Case and Research Letters
Subcutaneous Neck Lesion After Chiropractic Manipulation: The Role of Ultrasound Skin Imaging
Lesión subcutánea cervical tras manipulación quiropráctica: papel de la ecografía cutánea
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Durán Vian, I. Salgüero Fernández, F. Alfageme Roldán, G. Roustán Gullón" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Durán Vian" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Salgüero Fernández" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Alfageme Roldán" ] 3 => array:2 [ "nombre" => "G." "apellidos" => "Roustán Gullón" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219020300044" "doi" => "10.1016/j.adengl.2020.01.004" "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/S1578219020300044?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173101930300X?idApp=UINPBA000044" "url" => "/00017310/0000011100000002/v2_202009190635/S000173101930300X/v2_202009190635/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S1578219020300056" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.01.005" "estado" => "S300" "fechaPublicacion" => "2020-03-01" "aid" => "2252" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:185-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Papular Epidermal Nevus With “Skyline” Basal Cell Layer: A Report of 3 New Cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "185" "paginaFinal" => "187" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Papular epidermal nevus with «skyline»: 3 nuevos casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 852 "Ancho" => 1500 "Tamanyo" => 158043 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Skin lesions in Case 1. B, Skin lesions in Case 2. C, Skin lesions in Case 3. D, Detail of skin lesion in Case 2.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Pardo Domínguez, J. del Boz González, R. Fúnez Liébana" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Pardo Domínguez" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "del Boz González" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Fúnez Liébana" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019303023" "doi" => "10.1016/j.ad.2018.07.015" "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/S0001731019303023?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300056?idApp=UINPBA000044" "url" => "/15782190/0000011100000002/v1_202004140647/S1578219020300056/v1_202004140647/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S1578219020300068" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.01.006" "estado" => "S300" "fechaPublicacion" => "2020-03-01" "aid" => "2254" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:181-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Sinusoidal hemangioma: Correlation Between Ultrasound and Histologic Findings in 3 Cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "183" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemangioma sinusoidal: correlación entre hallazgos ecográficos e histológicos en 3 casos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1609 "Ancho" => 2508 "Tamanyo" => 531541 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A and B, Case 1. Histology shows focal calcification inside the lesion and intravascular thrombosis (hematoxylin-eosin [HE], original magnification ×40). C, Case 2. Histology shows a well-circumscribed lobed mass composed of multiple, thin-walled, dilated and interconnected vascular channels that form sinusoidal structures (HE, original magnification ×40). D, Case 3. Histology shows dilated, interconnected vascular channels forming a sinusoidal pattern, with no evidence of calcifications or thrombi (HE, original magnification ×40). E, Case 2. Immunohistochemistry for WT1 (original magnification ×200). F, Case 2. Immunohistochemistry for D2-40 (original magnification ×200).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. García-Harana, I. Fernandez-Canedo, S. Rodriguez-Lobalzo, J.B. Repiso Jiménez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "García-Harana" ] 1 => array:2 [ "nombre" => "I." 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"apellidos" => "Repiso Jiménez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731019303047" "doi" => "10.1016/j.ad.2018.06.027" "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/S0001731019303047?