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Publisher: Elsevier   (Total: 3159 journals)

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Showing 1 - 200 of 3159 Journals sorted alphabetically
A Practical Logic of Cognitive Systems     Full-text available via subscription   (Followers: 9)
AASRI Procedia     Open Access   (Followers: 15)
Academic Pediatrics     Hybrid Journal   (Followers: 32, SJR: 1.655, CiteScore: 2)
Academic Radiology     Hybrid Journal   (Followers: 22, SJR: 1.015, CiteScore: 2)
Accident Analysis & Prevention     Partially Free   (Followers: 90, SJR: 1.462, CiteScore: 3)
Accounting Forum     Hybrid Journal   (Followers: 25, SJR: 0.932, CiteScore: 2)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 34, SJR: 1.771, CiteScore: 3)
Achievements in the Life Sciences     Open Access   (Followers: 5)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 7)
Acta Astronautica     Hybrid Journal   (Followers: 408, SJR: 0.758, CiteScore: 2)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 2)
Acta Biomaterialia     Hybrid Journal   (Followers: 27, SJR: 1.967, CiteScore: 7)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 2)
Acta de Investigación Psicológica     Open Access   (Followers: 3)
Acta Ecologica Sinica     Open Access   (Followers: 8, SJR: 0.18, CiteScore: 1)
Acta Haematologica Polonica     Free   (Followers: 1, SJR: 0.128, CiteScore: 0)
Acta Histochemica     Hybrid Journal   (Followers: 3, SJR: 0.661, CiteScore: 2)
Acta Materialia     Hybrid Journal   (Followers: 246, SJR: 3.263, CiteScore: 6)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.504, CiteScore: 1)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.542, CiteScore: 1)
Acta Oecologica     Hybrid Journal   (Followers: 10, SJR: 0.834, CiteScore: 2)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription  
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 2, SJR: 0.307, CiteScore: 0)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 1, SJR: 1.793, CiteScore: 6)
Acta Poética     Open Access   (Followers: 4, SJR: 0.101, CiteScore: 0)
Acta Psychologica     Hybrid Journal   (Followers: 28, SJR: 1.331, CiteScore: 2)
Acta Sociológica     Open Access   (Followers: 1)
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.052, CiteScore: 2)
Acta Urológica Portuguesa     Open Access  
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 3, SJR: 0.374, CiteScore: 1)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 2)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.344, CiteScore: 1)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 6, SJR: 0.19, CiteScore: 0)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 3)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 15, SJR: 2.671, CiteScore: 5)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.53, CiteScore: 4)
Addictive Behaviors     Hybrid Journal   (Followers: 16, SJR: 1.29, CiteScore: 3)
Addictive Behaviors Reports     Open Access   (Followers: 8, SJR: 0.755, CiteScore: 2)
Additive Manufacturing     Hybrid Journal   (Followers: 9, SJR: 2.611, CiteScore: 8)
Additives for Polymers     Full-text available via subscription   (Followers: 22)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 143, SJR: 4.09, CiteScore: 13)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 11, SJR: 1.167, CiteScore: 4)
Advanced Powder Technology     Hybrid Journal   (Followers: 16, SJR: 0.694, CiteScore: 3)
Advances in Accounting     Hybrid Journal   (Followers: 8, SJR: 0.277, CiteScore: 1)
Advances in Agronomy     Full-text available via subscription   (Followers: 12, SJR: 2.384, CiteScore: 5)
Advances in Anesthesia     Full-text available via subscription   (Followers: 28, SJR: 0.126, CiteScore: 0)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 2)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 10, SJR: 0.992, CiteScore: 1)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 11, SJR: 1.551, CiteScore: 4)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 22, SJR: 2.089, CiteScore: 5)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 14, SJR: 0.572, CiteScore: 2)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.61, CiteScore: 7)
Advances in Botanical Research     Full-text available via subscription   (Followers: 2, SJR: 0.686, CiteScore: 2)
Advances in Cancer Research     Full-text available via subscription   (Followers: 30, SJR: 3.043, CiteScore: 6)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 7, SJR: 1.453, CiteScore: 2)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 1.992, CiteScore: 5)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 3)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 12)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 27, SJR: 0.156, CiteScore: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10, SJR: 0.713, CiteScore: 1)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 10, SJR: 1.316, CiteScore: 2)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 28, SJR: 1.562, CiteScore: 3)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 19, SJR: 1.977, CiteScore: 8)
Advances in Computers     Full-text available via subscription   (Followers: 14, SJR: 0.205, CiteScore: 1)
Advances in Dermatology     Full-text available via subscription   (Followers: 15)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 11)
Advances in Digestive Medicine     Open Access   (Followers: 9)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 5)
Advances in Drug Research     Full-text available via subscription   (Followers: 24)
Advances in Ecological Research     Full-text available via subscription   (Followers: 43, SJR: 2.524, CiteScore: 4)
Advances in Engineering Software     Hybrid Journal   (Followers: 27, SJR: 1.159, CiteScore: 4)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 7)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 44, SJR: 5.39, CiteScore: 8)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 1)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 9)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 54, SJR: 0.591, CiteScore: 2)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 16)
Advances in Genetics     Full-text available via subscription   (Followers: 16, SJR: 1.354, CiteScore: 4)
Advances in Genome Biology     Full-text available via subscription   (Followers: 8, SJR: 12.74, CiteScore: 13)
Advances in Geophysics     Full-text available via subscription   (Followers: 6, SJR: 1.193, CiteScore: 3)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 21, SJR: 0.368, CiteScore: 1)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 11, SJR: 0.749, CiteScore: 3)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 22)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 2, SJR: 0.193, CiteScore: 0)
Advances in Immunology     Full-text available via subscription   (Followers: 36, SJR: 4.433, CiteScore: 6)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 1.163, CiteScore: 2)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 2, SJR: 1.938, CiteScore: 3)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6, SJR: 0.176, CiteScore: 0)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 3)
Advances in Life Course Research     Hybrid Journal   (Followers: 8, SJR: 0.682, CiteScore: 2)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 9)
Advances in Marine Biology     Full-text available via subscription   (Followers: 14, SJR: 0.88, CiteScore: 2)
Advances in Mathematics     Full-text available via subscription   (Followers: 11, SJR: 3.027, CiteScore: 2)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6, SJR: 0.694, CiteScore: 2)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4, SJR: 1.158, CiteScore: 3)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 21)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 8)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7, SJR: 0.182, CiteScore: 0)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 3)
Advances in Oncobiology     Full-text available via subscription   (Followers: 1)
Advances in Organ Biology     Full-text available via subscription   (Followers: 1)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 16, SJR: 1.875, CiteScore: 4)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.174, CiteScore: 0)
Advances in Parasitology     Full-text available via subscription   (Followers: 5, SJR: 1.579, CiteScore: 4)
Advances in Pediatrics     Full-text available via subscription   (Followers: 24, SJR: 0.461, CiteScore: 1)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 10)
Advances in Pharmacology     Full-text available via subscription   (Followers: 16, SJR: 1.536, CiteScore: 3)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 8, SJR: 0.574, CiteScore: 1)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.109, CiteScore: 1)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 8)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 5)
Advances in Porous Media     Full-text available via subscription   (Followers: 5)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 18)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 0.791, CiteScore: 2)
Advances in Psychology     Full-text available via subscription   (Followers: 63)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 6, SJR: 0.371, CiteScore: 1)
Advances in Radiation Oncology     Open Access   (SJR: 0.263, CiteScore: 1)
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 3, SJR: 0.101, CiteScore: 0)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 5)
Advances in Space Research     Full-text available via subscription   (Followers: 396, SJR: 0.569, CiteScore: 2)
Advances in Structural Biology     Full-text available via subscription   (Followers: 5)
Advances in Surgery     Full-text available via subscription   (Followers: 10, SJR: 0.555, CiteScore: 2)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 31, SJR: 2.208, CiteScore: 4)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 18)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5, SJR: 2.262, CiteScore: 5)
Advances in Water Resources     Hybrid Journal   (Followers: 46, SJR: 1.551, CiteScore: 3)
Aeolian Research     Hybrid Journal   (Followers: 6, SJR: 1.117, CiteScore: 3)
Aerospace Science and Technology     Hybrid Journal   (Followers: 336, SJR: 0.796, CiteScore: 3)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.42, CiteScore: 2)
African J. of Emergency Medicine     Open Access   (Followers: 6, SJR: 0.296, CiteScore: 0)
Ageing Research Reviews     Hybrid Journal   (Followers: 11, SJR: 3.671, CiteScore: 9)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 445, SJR: 1.238, CiteScore: 3)
Agri Gene     Hybrid Journal   (SJR: 0.13, CiteScore: 0)
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 16, SJR: 1.818, CiteScore: 5)
Agricultural Systems     Hybrid Journal   (Followers: 32, SJR: 1.156, CiteScore: 4)
Agricultural Water Management     Hybrid Journal   (Followers: 43, SJR: 1.272, CiteScore: 3)
Agriculture and Agricultural Science Procedia     Open Access   (Followers: 1)
Agriculture and Natural Resources     Open Access   (Followers: 2)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 57, SJR: 1.747, CiteScore: 4)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.589, CiteScore: 3)
Air Medical J.     Hybrid Journal   (Followers: 6, SJR: 0.26, CiteScore: 0)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.19, CiteScore: 0)
Alcohol     Hybrid Journal   (Followers: 11, SJR: 1.153, CiteScore: 3)
Alcoholism and Drug Addiction     Open Access   (Followers: 9)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 1, SJR: 0.604, CiteScore: 3)
Alexandria J. of Medicine     Open Access   (Followers: 1, SJR: 0.191, CiteScore: 1)
Algal Research     Partially Free   (Followers: 10, SJR: 1.142, CiteScore: 4)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 2)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.504, CiteScore: 1)
Allergology Intl.     Open Access   (Followers: 5, SJR: 1.148, CiteScore: 2)
Alpha Omegan     Full-text available via subscription   (SJR: 3.521, CiteScore: 6)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 9, SJR: 0.201, CiteScore: 1)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 50, SJR: 4.66, CiteScore: 10)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 4, SJR: 1.796, CiteScore: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 4, SJR: 1.108, CiteScore: 3)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 6)
American Heart J.     Hybrid Journal   (Followers: 50, SJR: 3.267, CiteScore: 4)
American J. of Cardiology     Hybrid Journal   (Followers: 54, SJR: 1.93, CiteScore: 3)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 44, SJR: 0.604, CiteScore: 1)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 10)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 14, SJR: 1.524, CiteScore: 3)
American J. of Human Genetics     Hybrid Journal   (Followers: 34, SJR: 7.45, CiteScore: 8)
American J. of Infection Control     Hybrid Journal   (Followers: 28, SJR: 1.062, CiteScore: 2)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 34, SJR: 2.973, CiteScore: 4)
American J. of Medicine     Hybrid Journal   (Followers: 45)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3, SJR: 1.967, CiteScore: 2)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 202, SJR: 2.7, CiteScore: 4)
American J. of Ophthalmology     Hybrid Journal   (Followers: 63, SJR: 3.184, CiteScore: 4)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 5, SJR: 0.265, CiteScore: 0)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.289, CiteScore: 1)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, CiteScore: 1)
American J. of Pathology     Hybrid Journal   (Followers: 27, SJR: 2.139, CiteScore: 4)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 28, SJR: 2.164, CiteScore: 4)
American J. of Surgery     Hybrid Journal   (Followers: 37, SJR: 1.141, CiteScore: 2)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.767, CiteScore: 1)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 6)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.144, CiteScore: 3)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 62, SJR: 0.138, CiteScore: 0)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 16, SJR: 0.411, CiteScore: 1)
Anales de Cirugia Vascular     Full-text available via subscription  
Anales de Pediatría     Full-text available via subscription   (Followers: 3, SJR: 0.277, CiteScore: 0)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription  
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5, SJR: 4.849, CiteScore: 10)
Analytica Chimica Acta     Hybrid Journal   (Followers: 40, SJR: 1.512, CiteScore: 5)
Analytical Biochemistry     Hybrid Journal   (Followers: 173, SJR: 0.633, CiteScore: 2)
Analytical Chemistry Research     Open Access   (Followers: 10, SJR: 0.411, CiteScore: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 11)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 23, SJR: 0.683, CiteScore: 2)
Angiología     Full-text available via subscription   (SJR: 0.121, CiteScore: 0)
Angiologia e Cirurgia Vascular     Open Access   (Followers: 1, SJR: 0.111, CiteScore: 0)
Animal Behaviour     Hybrid Journal   (Followers: 190, SJR: 1.58, CiteScore: 3)

