array:24 [ "pii" => "S2387020617303856" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.06.001" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3755" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775316303931" "issn" => "00257753" "doi" => "10.1016/j.medcli.2016.08.006" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3755" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 44 "formatos" => array:2 [ "HTML" => 39 "PDF" => 5 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Leishmaniasis cutánea localizada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e1" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Localized cutaneous leishmaniasis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1204 "Ancho" => 2667 "Tamanyo" => 611013 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Ángel Flores-Terry, Manuela López-Nieto, Rafael Cruz-Conde de Boom, Jose Antonio Garrido-Martín" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Flores-Terry" ] 1 => array:2 [ "nombre" => "Manuela" "apellidos" => "López-Nieto" ] 2 => array:2 [ "nombre" => "Rafael" "apellidos" => "Cruz-Conde de Boom" ] 3 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Garrido-Martín" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020617303856" "doi" => "10.1016/j.medcle.2017.06.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303856?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775316303931?idApp=UINPBA00004N" "url" => "/00257753/0000014900000001/v1_201706170053/S0025775316303931/v1_201706170053/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2387020617303868" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.06.002" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3757" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:e3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Infectious mononucleosis with unusual clinical manifestations" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e3" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mononucleosis infecciosa con manifestaciones clínicas inusuales" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 750 "Ancho" => 563 "Tamanyo" => 75609 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ilduara Pintos Pascual" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Ilduara" "apellidos" => "Pintos Pascual" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775316303955" "doi" => "10.1016/j.medcli.2016.09.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775316303955?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303868?idApp=UINPBA00004N" "url" => "/23870206/0000014900000001/v1_201707230028/S2387020617303868/v1_201707230028/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S238702061730387X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.06.003" "estado" => "S300" "fechaPublicacion" => "2017-07-07" "aid" => "3758" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:47" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Intravascular pulmonary echinococcosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "47" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hidatidosis intravascular pulmonar" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 459 "Ancho" => 900 "Tamanyo" => 81641 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Ángel Santos Sánchez, Pilar García Hernández, María José Martín Sánchez, Heidy Yizzet Sáenz Acuña" "autores" => array:4 [ 0 => array:2 [ "nombre" => "José Ángel" "apellidos" => "Santos Sánchez" ] 1 => array:2 [ "nombre" => "Pilar" "apellidos" => "García Hernández" ] 2 => array:2 [ "nombre" => "María José" "apellidos" => "Martín Sánchez" ] 3 => array:2 [ "nombre" => "Heidy Yizzet" "apellidos" => "Sáenz Acuña" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775316303967" "doi" => "10.1016/j.medcli.2016.09.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775316303967?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730387X?idApp=UINPBA00004N" "url" => "/23870206/0000014900000001/v1_201707230028/S238702061730387X/v1_201707230028/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Localized cutaneous leishmaniasis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e1" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Ángel Flores-Terry, Manuela López-Nieto, Rafael Cruz-Conde de Boom, Jose Antonio Garrido-Martín" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Miguel Ángel" "apellidos" => "Flores-Terry" "email" => array:1 [ 0 => "miguelterry85@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Manuela" "apellidos" => "López-Nieto" ] 2 => array:2 [ "nombre" => "Rafael" "apellidos" => "Cruz-Conde de Boom" ] 3 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Garrido-Martín" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leishmaniasis cutánea localizada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1204 "Ancho" => 2667 "Tamanyo" => 607460 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">50-year-old man on treatment with adalimumab and azathioprine for Crohn's disease, who presented with a 2-month history of pain in facial lesion that had not responded to antibiotics. On examination, an infiltrated, slightly desquamative erythematous plaque of 3<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2.5<span class="elsevierStyleHsp" style=""></span>cm was observed, with ulceration and central scab (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, circle). A biopsy of the non-ulcerated site was performed, showing areas of parakeratosis, mild spongiosis, lymphocyte exocytosis and isolated necrotic keratinocytes in the epidermis, and a perivascular and perifollicular lymphohistiocytic infiltrate with plasma cells in the dermis. The PCR for <span class="elsevierStyleItalic">Leishmaniasis infantum</span> was positive. No other lesions were observed and there was no systemic involvement, so the patient continued his previous treatment; the lesion was treated with intralesional meglumine antimoniate (glucantime 1500<span class="elsevierStyleHsp" style=""></span>mg/5<span class="elsevierStyleHsp" style=""></span>ml) during 6 cycles, with resolution at 3 months (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Leishmaniasis is an infection caused by a protozoan of the <span class="elsevierStyleItalic">Leishmania</span> genus and transmitted by a vector (phlebotome female mosquitoes). Localized cutaneous leishmaniasis is the most frequent cutaneous clinical form, which usually begins as papules that progress to nodules and/or plaques with soft and/or ulcerated centers.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Flores-Terry MÁ, López-Nieto M, Cruz-Conde de Boom R, Garrido-Martín JA. Leishmaniasis cutánea localizada. Med Clin (Barc). 2017;149:e1.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1204 "Ancho" => 2667 "Tamanyo" => 607460 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014900000001/v1_201707230028/S2387020617303856/v1_201707230028/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014900000001/v1_201707230028/S2387020617303856/v1_201707230028/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303856?idApp=UINPBA00004N" ]
Journal Information
Vol. 149. Issue 1.
Pages e1 (July 2017)
Share
Download PDF
More article options
Vol. 149. Issue 1.
Pages e1 (July 2017)
Image in medicine
Localized cutaneous leishmaniasis
Leishmaniasis cutánea localizada
Visits
4
Miguel Ángel Flores-Terry
, Manuela López-Nieto, Rafael Cruz-Conde de Boom, Jose Antonio Garrido-Martín
Corresponding author
Servicio de Dermatología y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
This item has received
Article information
These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail