Practical Dermoscopy
Tumor arteriovenoso: pistas dermatoscópicas para su sospecha
Arteriovenous Tumor: Dermoscopic Clues
Leído
3893
Vecesse ha leído el artículo
1646
Total PDF
2247
Total HTML
Compartir estadísticas
array:25 [ "pii" => "S1578219021000470" "issn" => "15782190" "doi" => "10.1016/j.adengl.2021.01.028" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2502" "copyright" => "AEDV" "copyrightAnyo" => "2020" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2021;112:359-60" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0001731020304257" "issn" => "00017310" "doi" => "10.1016/j.ad.2019.05.019" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2502" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2021;112:359-60" "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" => "Tumor arteriovenoso: pistas dermatoscópicas para su sospecha" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "359" "paginaFinal" => "360" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Arteriovenous Tumor: Dermoscopic Clues" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1188 "Ancho" => 1583 "Tamanyo" => 723606 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Proliferación vascular bien circunscrita en la dermis, con vasos revestidos por una única hilera de células endoteliales. Mientras que unos vasos presentan una pared fibromuscular gruesa, sin definitiva presencia de lámina elástica, otros vasos presentan una pared más delgada (H&E, ×40).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Álvarez-Salafranca, V. Fuentelsaz, C. Cebrián García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Álvarez-Salafranca" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Fuentelsaz" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Cebrián García" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219021000470" "doi" => "10.1016/j.adengl.2021.01.028" "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/S1578219021000470?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020304257?idApp=UINPBA000044" "url" => "/00017310/0000011200000004/v1_202104020731/S0001731020304257/v1_202104020731/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S1578219021000512" "issn" => "15782190" "doi" => "10.1016/j.adengl.2021.01.031" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2500" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2021;112:361-4" "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" => "Secukinumab: Drug Survival in Clinical Practice Settings" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "361" "paginaFinal" => "364" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Secukinumab: Supervivencia en práctica clínica real" ] ] "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" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1240 "Ancho" => 2068 "Tamanyo" => 83777 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Estimated overall survival on secukinumab treatment.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Ruiz-Villaverde, L. Rodriguez Fernández-Freire, M. Galán-Gutiérrez, J.C. Armario-Hita, L. Martinez-Pilar" "autores" => array:5 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Ruiz-Villaverde" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Rodriguez Fernández-Freire" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Galán-Gutiérrez" ] 3 => array:2 [ "nombre" => "J.C." "apellidos" => "Armario-Hita" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Martinez-Pilar" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020304233" "doi" => "10.1016/j.ad.2019.05.018" "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/S0001731020304233?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000512?idApp=UINPBA000044" "url" => "/15782190/0000011200000004/v1_202104020837/S1578219021000512/v1_202104020837/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S1578219021000524" "issn" => "15782190" "doi" => "10.1016/j.adengl.2021.01.032" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2503" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2021;112:357-8" "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" => "Painful Nodules on the Thighs" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "357" "paginaFinal" => "358" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Nódulos dolorosos en muslos" ] ] "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" => 900 "Ancho" => 900 "Tamanyo" => 273933 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histology. A. Hematoxylin-eosin, original magnification, ×10. B and C. Hematoxylin-eosin, original magnification, ×40.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Conejero, Á. Rivera-Rodríguez, M. Ara" "autores" => array:3 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Conejero" ] 1 => array:2 [ "nombre" => "Á." "apellidos" => "Rivera-Rodríguez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Ara" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020304269" "doi" => "10.1016/j.ad.2019.05.020" "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/S0001731020304269?