Practical Dermoscopy
Solitary Sclerotic Fibroma: Dermoscopic Features
Fibroma esclerótico solitario: características dermatoscópicas
Leído
8151
Vecesse ha leído el artículo
1908
Total PDF
6243
Total HTML
Compartir estadísticas
array:25 [ "pii" => "S1578219020302833" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.10.008" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2372" "copyright" => "AEDV" "copyrightAnyo" => "2020" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:773-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0001731020301691" "issn" => "00017310" "doi" => "10.1016/j.ad.2020.05.005" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2372" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:773-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Dermatoscopia práctica</span>" "titulo" => "Fibroma esclerótico solitario: características dermatoscópicas" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "773" "paginaFinal" => "774" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Solitary Sclerotic Fibroma: Dermoscopic Features" ] ] "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" => 696 "Ancho" => 905 "Tamanyo" => 68874 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nódulo blanquecino bien delimitado con vascularización superficial de 7<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>5,7<span class="elsevierStyleHsp" style=""></span>mm.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N. Setó-Torrent, G. Melé-Ninot, M. Quintana-Codina, R. Ballester-Victoria" "autores" => array:4 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Setó-Torrent" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Melé-Ninot" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Quintana-Codina" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Ballester-Victoria" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219020302833" "doi" => "10.1016/j.adengl.2020.10.008" "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/S1578219020302833?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020301691?idApp=UINPBA000044" "url" => "/00017310/0000011100000009/v1_202011260611/S0001731020301691/v1_202011260611/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S157821902030281X" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.10.006" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2434" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:775-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Brief Comunication</span>" "titulo" => "Kindler Syndrome: A Multidisciplinary Management Approach" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "775" "paginaFinal" => "780" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Kindler, manejo multidisciplinario" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "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" => "gr6.jpeg" "Alto" => 743 "Ancho" => 1255 "Tamanyo" => 169525 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Clinical manifestations. A, Case 2. Dry skin with atrophic areas with a cigarette-paper-like appearance and multiple freckles. B, Case 3. Plantar pitting.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Torres-Iberico, Y. Condori-Fernández, C. Apagüeño-Ruiz, M. Andia-Ticona, R. Pomar-Morante" "autores" => array:5 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Torres-Iberico" ] 1 => array:2 [ "nombre" => "Y." "apellidos" => "Condori-Fernández" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Apagüeño-Ruiz" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Andia-Ticona" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Pomar-Morante" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020302799" "doi" => "10.1016/j.ad.2019.04.013" "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/S0001731020302799?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821902030281X?idApp=UINPBA000044" "url" => "/15782190/0000011100000009/v1_202012010756/S157821902030281X/v1_202012010756/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S1578219020302900" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.10.011" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2417" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:771-2" "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 for Diagnosis</span>" "titulo" => "The First Case of Skin Hyperpigmentation and Melanonychia Due to Hydroxychloroquine in Chile" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "771" "paginaFinal" => "772" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hiperpigmentación cutánea y melanoniquia provocada por hidroxicloroquina: primer caso reportado en Chile" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1555 "Ancho" => 1167 "Tamanyo" => 277533 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Cristián Fischer, M. Matías Sanhueza" "autores" => array:2 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Cristián Fischer" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Matías Sanhueza" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020302325" "doi" => "10.1016/j.ad.2019.02.027" "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/S0001731020302325?