Tropical/Infectoparasitary Dermatology
Diffuse skin rash in tropical areas: Dengue fever or COVID-19?
Lido
7804
Vezesque se leu este artigo
3298
Total PDF
4506
Total HTML
Compartilhar estatÃsticas
array:24 [ "pii" => "S0365059620303056" "issn" => "03650596" "doi" => "10.1016/j.abd.2020.10.001" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "291" "copyright" => "Sociedade Brasileira de Dermatologia" "copyrightAnyo" => "2021" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "pt" => array:19 [ "pii" => "S266627522030357X" "issn" => "26662752" "doi" => "10.1016/j.abdp.2020.10.002" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "291" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "pt" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Dermatologia Tropical/Infectoparasitária</span>" "titulo" => "Rash cutâneo difuso em regiões tropicais: dengue ou COVID‐19?" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "tieneResumen" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "87" ] ] "contieneResumen" => array:1 [ "pt" => true ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 346 "Ancho" => 1255 "Tamanyo" => 64081 ] ] "descripcion" => array:1 [ "pt" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Erupção cutânea confluente apresentada pelo paciente nove dias após o início dos sintomas respiratórios. As lesões cutâneas permaneceram por três dias, e o prurido melhorou com o uso de anti‐histamínicos. <span class="elsevierStyleBold">(</span>A), As lesões no antebraço foram as primeiras a aparecer, com características maculares; (B), nos membros inferiores, as lesões eram maculopapulares, com formação de placas semelhantes à urticária. *As fotos foram tiradas pelo próprio paciente devido ao isolamento social.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Isabelle Pastor Bandeira, Beatriz Sordi Chara, Giovani Meneguzzi de Carvalho, Marcus Vinícius Magno Gonçalves" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Isabelle" "apellidos" => "Pastor Bandeira" ] 1 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Sordi Chara" ] 2 => array:2 [ "nombre" => "Giovani" "apellidos" => "Meneguzzi de Carvalho" ] 3 => array:2 [ "nombre" => "Marcus Vinícius" "apellidos" => "Magno Gonçalves" ] ] ] ] ] "idiomaDefecto" => "pt" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0365059620303056" "doi" => "10.1016/j.abd.2020.10.001" "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/S0365059620303056?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S266627522030357X?idApp=UINPBA00008Z" "url" => "/26662752/0000009600000001/v2_202102130748/S266627522030357X/v2_202102130748/pt/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0365059620303068" "issn" => "03650596" "doi" => "10.1016/j.abd.2020.06.006" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "292" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Tropical/Infectoparasitary Dermatology</span>" "titulo" => "Exanthematic dengue fever mimicking rubella" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "90" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 526 "Ancho" => 905 "Tamanyo" => 63122 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Detail of the rash. Overview of the rash.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Dario Palhares" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Dario" "apellidos" => "Palhares" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220303581" "doi" => "10.1016/j.abdp.2020.06.007" "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/S2666275220303581?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620303068?idApp=UINPBA00008Z" "url" => "/03650596/0000009600000001/v3_202102051036/S0365059620303068/v3_202102051036/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0365059620303044" "issn" => "03650596" "doi" => "10.1016/j.abd.2020.01.009" "estado" => "S300" "fechaPublicacion" => "2021-01-01" "aid" => "290" "copyright" => "Sociedade Brasileira de Dermatologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by/4.0/" "subdocumento" => "crp" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Tropical/Infectoparasitary Dermatology</span>" "titulo" => "Diagnosis of cutaneous tuberculosis (lymph node scrofuloderma) using the Xpert MTB/RIF® method" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "82" "paginaFinal" => "84" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 599 "Ancho" => 1255 "Tamanyo" => 76283 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Materials for analysis by the Xpert MTB/RIF® method. (A), GeneXpert® device. (B), Buffer solution for treatment of the sample and cartridge for containing the material and reagents to be processed in the device.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Lilian Lemos Costa, John Verrinder Veasey" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Lilian Lemos" "apellidos" => "Costa" ] 1 => array:2 [ "nombre" => "John Verrinder" "apellidos" => "Veasey" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "pt" => array:9 [ "pii" => "S2666275220303568" "doi" => "10.1016/j.abdp.2020.01.007" "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/S2666275220303568?idApp=UINPBA00008Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620303044?idApp=UINPBA00008Z" "url" => "/03650596/0000009600000001/v3_202102051036/S0365059620303044/v3_202102051036/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Tropical/Infectoparasitary Dermatology</span>" "titulo" => "Diffuse skin rash in tropical areas: Dengue fever or COVID-19?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "87" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Isabelle Pastor Bandeira, Beatriz Sordi Chara, Giovani Meneguzzi de Carvalho, Marcus Vinícius Magno Gonçalves" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Isabelle" "apellidos" => "Pastor Bandeira" "email" => array:1 [ 0 => "isabellepbandeira@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Beatriz" "apellidos" => "Sordi Chara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Giovani" "apellidos" => "Meneguzzi de Carvalho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Marcus Vinícius" "apellidos" => "Magno Gonçalves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Department of Medicine, Universidade da Região de Joinville, Joinville, SC, Brazil" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Medicine, Hospital Regional Hans Dieter Schmidt, Joinville, SC, Brazil" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Department of Neurology, Universidade da Região de Joinville, Joinville, SC, Brazil" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 853 "Ancho" => 2920 "Tamanyo" => 174812 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Confluent rash presented by the patient nine days after the onset of respiratory symptoms. The skin lesions persisted for three days, and the pruritus improved with the use of antihistamines. (A) Lesions on the forearm were the first to appear, with macular characteristics; (B) On the lower limbs, the lesions were maculopapular, with the formation of plaques similar to urticaria. *The photos were taken by the patient due to social isolation.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 26-year-old male patient arrived at the emergency room (ER) complaining of fever, cough, myalgia, and mild dyspnea for seven days. The patient had no previous medical history and did not use any medication. Physical examination revealed a heart rate of 79 bpm, respiratory rate of 18 rpm, a systolic blood pressure of 137 mmHg, oxygen saturation of 99%, and a temperature of 96.8 °F. Considering the COVID-19 pandemic, the authors started the protocol for this infection: symptomatic treatment, a nasopharynx sample collection for SARS-CoV-2 RT-PCR, and social isolation for 14 days, counting from symptom onset. Two days later, the patient returned to the ER with a pruritic maculopapular confluent rash over the neck, chest, upper, and lower limbs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). At this moment, he was diagnosed with dengue fever (DF) – a viral infection endemic in tropical regions, which also manifests with flu-like symptoms, with the appearance of a diffuse skin rash between three to six days after the onset of fever.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Nonetheless, the patient remained in social isolation until the test result for COVID-19 was made available.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Curiously, the day after, the RT-PCR report was received, indicating a positive result for SARS-CoV-2. At that point, the authors concluded that the patient was mistakenly diagnosed with DF, and that this was a skin rash by SARS-CoV-2. After 20 days of absence from work and social activities, viral serologies showed SARS-CoV-2 IgM and IgG rapid tests reagents, and dengue IgM and IgG antibodies non-reagents (0.2 and 0.3, respectively) – confirming that this was not a viral co-infection, but a maculopapular rash of COVID-19.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The novel coronavirus started to spread in December 2019 in Wuhan, China. Several clinical manifestations have been associated with SARS-CoV-2 infection since then, including dermatological signs and symptoms. In a study with 171 patients, Freeman has described that the most common skin lesions morphologies have been morbilliform (22%), pernio-like (18%), urticarial (16%), and macular erythema (13%), which occurred after or concurrent with the systemic symptoms of COVID-19.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Additionally, other articles have also documented enanthem, chickenpox‐like vesicles, and purpuric lesions as a clinical presentation of COVID-19.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Misdiagnosis of other exanthematous diseases, such as DF, in patients with cutaneous manifestations of COVID-19, has also been reported. Joob and Wiwanitkit reported their experience in Thailand with a patient who was initially diagnosed with DF due to a rash with petechiae and flu-like symptoms, but after further investigation, SARS-CoV-2 infection was confirmed by RT-PCR.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">When this patient's investigation was initiated, in July 2020, Joinville (Santa Catarina, Brazil – 597,658 habitants) had approximately 5,000 confirmed cases of DF and 1,700 cases of COVID-19 in 2020. Thus, the authors emphasize that, in endemic regions for DF and COVID-19, the two diseases must be considered until proven otherwise. Unlike DF, which requires a vector, the coronavirus spreads very quickly through the air, and social isolation has been proven to block transmission. Finally, the authors warn of the possibility of co-infection of these two viruses in regions that are facing both epidemics at the same time; therefore, it is necessary to start early laboratory research for both diseases in order to guide the appropriate clinical management to the patient's condition.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Financial support</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Authors' contributions</span><p id="par0035" class="elsevierStylePara elsevierViewall">Isabelle Pastor Bandeira: Approval of the final version of the manuscript; design and planning of the study; drafting and writing of the manuscript; critical review of the literature; critical review of the manuscript.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Beatriz Sordi Chara: Approval of the final version of the manuscript; design and planning of the study; drafting and writing of the manuscript; critical review of the literature; critical review of the manuscript.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Giovani Meneguzzi de Carvalho: Approval of the final version of the manuscript; design and planning of the study; drafting and writing of the manuscript; critical review of the literature; critical review of the manuscript.</p><p id="par0050" class="elsevierStylePara elsevierViewall">Marcus Vinícius Magno Gonçalves: Approval of the final version of the manuscript; design and planning of the study; critical review of the literature; critical review of the manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0055" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:3 [ "identificador" => "xres1461418" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1331602" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 3 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors' contributions" ] 4 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 5 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-08-21" "fechaAceptado" => "2020-10-30" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1331602" "palabras" => array:5 [ 0 => "Betacoronavirus" 1 => "Coronavirus infections" 2 => "Dengue" 3 => "Exanthema" 4 => "COVID-19" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">There have been several clinical manifestations associated with SARS-CoV-2 infection since 2019, including dermatological signs and symptoms. In this article, the authors report a case of a previously healthy patient with COVID-19 who was mistakenly diagnosed with dengue fever due to a skin rash. By the time the patient's investigation was initiated, Joinville (Santa Catarina, Brazil) had approximately 5,000 confirmed cases of dengue fever and 1,700 cases of COVID-19 in 2020. Thus, the authors emphasize that in endemic regions such as Brazil, the two diseases must be considered until proven otherwise. Finally, the authors warn of the possibility of co-infection with these two viruses in regions that are facing both epidemics at the same time.</p></span>" ] ] "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article: Pastor Bandeira I, Sordi Chara B, Meneguzzi de Carvalho G, Magno Gonçalves MV. Diffuse skin rash in tropical areas: Dengue fever or Covid-19? An Bras Dermatol. 2021;96:85–87.</p>" ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Universidade da Região de Joinville and Hospital Regional Hans Dieter Schmidt, Joinville, SC, Brazil.