Case Letter
The string of pearls pattern in dermoscopy of a chest papule
Lido
6763
Vezesque se leu este artigo
3051
Total PDF
3712
Total HTML
Compartilhar estatÃsticas
array:24 [ "pii" => "S0365059620300805" "issn" => "03650596" "doi" => "10.1016/j.abd.2019.06.015" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "169" "copyright" => "Sociedade Brasileira de Dermatologia" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "pt" => array:19 [ "pii" => "S2666275220301508" "issn" => "26662752" "doi" => "10.1016/j.abdp.2019.06.015" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "169" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "pt" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta – Caso clínico</span>" "titulo" => "Arranjo em “colar de pérolas” na dermatoscopia de uma pápula localizada na região torácica" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "392" "paginaFinal" => "393" ] ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figura 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 595 "Ancho" => 750 "Tamanyo" => 146367 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Exame histopatológico evidencia hiperplasia epidérmica psoriasiforme nitidamente demarcada, composta por queratinócitos claros e células basais com citoplasma de coloração pálida, vasos sanguíneos dilatados nas papilas dérmicas e infiltrado inflamatório perivascular misto. (Hematoxilina & eosina, 40×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Li‐Wen Zhang, Wen‐Ju Wang, Cong‐Hui Li, Tao Chen" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Li‐Wen" "apellidos" => "Zhang" ] 1 => array:2 [ "nombre" => "Wen‐Ju" "apellidos" => "Wang" ] 2 => array:2 [ "nombre" => "Cong‐Hui" "apellidos" => "Li" ] 3 => array:2 [ "nombre" => "Tao" "apellidos" => "Chen" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0365059620300805" "doi" => "10.1016/j.abd.2019.06.015" "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/S0365059620300805?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301508?idApp=UINPBA00008Z" "url" => "/26662752/0000009500000003/v1_202006250813/S2666275220301508/v1_202006250813/pt/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0365059620300787" "issn" => "03650596" "doi" => "10.1016/j.abd.2019.06.014" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "167" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>" "titulo" => "Pediatric chondrodermatitis nodularis chronica helicis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "393" "paginaFinal" => "395" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1162 "Ancho" => 905 "Tamanyo" => 125234 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Four skin-colored nodules on the right antihelix with a pearl necklace arrangementt.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Li-Wen Zhang, Lin Li, Cong-Hui Li, Wen-Ju Wang" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Li-Wen" "apellidos" => "Zhang" ] 1 => array:2 [ "nombre" => "Lin" "apellidos" => "Li" ] 2 => array:2 [ "nombre" => "Cong-Hui" "apellidos" => "Li" ] 3 => array:2 [ "nombre" => "Wen-Ju" "apellidos" => "Wang" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S266627522030148X" "doi" => "10.1016/j.abdp.2019.06.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S266627522030148X?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300787?idApp=UINPBA00008Z" "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300787/v4_202007210853/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0365059620300672" "issn" => "03650596" "doi" => "10.1016/j.abd.2019.06.012" "estado" => "S300" "fechaPublicacion" => "2020-05-01" "aid" => "156" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "sco" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>" "titulo" => "Atypical cutaneous mycobacteriosis caused by <span class="elsevierStyleItalic">M. fortuitum</span> acquired in domestic environment" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "390" "paginaFinal" => "391" ] ] "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" => 679 "Ancho" => 905 "Tamanyo" => 207497 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Chronic and organized inflammatory process, without detection of acid-fast bacilli and fungi (Hematoxylin & eosin, ×40).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Dimitri Luz Felipe da Silva, Letícia dos Santos Valandro, Paulo Eduardo Neves Ferreira Velho, Andréa Fernandes Eloy da Costa França" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Dimitri Luz Felipe da" "apellidos" => "Silva" ] 1 => array:2 [ "nombre" => "Letícia dos Santos" "apellidos" => "Valandro" ] 2 => array:2 [ "nombre" => "Paulo Eduardo Neves Ferreira" "apellidos" => "Velho" ] 3 => array:2 [ "nombre" => "Andréa Fernandes Eloy da Costa" "apellidos" => "França" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220301375" "doi" => "10.1016/j.abdp.2019.06.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301375?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300672?idApp=UINPBA00008Z" "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300672/v4_202007210853/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>" "titulo" => "The string of pearls pattern in dermoscopy of a chest papule" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "392" "paginaFinal" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Li-Wen Zhang, Wen-Ju Wang, Cong-Hui Li, Tao Chen" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Li-Wen" "apellidos" => "Zhang" "email" => array:1 [ 0 => "zhleven@126.