Images in Paediatrics
Lymphoproliferative disorder under the appearance of mask-related folliculitis
Trastorno linfoproliferativo bajo apariencia de foliculitis por mascarilla
Read
1569
Timeswas read the article
664
Total PDF
905
Total HTML
Share statistics
array:24 [ "pii" => "S2341287923000522" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.02.011" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3276" "copyright" => "Asociación Española de Pediatría" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;98:315-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S169540332200131X" "issn" => "16954033" "doi" => "10.1016/j.anpedi.2022.04.009" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3276" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;98:315-6" "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">IMÁGENES EN PEDIATRÍA</span>" "titulo" => "Trastorno linfoproliferativo bajo apariencia de foliculitis por mascarilla" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "316" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lymphoproliferative disorder under the appearance of mask-related folliculitis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => 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" => 841 "Ancho" => 655 "Tamanyo" => 98346 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Placa de 3<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm en región malar derecha.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Álvaro Vázquez-Pérez, David López-Delgado, Francisco Fernández-Segovia, Jesús Tercedor-Sánchez, Juan Luis Santos-Pérez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Álvaro" "apellidos" => "Vázquez-Pérez" ] 1 => array:2 [ "nombre" => "David" "apellidos" => "López-Delgado" ] 2 => array:2 [ "nombre" => "Francisco" "apellidos" => "Fernández-Segovia" ] 3 => array:2 [ "nombre" => "Jesús" "apellidos" => "Tercedor-Sánchez" ] 4 => array:2 [ "nombre" => "Juan Luis" "apellidos" => "Santos-Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287923000522" "doi" => "10.1016/j.anpede.2023.02.011" "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/S2341287923000522?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540332200131X?idApp=UINPBA00005H" "url" => "/16954033/0000009800000004/v2_202304070135/S169540332200131X/v2_202304070135/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341287923000534" "issn" => "23412879" "doi" => "10.1016/j.anpede.2022.03.009" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3273" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;98:317-8" "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 Paediatrics</span>" "titulo" => "Malignant vaginal tumor: About a case" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "317" "paginaFinal" => "318" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumoración maligna vaginal: a propósito de un caso" ] ] "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" => 1660 "Ancho" => 3017 "Tamanyo" => 378753 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image A shows a polypoid lesion of 2 weeks’ duration. Image B shows the same mass 2 months later. Mass characterised by multiple dark red polypoid-tuberous lesions with a grape cluster appearance occupying the vulvar mucosa and protruding through the introitus.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mariona Morell Daniel, María Rosario Pérez-Torres Lobato, Miriam Morey Olivé, Luis Gros Subias" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mariona" "apellidos" => "Morell Daniel" ] 1 => array:2 [ "nombre" => "María Rosario" "apellidos" => "Pérez-Torres Lobato" ] 2 => array:2 [ "nombre" => "Miriam" "apellidos" => "Morey Olivé" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Gros Subias" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S169540332200128X" "doi" => "10.1016/j.anpedi.2022.03.007" "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/S169540332200128X?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000534?idApp=UINPBA00005H" "url" => "/23412879/0000009800000004/v2_202304070152/S2341287923000534/v2_202304070152/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341287923000510" "issn" => "23412879" "doi" => "10.1016/j.anpede.2022.04.016" "estado" => "S300" "fechaPublicacion" => "2023-04-01" "aid" => "3280" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2023;98:313-4" "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 Paediatrics</span>" "titulo" => "Meconium plug syndrome in twins" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "313" "paginaFinal" => "314" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome del tapón meconial en gemelos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2869 "Ancho" => 1397 "Tamanyo" => 308130 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Meconium-stained umbilical cord imprinted with the haustra of the colon.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alejandro Pérez-Muñuzuri, Natalia Mandiá-Rodríguez, Carolina López-Sanguos, Olalla López-Suárez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Pérez-Muñuzuri" ] 1 => array:2 [ "nombre" => "Natalia" "apellidos" => "Mandiá-Rodríguez" ] 2 => array:2 [ "nombre" => "Carolina" "apellidos" => "López-Sanguos" ] 3 => array:2 [ "nombre" => "Olalla" "apellidos" => "López-Suárez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403322001357" "doi" => "10.1016/j.anpedi.2022.04.012" "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/S1695403322001357?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000510?idApp=UINPBA00005H" "url" => "/23412879/0000009800000004/v2_202304070152/S2341287923000510/v2_202304070152/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Lymphoproliferative disorder under the appearance of mask-related folliculitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "316" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Álvaro Vázquez-Pérez, David López-Delgado, Francisco Fernández-Segovia, Jesús Tercedor-Sánchez, Juan Luis Santos-Pérez" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Álvaro" "apellidos" => "Vázquez-Pérez" "email" => array:1 [ 0 => "alvaro.vazquez.sspa@juntadeandalucia.es" ] "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" => "David" "apellidos" => "López-Delgado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Francisco" "apellidos" => "Fernández-Segovia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Jesús" "apellidos" => "Tercedor-Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Juan Luis" "apellidos" => "Santos-Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital Universitario Materno Infantil Virgen de las Nieves, Granada, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Clínico San Cecilio, Granada, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Trastorno linfoproliferativo bajo apariencia de foliculitis por mascarilla" ] ] "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" => 1409 "Ancho" => 1100 "Tamanyo" => 193338 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Plaque measuring about 3 × 3 cm in the malar region.