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Journal Cover
Actas Dermo-Sifiliográficas (English Edition)
Number of Followers: 2  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1578-2190
Published by Elsevier Homepage  [3159 journals]
  • Teledermatology Implementation: The Importance of a Clear Objective
    • Abstract: Publication date: Available online 6 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): I. García-Doval
       
  • Tumor Collision Over Sebaceous Nevus: Clues for Dermoscopic Diagnosis
    • Abstract: Publication date: Available online 3 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Lobato-Berezo, P. Aguilera-Peiró, R.M. Pujol
       
  • Máculas evanescentes en tronco y extremidades
    • Abstract: Publication date: Available online 3 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M.Á. Flores-Terry, M. Franco-Muñóz, J.A. Garrido-Martín, N. Villasanti-Rivas
       
  • Facial Cutaneous Larva Migrans Acquired in Spain
    • Abstract: Publication date: Available online 3 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): C. Durán-Vian, I. Vilanova-Udaniz, B. Castro-Gutierrez, M.A. González-López
       
  • Cervical Cellulitis of Odontogenic Origin
    • Abstract: Publication date: Available online 3 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): P. García-Montero, G. González-Pérez, N. Blázquez-Sánchez
       
  • Quality of Life in Nonmelanoma Skin Cancer
    • Abstract: Publication date: Available online 3 July 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): P. García-Montero, M.V. de Gálvez-Aranda, M. de Troya Martín
       
  • Ertapenem for the treatment of Hidradenitis suppurativa: how much do we
           need it'
    • Abstract: Publication date: Available online 19 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): P. Mendes-Bastos, A. Martorell, S. Magina
       
  • New Perspectives on the Treatment of Androgenetic Alopecia
    • Abstract: Publication date: Available online 18 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): J. Ferrando
       
  • Oxybenzone and Solar Filters in General: The Good and the Bad
    • Abstract: Publication date: Available online 15 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): F.J. Ortiz de Frutos
       
  • Post-Implantation Erythema Associated to a Breast Implant Treated With
           Pulsed-Dye Laser
    • Abstract: Publication date: Available online 15 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Alegre-Sánchez, D. Buendía-Castaño, P. Fernández-González, B. Pérez-García
       
  • Diagnostic Pitfalls: Pseudomelanocytic Nests in the Setting of Lichenoid
           Inflammation
    • Abstract: Publication date: Available online 12 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. McClanahan, S. Choudhary, J. Zahniser, J. Ho
       
  • Response to Secukinumab after Treatment Failure with Ustekinumab in 6
           Patients with Plaque Psoriasis
    • Abstract: Publication date: Available online 11 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. Morgado-Carrasco, J. Riera-Monroig, X. Fustà-Novell, M. Alsina Gibert
       
