99 |
| 2022 Junio | 61 | 32 | 93 |
| 2022 Mayo | 95 | 56 | 151 |
| 2022 Abril | 108 | 25 | 133 |
| 2022 Marzo | 135 | 58 | 193 |
| 2022 Febrero | 146 | 17 | 163 |
| 2022 Enero | 187 | 34 | 221 |
| 2021 Diciembre | 115 | 38 | 153 |
| 2021 Noviembre | 103 | 42 | 145 |
| 2021 Octubre | 122 | 46 | 168 |
| 2021 Septiembre | 120 | 48 | 168 |
| 2021 Agosto | 146 | 33 | 179 |
| 2021 Julio | 104 | 21 | 125 |
| 2021 Junio | 125 | 25 | 150 |
| 2021 Mayo | 126 | 38 | 164 |
| 2021 Abril | 400 | 84 | 484 |
| 2021 Marzo | 118 | 22 | 140 |
| 2021 Febrero | 64 | 18 | 82 |
| 2021 Enero | 41 | 13 | 54 |
| 2020 Diciembre | 39 | 13 | 52 |
| 2020 Noviembre | 29 | 17 | 46 |
| 2020 Octubre | 38 | 12 | 50 |
| 2020 Septiembre | 40 | 18 | 58 |
| 2020 Agosto | 21 | 22 | 43 |
| 2020 Julio | 10 | 8 | 18 |
| 2020 Junio | 22 | 17 | 39 |
| 2020 Mayo | 14 | 13 | 27 |
| 2020 Abril | 11 | 8 | 19 |
| 2020 Marzo | 13 | 6 | 19 |
| 2020 Febrero | 5 | 2 | 7 |
| 2019 Noviembre | 1 | 0 | 1 |
Mostrar todo