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Wen-Ju" "apellidos" => "Wang" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "fn0005" ] ] ] 2 => array:2 [ "nombre" => "Cong-Hui" "apellidos" => "Li" ] 3 => array:2 [ "nombre" => "Tao" "apellidos" => "Chen" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Dermatovenereology, Chengdu Second People's Hospital, Chengdu, Sichuan, China" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 595 "Ancho" => 750 "Tamanyo" => 146367 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Histopathology showing a sharply demarcated psoriasiform epidermal hyperplasia composed of clear keratinocytes and basal cells with pale-staining cytoplasm, dilated blood vessels in the dermal papillae as well as perivascular mixed inflammatory infiltration (Hematoxylin & eosin, ×40).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 49-year-old woman presented with a 3-year history of an asymptomatic red dome-shaped papule on her left chest. The lesion slowly enlarged (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). There was no relevant medical history and family history. Dermoscopy showed glomerular and dotted vessels with “string of pearls” pattern distribution, and a collarette of scale surrounding (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Excisional biopsy of the lesion with histopathological examination showed a sharply demarcated psoriasiform epidermal hyperplasia composed of slightly enlarged clear keratinocytes and basal cells with pale-staining cytoplasm, dilated blood vessels in the dermal papillae as well as perivascular mixed inflammatory infiltration (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). We diagnosed this patient as having clear cell acanthoma (CCA), without recurrence for 4 months after excision.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">CCA, or Degos acanthoma, is a rare clinical entity first described by Degos in 1962.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> The etiology of CCA is still not clearly known. It is traditionally considered to be a form of benign epidermal neoplasia. Meanwhile, there are speculations that CCA may be an inflammatory reactive dermatosis or localized psoriasis.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> CCA generally arises on the lower extremities and is characterized by an asymptomatic, red-brown, dome-shaped, solitary papule or nodule often covered by a thin collarette of scale. Additionally, giant, pedunculated, multiple, cystic and pigmented patterns may be seen in CCA. The histopathological features include a well-demarcated area of psoriasiform acanthosis with keratinocytes with pale staining cytoplasm, intercellular edema, parakeratotic microabscesses and edematous papillary dermis as well as the superficial capillaries and veins increased. CCA must be differentiated from actinic or seborrhoeic keratoses, basal cell carcinoma, squamous cell carcinoma, pyogenic granulomas, clear cell hidradenoma and amelanotic melanoma.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Under dermoscopy, CCA has a unique appearance that is helpful to improve diagnostic accuracy, characterized by red dots, globules, and glomerular vessels arranged in linear or serpiginous patterns as well as a collarette of scale surrounding.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> The dermoscopic feature of “string of pearls” corresponds to the histopathology of CCA on transverse sections that indicates uniformly sized dermal islands with a string-like distribution and abundant dilated capillaries.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> However, Espinosa recently reported that the dermoscopic feature of “string of pearls” pattern was also found in seborrheic keratosis and lichen-planus-like keratosis and suggested that other epidermal tumors, especially having the similar pathological pattern, could also show this dermoscopic pattern.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Hence, Biopsy is still not avoided in the diagnosis of CCA.</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Financial support</span><p id="par0040" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors’ contributions</span><p id="par0020" class="elsevierStylePara elsevierViewall">Li-wen Zhang: Conception and planning of the study; obtaining, analysis, and interpretation of the data; critical review of the literature.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Wen-Ju Wang: Concepção e planejamento do estudo.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Cong-Hui Li: Critical review of the literature.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Tao Chen: Critical review of the manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0045" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0005" "titulo" => "Authors’ contributions" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-03-30" "fechaAceptado" => "2019-06-14" "NotaPie" => array:3 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article: Zhang L-W, Wang W-J, Li C-H, Chen T. The string of pearls pattern in dermoscopy of a chest papule. An Bras Dermatol. 2020;95:389–90.</p>" ] 1 => array:3 [ "etiqueta" => "1" "nota" => "<p class="elsevierStyleNotepara" id="npar0006">Contributed equally to this work.</p>" "identificador" => "fn0005" ] 2 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Department of Dermatovenereology, Chengdu Second People's Hospital, Chengdu, Sichuan, China.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 679 "Ancho" => 750 "Tamanyo" => 50369 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Solitary papule on her chest.