  • Prescribing Habits for Androgenic Alopecia Among Dermatologists in Spain
           in 2017: A Cross-Sectional Study
    • Abstract: Publication date: Available online 11 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): C. Pindado-Ortega, D. Saceda-Corralo, D. Buendía-Castaño, P. Fernández-González, Ó.M. Moreno-Arrones, P. Fonda-Pascual, A. Alegre-Sánchez, A.R. Rodrigues-Barata, S. Vañó-Galván BackgroundTopical minoxidil and oral finasteride are the only drugs approved for the treatment of androgenetic alopecia (AGA) in Spain. However, the management of this condition is highly variable because numerous treatments are used off-label. The main aim of this study was to describe the prescribing habits of dermatologists in Spain for male AGA (MAGA) and female AGA (FAGA).Material and methodsDescriptive cross-sectional study using online questionnaires completed by dermatologists working in Spain.ResultsThe responses of 241 dermatologists were analyzed. The most common treatments prescribed for MAGA were minoxidil (98%), oral finasteride (96%), nutricosmetics (44%), topical finasteride (37%), oral dutasteride (33%), platelet-rich plasma (14%), and low-level laser therapy (8%). For premenopausal FAGA, the most common treatments were topical minoxidil (98%), oral contraceptives (81%), nutricosmetics (72%), cyproterone acetate (58%), oral finasteride (39%), topical finasteride (39%), spironolactone (27%), platelet-rich plasma (20%), oral dutasteride (20%), oral flutamide (18%), and low-level laser therapy (7%). Finally, for postmenopausal FAGA, the most common treatments prescribed were topical minoxidil (98%), oral finasteride (84%), nutricosmetics (68%), topical finasteride (50%), oral dutasteride (35%), platelet-rich plasma (21%), spironolactone (16%), cyproterone acetate (16%), oral flutamide (9%), and low-level laser therapy (9%).A limitation of our study is that we did not analyze novel AGA treatments such as oral minoxidil and dutasteride mesotherapy.ConclusionsThe most common treatments prescribed for AGA by dermatologists in Spain are topical minoxidil, oral finasteride, and nutricosmetics for MAGA and postmenopausal FAGA and topical minoxidil, oral contraceptives, and nutricosmetics for premenopausal FAGA.ResumenIntroducciónA pesar de que los únicos fármacos con indicación aprobada en nuestro país para la alopecia androgénica (AGA) son minoxidil tópico y finasterida oral, es común la utilización de numerosas terapias fuera de indicación, provocando una gran variabilidad en el manejo de estos pacientes. El objetivo principal de este trabajo fue describir los hábitos de prescripción de los dermatólogos en España en AGA masculina (MAGA) y AGA femenina (FAGA).Material y métodosEstudio descriptivo transversal mediante cuestionarios digitales autocumplimentados por dermatólogos que ejercen en territorio español.ResultadosSe incluyeron las respuestas de un total de 241 dermatólogos. En MAGA los tratamientos más utilizados fueron en este orden: minoxidil tópico (98%), finasterida oral (96%), nutricosméticos (44%), finasterida tópica (37%), dutasterida oral (33%), plasma rico en plaquetas (14%) y láser de baja potencia (8%). En FAGA premenopáusica: minoxidil tópico (98%), anticonceptivos orales (81%), nutricosméticos (72%), acetato de ciproterona (58%), finasterida oral (39%), finasterida tópica (39%), espironolactona (27%), plasma rico en plaquetas (20%), dutasterida oral (20%), flutamida oral (18%) y láser de baja potencia (7%). En FAGA posmenopáusica: minoxidil tópico (98%), finasterida oral (84%), nutricosméticos (68%), finasterida tópica (50%), dutasterida oral (35%), plasma rico en plaquetas (21%), espironolactona (16%), acetato de ciproterona (16%), flutamida oral (9%) y láser de baja potencia (9%). Como limitaciones de nuestro estudio, no se incluyeron terapias novedosas para AGA como minoxidil oral o microinyecciones de dutasterida.ConclusionesLos agentes terapéuticos más utilizados en MAGA y FAGA posmenopáusica por los dermatólogos en España fueron minoxidil tópico, finasterida oral y nutricosméticos, mientras que en FAGA premenopáusica fueron minoxidil tópico, anticonceptivos orales y nutricosméticos.
       
  • The Value of Adjuvant Radiotherapy in Cutaneous Squamous Cell Carcinoma: A
           Review
    • Abstract: Publication date: Available online 10 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): J. Cañueto, A. Jaka, A. Toll Cutaneous squamous cell carcinoma (cSCC) is the second most common cancer in humans and its incidence is rising. Although surgery is the treatment of choice for cSCC, postoperative adjuvant radiotherapy has an important role in local and locorregional disease control. In this review, we analyze the value of postoperative radiotherapy in the management of high-risk cSCC (in particular, cases with perineural invasion), cSCC with positive surgical margins, and locally advanced cSCC (with parotid gland and/or lymph node metastasis).ResumenEl carcinoma epidermoide cutáneo (CEC) es el segundo tumor más frecuente en humanos y tiene una incidencia creciente. Aunque la cirugía representa el tratamiento de elección del CEC, la radioterapia adyuvante postoperatoria tiene un papel relevante en el control local y locorregional de la enfermedad. En esta revisión analizamos la utilidad de la radioterapia postoperatoria en el manejo del CEC de alto riesgo (especialmente con infiltración perineural), en el control del CEC con márgenes positivos tras la cirugía y en el CEC localmente avanzado (con metástasis parotídeas o ganglionares).
       
  • Inguinal Sentinel Lymph Node Biopsy: Surgical Technique
    • Abstract: Publication date: Available online 9 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. Moreno-Ramírez, J. Pérez-Anker, A. Perissinotti, R. Pigem, S. Podlipnik, I. Fragakis, T. Toledo Pastrana
       
  • Erythematous Pedunculated Papule on the Knee
    • Abstract: Publication date: Available online 9 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M.C. García del Pozo, C. Martín de Hijas, L. Íñiguez de Onzoño
       
  • Dilated Cardiomyopathy in a Child with Recessive Dystrophic Epidermolysis
           Bullosa
    • Abstract: Publication date: Available online 8 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Imbernón-Moya, R. Maseda-Pedrero, M. Feito, R. de Lucas
       
  • Allergic Contact Dermatitis Caused by Acrylates in Long-Lasting Nail
           Polish
    • Abstract: Publication date: Available online 8 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M.E. Gatica-Ortega, M.A. Pastor-Nieto, J.F. Silvestre-Salvador The first reported cases of allergic contact dermatitis from acrylates in manicure procedures in relation to the application of porcelain nails were published decades ago. The frequency of sensitization has increased due to the introduction of the so-called permanent nail polish containing photo-bonded acrylates, mainly involving the beauticians who apply them, and to a lesser extent, the consumers. The recent commercialized permanent polish kits for domestic use could trigger even higher degrees of sensitization. In this article, the clinical features, diagnostic procedures, treatment and preventive measures are described. Acrylates are present in a wide range of sources including multiple medical materials. Sensitization caused by a merely aesthetic procedure might end up having an eventual important impact in the future consumer's health which is why restrictive policies should be implemented limiting its use to qualified professionals and banning the indiscriminate sale of domestic kits.ResumenLos primeros casos de dermatitis alérgica de contacto por acrilatos en procedimientos de manicura se describieron hace décadas en relación con la aplicación de uñas de porcelana. Recientemente se ha incrementado la frecuencia de sensibilización secundariamente a la implantación de los llamados esmaltes permanentes que contienen acrilatos UV curables, predominantemente entre las esteticistas que los aplican y en menor medida en usuarias. La reciente comercialización de kits de uso doméstico podría precipitar un aumento en la frecuencia aún mayor. En este artículo describimos su técnica de aplicación, la clínica, el diagnóstico, el tratamiento y la prevención. Los acrilatos están presentes en una amplia variedad de fuentes, incluidos múltiples materiales médicos. Una sensibilización desencadenada por un procedimiento puramente estético podría llegar a tener una importante repercusión en la salud, por lo que se imponen políticas restrictivas por parte de las autoridades que limiten su uso a profesionales cualificados y prohíban la venta indiscriminada de kits caseros.
       
  • Kikuchi-Fujimoto Disease with Scalp Involvement
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Combalia, X. Fustà-Novell, A. García-Herrera, J. Ferrando
       
  • Is Hutchinson's Sign Pathognomic of Subungual Melanoma'
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): V. Catalán, M. Yagnam, C. Morales, M. Villagra
       
  • Urban Teledermatology: Concept, Advantages, and Disadvantages
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): G. Romero-Aguilera, L. Ferrandiz, D. Moreno-Ramírez
       
  • Reflectance Confocal Microscopy: A Promising Tool to Identify Malignancy
           in Melanocytic Lesions Exhibiting a Dermoscopic Island
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M. Elosua-González, R. Gamo-Villegas, U. Floristán-Muruzábal, F. Pinedo-Moraleda, J.L. López-Estebaranz The dermoscopic island is described as a well-defined area in a melanocytic lesion, with a different dermoscopic pattern from the rest of the lesion. It is predictive of melanoma, particularly when the pattern of the island is atypical. We present the reflectance confocal microscopy (RCM) findings in 3 lesions with dermoscopic islands: nevus-associated melanoma, melanocytic nevus, and in situ melanoma. The nevus-associated melanoma and in situ melanoma presented cellular atypia (atypical cells in isolation or forming nests) and architectural distortion on RCM. The nevus presented a dermoscopic island with a typical globular pattern with dense nests and no atypia on RCM. Dermoscopic island is mainly associated with in situ and nevus-associated melanomas. RCM offers good cellular resolution to the depth of the reticular dermis and is useful for diagnosing of melanomas presenting a dermoscopic island.ResumenEl signo de la isla se define como un área bien delimitada en una lesión melanocítica, con un patrón dermatoscópico diferente al resto de la lesión. Es predictor de melanoma sobre todo cuando el patrón dermatoscópico de la isla es atípico. Presentamos las características con microscopia confocal de reflectancia (MCR) en un melanoma sobre nevus, un nevus melanocítico y un melanoma in situ con signo de la isla. El melanoma sobre nevus y el melanoma in situ, presentaban atipia celular (células atípicas aisladas y formando nidos) y distorsión arquitectural por MCR. El nevus presentaba un signo de la isla con un patrón globular típico con nidos densos sin atipia por MCR. El signo de la isla se relaciona sobre todo con melanomas in situ y melanomas sobre nevus. El MCR ofrece una buena resolución celular hasta dermis reticular, siendo útil en el diagnóstico de los melanomas con signo de la isla.
       