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000524?idApp=UINPBA000044" "url" => "/15782190/0000011200000004/v1_202104020837/S1578219021000524/v1_202104020837/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>" "titulo" => "Tumor arteriovenoso: pistas dermatoscópicas para su sospecha" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "359" "paginaFinal" => "360" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "M. Álvarez-Salafranca, V. Fuentelsaz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Álvarez-Salafranca" "email" => array:1 [ 0 => "marcialaspn@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" => "V." "apellidos" => "Fuentelsaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Royo Villanova, Zaragoza, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] 1 => array:3 [ "autoresLista" => "C. Cebrián García" "autores" => array:1 [ 0 => array:3 [ "nombre" => "C." "apellidos" => "Cebrián García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Royo Villanova, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Arteriovenous Tumor: Dermoscopic Clues" ] ] "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" => 563 "Ancho" => 750 "Tamanyo" => 199989 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Well-circumscribed vascular proliferation in the dermis, with vessels covered with a single layer of endothelial cells. Some vessels have a thick fibromuscular wall, with no definitive presence of elastic lamina, whereas others have a thinner wall (hematoxylin-eosin, ×40).</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">A 78-year-old man consulted for an asymptomatic cutaneous lesion on the external aspect of his left arm that had first appeared 7 months earlier. The lesion, which was firm and measured 15 mm in diameter, was papulonodular, dome-shaped, and erythematous-violaceous in color (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">What Is Your Diagnosis?</span><p id="par0010" class="elsevierStylePara elsevierViewall">Arteriovenous tumor.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Polarized light dermoscopy revealed the presence of whitish structures, a slightly brown reticular pattern mainly on the periphery, and vascular structures (nonarborizing telangiectasias in areas with a glomerular appearance), all on an erythematous base (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A).</p><p id="par0020" class="elsevierStylePara elsevierViewall">Given the clinical and dermoscopic characteristics of the lesion, the differential diagnosis was made with a vascular lesion, including arteriovenous tumor, aneurysmal dermatofibroma, and hypomelanotic nodular melanoma. The lesion was removed completely (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Histopathology revealed a well-circumscribed—but not encapsulated—proliferation comprising aggregated vessels in the dermis covered by a single layer of endothelial cells without atypia. Some vessels had a thick fibromuscular wall, with no definitive elastic lamina, and others had a thinner wall.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Arteriovenous tumor, or acral arteriovenous tumor, is a benign vascular tumor that is clinically difficult to diagnose. It usually manifests as a solitary, asymptomatic lesion mainly at acral sites, such as the head and limbs.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> It has been reported to appear on patch-like capillary malformations such as port wine stains.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Histopathologically, the lesion is a well-circumscribed proliferation in the papillary dermis composed of multiple vascular spaces with thick walls interspersed with other spaces with thin walls. It has been suggested that this is a hamartomatous proliferation of the subpapillary plexus.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">A recent study of 39 cases summarized the dermoscopic characteristics of these lesions. The dermoscopic pattern most commonly associated with arteriovenous tumor was nonarborizing telangiectasias on a reddish background (72% of cases) in the absence of the lacunae that are typical of other vascular tumors. Furthermore, whitish structures and a slightly pigmented peripheral network were detected in 49% and 18% of cases, respectively.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">While it is true that dermoscopy can reveal vascular structures in aneurysmal dermatofibroma, these are observed at the edge of the lesion, probably in association with blood vessels of the surrounding stroma. This type of tumor has irregular spaces filled with red cells, although they lack an endothelial layer and, therefore, are not seen as central telangiectasias in dermoscopy, but as homogeneous reddish or bluish areas.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">In the case of hypomelanotic nodular melanoma, the relevant findings include a clearly atypical vascular pattern, mainly with irregular linear vessels and hairpin vessels, as well as milky red areas. In this context, pigment networks are unusual.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">In conclusion, dermoscopy could prove to be a useful tool for the diagnosis of arteriovenous tumor. However, the definitive diagnosis of this type of lesion necessarily requires a histopathology work-up.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">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:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case Presentation" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "What Is Your 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 "fechaRecibido" => "2019-04-07" "fechaAceptado" => "2019-05-13" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Álvarez-Salafranca M, Fuentelsaz V, Cebrián García C. Tumor arteriovenoso: pistas dermatoscópicas para su sospecha. Actas Dermosifiliogr. 2021;112:359–360.</p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 533 "Ancho" => 1500 "Tamanyo" => 108651 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A, Firm erythematous-violaceous, papulonodular lesion on the external aspect of the left arm. B, Dermoscopic image showing whitish structures on an erythematous base, nonarborizing telangiectasias, vessels with a glomerular appearance, and a slight brown reticular pattern mainly on the periphery.