array:25 [
  "pii" => "S1578219020303929"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2020.12.018"
  "estado" => "S300"
  "fechaPublicacion" => "2021-02-01"
  "aid" => "2460"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2021;112:179"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0001731020303306"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2019.01.033"
      "estado" => "S300"
      "fechaPublicacion" => "2021-02-01"
      "aid" => "2460"
      "copyright" => "AEDV"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2021;112:179"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Dermatolog&#237;a</span>"
        "titulo" => "Liquen escleroso en los p&#225;rpados"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "179"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Lichen Sclerosus on the Eyelids"
          ]
        ]
        "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" => 490
                "Ancho" => 1500
                "Tamanyo" => 189831
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "M&#46; Garc&#237;a-Arpa, M&#46; Franco-Mu&#241;oz, C&#46; Ramos-Rodr&#237;guez, M&#46;P&#46; S&#225;nchez-Caminero"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Garc&#237;a-Arpa"
              ]
              1 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Franco-Mu&#241;oz"
              ]
              2 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Ramos-Rodr&#237;guez"
              ]
              3 => array:2 [
                "nombre" => "M&#46;P&#46;"
                "apellidos" => "S&#225;nchez-Caminero"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219020303929"
          "doi" => "10.1016/j.adengl.2020.12.018"
          "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/S1578219020303929?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020303306?idApp=UINPBA000044"
      "url" => "/00017310/0000011200000002/v1_202102020721/S0001731020303306/v1_202102020721/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S1578219020303905"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2019.02.028"
    "estado" => "S300"
    "fechaPublicacion" => "2021-02-01"
    "aid" => "2378"
    "copyright" => "AEDV"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2021;112:180-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
      "titulo" => "Large Carcinoma of the Scalp Invading the Meninges"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "180"
          "paginaFinal" => "181"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Extenso carcinoma del cuero cabelludo con invasi&#243;n men&#237;ngea"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 727
              "Ancho" => 750
              "Tamanyo" => 47908
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; Sim&#243; Alari, F&#46; Ballesc&#225;, I&#46; Guti&#233;rrez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Sim&#243; Alari"
            ]
            1 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Ballesc&#225;"
            ]
            2 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Guti&#233;rrez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020301757"
        "doi" => "10.1016/j.ad.2019.02.017"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020301757?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020303905?idApp=UINPBA000044"
    "url" => "/15782190/0000011200000002/v1_202102100758/S1578219020303905/v1_202102100758/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219020303954"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2019.01.026"
    "estado" => "S300"
    "fechaPublicacion" => "2021-02-01"
    "aid" => "2475"
    "copyright" => "AEDV"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2021;112:178"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
      "titulo" => "Villar Nodule&#58; An Umbilical Nodule Associated With a Good Prognosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "178"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "N&#243;dulo de Villar&#58; un n&#243;dulo umbilical de buen pron&#243;stico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "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" => 564
              "Ancho" => 1500
              "Tamanyo" => 106063
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;J&#46; Vega-Castillo, S&#46; S&#225;enz-Guirado, R&#46; Ruiz-Villaverde"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "J&#46;J&#46;"
              "apellidos" => "Vega-Castillo"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "S&#225;enz-Guirado"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Ruiz-Villaverde"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020303768"
        "doi" => "10.1016/j.ad.2019.01.034"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020303768?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020303954?idApp=UINPBA000044"
    "url" => "/15782190/0000011200000002/v1_202102100758/S1578219020303954/v1_202102100758/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>"
    "titulo" => "Lichen Sclerosus on the Eyelids"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "179"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Garc&#237;a-Arpa, M&#46; Franco-Mu&#241;oz, C&#46; Ramos-Rodr&#237;guez, M&#46;P&#46; S&#225;nchez-Caminero"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Garc&#237;a-Arpa"
            "email" => array:1 [
              0 => "mgarciaa73@yahoo.es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Franco-Mu&#241;oz"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Ramos-Rodr&#237;guez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "M&#46;P&#46;"
            "apellidos" => "S&#225;nchez-Caminero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital General Universitario de Ciudad Real&#44; Ciudad Real&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital General Universitario de Ciudad Real&#44; Ciudad Real&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Liquen escleroso en los p&#225;rpados"
      ]
    ]
    "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" => 490
            "Ancho" => 1500
            "Tamanyo" => 189963
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 57-year-old woman consulted with pruritic lesions on the trunk and a burning sensation affecting the vulva that had first appeared 1 year earlier&#44; as well as mildly pruritic lesions that had appeared on her eyelids during the previous few weeks&#46; Physical examination revealed several oval plaques with a pearly appearance on the trunk and atrophy and erosions on the labia minora&#46; These findings were compatible with lichen sclerosus&#46; Nonindurated pearly plaques without telangiectasia were observed on both eyelids &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Histopathology revealed a thin epidermis with vacuolar degeneration and follicular plugging&#44; a homogenous and eosinophilic papillary dermis with melanophages&#44; and a moderate lymphohistiocytic infiltrate in the mid dermis&#44; which pointed to a diagnosis of lichen sclerosus &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; The laboratory workup&#44; which included thyroid function and autoantibodies&#44; yielded normal results&#46; The patient was prescribed topical tacrolimus 0&#46;1&#37;&#44; and her condition improved slightly&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The anogenital region is the most common location for lichen sclerosus&#46; Extragenital lichen sclerosus is usually found on the neck&#44; shoulders&#44; arms&#44; and trunk&#46; Involvement of the face is extremely rare&#44; with only 7 cases of palpebral lichen sclerosus having been reported&#46; As this may be the initial or even the only manifestation&#44; the diagnosis must be confirmed with histopathology&#46; There have also been reports of 7 cases of extrapalpebral lichen sclerosus&#44; most of which were linear and occasionally affecting the oral cavity&#46; While lichen sclerosus is associated with Koebner phenomenon&#44; the patient in the present case denied touching the eyelid as a possible triggering factor&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Garc&#237;a-Arpa M&#44; Franco-Mu&#241;oz M&#44; Ramos-Rodr&#237;guez C&#44; S&#225;nchez-Caminero MP&#46; Liquen escleroso en los p&#225;rpados&#46; Actas Dermosifiliogr&#46; 2021&#59;112&#58;179&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 490
            "Ancho" => 1500
            "Tamanyo" => 189963
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011200000002/v1_202102100758/S1578219020303929/v1_202102100758/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "41141"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Images in Dermatology"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011200000002/v1_202102100758/S1578219020303929/v1_202102100758/en/main.pdf?idApp=UINPBA000044&text.app=https://www.actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020303929?idApp=UINPBA000044"
]
Compartir
Información de la revista
Vol. 112. Núm. 2.
Páginas 179 (febrero 2021)
Vol. 112. Núm. 2.
Páginas 179 (febrero 2021)
Images in Dermatology
Open Access
Lichen Sclerosus on the Eyelids
Liquen escleroso en los párpados
Visitas
5224
M. García-Arpaa,
Autor para correspondencia
mgarciaa73@yahoo.es