  • Oral Azithromycin: A Treatment Option for Papulopustular Rosacea
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M. Blanesblanes_marmar@gva.es
       
  • Value of Ultrasound as a Diagnostic Tool for a Painful Thoracic Nodule
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. Morgado-Carrasco, S. Gómez, L. Alós, P. Giavedoni
       
  • Allergic Contact Dermatitis by Anatomical Regions: Diagnostic Clues
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): E. Rozas-Muñoz, D. Gamé, E. Serra-Baldrich Allergic contact dermatitis (ACD) is a common disease in daily clinical practice, and its prevalence has increased in recent years. It is characterized clinically by varying degrees of erythema, vesiculation, flaking, and lichenification, though these signs can also be present in other eczematous diseases. Patch testing is the main diagnostic tool to confirm ACD, but its accurate interpretation requires correct correlation with the medical history (details of exposure) and physical examination. We provide a practical and instructive description of the most common clinical patters of ACD depending on the area affected. Knowledge of these patterns will not only help the clinician reach the diagnosis but will suggest possible allergens and forms of contact.ResumenLa dermatitis de contacto alérgica (DCA) es una enfermedad frecuente en la práctica clínica diaria, con una prevalencia que ha aumentado en los últimos años. Clínicamente se caracteriza por grados variables de eritema, vesiculación, descamación y liquenificación, signos que también están presentes en otros procesos eccematosos. Las pruebas epicutáneas constituyen la principal herramienta diagnóstica para confirmar una DCA, sin embargo, su correcta interpretación requiere de una correcta correlación entre la anamnesis (historial de exposición) y el examen físico. En este artículo se describen de forma práctica y didáctica los patrones clínicos más frecuentes de DCA dependiendo de su localización. El conocimiento de estos patrones no solo ayudará al clínico en el diagnóstico diferencial, sino que también le permitirá sospechar el posible alérgeno y su forma de aplicación.
       
  • The Keystone Flap in Dermatology: Clinical Experience with 18 Patients
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): R. Aragón-Miguel, M. Gutiérrez-Pascual, A. Sánchez-Gilo, J. Sanz-Bueno, F.J. Vicente-Martin Introduction and objectivesThe keystone flap is a fasciocutaneous flap supplied by perforating arteries. It is used in dermatology to repair surgical defects in areas with low skin extensibility (the upper and lower limbs and the back). We review the clinical experience gained with keystone flap reconstruction at our hospital and report on the surgical outcomes.Material and methodsDescriptive retrospective study of patients with malignant skin tumors on the lower limbs who underwent keystone flap reconstruction.ResultsEighteen patients (mean age, 77.83 years) underwent keystone flap reconstruction using the Behan technique in 17 cases and the modified Moncrieff technique in one. Basal cell carcinomas accounted for 38.8% of the tumors excised, squamous cell carcinomas 33.3%, and malignant pigmented tumors 27.7%. Cardiovascular risk factors were observed in 72.2% of patients. Minor complications occurred in 38.8% of patients, and there were no cases of partial or total flap necrosis.ConclusionsWe consider the keystone flap to be a good alternative to other flaps and grafts for the surgical reconstruction of lower limb defects. The success rate was high, and the cosmetic and functional outcomes were good.ResumenIntroducción y objetivosEl colgajo de keystone es un colgajo fasciocutáneo cuya vascularización proviene de las arteriolas perforantes musculares. Su aplicación en dermatología es para cubrir defectos en zonas de piel poco distensible (miembros inferiores, superiores y de la espalda). Presentamos nuestra experiencia clínica y los resultados quirúrgicos del centro.Material y métodosEstudio descriptivo retrospectivo de pacientes con tumores cutáneos malignos en miembros inferiores en los que se realizó el colgajo de keystone.ResultadosSe operaron 18 pacientes con una edad media de 77,83 años. Se realizaron 17 mediante la técnica propuesta por Behan y uno con la técnica modificada de Moncrieff. El 38,8% de los tumores extirpados fueron carcinomas basocelulares, el 33,3% carcinomas epidermoides y el 27,7% tumores malignos pigmentados. El 72,22% presentaba algún factor de riesgo cardiovascular. Se observó un 38,8% de complicaciones menores y ningún caso de necrosis parcial o total del colgajo.ConclusionesConsideramos que el colgajo de keystone es una buena alternativa terapéutica a otros colgajos e injertos para la reconstrucción de defectos en miembros inferiores. Los resultados estéticos y funcionales son buenos, con una tasa de éxito elevada.
       
  • Atypical Vesicular-Bullous Hand-Foot-Mouth Disease in 2 Adults
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): Á. Iglesias-Puzas, A. Batalla, M. Trigo, Á. Flórez
       
  • Enfermedad de Rosai-Dorfman cutánea: una nueva presentación
           clínica
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): J.M. Conde, A.Y. Kim, R. de Miguel, C.H. Nousari
       
  • Papulopustular Rosacea: Response to Treatment with Oral Azithromycin
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M. Lova Navarro, P. Sánchez-Pedreño Guillen, A.M. Victoria Martínez, T. Martínez Menchón, R. Corbalán Vélez, J. Frías Iniesta IntroductionOral tetracyclines and topical antibiotics have been used to treat papulopustular rosacea (PPR) for years, but it is not uncommon to find patients who do not respond to this standard treatment. In such refractory cases, oral azithromycin has proven to be an effective option.Material and methodWe conducted a prospective pilot study of 16 patients with PPR who were treated with oral azithromycin after a lack of response to oral doxycycline and metronidazole gel. At the first visit, the patients were assessed for baseline severity of PPR on a 4-point clinical scale and started on oral azithromycin. At the second visit, response to treatment in terms of improvement from baseline was evaluated on a 3-point scale. Patients were then scheduled for follow-up visits every 12 weeks to assess long-term effectiveness.ResultsAll 16 patients experienced an improvement in their PPR following treatment with oral azithromycin. Eight weeks after completion of treatment, 14 patients (87.5%) showed complete or almost complete recovery (slight or no residual redness and complete clearance of papules and pustules). Only 2 patients experienced a new episode of inflammatory PPR lesions during follow-up.ConclusionsThe findings of this pilot study suggest that oral azithromycin could be a very effective short-term and long-term treatment for RPP resistant to conventional treatment.ResumenIntroducciónEl tratamiento de la rosácea papulopustulosa (RPP) ha consistido durante años en el uso de tetraciclinas orales y antibióticos tópicos. Pero no es infrecuente encontrar casos de RPP resistentes al tratamiento convencional. Azitromicina oral ha demostrado ser una opción eficaz para estos pacientes no respondedores.Material y métodoSe realizó un estudio piloto prospectivo con 16 pacientes con RPP no respondedores al tratamiento convencional (doxiciclina oral y metronidazol gel) que recibieron tratamiento con azitromicina oral. En la visita inicial (visita 1) se realizó una valoración basal del estadio clínico de la RPP, según 4 niveles de gravedad progresiva, y se inició tratamiento con azitromicina oral. A las 8 semanas de finalizar el tratamiento (visita 2) se evaluó la respuesta clínica según 3 niveles de mejoría respecto al estadio clínico basal. Posteriormente, para evaluar la eficacia de azitromicina oral a largo plazo, se realizaron visitas periódicas cada 12 semanas.ResultadosTodos los pacientes que recibieron tratamiento con azitromicina oral mejoraron de su RPP. A las 8 semanas de finalizar el tratamiento se objetivó un eritema facial residual débil o nulo, con desaparición completa de las pápulas y/o pústulas en el 87,5% de los pacientes. En cuanto al mantenimiento de la eficacia a largo plazo, únicamente 2 pacientes presentaron una recidiva de lesiones inflamatorias de RPP.ConclusionesLos resultados de nuestro estudio evidencian que azitromicina oral podría ser un fármaco de gran eficacia a corto y largo plazo para el manejo de aquellos casos de RPP resistentes al tratamiento convencional.
       
