array:24 [
  "pii" => "S1578219017303670"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2017.11.011"
  "estado" => "S300"
  "fechaPublicacion" => "2018-01-01"
  "aid" => "1749"
  "copyright" => "Elsevier España, S.L.U. and AEDV"
  "copyrightAnyo" => "2017"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Actas Dermosifiliogr. 2018;109:67-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 390
    "formatos" => array:3 [
      "EPUB" => 22
      "HTML" => 286
      "PDF" => 82
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731017303770"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2017.06.011"
      "estado" => "S300"
      "fechaPublicacion" => "2018-01-01"
      "aid" => "1749"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Actas Dermosifiliogr. 2018;109:67-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 300
        "formatos" => array:3 [
          "EPUB" => 2
          "HTML" => 203
          "PDF" => 95
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Dermatoscopia pr&#225;ctica</span>"
        "titulo" => "P&#225;pula rosada de crecimiento lento"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "67"
            "paginaFinal" => "68"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Slow-Growing Pink Papule"
          ]
        ]
        "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" => 917
                "Ancho" => 2104
                "Tamanyo" => 158553
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">a&#41; Imagen dermatosc&#243;pica en la que se observa vascularizaci&#243;n prominente en la periferia de la lesi&#243;n y &#225;reas rosadas p&#225;lidas sin estructuras &#40;estrellas&#41; en el interior&#46; b&#41; Detalle de la vascularizaci&#243;n con las caracter&#237;sticas im&#225;genes &#171;en flor de cerezo&#187;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "J&#46;L&#46; Ram&#237;rez-Bellver, S&#46; Saenz Guirado"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "J&#46;L&#46;"
                "apellidos" => "Ram&#237;rez-Bellver"
              ]
              1 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Saenz Guirado"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219017303670"
          "doi" => "10.1016/j.adengl.2017.11.011"
          "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/S1578219017303670?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731017303770?idApp=UINPBA000044"
      "url" => "/00017310/0000010900000001/v1_201801020548/S0001731017303770/v1_201801020548/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219017303682"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.012"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1696"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2018;109:69-70"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 418
      "formatos" => array:3 [
        "EPUB" => 23
        "HTML" => 288
        "PDF" => 107
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Forum</span>"
      "titulo" => "The Good and Bad News About New Drugs for Treating Alopecia Areata"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "69"
          "paginaFinal" => "70"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "FR-Luces y sombras de nuevos f&#225;rmacos en el tratamiento de la alopecia areata"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46; Morgado-Carrasco, E&#46; Rodr&#237;guez-Lobato, J&#46; Riera-Monroig, J&#46; Ferrando"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Morgado-Carrasco"
            ]
            1 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Rodr&#237;guez-Lobato"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Riera-Monroig"
            ]
            3 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Ferrando"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017302648"
        "doi" => "10.1016/j.ad.2017.05.003"
        "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/S0001731017302648?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303682?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303682/v1_201801020547/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219017303669"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2017.11.010"
    "estado" => "S300"
    "fechaPublicacion" => "2018-01-01"
    "aid" => "1585"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2018;109:65-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 410
      "formatos" => array:3 [
        "EPUB" => 22
        "HTML" => 313
        "PDF" => 75
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case for Diagnosis</span>"
      "titulo" => "Pseudoverrucous Lesions of Recent Appearance on the Vulva"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "65"
          "paginaFinal" => "66"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lesiones seudoverrugosas vulvares de reciente aparici&#243;n"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 1000
              "Ancho" => 1333
              "Tamanyo" => 300745
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin and eosin&#44; original magnification<span class="elsevierStyleHsp" style=""></span>&#215;10&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46; Padilla-Espa&#241;a, J&#46; Bosco Repiso-Jim&#233;nez, C&#46; Abitei"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Padilla-Espa&#241;a"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Bosco Repiso-Jim&#233;nez"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Abitei"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731017300418"
        "doi" => "10.1016/j.ad.2016.07.026"
        "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/S0001731017300418?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303669?idApp=UINPBA000044"
    "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303669/v1_201801020547/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Practical Dermoscopy</span>"
