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    4806 results match your criteria Actas dermo-sifiliograficas[Journal]

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    Juvenile Dermatomyositis: Key Roles of Muscle Magnetic Resonance Imaging and Early Aggressive Treatment.
    Actas Dermosifiliogr 2017 Sep 11. Epub 2017 Sep 11.
    Servicio de Dermatología, Hospital Universitario Son Espases, Palma de Mallorca, España.
    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. Read More

    Moderate Psoriasis: A Proposed Definition.
    Actas Dermosifiliogr 2017 Aug 16. Epub 2017 Aug 16.
    Departamento Dermatología, Hospital Universitario Virgen de la Macarena, Sevilla, España.
    Introduction: The Psoriasis Area Severity Index (PASI) is the most widely used scale for assessing the severity of psoriasis and for therapeutic decision making. On the basis of the PASI score, patients have been stratified into 2 groups: mild disease and moderate-to-severe disease.

    Objective: To draft a proposal for the definition and characterization of moderate psoriasis based on PASI and Dermatology Life Quality Index (DLQI) scores. Read More

    Melanoma Arising in a Melanocytic Nevus.
    Actas Dermosifiliogr 2017 Aug 14. Epub 2017 Aug 14.
    Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España.
    The association of melanoma with a preexisting melanocytic nevus varies considerably between series, depending on whether the association is based on histological signs (4%-72%) or a clinically evident lesion (42%-85%). Histological association with a nevus correlates with favorable prognostic factors, whereas a clinical association correlates with unfavorable factors. In this review, we discuss the characteristics of nevus-associated melanoma from different perspectives: Whiteman's divergent pathway hypothesis for the development of cutaneous melanoma; and the factors involved in nevogenicity, including both the genetic and molecular factors involved in the development of the melanoma and its precursor lesions. Read More

    Spanish cultural adaptation of the questionnaire Early Arthritis for Psoriatic patients.
    Actas Dermosifiliogr 2017 Aug 10. Epub 2017 Aug 10.
    Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, Inglaterra.
    Introduction And Objectives: The Early Arthritis for Psoriatic patients (EARP) questionnaire is a screening tool for psoriatic arthritis with good measuring properties in its original Italian version but has not been culturally adapted to Spanish. This article presents the adaptation for Spanish population, prior to validation step.

    Material And Method: Application of the methodology recommended by the International Society Pharmacoeconomic and Outcome Research for cultural adaptations of measures focused on the patient and comprising the steps of: preparation, translation, reconciliation, back translation and review, harmonization, cognitive debriefing and review, proofreading. Read More

    Characterization of Surgical Procedures in the Spanish Mohs Surgery Registry (REGESMOHS) for 2013-2015.
    Actas Dermosifiliogr 2017 Aug 9. Epub 2017 Aug 9.
    Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología, Madrid, España.
    Introduction: The Spanish Mohs Surgery Registry is used to collect data on the use and outcomes of Mohs micrographic surgery (MMS) in Spain. The aim of this study was to describe perioperative and intraoperative data recorded for MMS procedures performed between July 2013 (when the registry started) and January 2016.

    Material And Methods: Prospective cohort study of data from 18 hospitals. Read More

    Electrosurgery for the Treatment of Moderate or Severe Rhinophyma.
    Actas Dermosifiliogr 2017 Aug 9. Epub 2017 Aug 9.
    Universidad El Bosque, Bogotá, Colombia; Servicio de Dermatología, Hospital Simón Bolívar, Bogotá, Colombia.
    Rhinophyma, a rare and progressive disfiguring condition, is thought to be the final stage of rosacea. Several surgical treatments are available, including dermabrasion, cryosurgery, scalpel excision, electrosurgery, and carbon dioxide laser. The last 2 techniques are the most effective for the management of rhinophyma. Read More

    Use of Lymph Node Ultrasound Prior to Sentinel Lymph Node Biopsy in 384 Patients with Melanoma: A Cost-Effectiveness Analysis.
    Actas Dermosifiliogr 2017 Aug 8. Epub 2017 Aug 8.
    Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España. Electronic address:
    Background And Objectives: Locoregional lymph node ultrasound is not typically included in guidelines as part of the staging process prior to sentinel lymph node biopsy (SLNB). The objective of the present study was to make a clinical and economic analysis of lymph node ultrasound prior to SLNB.