  • Solitary Lesion on the Lateral Aspect of the Index Finger
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): F.J. García-Martínez, I. López-Martín
       
  • Agminated Dermal Melanocytosis in the Territory of Ota's Nevus
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): L. Diluvio, M. Mazzeo, L. Bianchi, E. Campione
       
  • Juvenile Dermatomyositis: Key Roles of Muscle Magnetic Resonance Imaging
           and Early Aggressive Treatment
    • Abstract: Publication date: Available online 7 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): O. Corral-Magaña, A.F. Bauzá-Alonso, M.M. Escudero-Góngora, L. Lacruz, A. Martín-Santiago Juvenile dermatomyositis is a rare systemic connective tissue disease with onset during childhood. It presents clinically with proximal muscle weakness and characteristic skin involvement. Diagnosis is based on the Bohan and Peter criteria, though many authors are now substituting biopsy with muscle magnetic resonance imaging (MRI) for both diagnosis and follow-up. Without intensive early treatment, complications such as calcinosis cutis and lipodystrophy can develop in the chronic phases of the disease. Early recognition is therefore key to management. We present a series of 5 patients who were diagnosed with Juvenile dermatomyositis on muscle MRI without undergoing muscle biopsy and who received early treatment. We draw attention to the usefulness of muscle MRI for the diagnosis of muscle involvement and to the importance of early initiation of intensive treatment to prevent complications.ResumenLa dermatomiositis juvenil es una conectivopatía sistémica infrecuente de aparición en la edad pediátrica. Clínicamente se caracteriza por la presencia de debilidad muscular proximal con afectación cutánea característica. El diagnóstico de la enfermedad se realiza mediante los criterios de Bohan y Peter, si bien recientemente numerosos autores están sustituyendo la realización de biopsia muscular por la resonancia magnética muscular (RMM) para el diagnóstico y seguimiento de la enfermedad.En fases crónicas de la enfermedad, y sin un tratamiento precoz intensivo, pueden aparecer complicaciones como la calcinosis cutánea o la lipoatrofia, por lo que el reconocimiento temprano de la enfermedad es clave en el manejo.Presentamos una serie de 5 pacientes diagnosticados de dermatomiositis juvenil mediante RMM sin realizarse biopsia muscular y tratados de forma temprana. Resaltamos la utilidad de la RMM en el diagnóstico de la enfermedad muscular y la importancia de instaurar el tratamiento de forma precoz e intensiva para prevenir las complicaciones.
       
  • Violaceous Papules on an Achromatic Macule
    • Abstract: Publication date: Available online 6 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Imbernón-Moya, F. Burgos, M.Á. Gallego-Valdés
       
  • Rare Tongue Compromising of Mucocutaneous Leishmaniasis by Leishmania
           Subgenus Viannia
    • Abstract: Publication date: Available online 6 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): R. Bueno-Filho, S. Vernal, C.M. Gomes, A.M. Roselino
       
  • Nonvenereal Sclerosing Lymphangitis of the Penis: Importance of the
           Clinical Diagnosis
    • Abstract: Publication date: Available online 6 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): A. Gómez-Zubiaur, C. Guirado-Koch, S. Beà-Ardébol, L. Trasobares-Marugán
       
  • Pityriasis Lichenoides et Varioliformis Acuta Associated With Human
           Herpesvirus 7
    • Abstract: Publication date: Available online 5 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M. Costa-Silva, A. Calistru, J. Sobrinho-Simões, C. Lisboa, F. Azevedo Pityriasis lichenoides et varioliformis acuta and pityriasis lichenoides chronica represent 2 ends of a disease spectrum of unknown etiology. Herein we describe 2 cases of pityriasis lichenoides et varioliformis acuta, in which human herpesvirus 7 DNA was detected in skin samples by polymerase chain reaction methodology, an association not previously described. This report may support the involvement of viral infection in the etiopathogeny of this disease.ResumenTanto la pitiriasis liquenoide y varioliforme aguda como la pitiriasis liquenoide crónica representan 2 extremos de un espectro de enfermedad de etiología desconocida. En este trabajo se describen 2 casos de pitiriasis liquenoide y varioliforme aguda, en los que se detectó ADN de virus herpes humano tipo 7 en muestras de piel mediante la metodología de reacción en cadena de la polimerasa, una asociación no descrita previamente. Este manuscrito puede apoyar la participación de la infección viral en la etiopatogenia de esta enfermedad.
       
  • Primary Cutaneous Mucormycosis Due to Rhizopus arrhizus in an
           8-Year-Old Girl
    • Abstract: Publication date: Available online 4 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): M.F. Albízuri-Prado, A. Sánchez-Orta, A. Rodríguez-Bandera, M. Feito-Rodríguez
       
  • Koebner Phenomenon In Sweet's Syndrome
    • Abstract: Publication date: Available online 4 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): T. Hiraiwa, M. Ishikawa, T. Ohashi, T. Miura, M. Satoh, T. Yamamoto
       
  • Adult T-Cell Leukemia/Lymphoma. Review of the Literature
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): M.J.M. Rodríguez-Zúñiga, F. Cortez-Franco, E. Qujiano-Gomero Adult T-cell Leukemia/Lymphoma (ATLL) is an aggressive neoplasm of T lymphocytes associated with Human T-lymphotropic virus type 1 (HTLV-1) infection. HTLV-1 is a public health problem because it is endemic in native groups in Latin America, and its infection leads to several chronic diseases as ATLL. We aimed to review current literature of ATLL in order to consider it as a differential diagnosis in front of patients with compatible symptoms. Prognosis is still poor in aggressive and indolent variants, with survival rates from months to few years. Treatment based on chemotherapy, antiretroviral, and allogenic stem cell transplantation are currently improving survival rates, but with limited results.ResumenLa leucemia/linfoma de células T del adulto (LLCTA) es una neoplasia agresiva de los linfocitos T asociada a la infección del virus humano T linfotrófico tipo 1 (HTLV-1). El HTLV-1 es un problema de salud pública ya que es endémico en etnias nativas de América del Sur, y su infección conlleva diversas enfermedades crónicas, tal como la LLCTA. Nuestro objetivo fue revisar la literatura más reciente sobre LLCTA para su consideración como diagnóstico diferencial ante hallazgos clínicos compatibles. El pronóstico de esta enfermedad es aún malo en las variantes agresivas e indolentes, con sobrevida desde meses a pocos años. El tratamiento, que actualmente se basa en quimioterapia, antirretrovirales y trasplante alogénico de médula ósea, ha mejorado dichos índices de sobrevida, pero aún con resultados limitados.
       
  • Expanding the genetic profile of Hay-Wells syndrome
    • Abstract: Publication date: Available online 1 June 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. Romero-Pérez, B. Encabo-Durán, R. Ramón-Sapena
       
  • Human Papilloma Virus and the Risk of Squamous Cell Carcinoma Arising in
           Hidradenitis Suppurativa
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): J.M. Segura Palacios, P. García Montero, R. Fúnez Liébana, J.B. Repiso Jiménez
       
  • Atrophying Pityriasis Versicolor
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): F. Allegue, C. Fachal, D. González-Vilas, A. Zulaica
       
  • Iso-Kikuchi Syndrome: A Clinically Diagnosed Condition Dermatologists
           Should Be Aware Of
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): J. del Boz
       
  • DIADERM: A Study of Diagnoses in Outpatient Dermatology Practice
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): R.M. Díaz Díaz
       
  • Cross-Cultural Adaptation to Spanish of the Hair Specific Skindex-29
           Scale: A Valuable Tool for Our Clinical Practice
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): E. Martínez-García
       
  • Acquired Port-Wine Stain: Not a simple stain!
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Abdelmaksoud, M. Vestita
       
  • Editorial Decisions in Dermatology Journals: Is the Impact Factor a
           Double-Edged Sword'
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): P. Hernández Bel
       
  • Lymph Node Dissection in Patients With Melanoma and Sentinel Lymph Node
           Metastasis: An Updated, Evidence-Based Decision Algorithm
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): D. Moreno-Ramírez, A. Boada, L. Ferrándiz, E. Samaniego, G. Carretero, E. Nagore, P. Redondo, P. Ortiz-Romero, J. Malvehy, R. Botella-Estrada, miembros del Grupo Español de Dermato-Oncología y Cirugía. Academia Española de Dermatología y Venereología Recent publication of the results of clinical trials in which lymph node dissection was not associated with any survival benefit in patients with sentinel node metastasis makes it necessary to reconsider the treatment of patients with melanoma. This article provides an update on the available evidence on the diverse factors (routes of metastatic spread, predictors, adjuvant therapy, etc.) that must be considered when treating patients with sentinel node-positive melanoma. The authors propose a decision-making algorithm for use in this clinical setting. The current evidence no longer supports lymph node dissection in patients with low-risk sentinel node metastasis (sentinel node tumor load ≤ 1 mm).ResumenLa reciente publicación de los resultados de ensayos clínicos en los que la disección ganglionar no ha demostrado beneficio de supervivencia en pacientes con metástasis en el ganglio centinela plantea la necesidad de modificar el tratamiento del paciente con melanoma. El presente trabajo aporta una actualización de la evidencia sobre diferentes aspectos necesarios (vías de progresión metastásica, factores predictores, tratamiento adyuvante, etc.) para la toma de decisiones en el paciente con melanoma y metástasis en el ganglio centinela y plantea un algoritmo de toma de decisiones para este escenario clínico. La evidencia actualmente disponible respalda el abandono de la disección ganglionar en aquellos pacientes con metástasis de bajo riesgo en el ganglio centinela (carga tumoral en el ganglio centinela inferior o igual a 1 mm).
       