    "titulo" => "Slow-Growing Pink Papule"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "67"
        "paginaFinal" => "68"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46;L&#46; Ram&#237;rez-Bellver, S&#46; Saenz Guirado"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "J&#46;L&#46;"
            "apellidos" => "Ram&#237;rez-Bellver"
            "email" => array:1 [
              0 => "jluisrbellver&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Saenz Guirado"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Fundaci&#243;n Jim&#233;nez D&#237;az&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Complejo Hospitalario Universitario de Granada&#44; Granada&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "P&#225;pula rosada de crecimiento lento"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 917
            "Ancho" => 2104
            "Tamanyo" => 158553
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermoscopic image showing structureless pale pink areas &#40;asterisks&#41; within the lesion and prominent peripheral vascularity&#46; B&#44; Detail of the blood vessels with the characteristic cherry blossom images&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case Report</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman consulted for an asymptomatic erythematous-pink papule that had arisen 3 years earlier on the posterior aspect of her right lower limb&#46; The lesion was round&#44; with lobulated borders&#44; and measured 1<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>1<span class="elsevierStyleHsp" style=""></span>cm&#46; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">What is Your Diagnosis&#63;</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Diagnosis</span><p id="par0010" class="elsevierStylePara elsevierViewall">Eccrine poroma</p></span></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Dermoscopy revealed a well-defined&#44; erythematous-pink tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41; with prominent&#44; more or less evenly distributed blood vessels&#44; with characteristic cherry blossom images mostly at the periphery of the tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#44; and pale pink structureless areas &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; With a suspected diagnosis of eccrine poroma&#44; the lesion was excised and the histological findings confirmed the diagnosis&#46; Eccrine poroma is an adnexal tumor derived from the intraepidermal eccrine duct or acrosyringium&#46; It is typically located on the palms&#44; soles&#44; or fingers&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Pigmented variants have been reported&#59; clinically and dermoscopically these can mimic a pigmented basal cell carcinoma or malignant melanocytic lesion&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> The differential diagnosis of the nonpigmented variant includes basal cell carcinoma&#44; squamous cell carcinoma&#44; and hypo- or amelanocytic melanoma&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A number of dermoscopic patterns and structures have been associated with this tumor&#44; almost all of them referring to the vessels in the lesions&#58; glomerular vessels&#44; hairpin vessels&#44; and linear irregular vessels&#46; Some authors draw attention to the presence of a whitish halo around these vessels&#44; as occurs in keratinizing lesions&#44; but which&#44; in this context&#44; corresponds histopathologically to the presence of perivascular fibrinoid edema&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Chalice-form vessels&#44; frog egg-like round structures and cherry blossom vessels&#44; sometimes difficult to differentiate from the chalice-form vessels have also been described&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">3&#44;4</span></a> The presence of structureless whitish-pink areas is a common finding&#44; corresponding histopathologically to areas of dermal lamellar fibroplasia&#46; Although the vessels in eccrine poroma are similar to those in melanoma&#44; the distribution tends to be more regular and symmetrical in eccrine poroma&#46; Another finding that facilitates differentiation of these 2 tumors is that blood vessels are present in the milky-red areas of melanoma&#46; In addition&#44; structures exist in eccrine poroma that have not been described in melanoma &#40;chalice-form vessels&#44; and frog egg-like and cherry blossom structures&#41;&#46; Other structures&#44; such as chrysalids&#44;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> are not present in eccrine poroma&#46; In conclusion&#44; we consider this case interesting as it demonstrates how the presence of 2 dermoscopic features &#40;structureless pink areas and cherry blossom vessels&#41; made a presumptive diagnosis of eccrine poroma possible&#46; However&#44; we believe that any nonpigmented lesion with prominent vascularity should undergo histopathological study due to the possibility of an amelanotic melanoma&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a></p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:5 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Case Report"
        ]
        1 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "What is Your Diagnosis&#63;"
          "secciones" => array:1 [
            0 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Diagnosis"
            ]
          ]
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Comment"
        ]
        3 => array:2 [
          "identificador" => "xack326622"
          "titulo" => "Acknowledgments"
        ]
        4 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "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; Ram&#237;rez-Bellver J&#44; Saenz Guirado S&#46; P&#225;pula rosada de crecimiento lento&#46; Actas Dermosifiliogr&#46; 2018&#59;109&#58;67&#8211;68&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 737
            "Ancho" => 900
            "Tamanyo" => 72505
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pink papule measuring 1<span class="elsevierStyleHsp" style=""></span>cm in diameter on the posterior surface of the right lower limb&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 917
            "Ancho" => 2104
            "Tamanyo" => 158553
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#44; Dermoscopic image showing structureless pale pink areas &#40;asterisks&#41; within the lesion and prominent peripheral vascularity&#46; B&#44; Detail of the blood vessels with the characteristic cherry blossom images&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eccrine poroma&#58; A clinical-dermoscopic study of seven cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Ferrari"
                            1 => "P&#46; Buccini"
                            2 => "V&#46; Silipo"
                            3 => "P&#46; de Simone"
                            4 => "G&#46; Mariani"
                            5 => "S&#46; Marenda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2340/00015555-0608"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Derm Venereol"
                        "fecha" => "2009"
                        "volumen" => "89"
                        "paginaInicial" => "160"
                        "paginaFinal" => "164"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19326001"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pigmented eccrine poroma&#58; A report of two cases and study with dermatoscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;W&#46; Kuo"
                            1 => "K&#46; Ohara"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2003"
                        "volumen" => "29"
                        "paginaInicial" => "1076"
                        "paginaFinal" => "1079"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12974711"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eccrine poroma&#58; A clinical-dermoscopic study of seven cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Ferrari"
                            1 => "P&#46; Buccini"
                            2 => "V&#46; Silipo"
                            3 => "P&#46; de Simone"
                            4 => "G&#46; Mariani"
                            5 => "S&#46; Marenda"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Dermatology"
                        "fecha" => "2009"
                        "volumen" => "89"
                        "paginaInicial" => "160"
                        "paginaFinal" => "164"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Caracteri¿sticas dermatosco¿picas del poroma ecrino"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;A&#46; Avil&#233;s-Izquierdo"
                            1 => "D&#46; Vel&#225;zquez-Tarjuelo"
                            2 => "M&#46; Lecona-Echevarri¿a"
                            3 => "P&#46; L&#225;zaro-Ochaita"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2009"
                        "volumen" => "100"
                        "paginaInicial" => "133"
                        "paginaFinal" => "136"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19445878"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How to diagnose nonpigmented skin tumors&#58; a review of vascular structures seen with dermoscopy&#58; Part II Nonmelanocytic skin tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46; Zalaudek"
                            1 => "J&#46; Kreusch"
                            2 => "J&#46; Giacomel"
                            3 => "G&#46; Ferrara"
                            4 => "C&#46; Catrical&#224;"
                            5 => "G&#46; Argenziano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2009.11.697"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2010"
                        "volumen" => "63"
                        "paginaInicial" => "377"
                        "paginaFinal" => "386"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20708470"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S235230181500137X"
                          "estado" => "S300"
                          "issn" => "23523018"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nodular hidradenoma&#58; Dermoscopic presentation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Robles-Mendez"
                            1 => "S&#46;A&#46; Mart&#237;nez-Cabriales"
                            2 => "A&#46; Villarreal-Mart&#237;nez"
                            3 => "A&#46;S&#46; Ayala-Cort&#233;s"
                            4 => "I&#46; Miranda-Maldonado"
                            5 => "O&#46; V&#225;zquez-Mart&#237;nez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2016.07.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2017"
                        "volumen" => "76"
                        "paginaInicial" => "S46"
                        "paginaFinal" => "S48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28087028"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack326622"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">Our thanks to Jos&#233; Aneiros&#44; dermatopathologist at Complejo Hospitalario Universitario de Granada&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/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/15782190/0000010900000001/v1_201801020547/S1578219017303670/v1_201801020547/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219017303670?idApp=UINPBA000044"
]
Compartir
Información de la revista
Vol. 109. Núm. 1.
Páginas 67-68 (enero - febrero 2018)
Visitas
7362
Vol. 109. Núm. 1.
Páginas 67-68 (enero - febrero 2018)
Practical Dermoscopy
Acceso a texto completo
Slow-Growing Pink Papule
Pápula rosada de crecimiento lento
Visitas
7362
J.L. Ramírez-Bellvera,
Autor para correspondencia
jluisrbellver@gmail.com

Corresponding author.
, S. Saenz Guiradob
a Servicio de Dermatología, Fundación Jiménez Díaz, Madrid, Spain
b Servicio de Dermatología, Complejo Hospitalario Universitario de Granada, Granada, Spain
Este artículo ha recibido
Información del artículo
Texto completo
Bibliografía
Descargar PDF
Estadísticas
Figuras (2)
Texto completo
Case Report

A 52-year-old woman consulted for an asymptomatic erythematous-pink papule that had arisen 3 years earlier on the posterior aspect of her right lower limb. The lesion was round, with lobulated borders, and measured 1×1cm. (Fig. 1).

Figure 1.

Pink papule measuring 1cm in diameter on the posterior surface of the right lower limb.

(0.07MB).
What is Your Diagnosis?Diagnosis

Eccrine poroma

Comment

Dermoscopy revealed a well-defined, erythematous-pink tumor (Fig. 2A) with prominent, more or less evenly distributed blood vessels, with characteristic cherry blossom images mostly at the periphery of the tumor (Fig. 2B), and pale pink structureless areas (Fig. 2A). With a suspected diagnosis of eccrine poroma, the lesion was excised and the histological findings confirmed the diagnosis. Eccrine poroma is an adnexal tumor derived from the intraepidermal eccrine duct or acrosyringium. It is typically located on the palms, soles, or fingers.1 Pigmented variants have been reported; clinically and dermoscopically these can mimic a pigmented basal cell carcinoma or malignant melanocytic lesion.2 The differential diagnosis of the nonpigmented variant includes basal cell carcinoma, squamous cell carcinoma, and hypo- or amelanocytic melanoma.

Figure 2.

A, Dermoscopic image showing structureless pale pink areas (asterisks) within the lesion and prominent peripheral vascularity. B, Detail of the blood vessels with the characteristic cherry blossom images.

(0.15MB).

A number of dermoscopic patterns and structures have been associated with this tumor, almost all of them referring to the vessels in the lesions: glomerular vessels, hairpin vessels, and linear irregular vessels. Some authors draw attention to the presence of a whitish halo around these vessels, as occurs in keratinizing lesions, but which, in this context, corresponds histopathologically to the presence of perivascular fibrinoid edema.1 Chalice-form vessels, frog egg-like round structures and cherry blossom vessels, sometimes difficult to differentiate from the chalice-form vessels have also been described.3,4 The presence of structureless whitish-pink areas is a common finding, corresponding histopathologically to areas of dermal lamellar fibroplasia. Although the vessels in eccrine poroma are similar to those in melanoma, the distribution tends to be more regular and symmetrical in eccrine poroma. Another finding that facilitates differentiation of these 2 tumors is that blood vessels are present in the milky-red areas of melanoma. In addition, structures exist in eccrine poroma that have not been described in melanoma (chalice-form vessels, and frog egg-like and cherry blossom structures). Other structures, such as chrysalids,5 are not present in eccrine poroma. In conclusion, we consider this case interesting as it demonstrates how the presence of 2 dermoscopic features (structureless pink areas and cherry blossom vessels) made a presumptive diagnosis of eccrine poroma possible. However, we believe that any nonpigmented lesion with prominent vascularity should undergo histopathological study due to the possibility of an amelanotic melanoma.6

Acknowledgments

Our thanks to José Aneiros, dermatopathologist at Complejo Hospitalario Universitario de Granada.

References
[1]
A. Ferrari, P. Buccini, V. Silipo, P. de Simone, G. Mariani, S. Marenda, et al.
Eccrine poroma: A clinical-dermoscopic study of seven cases.
Acta Derm Venereol, 89 (2009), pp. 160-164
[2]
H.W. Kuo, K. Ohara.
Pigmented eccrine poroma: A report of two cases and study with dermatoscopy.
Dermatol Surg, 29 (2003), pp. 1076-1079
[3]
A. Ferrari, P. Buccini, V. Silipo, P. de Simone, G. Mariani, S. Marenda, et al.
Eccrine poroma: A clinical-dermoscopic study of seven cases.
Dermatology, 89 (2009), pp. 160-164
[4]
J.A. Avilés-Izquierdo, D. Velázquez-Tarjuelo, M. Lecona-Echevarri¿a, P. Lázaro-Ochaita.
Caracteri¿sticas dermatosco¿picas del poroma ecrino.
Actas Dermosifiliogr, 100 (2009), pp. 133-136
[5]
I. Zalaudek, J. Kreusch, J. Giacomel, G. Ferrara, C. Catricalà, G. Argenziano.
How to diagnose nonpigmented skin tumors: a review of vascular structures seen with dermoscopy: Part II Nonmelanocytic skin tumors.
J Am Acad Dermatol, 63 (2010), pp. 377-386
[6]
J.C. Robles-Mendez, S.A. Martínez-Cabriales, A. Villarreal-Martínez, A.S. Ayala-Cortés, I. Miranda-Maldonado, O. Vázquez-Martínez, et al.
Nodular hidradenoma: Dermoscopic presentation.
J Am Acad Dermatol, 76 (2017), pp. S46-S48

Please cite this article as: Ramírez-Bellver J, Saenz Guirado S. Pápula rosada de crecimiento lento. Actas Dermosifiliogr. 2018;109:67–68.

Copyright © 2017. Elsevier España, S.L.U. and 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?