array:24 [
  "pii" => "S1578219016000408"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2015.03.022"
  "estado" => "S300"
  "fechaPublicacion" => "2016-03-01"
  "aid" => "1156"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2015"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2016;107:153-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 831
    "formatos" => array:3 [
      "EPUB" => 46
      "HTML" => 601
      "PDF" => 184
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S0001731015001507"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2015.03.004"
      "estado" => "S300"
      "fechaPublicacion" => "2016-03-01"
      "aid" => "1156"
      "copyright" => "AEDV"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2016;107:153-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 552
        "formatos" => array:3 [
          "EPUB" => 45
          "HTML" => 296
          "PDF" => 211
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
        "titulo" => "Pruritic&#44; Indurated Lesions on a Man&#39;s Forearms"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "153"
            "paginaFinal" => "154"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Paciente con lesiones de pruriginosas e induras en antebrazos"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figure 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1029
                "Ancho" => 1300
                "Tamanyo" => 378675
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "K&#46;H&#46; Kim, J&#46; Aneiros-Fern&#225;ndez, A&#46; Buend&#237;a-Eisman, S&#46; Arias-Santiago"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "K&#46;H&#46;"
                "apellidos" => "Kim"
              ]
              1 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Aneiros-Fern&#225;ndez"
              ]
              2 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Buend&#237;a-Eisman"
              ]
              3 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Arias-Santiago"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219016000408"
          "doi" => "10.1016/j.adengl.2015.03.022"
          "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/S1578219016000408?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731015001507?idApp=UINPBA000044"
      "url" => "/00017310/0000010700000002/v2_201603080122/S0001731015001507/v2_201603080122/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S157821901600041X"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2015.05.025"
    "estado" => "S300"
    "fechaPublicacion" => "2016-03-01"
    "aid" => "1238"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2016;107:155-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 522
      "formatos" => array:3 [
        "EPUB" => 33
        "HTML" => 397
        "PDF" => 92
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
      "titulo" => "Secondary Amyloid Deposition in Discoid Lupus Erythematosus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "155"
          "paginaFinal" => "156"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Dep&#243;sitos de amiloide secundarios a lupus eritematoso discoide"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 1280
              "Ancho" => 1701
              "Tamanyo" => 425292
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Multiple keratotic plaques scattered on the face&#46; &#40;B&#41; Biopsy showed parakeratosis with focal hyperkeratosis&#44; follicular plugging&#44; liquefaction changes to the basal layers of the epidermis&#44; and cellular infiltrates in the upper dermis &#40;hematoxylin&#8211;eosin stain&#44; original magnification 100&#215;&#41;&#46; &#40;C&#41; Dylon staining revealed amyloid deposition in the upper dermis &#40;original magnification 200&#215;&#41;&#46; &#40;D&#41; The upper dermis was also positive for keratin &#40;original magnification 200&#215;&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Y&#46; Hanami, T&#46; Yamamoto"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Y&#46;"
              "apellidos" => "Hanami"
            ]
            1 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "Yamamoto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0001731015003427"
        "doi" => "10.1016/j.ad.2015.05.014"
        "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/S0001731015003427?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821901600041X?idApp=UINPBA000044"
    "url" => "/15782190/0000010700000002/v2_201703220318/S157821901600041X/v2_201703220318/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219015003510"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2015.12.001"
    "estado" => "S300"
    "fechaPublicacion" => "2016-03-01"
    "aid" => "1181"
    "copyright" => "AEDV"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2016;107:151-2"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 646
      "formatos" => array:3 [
        "EPUB" => 38
        "HTML" => 506
        "PDF" => 102
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Residents Forum</span>"
      "titulo" => "RF-Oral Nonsteroidal Anti-inflammatory Drug Use May Reduce the Risk of Cutaneous Squamous Cell Carcinoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "151"
          "paginaFinal" => "152"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR-El consumo oral de antiinflamatorios no esteroideos podr&#237;a disminuir el riesgo de aparici&#243;n de carcinoma espinocelular cut&#225;neo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46; Bern&#225;rdez, E&#46; Mac&#237;as del Toro, J&#46;L&#46; Ram&#237;rez Bellver, F&#46; Feltes"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Bern&#225;rdez"
            ]
            1 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Mac&#237;as del Toro"
            ]
            2 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ram&#237;rez Bellver"
            ]
            3 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Feltes"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731015002112"
        "doi" => "10.1016/j.ad.2015.04.011"
        "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/S0001731015002112?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219015003510?idApp=UINPBA000044"
    "url" => "/15782190/0000010700000002/v2_201703220318/S1578219015003510/v2_201703220318/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
    "titulo" => "Pruritic&#44; Indurated Lesions on a Man&#39;s Forearms"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "153"
        "paginaFinal" => "154"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "K&#46;H&#46; Kim, J&#46; Aneiros-Fern&#225;ndez, A&#46; Buend&#237;a-Eisman, S&#46; Arias-Santiago"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "K&#46;H&#46;"
            "apellidos" => "Kim"
            "email" => array:2 [
              0 => "khkim&#64;uams&#46;edu"
              1 => "k7kim&#64;hotmail&#46;com"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Aneiros-Fern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Buend&#237;a-Eisman"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Arias-Santiago"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Department of Dermatology&#44; University of Arkansas for Medical Sciences&#44; Little Rock&#44; AR&#44; USA"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Department of Pathology&#44; Virgen de las Nieves University Hospital&#44; Granada&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Dermatology&#44; School of Medicine&#44; Granada&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Department of Dermatology&#44; Virgen de las Nieves University Hospital&#44; Granada&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Paciente con lesiones de pruriginosas e induras en antebrazos"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1030
            "Ancho" => 1301
            "Tamanyo" => 383730
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A previously healthy man in his forties with no prior history of bites or stings presented with pruritic&#44; erythematous plaques on his forearms that had developed 2 weeks earlier&#46; His medical history included no medications or exposures associated with his skin condition&#46; He had been previously treated with oral amoxicillin&#44; with no response&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Physical examination revealed whitish-gray indurated plaques with surrounding erythema on the forearms &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Laboratory tests including a complete blood count &#40;no peripheral eosinophilia&#41;&#44; serum electrolyte analysis&#44; and bacterial and fungal cultures were negative&#46; Skin biopsy showed spongiosis with subepidermal edema &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#44; perivascular eosinophilic infiltrate &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#44; diffuse interstitial inflammatory infiltrate with eosinophils and flame figures &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>D&#41;&#44; and no evidence of vasculitis or foreign material&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Based on the clinical and histological findings&#44; a diagnosis of Wells syndrome &#40;eosinophilic cellulitis&#41; was established&#46; The patient began treatment with systemic steroids &#40;1<span class="elsevierStyleHsp" style=""></span>mg&#47;kg&#47;d&#41;&#44; which resulted in resolution of the lesions within 4 weeks&#46; Subsequently&#44; the dose of steroids was gradually reduced&#44; and completely discontinued after 1 month&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">While its initial clinical presentation can resemble that of cellulitis and several types of dermatitis&#44; eosinophilic cellulitis can be distinguished from other dermatoses by its histological features &#40;edema and dermal inflammatory infiltrate with eosinophils and flame figures&#41; and the presence of whitish-gray&#44; morphea-like&#44; indurated plaques&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "multimedia" => array:1 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1030
            "Ancho" => 1301
            "Tamanyo" => 383730
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010700000002/v2_201703220318/S1578219016000408/v2_201703220318/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "41141"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Dermatology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010700000002/v2_201703220318/S1578219016000408/v2_201703220318/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219016000408?idApp=UINPBA000044"
]
Compartir
Información de la revista
Vol. 107. Núm. 2.
Páginas 153-154 (marzo 2016)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 107. Núm. 2.
Páginas 153-154 (marzo 2016)
Images in Dermatology
Acceso a texto completo
Pruritic, Indurated Lesions on a Man's Forearms
Paciente con lesiones de pruriginosas e induras en antebrazos
Visitas
4831
K.H. Kima,d,
Autor para correspondencia
khkim@uams.edu
k7kim@hotmail.com

