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Quintana-Castanedo, R. Maseda-Pedrero, P. Herranz-Pinto" "autores" => array:3 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Quintana-Castanedo" "email" => array:1 [ 0 => "luciaquintana.e@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Maseda-Pedrero" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Herranz-Pinto" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Placa erosiva y costrosa auricular en paciente con antecedente de quemadura en la infancia" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1606 "Ancho" => 1400 "Tamanyo" => 485724 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 74-year-old man with a history of a skin graft on the left external ear due to a third-degree burn in childhood was admitted for an asymptomatic lesion on the left external ear, over the skin graft area, that started 7 months earlier. The lesion was defined as an infiltrating erythematosus plaque that was rough to the touch, with erosions and superficial yellowish-hemorrhagic crusts (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The skin biopsy performed on one of the lesions revealed the presence of a dense dermo-hypodermic inflammatory infiltrate, with granulomas and intracytoplasmic basophilic punctate structures in the histiocytes, interpreted as amastigotes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">With the diagnosis of cutaneous leishmaniasis, we started treatment with intralesional meglumine antimoniate, with complete resolution of the lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Cutaneous leishmaniasis is part of a group of diseases caused by infection of protozoa from the <span class="elsevierStyleItalic">Leishmania</span> genus, transmitted by the bite of sand flies from the <span class="elsevierStyleItalic">Phlebotomus</span> genus in the Old World and <span class="elsevierStyleItalic">Lutzomyia</span> in the New World. The skin form is the most common type of leishmaniasis, but auricular involvement is exceptional, with few cases reported in the medical literature. Diagnosing this condition is a challenge, given its clinical heterogeneity, mimicking both infectious diseases and tumors, and requires microbiological, cytological and/or histopathological studies to confirm the diagnosis. Our patient's differential diagnosis included basal cell carcinoma and squamous cell carcinoma, due to the patient's history of a previous burn in this location, and lupoid leishmaniasis. The intralesional administration of pentavalent antimonials on localized lesions is the treatment of choice.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-09-20" "fechaAceptado" => "2018-09-28" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Quintana-Castanedo L, Maseda-Pedrero R, Herranz-Pinto P. Placa erosiva y costrosa auricular en paciente con antecedente de quemadura en la infancia. Rev Clin Esp. 2020;220:139–140.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1606 "Ancho" => 1400 "Tamanyo" => 485724 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000002/v1_202002180732/S225488741830198X/v1_202002180732/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000002/v1_202002180732/S225488741830198X/v1_202002180732/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488741830198X?idApp=WRCEE" ]
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