  • Acute Generalized Exanthematous Pustulosis Simulating Toxic Epidermal
           Necrolysis: Overlapping Processes
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): J. García Abellán, J. Matarredona Catalá, A. Jaen Larrieu, I. Valencia Ramírez
       
  • Update on the Treatment of Molluscum Contagiosum in Children
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): P. Gerlero, Á. Hernández-Martín Molluscum contagiosum is one of the most common viral infections in childhood. It is a benign and usually self-limiting infection, but its treatment in children can be challenging, particularly when the patient presents multiple lesions or when lesions are symptomatic or highly visible. Several treatment options exist. Choice of treatment depends on the number and location of lesions, the prior experience of the treating physician, and the preferences of the child's parents or carers. This article provides an update on treatment options for molluscum contagiosum, with a particular focus on immunocompetent pediatric patients.ResumenEl molusco contagioso es una de las infecciones virales más frecuente en los niños. Aunque se trata de una infección de curso benigno y generalmente autolimitada, el tratamiento puede resultar complicado en la edad pediátrica cuando las lesiones son muy numerosas, están en áreas visibles, o producen molestias. Existen diversos tratamientos disponibles, cuya selección depende del número y localización de las lesiones, de la experiencia del médico que las trata, y de las preferencias de los padres o cuidadores. Este artículo proporciona una actualización sobre las diferentes terapias contra los moluscos contagiosos particularmente enfocadas a los pacientes pediátricos.
       
  • Outpatient Dermatological Diagnoses in Spain: Results From the National
           DIADERM Random Sampling Project
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Buendía-Eisman, S. Arias-Santiago, A. Molina-Leyva, Y. Gilaberte, P. Fernández-Crehuet, H. Husein-ElAhmed, A. Viera-Ramírez, P. Fernández-Peñas, R. Taberner, M.Á. Descalzo, I. García-Doval BackgroundDermatologists perform most of their work in outpatient or private clinics. Data on the diagnoses made by dermatologists in these settings are lacking, however, as outpatient activity, unlike hospital activity, is difficult to code. The aim of this study was to analyze the diagnoses made by members of the Spanish Academy of Dermatology and Venereology (AEDV) at dermatology clinics in Spain.MethodsWe selected a random sample of AEDV dermatologists drawn from the AEDV list and stratified by geographic area. The selected dermatologists received instructions on how to collect the data required. Each participant recorded the diagnosis reached and other data for patients seen during 2 specified periods: 3 days in January and 3 days in May. The diagnoses were subsequently coded by a dermatologist expert in applying the International Classification of Diseases (10th revision). In view of the complex nature of the sample, data were analyzed with standard error and finite population corrections.ResultsThe sample consisted of 124 dermatologists. Of these, 65% participated in the first phase of the study and 59% in the second. An estimated 621 562 patients (95% CI, 368 130-874 995) visit the dermatologist every month in Spain. This is the equivalent of 28 (25-31) patients per day per clinic. The most common diagnosis recorded was actinic keratosis, followed by basal cell carcinoma and melanocytic nevus. The vast majority of visits took place at the clinic, but 1% of patients (0.3%-3%) were assessed using teledermatology.ConclusionsThis is the first study in Spain to analyze diagnoses made by AEDV members at outpatient dermatology clinics. Our findings show a high volume of activity and will be useful for guiding health care planning, resource use, and future studies.ResumenIntroducciónLa actividad principal realizada por dermatólogos tiene lugar en la consulta externa hospitalaria o en los centros privados. A diferencia de la actividad hospitalaria, que es fácilmente codificada, no existen datos globales sobre los diagnósticos realizados por los dermatólogos en estos niveles. El objetivo de este estudio es analizar los diagnósticos realizados en las consultas de dermatología de los miembros de la Academia Española de Dermatología y Venereología (AEDV) en España.MetodologíaA partir del listado de dermatólogos de la AEDV se obtuvo una muestra aleatoria estratificada por secciones territoriales de la AEDV. A los dermatólogos participantes se les instruyó en la forma de recoger los datos. Cada participante recogió los diagnósticos y otros datos de los pacientes atendidos durante 6 días de consulta en 2 fases (3 días en enero y 3 días en mayo). Posteriormente la codificación de los diagnósticos la realizó un dermatólogo experto empleando la CIE-10. El análisis se realizó considerando el diseño muestral complejo empleado para corregir los errores estándar y el ajuste para poblaciones finitas.ResultadosSe muestrearon 124 dermatólogos. Finalmente participaron en el estudio el 65% de los dermatólogos muestreados en la primera fase y el 59% en la segunda. El número de pacientes estimados que consultan al dermatólogo en toda España por mes sería de 621.562 (IC 95%: 368,130-874,995), con un promedio de 28 (25-31) pacientes por día de consulta. El diagnóstico más frecuente fue el de queratosis actínica, seguido de carcinoma basocelular y nevus melanocítico. La forma habitual de evaluar a los pacientes es mediante visita presencial y en el 1% (0,3%-3%) de los casos se realiza teledermatología.ConclusionesSe trata del primer estudio de ámbito nacional que analiza diagnósticos hechos en las consultas de dermatología de los miembros de la AEDV, mostrando una alta carga asistencial. Dicha información además será de utilidad para realizar una correcta planificación sanitaria, aprovechamiento de los recursos y planificar futuros estudios.
       
  • Validation of a Cross-cultural Adaptation of the Hair Specific Skindex-29
           Scale to Spanish
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Guerra-Tapia, A. Buendía-Eisman, J. Ferrando, on behalf of the Hair Specific Skindex-29 validation group Background and objectiveFemale androgenetic alopecia (FAA) has considerable impact on quality of life. Our analysis of the clinical scales available in the literature to measure the impact of FAA led us to choose the Hair Specific Skindex 29 (HSS29) as the most appropriate for adaptation to Spanish as a tool for following patients in treatment for FAA. This tool assesses disease impact on quality of life over time so that treatments can be tailored to patients’ needs. The HSS29 score reflects impact in 3 domains (emotions, symptoms, and functioning) on a scale of 0 (no effect) to 100 (maximum effect). The scale is useful in routine clinical practice, and patients can respond to all items in 5 minutes.Materials and methodsWe followed recommended procedures to produce a cross-cultural adaptation of the scale. The process involved forward translation of the questionnaire to Spanish followed by back translation by 2 native speakers of the original language (English) and revision as needed after discussion and consensus by a committee of 3 expert dermatologists. The comprehensibility of the resulting translation was assessed in a test–retest step. Next, the psychometric properties, reliability, and construct validity were assessed. Sensitivity and specificity were evaluated with the area under the receiver operating characteristic (ROC) curve, reliability with Cronbach's α, and construct validity by factor analysis using a Varimax rotation. Face validity was also assessed during the process. The intraclass correlation coefficient (ICC) was calculated in the test–retest step.ResultsA total of 170 women with FAA and 30 control subjects completed the cross-culturally adapted Spanish questionnaire. A subgroup of 15 subjects responded a second time between 1 and 2 days after their first session (test–retest). Sensitivity and specificity were excellent according to the area under the ROC curve (0.98; 95% CI, 0.97–0.99), and high reliability was reflected by a Cronbach's α of 0.96. Factor analysis showed that the items were grouped in the same 3 domains (functioning, emotions, and symptoms) as in the original version of the scale. There were no significant differences in the mean (SD) scores on the test and the retest (23.05 [16.42] vs 22.01 [17.72], respectively). The ICC of over 0.9 indicated excellent correlation between responses to the adapted Spanish version.ConclusionsThe psychometric properties of the Spanish version of the HSS29 are similar to those of the original scale. The Spanish HSS29 is a useful tool for assessing quality of life in FAA.ResumenIntroducción y objetivoLa alopecia femenina tiene un impacto importante sobre la calidad de vida. Analizadas las escalas publicadas para medir este impacto, hemos considerado que la escala Hair Specific Skindex 29 (HSS29) es la más adecuada para el objetivo del proyecto: obtener una herramienta en español para el seguimiento en el tratamiento de la alopecia androgenética femenina, que permita medir la evolución del impacto en la calidad de vida y adaptar e individualizar el tratamiento a las necesidades de la mujer. La escala HSS29 puntúa entre 0 (nula afectación) y 100 (total afectación) y discrimina 3 dominios (emociones, síntomas y función), siendo una escala útil en la práctica clínica diaria, autocumplimentada en menos de 5 min.Materiales y métodosSe realizó el proceso metodológico establecido para la validación transcultural de una escala, a través de la traducción y retrotraducción por 2 traductores nativos en la lengua original de la escala (inglés), con el consenso de un comité de 3 dermatólogos expertos cuando fuera necesario. La versión consensuada se sometió a un pretest con pacientes para comprobar la correcta comprensión. Posteriormente, se determinaron las características psicométricas de la escala, la fiabilidad y su validez de constructo (sensibilidad y especificidad mediante curva ROC, fiabilidad por alfa de Cronbach, constructo por análisis factorial con rotación Varimax), de apariencia y la validez test-retest (correlación intraclase).ResultadosCiento setenta mujeres con alopecia y 30 controles respondieron a la escala. Un subgrupo de 15 pacientes realizó el test-retest y respondieron a la escala tras 1-2 días de la valoración inicial. La escala presentó una excelente sensibilidad y especificidad medida por la curva ROC 0,98 (intervalo de confianza del 95%, 0,97-0,99) y una muy elevada fiabilidad con alfa de Cronbach de 0,96. El análisis factorial mostró que los ítems se distribuyeron en las 3 dimensiones (funcional, emociones y síntomas) como en la escala original. No se encontraron diferencias significativas entre los valores del test y del retest (23,05 ± 16,42 vs 22,01 ± 17,72, p = ns) y el coeficiente de correlación intraclase fue excelente (superior a 0,9).ConclusionesLa versión española de la escala HSS29 presenta unas características psicométricas similares a la escala original y es una herramienta útil para la evaluación de la calidad de vida en alopecia femenina.Graphical abstract
       