</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" => 563 "Ancho" => 750 "Tamanyo" => 199989 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Well-circumscribed vascular proliferation in the dermis, with vessels covered with a single layer of endothelial cells. Some vessels have a thick fibromuscular wall, with no definitive presence of elastic lamina, whereas others have a thinner wall (hematoxylin-eosin, ×40).</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" => "Acral arteriovenous tumor. A clinicopathologic review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.G. Connelly" 1 => "R.K. Winkelmann" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/00000478-198501000-00005" "Revista" => array:7 [ "tituloSerie" => "Am J Surg Pathol." "fecha" => "1985" "volumen" => "9" "numero" => "1" "paginaInicial" => "15" "paginaFinal" => "21" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3970296" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An acral arteriovenous tumor arising within a facial port-wine stain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "N.Y. Yoon" 1 => "S.K. Ahn" 2 => "S.P. Hong" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ijd.12083" "Revista" => array:7 [ "tituloSerie" => "Int J Dermatol." "fecha" => "2014" "volumen" => "53" "numero" => "3" "paginaInicial" => "e226" "paginaFinal" => "8" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23786672" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Arteriovenous hemangioma: a clinicopathological and immunohistochemical study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I.G. Koutlas" 1 => "J. Jessurun" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1600-0560.1994.tb00710.x" "Revista" => array:7 [ "tituloSerie" => "J Cutan Pathol." "fecha" => "1994" "volumen" => "21" "numero" => "4" "paginaInicial" => "343" "paginaFinal" => "349" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7798391" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of arteriovenous tumor: A morphological study of 39 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Zaballos" 1 => "C. Medina" 2 => "L.J. Del Pozo" 3 => "I. Gómez-Martín" 4 => "J. Bañuls" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ajd.12775" "Revista" => array:7 [ "tituloSerie" => "Australas J Dermatol." "fecha" => "2018" "volumen" => "59" "numero" => "4" "paginaInicial" => "e253" "paginaFinal" => "e257" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29313900" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopic findings of haemosiderotic and aneurysmal dermatofibroma: report of six patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "P. Zaballos" 1 => "A. Llambrich" 2 => "M. Ara" 3 => "Z. Olazarán" 4 => "J. Malvehy" 5 => "S. Puig" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1365-2133.2005.06844.x" "Revista" => array:7 [ "tituloSerie" => "Br J Dermatol." "fecha" => "2006" "volumen" => "154" "numero" => "2" "paginaInicial" => "244" "paginaFinal" => "250" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16433792" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopic evaluation of nodular melanoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S.W. Menzies" 1 => "F.J. Moloney" 2 => "K. Byth" 3 => "M. Avramidis" 4 => "G. Argenziano" 5 => "I. Zalaudek" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1001/jamadermatol.2013.2466" "Revista" => array:8 [ "tituloSerie" => "JAMA Dermatol." "fecha" => "2013" "volumen" => "149" "numero" => "6" "paginaInicial" => "699" "paginaFinal" => "709" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23553375" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0302283809000359" "estado" => "S300" "issn" => "03022838" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011200000004/v1_202104020837/S1578219021000470/v1_202104020837/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/15782190/0000011200000004/v1_202104020837/S1578219021000470/v1_202104020837/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000470?idApp=UINPBA000044" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 9 | 15 |
| 2024 Octubre | 59 | 52 | 111 |
| 2024 Septiembre | 73 | 22 | 95 |
| 2024 Agosto | 93 | 67 | 160 |
| 2024 Julio | 76 | 36 | 112 |
| 2024 Junio | 72 | 44 | 116 |
| 2024 Mayo | 66 | 33 | 99 |
| 2024 Abril | 52 | 32 | 84 |
| 2024 Marzo | 60 | 29 | 89 |
| 2024 Febrero | 46 | 27 | 73 |
| 2024 Enero | 41 | 27 | 68 |
| 2023 Diciembre | 49 | 16 | 65 |
| 2023 Noviembre | 70 | 26 | 96 |
| 2023 Octubre | 58 | 20 | 78 |
| 2023 Septiembre | 45 | 29 | 74 |
| 2023 Agosto | 37 | 13 | 50 |
| 2023 Julio | 60 | 35 | 95 |
| 2023 Junio | 58 | 20 | 78 |
| 2023 Mayo | 61 | 19 | 80 |
| 2023 Abril | 51 | 19 | 70 |
| 2023 Marzo | 89 | 37 | 126 |
| 2023 Febrero | 41 | 26 | 67 |
| 2023 Enero | 56 | 39 | 95 |
| 2022 Diciembre | 51 | 40 | 91 |
| 2022 Noviembre | 34 | 26 | 60 |
| 2022 Octubre | 32 | 20 | 52 |
| 2022 Septiembre | 22 | 38 | 60 |
| 2022 Agosto | 23 | 40 | 63 |
| 2022 Julio | 38 | 42 | 80 |
| 2022 Junio | 40 | 23 | 63 |
| 2022 Mayo | 30 | 45 | 75 |
| 2022 Abril | 32 | 30 | 62 |
| 2022 Marzo | 44 | 57 | 101 |
| 2022 Febrero | 27 | 34 | 61 |
| 2022 Enero | 34 | 45 | 79 |
| 2021 Diciembre | 33 | 39 | 72 |
| 2021 Noviembre | 39 | 42 | 81 |
| 2021 Octubre | 83 | 66 | 149 |
| 2021 Septiembre | 55 | 53 | 108 |
| 2021 Agosto | 60 | 43 | 103 |
| 2021 Julio | 41 | 29 | 70 |
| 2021 Junio | 34 | 53 | 87 |
| 2021 Mayo | 38 | 72 | 110 |
| 2021 Abril | 86 | 88 | 174 |
| 2021 Marzo | 32 | 33 | 65 |
| 2021 Febrero | 20 | 11 | 31 |
Mostrar todo