Corresponding author.
, J. Aneiros-Fernándezb, A. Buendía-Eismanc, S. Arias-Santiagod
a Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
b Department of Pathology, Virgen de las Nieves University Hospital, Granada, Spain
c Department of Dermatology, School of Medicine, Granada, Spain
d Department of Dermatology, Virgen de las Nieves University Hospital, Granada, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A previously healthy man in his forties with no prior history of bites or stings presented with pruritic, erythematous plaques on his forearms that had developed 2 weeks earlier. His medical history included no medications or exposures associated with his skin condition. He had been previously treated with oral amoxicillin, with no response.

Physical examination revealed whitish-gray indurated plaques with surrounding erythema on the forearms (Fig. 1A). Laboratory tests including a complete blood count (no peripheral eosinophilia), serum electrolyte analysis, and bacterial and fungal cultures were negative. Skin biopsy showed spongiosis with subepidermal edema (Fig. 1B), perivascular eosinophilic infiltrate (Fig. 1C), diffuse interstitial inflammatory infiltrate with eosinophils and flame figures (Fig. 1D), and no evidence of vasculitis or foreign material.

Figure 1
(0.37MB).

Based on the clinical and histological findings, a diagnosis of Wells syndrome (eosinophilic cellulitis) was established. The patient began treatment with systemic steroids (1mg/kg/d), which resulted in resolution of the lesions within 4 weeks. Subsequently, the dose of steroids was gradually reduced, and completely discontinued after 1 month.

While its initial clinical presentation can resemble that of cellulitis and several types of dermatitis, eosinophilic cellulitis can be distinguished from other dermatoses by its histological features (edema and dermal inflammatory infiltrate with eosinophils and flame figures) and the presence of whitish-gray, morphea-like, indurated plaques.

Copyright © 2015. AEDV
Descargar PDF
Idiomas
Actas Dermo-Sifiliográficas
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?