  • Iso-Kikuchi Syndrome: Report of 3 Pediatric Cases
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): L.L. Tirelli, P.C. Luna, R. Cano, J.P. Giraldo, M. Larralde Iso-Kikuchi syndrome, or congenital onychodysplasia of the index finger, is an uncommon condition characterized by total anonychia or dysplasia of the nail of the index finger. It is occasionally accompanied by underlying bone abnormalities and is rarely associated with other conditions. Although various hypotheses have been put forward to explain the pathophysiology of the syndrome, its etiology remains unknown.We report the cases of 3 pediatric patients (2 boys and 1 girl) with nail changes and bone abnormalities consistent with Iso-Kikuchi syndrome. We highlight the importance of recognizing this entity early to avoid the need for additional tests and unnecessary treatment.ResumenEl síndrome de Iso-Kikuchi, onicodisplasia congénita del dedo índice, es una entidad poco frecuente caracterizada por la anoniquia total o displasia de la uña del dedo índice, acompañado, en algunas ocasiones, de alteraciones óseas subyacentes, por lo general, en ausencia de otras anomalías. Si bien se han planteado distintas hipótesis fisiopatogénicas, la etiología sigue siendo desconocida.Describimos los casos de 3 pacientes pediátricos, 2 varones y una niña, con alteraciones ungueales y óseas compatibles con el síndrome de Iso-Kikuchi. Destacamos la importancia de reconocer esta entidad tempranamente para evitar la realización de estudios complementarios y terapéuticas innecesarias.
       
  • Skin Tumors Arising on Chronic Lymphedema
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): I. Latour-Álvarez, C. Vázquez-Rodríguez, M. García-Bustínduy
       
  • A Facial Plaque and Nodules on the Scalp
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): M.Á. Flores-Terry, M.P. Cortina de la Calle, C. Ramos-Rodríguez, F. Martín-Dávila
       
  • After Decades Without any Developments, New Drugs May Revolutionize the
           Treatment of Atopic Dermatitis
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): D. Morgado-Carrasco, X. Fustà-Novell, J. Riera-Monroig, P. Iranzo
       
  • Indurated Nodule on the Upper Lip
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Imbernón-Moya, E. Fernández-Cogolludo, M.Á. Gallego-Valdés
       
  • Type B Pigmentary Demarcation Lines in Pregnancy
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): J.F. Mir-Bonafé, S. Planas-Ciudad, E. Rozas-Muñoz, L. Puig
       
  • Application of Topical Sevoflurane Before Cleaning Painful Skin Ulcers
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Imbernón-Moya, J. Ortiz-de Frutos, M. Sanjuan-Alvarez, I. Portero-Sanchez
       
  • Airborne Allergic Contact Dermatitis Caused by Neem Oil
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): A. Sánchez-Gilo, A. Nuño González, M. Gutiérrez Pascual, F.J. Vicente Martín
       
  • A Typical Case of Lipoblastoma on the Lower Limb of an Infant
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): L. Giraldo Mordecay, M.P. Novoa Candia, C.E. Torres Fuentes, A.M. Sastre Zuluaga
       
  • Ultrasound Diagnosis of Nodular Hidradenoma
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): I. Vázquez-Osorio, P. Gonzalvo-Rodríguez, E. Rodríguez-Díaz
       
  • Reply to «Acquired Port-Wine Stain: Not a Simple Stain"
    • Abstract: Publication date: June 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 5Author(s): J.F. Millán-Cayetano, J. del Boz, P. García-Montero, M. de Troya Martín
       
  • Doxycycline, a Well-Tolerated, Economic, and Effective Alternative for the
           First-Line Treatment of Bullous Pemphigoid
    • Abstract: Publication date: Available online 30 May 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): D. Morgado-Carrasco, C. Riquelme-Mc Loughlin, X. Fustà-Novell, P. Iranzo
       
  • Annular and Polycyclic Lesions on the Lower Limbs
    • Abstract: Publication date: Available online 30 May 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): V. Velasco-Tamariz, J.L. Rodríguez-Peralto, A. Guerra-Tapia
       
  • A Case of Eruptive Disseminated Porokeratosis in a Cancer Patient after
           Trastuzumab and Exemestane Treatment: Cancer Related or Drug Induced
           Phenomenon'
    • Abstract: Publication date: Available online 10 May 2018Source: Actas Dermo-Sifiliográficas (English Edition)Author(s): C. Mangas, V. Espeli, R. Blum
       
  • Management of Corticosteroid-Induced Osteoporosis: A Practical Approach
           for the Dermatologist
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): C. Vico-Alonso, L. Maroñas-Jiménez, F. Lozano-Morillo
       
  • Histoplasmosis: An Emerging Endemic Mycosis
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A. Pulido Pérez
       
  • Improving the Quality of Life of Patients With Actinic Keratosis
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): N. Blázquez-Sánchez
       
  • HIV-associated psoriasis
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): N. Queirós, T. Torres Human immunodeficiency virus (HIV) prevalence is increasing worldwide as people on antiretroviral therapy are living longer. These patients are often susceptible to debilitating inflammatory disorders that are frequently refractory to standard treatment. Psoriasis is a systemic inflammatory disorder, associated with both physical and psychological burden, and can be the presenting feature of HIV infection. In this population, psoriasis tends to be more severe, to have atypical presentations and higher failure rates with the usual prescribed treatments.Management of moderate and severe HIV-associated psoriasis is challenging. Systemic conventional and biologic agents may be considered, but patients should be carefully followed up for potential adverse events, like opportunist infections, and regular monitoring of CD4 counts and HIV viral loads.ResumenLa prevalencia del virus de la inmunodeficiencia humana (VIH) va en aumento en todo el mundo ya que las personas en tratamiento antirretroviral cada vez viven más años. Estos pacientes suelen ser propensos a trastornos inflamatorios debilitantes que suelen ser refractarios al tratamiento estándar. La psoriasis es un trastorno inflamatorio asociado a una carga física y psicológica, y puede ser una característica de presentación de infección por VIH. En esta población de pacientes, la psoriasis suele ser más grave, tener presentaciones atípicas e índices más altos de fracaso a los tratamientos que suelen prescribirse.El manejo de la psoriasis asociada al VIH de carácter moderado y grave es todo un reto. Pueden considerarse agentes convencionales y biológicos, pero debe someterse a los pacientes a un meticuloso seguimiento para descartar posibles episodios adversos tales como infecciones oportunistas, así como una monitorización habitual de los recuentos de CD4 y cargas virales de VIH.
       
  • Morphea in Childhood: An Update
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): B. Aranegui, J. Jiménez-Reyes Morphea is an inflammatory, fibrosing skin disorder. When it occurs in childhood, it is also known as juvenile localized scleroderma. It is more common in girls and typically appears around the age of 5 to 7 years. According to a recent classification system, morphea is divided into 5 types: circumscribed (plaque), linear, generalized, pansclerotic, and mixed. Approximately 40% of patients present extracutaneous manifestations. Childhood morphea is treated with phototherapy, oral or topical calcitriol, topical tacrolimus 0.1%, methotrexate, topical or systemic corticosteroids, mycophenolate mofetil, bosentán, and topical imiquimod 5%. A variety of measuring tools are used to monitor response to treatment. Few prognostic studies have been conducted, but findings to date suggest that the disease tends to run a chronic or intermittent-recurrent course and frequently causes sequelae.ResumenLa morfea es una enfermedad de la piel que se manifiesta en forma de inflamación y fibrosis. En niños y jóvenes, también se conoce como esclerodermia juvenil localizada. En edad infantil, afecta con mayor frecuencia al sexo femenino y la edad de comienzo se ha establecido en torno a los 5-7 años. Una clasificación reciente divide la morfea en: circunscrita (en placas), lineal, generalizada, panesclerótica y mixta. Alrededor de un 40% de los pacientes presentan manifestaciones extracutáneas.Los tratamientos empleados en morfea infantil son: fototerapia, calcitriol oral, calcipotriol tópico, tacrolimus 0,1% tópico, metotrexato, glucocorticoides tópicos y sistémicos, mofetil micofenolato, bosentán e imiquimod 5% tópico. Diversas medidas de resultado pueden ayudar a monitorizar el tratamiento. Los estudios pronósticos son escasos, pero apuntan hacia una enfermedad con tendencia a un curso crónico o intermitente-recurrente y una frecuencia considerable de secuelas.
       