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302900?idApp=UINPBA000044" "url" => "/15782190/0000011100000009/v1_202012010756/S1578219020302900/v1_202012010756/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>" "titulo" => "Solitary Sclerotic Fibroma: Dermoscopic Features" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "773" "paginaFinal" => "774" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "N. Setó-Torrent, G. Melé-Ninot, M. Quintana-Codina, R. Ballester-Victoria" "autores" => array:4 [ 0 => array:4 [ "nombre" => "N." "apellidos" => "Setó-Torrent" "email" => array:1 [ 0 => "nurisetorrent@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" => "G." "apellidos" => "Melé-Ninot" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Quintana-Codina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "R." "apellidos" => "Ballester-Victoria" "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 Universitari Sagrat Cor, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitari Sagrat Cor, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma esclerótico solitario: características dermatoscópicas" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 834 "Ancho" => 905 "Tamanyo" => 54131 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Homogeneous white lesion with perilesional erythema and peripheral arborizing vessels.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 89-year-old woman presented with an indurated whitish nodule with superficial vascularization on the fourth finger of her left hand (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The lesion had been present for several years. Dermoscopy (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) showed peripheral arborizing vessels against a whitish background and an erythematous halo around the lesion. The lesion was excised and sent for pathologic examination (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).<span class="elsevierStyleDisplayedQuote" id="dsq0005"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">[[?]] What Is Your Diagnosis?</p></span></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Solitary sclerotic fibroma.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Sclerotic fibroma (SF), also known as storiform collagenoma, is an uncommon benign tumor. It clinically manifests as a firm, solitary, well-circumscribed, whitish or flesh-colored papule or nodule and typically affects young adults.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It is preferentially located on the face and extremities, but has also been described on the trunk, scalp, oral mucosa, and nail bed.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Multiple SFs are considered to be a cutaneous marker of Cowden syndrome,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> unlike solitary lesions, which are not usually observed in this hereditary skin condition. Histopathologic examination shows a well-circumscribed, nonencapsulated, dermal tumor composed of thick hypocellular hyalinized collagen bands separated by numerous clefts and scarce fibroblasts interspersed among the collagen bands. The clefts are randomly arranged and form a storiform pattern at low magnification.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Two theories have been proposed to explain the etiology and pathogenesis of SF. According to the first theory, SF is a distinct clinical and pathologic entity, which in particular would explain its association with Cowden syndrome. According to the second theory, it would be the end stage of existing lesions, such as dermatofibromas, neurofibromas, angiofibromas, folliculitis, erythema elevatum diutinum, lipomas, fibroma of the tendon sheath, melanocytic nevi, and giant cell collagenomas. The most commonly associated entity is dermatofibroma.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">A recent dermoscopic study of SF, the first of its kind, described a homogeneous lesion against a white background with peripheral arborizing vessels and a perilesional erythematous halo.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Our findings were very similar. The following conditions should be contemplated in the differential diagnosis: atypical dermatofibroma, late-stage sclerotic dermatofibroma, basal cell carcinoma, hypomelanotic or amelanotic blue nevus, and amelanotic melanoma.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Unlike SF, atypical and late-stage sclerotic dermatofibromas usually have a delicate peripheral pigment network.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Additional dermoscopic features observed in basal cell carcinoma include cartwheel structures, maple leaf–like areas, ulceration, multiple globules, and blue-gray ovoid nests. Blue nevus and amelanotic melanoma do not always exhibit a residual blue-brownish pigment,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> making them more difficult to distinguish from SF.</p><p id="par0030" class="elsevierStylePara elsevierViewall">We have presented a new case of SF with very similar dermoscopic findings to those recently described. Although dermoscopy can provide important diagnostic clues, a diagnosis of SF must be histologically confirmed.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of Interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Diagnosis" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Comment" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of Interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-07-06" "fechaAceptado" => "2020-05-21" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Setó-Torrent N, Melé-Ninot G, Quintana-Codina M, Ballester-Victoria R. Fibroma esclerótico solitario: características dermatoscópicas. Actas Dermosifiliogr. 2020. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.ad.2020.05.005">https://doi.org/10.1016/j.ad.2020.05.005</span></p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 696 "Ancho" => 905 "Tamanyo" => 68874 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Well-demarcated nodule measuring 7 × 5.7 mm with superficial vascularization.