</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" => 586 "Ancho" => 750 "Tamanyo" => 47981 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermoscopy showing glomerular and dotted vessels with “string of pearls” pattern distribution and a collarette of scale surrounding.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 595 "Ancho" => 750 "Tamanyo" => 146367 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Histopathology showing a sharply demarcated psoriasiform epidermal hyperplasia composed of clear keratinocytes and basal cells with pale-staining cytoplasm, dilated blood vessels in the dermal papillae as well as perivascular mixed inflammatory infiltration (Hematoxylin & eosin, ×40).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidermal tumor with an unusual appearance: clear cell acanthoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Degos" 1 => "J. Delort" 2 => "J. Civatte" 3 => "A. Poiares Baptista" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Dermatol Syphiligr (Paris)" "fecha" => "1962" "volumen" => "89" "paginaInicial" => "361" "paginaFinal" => "371" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clear-cell acanthoma versus acanthosis: a psoriasiform reaction pattern lacking tricholemmal differentiation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.C. Zedek" 1 => "D.J. Langel" 2 => "W.L. White" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/DAD.0b013e31806f46f2" "Revista" => array:6 [ "tituloSerie" => "Am J Dermatopathol" "fecha" => "2007" "volumen" => "29" "paginaInicial" => "378" "paginaFinal" => "384" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17667172" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopic features of clear cell acanthoma: five new cases and a review of existing published cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G. Lyons" 1 => "A.J. Chamberlain" 2 => "J.W. Kelly" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ajd.12206" "Revista" => array:6 [ "tituloSerie" => "Australas J Dermatol" "fecha" => "2015" "volumen" => "56" "paginaInicial" => "206" "paginaFinal" => "211" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25495637" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Histopathological correlation to the dermoscopic feature of “string of pearls” in clear cell acanthoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "T. Miyake" 1 => "A. Minagawa" 2 => "H. Koga" 3 => "M. Fukuzawa" 4 => "R. Okuyama" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1684/ejd.2014.2422" "Revista" => array:6 [ "tituloSerie" => "Eur J Dermatol" "fecha" => "2014" "volumen" => "24" "paginaInicial" => "498" "paginaFinal" => "499" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25151914" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "String of pearls pattern”: report of three cases of non clear-cell acanthoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.E.D. Espinosa" 1 => "B.N. Akay" 2 => "R.A. Gonzalez-Ramirez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1590/abd1806-4841.20176255" "Revista" => array:7 [ "tituloSerie" => "An Bras Dermatol" "fecha" => "2017" "volumen" => "92" "numero" => "Suppl. 1" "paginaInicial" => "142" "paginaFinal" => "144" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29267474" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300805/v4_202007210853/en/main.assets" "Apartado" => array:4 [ "identificador" => "82769" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Letter" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000003/v4_202007210853/S0365059620300805/v4_202007210853/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300805?idApp=UINPBA00008Z" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 23 | 15 | 38 |
| 2024 Outubro | 148 | 58 | 206 |
| 2024 Setembro | 176 | 90 | 266 |
| 2024 Agosto | 175 | 125 | 300 |
| 2024 Julho | 153 | 130 | 283 |
| 2024 Junho | 141 | 83 | 224 |
| 2024 Maio | 126 | 68 | 194 |
| 2024 Abril | 93 | 94 | 187 |
| 2024 Março | 116 | 79 | 195 |
| 2024 Fevereiro | 104 | 97 | 201 |
| 2024 Janeiro | 78 | 76 | 154 |
| 2023 Dezembro | 67 | 60 | 127 |
| 2023 Novembro | 97 | 81 | 178 |
| 2023 Outubro | 95 | 77 | 172 |
| 2023 Setembro | 121 | 84 | 205 |
| 2023 Agosto | 76 | 41 | 117 |
| 2023 Julho | 85 | 56 | 141 |
| 2023 Junho | 72 | 40 | 112 |
| 2023 Maio | 55 | 23 | 78 |
| 2023 Abril | 42 | 18 | 60 |
| 2023 Março | 68 | 43 | 111 |
| 2023 Fevereiro | 59 | 41 | 100 |
| 2023 Janeiro | 51 | 33 | 84 |
| 2022 Dezembro | 72 | 17 | 89 |
| 2022 Novembro | 104 | 53 | 157 |
| 2022 Outubro | 97 | 50 | 147 |
| 2022 Setembro | 58 | 63 | 121 |
| 2022 Agosto | 53 | 57 | 110 |
| 2022 Julho | 45 | 41 | 86 |
| 2022 Junho | 64 | 66 | 130 |
| 2022 Maio | 29 | 52 | 81 |
| 2022 Abril | 42 | 56 | 98 |
| 2022 Março | 45 | 59 | 104 |
| 2022 Fevereiro | 29 | 28 | 57 |
| 2022 Janeiro | 43 | 77 | 120 |
| 2021 Dezembro | 42 | 56 | 98 |
| 2021 Novembro | 40 | 58 | 98 |
| 2021 Outubro | 53 | 82 | 135 |
| 2021 Setembro | 37 | 50 | 87 |
| 2021 Agosto | 46 | 66 | 112 |
| 2021 Julho | 43 | 56 | 99 |
| 2021 Junho | 35 | 51 | 86 |
| 2021 Maio | 41 | 76 | 117 |
| 2021 Abril | 111 | 222 | 333 |
| 2021 Março | 53 | 62 | 115 |
| 2021 Fevereiro | 25 | 18 | 43 |
| 2021 Janeiro | 26 | 20 | 46 |
| 2020 Dezembro | 32 | 21 | 53 |
| 2020 Novembro | 29 | 13 | 42 |
| 2020 Outubro | 64 | 11 | 75 |
| 2020 Setembro | 38 | 9 | 47 |
| 2020 Agosto | 49 | 10 | 59 |
| 2020 Julho | 17 | 11 | 28 |
| 2020 Junho | 13 | 13 | 26 |
| 2020 Maio | 16 | 10 | 26 |
| 2020 Abril | 0 | 5 | 5 |
Mostrar tudo