  • Dermatology and Immunoglobulin Therapy: Who to Treat and How to Administer
           Immunoglobulins
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): F.J. Navarro-Triviño, I. Pérez-López, R. Ruíz-Villaverde Intravenous immunoglobulin (IVIG) replacement therapy has been used in immune deficiency diseases for more than 50 years. The indications for this treatment have evolved, however, and IVIG therapy is now used in various diseases in which the immune system plays a prominent role. IVIG therapy has carved out a niche in dermatology for the treatment of such conditions as dermatomyositis, autoimmune bullous diseases, and toxic epidermal necrolysis. Special attention has been paid to this therapy in recent years. New guidelines have been published and should be taken into consideration in dermatology. This review provides a practical guide to IVIG use in our specialty.ResumenEl uso de las inmunoglobulinas intravenosas en la medicina se remonta a hace más de 50 años, tras el uso como terapia sustitutiva en enfermedades inmunodeficientes. Sin embargo, las indicaciones de este tratamiento han evolucionado de tal manera que actualmente está dirigido a enfermedades donde el sistema inmune desempeña un papel relevante. En el campo de la dermatología se ha hecho un hueco interesante en algunas enfermedades, como la dermatomiositis, las enfermedades autoinmunes ampollares o la necrólisis epidérmica tóxica, entre otras. En los últimos años se ha prestado especial atención al uso de las inmunoglobulinas intravenosas, de hecho se han publicado recientemente nuevas guías sobre su uso, y qué consideraciones debemos tener en cuenta durante su uso en dermatología. Nuestra intención con este artículo es reflejar de una manera práctica el uso de las inmunoglobulinas intravenosas en la dermatología.
       
  • Quality of Life, Behaviour and Attitudes towards Actinic Keratosis in
           Spain: The PIQA Study
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): I. Longo, C. Serra-Guillén ObjectiveThis study was aimed to examine patients’ knowledge, behaviours and attitudes regarding actinic keratosis (AK) lesions and the impact of the disease on patients’ quality of life (QoL).MethodsObservational study of patients with AK lesions in Spain. QoL was evaluated with the validated version of Spanish AKQoL questionnaire. Skin self-examination, sun-exposure, habits and attitudes towards AK's treatment were recorded using different questionnaires. The adherence was assessed by means of the Morisky-Green test. Among other variables, QoL and adherence to treatment were compared by using Pearson's χ2 test and one-way ANOVA tests. Inferential analysis regarding such factors and length of treatment were also performed.ResultsA total of 1240 patients (73.6 [10.5] years old) were recruited. Overall, patients that showed higher levels of concern were also showed a higher impairment on QoL. AK had greater effects on women's QoL and those who performed skin self-examination, think that AK is a disease and/or believe that moisturizers can prevent skin aging (P 
       
  • Mucocutaneous Manifestations of Infection by Histoplasma capsulatum in
           HIV-Negative Immunosuppressed Patients
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): L.V. Gómez-Santana, A.C. Torre, B.A. Hernández, V.I. Volonteri, B. Laura, R. Luis-Galimberti Histoplasmosis is a systemic mycosis caused by the dimorphous fungus Histoplasma capsulatum (H. capsulatum). The fungus enters the body through the respiratory tract in the form of microconidia, which are transformed into intracellular yeast-like structures in the lungs before disseminating hematogenously. Primary infection is usually asymptomatic and self-resolving. Some patients develop severe disease with acute or chronic respiratory involvement. Immunosuppressed patients, mainly those with altered cellular immunity, may have disseminated disease with variable mucocutaneous involvement characterized by papules, nodules, gummas, or ulcers with a granulomatous base. We report the case of 3 HIV-negative patients infected by H capsulatum in whom diagnosis based on the skin lesions proved essential for early initiation of treatment.ResumenLa histoplasmosis es una micosis sistémica causada por el hongo dimorfo Histoplasma capsulatum (H. capsulatum). Este entra en el organismo a través del tracto respiratorio en forma de microconidias, que a nivel pulmonar se transforman en elementos levaduriformes intracelulares, y luego se diseminan por vía hematógena. La primoinfección suele ser asintomática y autorresolutiva. Algunos pacientes desarrollan una enfermedad grave con compromiso respiratorio agudo o crónico. Los pacientes inmunosuprimidos, principalmente aquellos con alteración de la inmunidad celular, pueden presentar una enfermedad diseminada con compromiso mucocutáneo proteiforme, con pápulas, nódulos, gomas o úlceras de fondo granulomatoso. Se comunican 3 casos clínicos de pacientes inmunosuprimidos no VIH, con infección por H. capsulatum, en quienes el diagnóstico a partir de las lesiones cutáneas resultó fundamental para el inicio precoz del tratamiento.
       
  • Painful Ulcer in a Black Man
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): I. Latour-Álvarez, M. Arteaga-Henriquez, A. de Andrés-del Rosario
       
  • Umbilicated Papules on the Elbows of a Woman With Systemic Vasculitis
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): C. Lloret-Ruiz, N. Barrado-Solís, E. Quecedo-Estébanez
       
  • Ulcerative nodules on the perineum
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): C.-F. Yen, K.-L. Chen, T.-F. Tsai
       
  • Risk of Skin Cancer Associated With Narrowband UV-B Phototherapy
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): J. Aguilera
       
  • Proliferating Pilomatricoma Mimicking a Malignant Tumor
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): P. García-Montero, J.B. Repiso-Jiménez, I. Fernández-Canedo
       
  • Cutaneous Metastases From Adenocarcinoma of the Prostate
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): M.Á. Flores-Terry, R. Cruz-Conde de Boom, M. García-Arpa, I.M. de Lara-Simón
       
  • Dermatopathic Lymphadenopathy: Is Our Diagnostic Approach Correct'
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A. Bueno-Rodriguez, R. Ruiz-Villaverde, M. Caba-Molina, J. Tercedor-Sánchez
       
  • Folliculitis Decalvans Caused by Bacterial Superinfection Secondary to
           Erlotinib
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A. Sahuquillo-Torralba, B. Escutia-Muñoz, M. Rodríguez-Serna, R. Botella-Estrada
       
  • Source of Bias in the Spanish Language Version of the WPAI:PSO (Work
           Productivity and Activity Impairment—Psoriasis v.2.0) Questionnaire
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): E. Margarit, A. López-Ferrer, E. Vilarrasa, L. Puig
       
  • Syringocystadenocarcinoma Papilliferum: Case Report and Review of the
           Literature
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A.D. Agulló Pérez, B. Bonaut Iriarte, A. Córdoba Iturriagagoitia, A. Valcayo Peñalba
       
  • Rhinotillexomania
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): C. Martín-Callizo, M. Sacristà, Y. Fortuño, R.M. Penín, M.J. Tribó
       
  • Cutaneous Metastasis in a Patient With Lung Cancer
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): C. Martínez-Morán, B. Echeverría-García, R. Khedaoui, J. Borbujo
       
  • Bullous Necrotic Purpura Caused by Scedosporium apiospermum Presenting
           With a Sporotrichoid Pattern
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): J. Company-Quiroga, C. Martínez-Morán, A. Moreno, J. Borbujo
       
  • Blue Nevus With Satellite Lesions Mimicking Malignant Melanoma
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A. Sardoy, M.B. Bidabehere, M.L. Gubiani, B.A. Pinardi
       
  • Macro Lens for Mirrorless Cameras in Digital Photography in Dermatology
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): P. Vilas Boas, A. Sánchez Herrero, I. Hernández Aragüés, R. Suárez Fernández
       
  • Microvenular Hemangioma: Morphological Study of 3 Cases
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): A. Giacaman, L.J. del Pozo, A. Bauzá, C. Saus
       
  • Lymphadenectomy After a Positive Sentinel Lymph Node Biopsy in Melanoma: A
           Paradigm Shift
    • Abstract: Publication date: May 2018Source: Actas Dermo-Sifiliográficas (English Edition), Volume 109, Issue 4Author(s): Á. Pizarro
       
 
 
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