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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A&#44; Brown macule with irregular contours on the inner aspect of the right hallux&#46; B&#44; Higher-magnification image showing a light brown lesion with irregular contours&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year-old patient with no remarkable past history presented with a light brown macule with irregular contours and a diameter of 3<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>4<span class="elsevierStyleHsp" style=""></span>cm on the inner aspect of the right hallux &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figs&#46; 1 and 2</a>&#41;&#46; It was asymptomatic and had been present for 6 months&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">What Is Your Diagnosis&#63;</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Tinea nigra&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Tinea nigra is a superficial mycosis caused by <span class="elsevierStyleItalic">Hortaea werneckii</span>&#46; It is endemic to tropical and subtropical countries and mainly affects children and young adults&#46; Clinically&#44; it presents as a unilateral brown macule with irregular&#44; well-circumscribed contours&#44; predominantly affecting the palmoplantar region&#46; It follows an asymptomatic&#44; chronic course and may be confused with melanocytic lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The dermoscopic characteristics of tinea nigra were described by Gupta et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> in 1997 as &#8220;pigmented spicules&#8221; forming a reticular pattern&#59; other findings included fine dots and wispy brownish strands not following the ridges or furrows of the skin&#46; These strands and pigmented spicules correspond to pigmented hyphae in the stratum corneum&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Noguchi et al&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> later described a case of tinea nigra in which dermoscopy showed a parallel ridge pattern similar to that observed in acral melanoma&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Potassium hydroxide examination is thus recommended to confirm the presence of a superficial mycosis when a parallel ridge pattern is observed in a patient with suspected tinea nigra&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">In conclusion&#44; dermoscopy is a valuable tool for evaluating pigmented lesions as it significantly increases diagnostic sensitivity and specificity&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Based on the literature and our experience&#44; we recommend potassium hydroxide examination of pigmented acral lesions with a parallel ridge pattern on dermoscopy to confirm the presence of tinea nigra and avoid unnecessary invasive procedures such as biopsy&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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                            0 => "H&#46; Noguchi"
                            1 => "M&#46; Hiruma"
                            2 => "Y&#46; Inoue"
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                            5 => "H&#46; Ihn"
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