Corresponding author.
, M. Franco-Muñoza, C. Ramos-Rodríguezb, M.P. Sánchez-Camineroa
a Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
b Servicio de Anatomía Patológica, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (1)
Texto completo

A 57-year-old woman consulted with pruritic lesions on the trunk and a burning sensation affecting the vulva that had first appeared 1 year earlier, as well as mildly pruritic lesions that had appeared on her eyelids during the previous few weeks. Physical examination revealed several oval plaques with a pearly appearance on the trunk and atrophy and erosions on the labia minora. These findings were compatible with lichen sclerosus. Nonindurated pearly plaques without telangiectasia were observed on both eyelids (Fig. 1A). Histopathology revealed a thin epidermis with vacuolar degeneration and follicular plugging, a homogenous and eosinophilic papillary dermis with melanophages, and a moderate lymphohistiocytic infiltrate in the mid dermis, which pointed to a diagnosis of lichen sclerosus (Fig. 1B). The laboratory workup, which included thyroid function and autoantibodies, yielded normal results. The patient was prescribed topical tacrolimus 0.1%, and her condition improved slightly.

Figure 1
(0.18MB).

The anogenital region is the most common location for lichen sclerosus. Extragenital lichen sclerosus is usually found on the neck, shoulders, arms, and trunk. Involvement of the face is extremely rare, with only 7 cases of palpebral lichen sclerosus having been reported. As this may be the initial or even the only manifestation, the diagnosis must be confirmed with histopathology. There have also been reports of 7 cases of extrapalpebral lichen sclerosus, most of which were linear and occasionally affecting the oral cavity. While lichen sclerosus is associated with Koebner phenomenon, the patient in the present case denied touching the eyelid as a possible triggering factor.

Please cite this article as: García-Arpa M, Franco-Muñoz M, Ramos-Rodríguez C, Sánchez-Caminero MP. Liquen escleroso en los párpados. Actas Dermosifiliogr. 2021;112:179.

Copyright © 2020. AEDV
Idiomas
Actas Dermo-Sifiliográficas
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?