    Materials And Methods: We performed a retrospective study of 384 patients with clinical stage I-II primary melanoma who underwent locorregional lymph node ultrasound (with or without ultrasound-guided biopsy) prior to SLNB between 2004 and 2015. Read More

    Paraneoplastic Pemphigus. A Life-Threatening Autoimmune Blistering Disease.
    Actas Dermosifiliogr 2017 Aug 8. Epub 2017 Aug 8.
    Servicio de Dermatología, Hospital General de México, Mexico.
    Paraneoplastic pemphigus (PNP), a subset of pemphigus, is a unique autoimmune blistering condition that can affect multiple organs other than the skin. It is a life-threatening disease associated with an underlying malignancy, most commonly of lymphoproliferative origin. The clinical picture may resemble pemphigus, pemphigoid, erythema multiforme, graft-versus-host disease, or lichen planus. Read More

    Novel Additions to the AJCC's New Staging Systems for Skin Cancer.
    Actas Dermosifiliogr 2017 Jul 18. Epub 2017 Jul 18.
    Servicio de Dermatología, Complejo Asistencial Universitario de Salamanca, Salamanca, España; IBSAL Instituto de Investigación Biomédica de Salamanca, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
    The eighth edition of the staging manual of the American Joint Committee on Cancer incorporates important changes in the classification of skin cancers. Coming 40 years after the first edition, the latest manual preserves its specific system for Merkel cell carcinoma and takes into account recent publications on the prognosis of squamous cell carcinoma by defining a completely new T category for this neoplasm. Staging for squamous cell carcinoma considers head and neck tumors (excluding the eyelid) and does not offer solutions for other sites except the vulva, penis, and perianal region. Read More

    BRAF Mutation Status Concordance Between Primary Cutaneous Melanomas and Corresponding Metastases: A Review of the Latest Evidence.
    Actas Dermosifiliogr 2017 Jul 12. Epub 2017 Jul 12.
    Servicio de Anatomía Patológica, Complejo Asistencial Universitario de Salamanca, Salamanca, España.
    Identification of the BRAF oncogene mutation and the emergence of BRAF-targeted therapy marked a turning point in the treatment of melanoma. The study of mutation status concordance between primary tumors and metastases in this cancer has major treatment implications as it facilitates the selection of candidates for targeted therapy. The aim of this study was to review the evidence on the level of mutation status concordance between primary tumors and different types of metastases in cutaneous melanoma and to provide an overview of the advantages and disadvantages of the various methods used to detect the BRAF mutation. Read More

    Dermoscopy of Pigmented Actinic Keratosis of the Face: A Study of 232 Cases.
    Actas Dermosifiliogr 2017 Jul 11. Epub 2017 Jul 11.
    Department of Dermatology, University Hospital Hassan II, Fez, Morocco.
    The diagnosis of pigmented actinic keratosis (PAK) is often challenging because of overlapping features with lentigo maligna.

    Objective: To investigate dermoscopic patterns of PAK according to their different evolutionary stages, and to correlate the pattern with clinical characteristics of the patients.

    Methods: Descriptive and analytical study of 232 PAK. Read More

    Is it Useful to Calculate Minimal Erythema Dose Before Narrowband UV-B Phototherapy?
    Actas Dermosifiliogr 2017 Jul 4. Epub 2017 Jul 4.
    Servicio de Dermatología, Hospital Clínico Universitario, Santiago de Compostela, España.
    Introduction And Objectives: The starting dose for narrowband UV-B phototherapy is determined by a patient's skin phototype or minimal erythema dose (MED). Calculation of MED identifies patients with unsuspected photosensitivity. The aim of this study was to investigate the influence of factors such as concomitant use of photosensitizing agents, diagnosis, and combination with acitretin in patients with psoriasis on the frequency and severity of adverse effects in patients with a low MED to narrowband UV-B phototherapy. Read More

    Zika Virus: Cutaneous Manifestations in 3 Patients.
    Actas Dermosifiliogr 2017 Jul 3. Epub 2017 Jul 3.
    Servicio de Medicina Interna, Unidad de Enfermedades Infecciosas, CIETUS. IBSAL, Complejo Asistencial Universitario de Salamanca, Salamanca, España. Electronic address:
    Zika virus infection should be suspected in travelers or immigrants with the signs or symptoms of a viral infection (rash, fever, joint pains, conjunctivitis, headache, etc.) and a compatible epidemiological history. Although cutaneous manifestations are among the most common clinical signs of Zika, they are not specific and very few images are available. Read More

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