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient aged 8 years sought care for a lesion in the right cheek with onset 4 months prior and no history of insect bite. The followup by the paediatrician was carried out by telephone on account of the restrictions to in-person care placed during the COVID-19 pandemic. Initially, the suspected diagnosis was folliculitis associated with mask use, for which the neologism <span class="elsevierStyleItalic">maskne</span> has been coined.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Successive treatment with topical antibiotics (clindamycin and mupirocin) and an oral antibiotic (cefadroxil) achieved no improvement, and the lesion continued to grow. The patient presented with a plaque measuring about 3 × 3 cm in the malar region, elastic and eroded on the surface (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A polymerase chain reaction test for detection of <span class="elsevierStyleItalic">Leishmania</span> on skin scrapings was negative. Examination of a biopsy specimen led to histological diagnosis of cutaneous CD4+ small/medium T-cell lymphoproliferative disorder (CSMLPD) (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient received topical treatment with clobetasol propionate, with improvement of the lesion at 1 month of treatment (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Cutaneous CD4+ small/medium T-cell lymphoproliferative disorder is a primary cutaneous lymphoma provisionally classified as a proliferative disorder to emphasize its benign course and discourage aggressive systemic treatment.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The differential diagnosis includes other cutaneous T and B cell lymphomas, reactive lymphoproliferative disorders, pseudolymphoma and lupus erythematosus tumidus.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Treatment options include surgery, topical or intralesional steroids and phototherapy.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The prolonged use of masks during the COVID-19 pandemic has been associated with the development and worsening of facial dermatoses.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Their increased prevalence and the widespread use of the term <span class="elsevierStyleItalic">maskne</span> may obscure and result in underdiagnosis of other, more complex<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> or infrequent disorders. An appropriate differential diagnosis must be carried out, as not everything is <span class="elsevierStyleItalic">maskne</span>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2022-02-01" "fechaAceptado" => "2022-04-12" "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1409 "Ancho" => 1100 "Tamanyo" => 193338 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Plaque measuring about 3 × 3 cm in the malar region.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1277 "Ancho" => 2257 "Tamanyo" => 838954 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histology of cutaneous CD4+ small/medium T-cell lymphoproliferative disorder. (A) Dense lymphocytic infiltrate in the superficial and deep dermis (haematoxylin and eosin stain [H&E]  × 100). (B) At higher magnification, lymphocytes showing moderate atypia in the perifollicular zone (H&E × 400). The lymphoid infiltrate was positive for CD3 (<span class="elsevierStyleSmallCaps">C</span>) and CD4 (D) markers, accompanied by a minority of CD8 cells (E) (C–E: × 400).</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 933 "Ancho" => 1306 "Tamanyo" => 136210 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Hyperpigmented macule with milia on the surface without evidence of infiltration on palpation.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The clinical spectrum of primary cutaneous CD4+ small/medium-sized pleomorphic T-cell lymphoproliferative disorder: an updated systematic literature review and case series" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Surmanowicz" 1 => "S. Doherty" 2 => "A. Sivanand" 3 => "N. Parvinnejad" 4 => "J. Deschenes" 5 => "M. Schneider" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1159/000511473" "Revista" => array:6 [ "tituloSerie" => "Dermatology." "fecha" => "2021" "volumen" => "237" "numero" => "4" "paginaInicial" => "618" "paginaFinal" => "628" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trastorno linfoproliferativo primario de células T pleomórficas pequeñas/medianas CD4+ coincidente en dos hermanas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Ponce" 1 => "Y. Peñate" 2 => "T. Montenegro" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ad.2018.09.020" "Revista" => array:8 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "2020" "volumen" => "111" "numero" => "3" "paginaInicial" => "271" "paginaFinal" => "273" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31980130" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S009167491930541X" "estado" => "S300" "issn" => "00916749" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mask related acne (“maskne”) and other facial dermatoses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E. Rudd" 1 => "S. Walsh" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bmj.n1304" "Revista" => array:4 [ "tituloSerie" => "BMJ." "fecha" => "2021" "paginaInicial" => "n1304" "itemHostRev" => array:3 [ "pii" => "S0300289616300655" "estado" => "S300" "issn" => "03002896" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000009800000004/v2_202304070152/S2341287923000522/v2_202304070152/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000009800000004/v2_202304070152/S2341287923000522/v2_202304070152/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923000522?idApp=UINPBA00005H" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 13 | 23 |
| 2024 October | 49 | 37 | 86 |
| 2024 September | 46 | 39 | 85 |
| 2024 August | 51 | 49 | 100 |
| 2024 July | 45 | 25 | 70 |
| 2024 June | 41 | 31 | 72 |
| 2024 May | 48 | 35 | 83 |
| 2024 April | 37 | 29 | 66 |
| 2024 March | 33 | 30 | 63 |
| 2024 February | 31 | 26 | 57 |
| 2024 January | 42 | 33 | 75 |
| 2023 December | 49 | 18 | 67 |
| 2023 November | 51 | 36 | 87 |
| 2023 October | 61 | 36 | 97 |
| 2023 September | 54 | 34 | 88 |
| 2023 August | 43 | 23 | 66 |
| 2023 July | 38 | 28 | 66 |
| 2023 June | 29 | 30 | 59 |
| 2023 May | 39 | 34 | 73 |
| 2023 April | 90 | 41 | 131 |
| 2023 March | 18 | 37 | 55 |
Show all
