array:23 [
  "pii" => "S1578219018302208"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2018.06.009"
  "estado" => "S300"
  "fechaPublicacion" => "2018-09-01"
  "aid" => "1859"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2018;109:581"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4
    "formatos" => array:2 [
      "HTML" => 3
      "PDF" => 1
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731017306300"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2017.11.006"
      "estado" => "S300"
      "fechaPublicacion" => "2018-09-01"
      "aid" => "1859"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2018;109:581"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 124
        "formatos" => array:2 [
          "HTML" => 72
          "PDF" => 52
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Comentarios Editoriales</span>"
        "titulo" => "Papel de la ecograf&#237;a doppler color en el diagn&#243;stico de granuloma as&#233;ptico facial idiop&#225;tico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "581"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Role of Color Doppler Ultrasound in the Diagnosis of Idiopathic Facial Aseptic Granuloma"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "X&#46; Wortsman"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "X&#46;"
                "apellidos" => "Wortsman"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219018302208"
          "doi" => "10.1016/j.adengl.2018.06.009"
          "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/S1578219018302208?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017306300?idApp=UINPBA000044"
      "url" => "/00017310/0000010900000007/v1_201809020415/S0001731017306300/v1_201809020415/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219018301938"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.06.001"
    "estado" => "S300"
    "fechaPublicacion" => "2018-09-01"
    "aid" => "1953"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2018;109:582-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Opinion Article</span>"
      "titulo" => "Ertapenem for the treatment of Hidradenitis suppurativa&#58; how much do we need it&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "582"
          "paginaFinal" => "583"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Ertapenem para el tratamiento de hidradenitis supurativa&#58; &#191;en qu&#233; medida lo necesitamos&#63;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "P&#46; Mendes-Bastos, A&#46; Martorell, S&#46; Magina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Mendes-Bastos"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Martorell"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Magina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731018301789"
        "doi" => "10.1016/j.ad.2018.03.012"
        "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/S0001731018301789?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018301938?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000007/v1_201809020417/S1578219018301938/v1_201809020417/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219018302257"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2018.06.014"
    "estado" => "S300"
    "fechaPublicacion" => "2018-09-01"
    "aid" => "1960"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2018;109:580"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 9
      "formatos" => array:2 [
        "HTML" => 3
        "PDF" => 6
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Commentary</span>"
      "titulo" => "Teledermatology Implementation&#58; The Importance of a Clear Objective"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "580"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Teledermatolog&#237;a&#58; la importancia de implantarla con un objetivo claro"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "I&#46; Garc&#237;a-Doval"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Garc&#237;a-Doval"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731018301984"
        "doi" => "10.1016/j.ad.2018.04.002"
        "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/S0001731018301984?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018302257?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000007/v1_201809020417/S1578219018302257/v1_201809020417/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Comentarios Editoriales</span>"
    "titulo" => "Role of Color Doppler Ultrasound in the Diagnosis of Idiopathic Facial Aseptic Granuloma"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "581"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "X&#46; Wortsman"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "X&#46;"
            "apellidos" => "Wortsman"
            "email" => array:1 [
              0 => "xworts&#64;yahoo&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Instituto de Investigaci&#243;n y Diagn&#243;stico por Im&#225;genes en Piel &#40;IDIEP&#41; y Tejidos Blandos&#44; Departamentos de Dermatolog&#237;a&#44; Universidad de Chile y Pontificia Universidad Cat&#243;lica de Chile&#44; Santiago&#44; Chile"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Papel de la ecograf&#237;a doppler color en el diagn&#243;stico de granuloma as&#233;ptico facial idiop&#225;tico"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In their article&#44; Rodr&#237;guez-Bandera et al<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> describe interesting ultrasound features of idiopathic facial aseptic granuloma &#40;IFAG&#41;&#44; including a lesion axis that tends to lie parallel to the skin surface and the presence of hypervascularization in the periphery of the lesion during the most inflammatory phase&#46; Their description of the shape&#44; echogenicity&#44; and location of the lesion is similar to that of V&#225;zquez-Osorio et al<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a>&#58; an ovoid&#44; hypoechoic lesion located predominantly in the dermis&#46; The features described by both authors are consistent with our ultrasound findings in IFAG patients&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The authors propose that the hyperechogenicity in the hypodermis underlying the lesion is indicative of edema in the subcutaneous adipose tissue surrounding the lesion&#46; While I agree that this hyperechogenicity may be secondary to tissue inflammation&#44; one could argue that it is further enhanced by the perilesional hypervascularization that predominates in the sublesional part&#46; Posterior acoustic reinforcement artifact&#44; which is typical of fluid-containing structures&#44; could be generated by these dilated blood vessels&#44; subsequently attenuating with the reduction in inflammation and consequent decreases in vessel caliber and hypervascularization&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The use of ultrasound to define lesion patterns&#44; establish differential diagnoses with other skin conditions&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> and perform noninvasive follow-up can greatly facilitate early diagnosis and help avoid unnecessary biopsy&#46; The role of ultrasound is of particular importance in the case of IFAG&#44; which is primarily a disease of childhood and tends to affect the face&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Wortsman X&#46; Papel de la ecograf&#237;a doppler color en el diagn&#243;stico de granuloma as&#233;ptico facial idiop&#225;tico&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;581&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Granuloma as&#233;ptico facial idiop&#225;tico&#58; hallazgos cl&#237;nicos y ecogr&#225;ficos de 3 casos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;I&#46; Rodr&#237;guez-Bandera"
                            1 => "M&#46; Feito-Rodr&#237;guez"
                            2 => "R&#46; Maseda-Pedrero"
                            3 => "R&#46; De Lucas-Laguna"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2016.07.027"
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2017"
                        "volumen" => "109"
                        "paginaInicial" => "e1"
                        "paginaFinal" => "e5"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28256202"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Idiopathic facial aseptic granuloma&#58; Usefulness of cutaneous ultrasound"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "I&#46; V&#225;zquez-Osorio"
                            1 => "C&#46;C&#46; &#193;lvarez-Cuesta"
                            2 => "L&#46; Rodr&#237;guez-Gonz&#225;lez"
                            3 => "E&#46; Rodr&#237;guez-D&#237;az"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2016.09.017"
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2017"
                        "volumen" => "108"
                        "paginaInicial" => "266"
                        "paginaFinal" => "268"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27979309"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Common applications of dermatologic sonography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "X&#46; Wortsman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Ultrasound Med"
                        "fecha" => "2012"
                        "volumen" => "31"
                        "paginaInicial" => "97"
                        "paginaFinal" => "111"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22215775"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010900000007/v1_201809020417/S1578219018302208/v1_201809020417/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "66476"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Commentaries"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010900000007/v1_201809020417/S1578219018302208/v1_201809020417/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219018302208?idApp=UINPBA000044"
]
Compartir
Información de la revista
Vol. 109. Núm. 7.
Páginas 581 (septiembre 2018)
Vol. 109. Núm. 7.
Páginas 581 (septiembre 2018)
Comentarios Editoriales
Acceso a texto completo
Role of Color Doppler Ultrasound in the Diagnosis of Idiopathic Facial Aseptic Granuloma
Papel de la ecografía doppler color en el diagnóstico de granuloma aséptico facial idiopático
Visitas
4547
X. Wortsman
Instituto de Investigación y Diagnóstico por Imágenes en Piel (IDIEP) y Tejidos Blandos, Departamentos de Dermatología, Universidad de Chile y Pontificia Universidad Católica de Chile, Santiago, Chile
Este artículo ha recibido
Información del artículo
Texto completo
Bibliografía
Descargar PDF
Estadísticas
Texto completo