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 853 "Ancho" => 2920 "Tamanyo" => 174812 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Confluent rash presented by the patient nine days after the onset of respiratory symptoms. The skin lesions persisted for three days, and the pruritus improved with the use of antihistamines. (A) Lesions on the forearm were the first to appear, with macular characteristics; (B) On the lower limbs, the lesions were maculopapular, with the formation of plaques similar to urticaria. *The photos were taken by the patient due to social isolation.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The relationship between skin rash and outcome in dengue" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A.K. Mishra" 1 => "A.A. George" 2 => "K.P.P. Abhilash" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/0972-9062.256567" "Revista" => array:6 [ "tituloSerie" => "J Vector Borne Dis." "fecha" => "2018" "volumen" => "55" "paginaInicial" => "310" "paginaFinal" => "314" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30997892" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The spectrum of COVID-19 – associated dermatologic manifestations: An international registry of 716 patients from 31 countries" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.E. Freeman" 1 => "D.E. McMahon" 2 => "J.B. Lipoff" 3 => "M. Rosenbach" 4 => "C. Jovarik" 5 => "S.R. Dessari" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2020.06.1016" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol." "fecha" => "2020" "volumen" => "83" "paginaInicial" => "1118" "paginaFinal" => "1129" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32622888" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enanthem in patients with COVID-19 and skin rash" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Jimenez-Cauhe" 1 => "D. Ortega-Quijano" 2 => "D. de Perosanz-Lobo" 3 => "P. Burgos-Blasco" 4 => "S. Vañó-Galván" 5 => "M. Fernandez-Guarino" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA Dermatol." "fecha" => "2020" "volumen" => "156" "paginaInicial" => "1134" "paginaFinal" => "1136" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "COVID-19 can present with a rash and be mistaken for dengue" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Joob" 1 => "V. Wiwanitkit" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2020.03.036" "Revista" => array:5 [ "tituloSerie" => "J Am Acad Dermatol." "fecha" => "2020" "volumen" => "82" "paginaInicial" => "e177" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32213305" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009600000001/v3_202102051036/S0365059620303056/v3_202102051036/en/main.assets" "Apartado" => array:4 [ "identificador" => "80635" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Tropical/Infectoparasitary Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009600000001/v3_202102051036/S0365059620303056/v3_202102051036/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620303056?idApp=UINPBA00008Z" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 26 | 8 | 34 |
| 2024 Outubro | 140 | 72 | 212 |
| 2024 Setembro | 189 | 94 | 283 |
| 2024 Agosto | 217 | 120 | 337 |
| 2024 Julho | 166 | 106 | 272 |
| 2024 Junho | 145 | 99 | 244 |
| 2024 Maio | 121 | 73 | 194 |
| 2024 Abril | 136 | 85 | 221 |
| 2024 Março | 126 | 83 | 209 |
| 2024 Fevereiro | 138 | 86 | 224 |
| 2024 Janeiro | 100 | 70 | 170 |
| 2023 Dezembro | 93 | 64 | 157 |
| 2023 Novembro | 121 | 87 | 208 |
| 2023 Outubro | 124 | 87 | 211 |
| 2023 Setembro | 146 | 98 | 244 |
| 2023 Agosto | 115 | 35 | 150 |
| 2023 Julho | 110 | 72 | 182 |
| 2023 Junho | 115 | 53 | 168 |
| 2023 Maio | 82 | 22 | 104 |
| 2023 Abril | 61 | 23 | 84 |
| 2023 Março | 69 | 56 | 125 |
| 2023 Fevereiro | 76 | 24 | 100 |
| 2023 Janeiro | 65 | 50 | 115 |
| 2022 Dezembro | 77 | 51 | 128 |
| 2022 Novembro | 88 | 57 | 145 |
| 2022 Outubro | 94 | 69 | 163 |
| 2022 Setembro | 81 | 71 | 152 |
| 2022 Agosto | 69 | 61 | 130 |
| 2022 Julho | 67 | 66 | 133 |
| 2022 Junho | 86 | 52 | 138 |
| 2022 Maio | 61 | 54 | 115 |
| 2022 Abril | 79 | 63 | 142 |
| 2022 Março | 77 | 87 | 164 |
| 2022 Fevereiro | 47 | 68 | 115 |
| 2022 Janeiro | 85 | 98 | 183 |
| 2021 Dezembro | 64 | 70 | 134 |
| 2021 Novembro | 62 | 66 | 128 |
| 2021 Outubro | 67 | 94 | 161 |
| 2021 Setembro | 39 | 60 | 99 |
| 2021 Agosto | 53 | 54 | 107 |
| 2021 Julho | 44 | 46 | 90 |
| 2021 Junho | 44 | 60 | 104 |
| 2021 Maio | 105 | 89 | 194 |
| 2021 Abril | 165 | 246 | 411 |
| 2021 Março | 160 | 94 | 254 |
| 2021 Fevereiro | 68 | 29 | 97 |
| 2021 Janeiro | 32 | 16 | 48 |
| 2020 Dezembro | 7 | 7 | 14 |
| 2020 Novembro | 4 | 3 | 7 |
Mostrar tudo