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020300068?idApp=UINPBA000044" "url" => "/15782190/0000011100000002/v1_202004140647/S1578219020300068/v1_202004140647/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>" "titulo" => "Subcutaneous Neck Lesion After Chiropractic Manipulation: The Role of Ultrasound Skin Imaging" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "183" "paginaFinal" => "185" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Durán Vian, I. Salgüero Fernández, F. Alfageme Roldán, G. Roustán Gullón" "autores" => array:4 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Durán Vian" "email" => array:1 [ 0 => "cduranvian@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "I." "apellidos" => "Salgüero Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Alfageme Roldán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "G." "apellidos" => "Roustán Gullón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Marqués de Valdecilla, Santander, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesión subcutánea cervical tras manipulación quiropráctica: papel de la ecografía cutánea" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1520 "Ancho" => 2175 "Tamanyo" => 310353 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">B-mode ultrasound image of a longitudinal section showing an oval hypoechogenic lesion beneath the sternocleidomastoid muscle.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Subcutaneous lesions often raise diagnostic doubts in the dermatological consultation and require a more specific approach. We describe a case in which skin ultrasound played a fundamental role in the diagnosis and management of a patient with a neck tumor.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient was a 20-year-old woman with no personal medical history of interest who was seen for a progressively growing tumor in the left cervical region that had appeared suddenly 1 week earlier, causing mild pain in the immediate area of the lesion. Physical examination revealed a subcutaneous lesion (3 × 2 cm) with a gummy consistency, with no alteration in surface coloration and no epidermal involvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The differential diagnosis included adenopathies, lipoma, intramuscular hematoma, and other subcutaneous tumors.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Given the diagnostic doubt, the patient underwent skin ultrasound with a 15–18–MHz linear probe (Esaote MyLab), which revealed the presence beneath the sternocleidomastoid muscle of a hypoechoic, oval structure (2.8 × 1.5 × 1.4 cm) with well-defined margins and a major axis in the longitudinal direction. Color Doppler mode showed an absence of intralesional vascularization and the presence of peripheral vascularization (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>). The ultrasound findings were compatible with an intramuscular hematoma.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">In light of the ultrasound findings, we further investigated the medical history of the patient, who reported that she had visited a chiropractor 2 weeks earlier.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Ultrasound examination of the path of the carotid artery showed no abnormalities. Cervical computed tomography angiography revealed the presence of a hematoma, the radiological characteristics of which corresponded to our ultrasound findings. No alterations in the cervical vascular system were observed.</p><p id="par0035" class="elsevierStylePara elsevierViewall">The patient was discharged to her home and was prescribed analgesia and rest. She improved gradually, achieving full resolution within 3 weeks.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Cervical hematoma after chiropractic manipulation is an uncommon complication,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> but can be indicative of a major vascular complication. Indeed, there are multiple reports of dissection of the vertebral or carotid artery (pseudoaneurysm or intramural hematoma) in this context.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> Assessment with imaging tests, analysis of risk factors (e.g., smoking, contraception), and study of the underlying disease (vasculitis, fibromuscular dysplasia, Ehler-Danlos syndrome, Marfan syndrome) is therefore mandatory in patients with cervical hematoma associated with major vascular complication.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In the present case, the ultrasound differential diagnosis included lipoma, lymphadenopathy, and thrombosis. Lipomas show variable echogenicity and in some cases a characteristic hyperechogenic band. They tend to be located in the subcutaneous cellular tissue and have poorly defined margins. Lymphadenopathy is usually characterized by oval morphology with a hyperechoic center and a peripheral hypoechogenic halo. In the presence of inflammation an increase in volume and vascularization may be observed, although the general morphological and structural ultrasound features are retained. Thrombosis lesions are usually hyperechogenic, are located inside the vessels, and may present peripheral vascularization (recanalization). On ultrasound hematoma appears as a hypoechoic or anechoic structure, with no internal blood flow, although Doppler mode reveals peripheral vascularization,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> as occurred in the present case.