In their article, Rodríguez-Bandera et al1 describe interesting ultrasound features of idiopathic facial aseptic granuloma (IFAG), including a lesion axis that tends to lie parallel to the skin surface and the presence of hypervascularization in the periphery of the lesion during the most inflammatory phase. Their description of the shape, echogenicity, and location of the lesion is similar to that of Vázquez-Osorio et al2: an ovoid, hypoechoic lesion located predominantly in the dermis. The features described by both authors are consistent with our ultrasound findings in IFAG patients.

The authors propose that the hyperechogenicity in the hypodermis underlying the lesion is indicative of edema in the subcutaneous adipose tissue surrounding the lesion. While I agree that this hyperechogenicity may be secondary to tissue inflammation, one could argue that it is further enhanced by the perilesional hypervascularization that predominates in the sublesional part. Posterior acoustic reinforcement artifact, which is typical of fluid-containing structures, could be generated by these dilated blood vessels, subsequently attenuating with the reduction in inflammation and consequent decreases in vessel caliber and hypervascularization.

The use of ultrasound to define lesion patterns, establish differential diagnoses with other skin conditions,3 and perform noninvasive follow-up can greatly facilitate early diagnosis and help avoid unnecessary biopsy. The role of ultrasound is of particular importance in the case of IFAG, which is primarily a disease of childhood and tends to affect the face.

References
[1]
A.I. Rodríguez-Bandera, M. Feito-Rodríguez, R. Maseda-Pedrero, R. De Lucas-Laguna.
Granuloma aséptico facial idiopático: hallazgos clínicos y ecográficos de 3 casos.
Actas Dermosifiliogr, 109 (2017), pp. e1-e5
[2]
I. Vázquez-Osorio, C.C. Álvarez-Cuesta, L. Rodríguez-González, E. Rodríguez-Díaz.
Idiopathic facial aseptic granuloma: Usefulness of cutaneous ultrasound.
Actas Dermosifiliogr, 108 (2017), pp. 266-268
[3]
X. Wortsman.
Common applications of dermatologic sonography.
J Ultrasound Med, 31 (2012), pp. 97-111

Please cite this article as: Wortsman X. Papel de la ecografía doppler color en el diagnóstico de granuloma aséptico facial idiopático. Actas Dermosifiliogr. 2018;109:581.

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?