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 834 "Ancho" => 905 "Tamanyo" => 54131 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Homogeneous white lesion with perilesional erythema and peripheral arborizing vessels.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 687 "Ancho" => 905 "Tamanyo" => 136987 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Abundant hypocellular hyalinized bands of collagen and clefts forming a storiform pattern.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fibroma esclerótico con células gigantes multinucleadas" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.J. Izquierdo" 1 => "M.A. Pastor" 2 => "L. Carrasco" 3 => "C. Requena" 4 => "M.L. Soguero" 5 => "C. Moreno" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2001" "volumen" => "92" "paginaInicial" => "419" "paginaFinal" => "421" "itemHostRev" => array:3 [ "pii" => "S0735675717306290" "estado" => "S300" "issn" => "07356757" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of a solitary storiform collagenoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:4 [ 0 => "M. Ebadian" 1 => "L. Citarella" 2 => "D. Collins" 3 => "Lewisham and Greenwich NHS Trust" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5826/dpc.0802a09" "Revista" => array:6 [ "tituloSerie" => "Dermatol Pract Concept" "fecha" => "2018" "volumen" => "8" "paginaInicial" => "120" "paginaFinal" => "122" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29785328" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sclerotic fibroma-like change in various neoplastic and inflammatory skin lesions: is sclerotic fibroma a distinct entity?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "W.A. High" 1 => "D. Stewart" 2 => "L.R. Essary" 3 => "N.P. Kageyama" 4 => "M.P. Hoang" 5 => "C.J. Cockerell" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.0303-6987.2004.00199.x" "Revista" => array:7 [ "tituloSerie" => "J Cutan Pathol" "fecha" => "2004" "volumen" => "31" "paginaInicial" => "373" "paginaFinal" => "378" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15059222" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0210569109001375" "estado" => "S300" "issn" => "02105691" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Solitary sclerotic fibroma on the scalp of a young girl: reactive sclerosis pattern?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "O. Abbas" 1 => "S. Ghosn" 2 => "R. Bahhady" 3 => "S. Salman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Dermatol" "fecha" => "2010" "volumen" => "37" "paginaInicial" => "575" "paginaFinal" => "577" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nodular lesion with polymorphous vascular pattern" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. Coelho de Sousa" 1 => "A. Oliveira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatol Pract Concept" "fecha" => "2017" "volumen" => "7" "paginaInicial" => "81" "paginaFinal" => "83" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Amelanotic blue nevus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Ma" 1 => "C.J. Chambers" 2 => "M. Kiuru" 3 => "D.K. Marsee" 4 => "M. Silverstein" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jdcr.2017.01.003" "Revista" => array:6 [ "tituloSerie" => "JAAD Case Reports" "fecha" => "2017" "volumen" => "3" "paginaInicial" => "93" "paginaFinal" => "94" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28280767" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011100000009/v1_202012010756/S1578219020302833/v1_202012010756/en/main.assets" "Apartado" => array:4 [ "identificador" => "6151" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Practical Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000009/v1_202012010756/S1578219020302833/v1_202012010756/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302833?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 5 | 8 |
| 2024 Octubre | 138 | 58 | 196 |
| 2024 Septiembre | 157 | 37 | 194 |
| 2024 Agosto | 155 | 66 | 221 |
| 2024 Julio | 140 | 46 | 186 |
| 2024 Junio | 131 | 36 | 167 |
| 2024 Mayo | 114 | 39 | 153 |
| 2024 Abril | 89 | 17 | 106 |
| 2024 Marzo | 99 | 29 | 128 |
| 2024 Febrero | 123 | 32 | 155 |
| 2024 Enero | 151 | 34 | 185 |
| 2023 Diciembre | 145 | 23 | 168 |
| 2023 Noviembre | 150 | 37 | 187 |
| 2023 Octubre | 144 | 30 | 174 |
| 2023 Septiembre | 156 | 38 | 194 |
| 2023 Agosto | 141 | 16 | 157 |
| 2023 Julio | 158 | 61 | 219 |
| 2023 Junio | 154 | 20 | 174 |
| 2023 Mayo | 219 | 33 | 252 |
| 2023 Abril | 152 | 32 | 184 |
| 2023 Marzo | 162 | 40 | 202 |
| 2023 Febrero | 150 | 27 | 177 |
| 2023 Enero | 131 | 44 | 175 |
| 2022 Diciembre | 114 | 50 | 164 |
| 2022 Noviembre | 83 | 30 | 113 |
| 2022 Octubre | 73 | 54 | 127 |
| 2022 Septiembre | 80 | 55 | 135 |
| 2022 Agosto | 96 | 33 | 129 |
| 2022 Julio | 70 | 42 | 112 |
| 2022 Junio | 52 | 27 | 79 |
| 2022 Mayo | 149 | 39 | 188 |
| 2022 Abril | 179 | 33 | 212 |
| 2022 Marzo | 168 | 65 | 233 |
| 2022 Febrero | 142 | 25 | 167 |
| 2022 Enero | 171 | 42 | 213 |
| 2021 Diciembre | 154 | 51 | 205 |
| 2021 Noviembre | 146 | 44 | 190 |
| 2021 Octubre | 141 | 56 | 197 |
| 2021 Septiembre | 127 | 45 | 172 |
| 2021 Agosto | 100 | 41 | 141 |
| 2021 Julio | 90 | 34 | 124 |
| 2021 Junio | 118 | 26 | 144 |
| 2021 Mayo | 124 | 42 | 166 |
| 2021 Abril | 288 | 117 | 405 |
| 2021 Marzo | 151 | 45 | 196 |
| 2021 Febrero | 81 | 38 | 119 |
| 2021 Enero | 80 | 23 | 103 |
| 2020 Diciembre | 67 | 25 | 92 |
| 2020 Noviembre | 21 | 17 | 38 |
| 2020 Octubre | 16 | 9 | 25 |
Mostrar todo