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Skin ultrasound is particularly useful in the diagnosis and monitoring of a wide variety of dermatological and nondermatological conditions. This may explain the exponential increase in recent years in the use of this technique, which has been incorporated into dermatology consultations.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">In conclusion, we present the case of a young patient with a cervical hematoma resulting from chiropractic manipulation, and emphasize the importance of considering additional tests given the possibility of associated cervical vessel involvement. Moreover, we wish to highlight the role of skin ultrasound in the diagnosis and management of this case, which could have involved more serious complications.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => 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: Durán Vian C, et al. Lesión subcutánea cervical tras manipulación quiropráctica: papel de la ecografía cutánea. Actas Dermosifiliogr. 2020;111:183–185.</p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1361 "Ancho" => 905 "Tamanyo" => 124447 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bulge in the left cervical region. Note the absence of skin surface involvement.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1520 "Ancho" => 2175 "Tamanyo" => 310353 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">B-mode ultrasound image of a longitudinal section showing an oval hypoechogenic lesion beneath the sternocleidomastoid muscle.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1520 "Ancho" => 2175 "Tamanyo" => 248356 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Color Doppler-mode image of a longitudinal section showing an absence of intralesional flow.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "The Potential Complications of Chiropractic Therapy [Internet]. Medscape. [Cited 12 February 2018]. Available from: <a target="_blank" href="http://www.medscape.com/viewarticle/740848">http://www.medscape.com/viewarticle/740848</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neck hematoma caused by spontaneous common carotid artery rupture" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.D. Pazardzhikliev" 1 => "I.P. Yovchev" 2 => "D.D. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 11 | 13 | 24 |
| 2024 Octubre | 165 | 59 | 224 |
| 2024 Septiembre | 105 | 31 | 136 |
| 2024 Agosto | 138 | 62 | 200 |
| 2024 Julio | 102 | 59 | 161 |
| 2024 Junio | 117 | 36 | 153 |
| 2024 Mayo | 78 | 33 | 111 |
| 2024 Abril | 87 | 23 | 110 |
| 2024 Marzo | 80 | 34 | 114 |
| 2024 Febrero | 75 | 36 | 111 |
| 2024 Enero | 81 | 32 | 113 |
| 2023 Diciembre | 78 | 23 | 101 |
| 2023 Noviembre | 82 | 23 | 105 |
| 2023 Octubre | 90 | 20 | 110 |
| 2023 Septiembre | 64 | 41 | 105 |
| 2023 Agosto | 43 | 18 | 61 |
| 2023 Julio | 78 | 34 | 112 |
| 2023 Junio | 48 | 28 | 76 |
| 2023 Mayo | 119 | 42 | 161 |
| 2023 Abril | 76 | 35 | 111 |
| 2023 Marzo | 103 | 22 | 125 |
| 2023 Febrero | 85 | 17 | 102 |
| 2023 Enero | 72 | 33 | 105 |
| 2022 Diciembre | 72 | 30 | 102 |
| 2022 Noviembre | 46 | 26 | 72 |
| 2022 Octubre | 64 | 21 | 85 |
| 2022 Septiembre | 62 | 44 | 106 |
| 2022 Agosto | 51 | 33 | 84 |
| 2022 Julio | 58 | 26 | 84 |
| 2022 Junio | 33 | 15 | 48 |
| 2022 Mayo | 50 | 41 | 91 |
| 2022 Abril | 46 | 34 | 80 |
| 2022 Marzo | 76 | 48 | 124 |
| 2022 Febrero | 53 | 25 | 78 |
| 2022 Enero | 68 | 29 | 97 |
| 2021 Diciembre | 60 | 45 | 105 |
| 2021 Noviembre | 63 | 40 | 103 |
| 2021 Octubre | 54 | 48 | 102 |
| 2021 Septiembre | 39 | 42 | 81 |
| 2021 Agosto | 65 | 26 | 91 |
| 2021 Julio | 54 | 28 | 82 |
| 2021 Junio | 46 | 21 | 67 |
| 2021 Mayo | 41 | 45 | 86 |
| 2021 Abril | 91 | 94 | 185 |
| 2021 Marzo | 51 | 32 | 83 |
| 2021 Febrero | 40 | 27 | 67 |
| 2021 Enero | 40 | 18 | 58 |
| 2020 Diciembre | 30 | 24 | 54 |
| 2020 Noviembre | 26 | 21 | 47 |
| 2020 Octubre | 26 | 11 | 37 |
| 2020 Septiembre | 60 | 19 | 79 |
| 2020 Agosto | 66 | 19 | 85 |
| 2020 Julio | 28 | 15 | 43 |
| 2020 Junio | 43 | 22 | 65 |
| 2020 Mayo | 41 | 17 | 58 |
| 2020 Abril | 52 | 17 | 69 |
| 2020 Marzo | 15 | 11 | 26 |
| 2020 Febrero | 2 | 2 | 4 |
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