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Virus de viruela de los monos en pacientes atendidos en un hospital de Quito, Ecuador, durante la epidemia 2022–2023: ¿una nueva infección de transmisión sexual? 2022 - 2023年厄瓜多尔基多一家医院病人身上的猴子天花病毒：一种新的性传播感染？
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.03.004
Jesús Elias Dawaher-Dawaher , Gabriela F. Cabezas-Herrera , María Belén Calucho , Paola Guevara Novoa

Introduction

Monkeypox virus (Mpox), first isolated in humans in 1970 in the Democratic Republic of Congo, where it remains endemic, has since been implicated in outbreaks across multiple regions globally.

Methodology

A retrospective descriptive study was conducted involving all patients diagnosed with Mpox via PCR confirmation who presented at Pablo Arturo Suarez Hospital between August 2022 and April 2023. Epidemiological and clinical data were collected anonymously.

Results

A total of 22 patients were included in the study. The majority (90.5%) were male, and 66.7% were HIV-positive, with most patients on antiretroviral therapy and exhibiting a CD4 count > 200 cells/μL. The most common systemic symptom was fever, present in 77.3% of cases. Polymorphic cutaneous lesions were observed in 31.8% of patients.

Conclusions

The current evidence suggests that Mpox disproportionately affects men who have sex with men and individuals living with HIV. The cutaneous manifestations of Mpox demonstrate substantial variability, likely influenced by the timing of clinical evaluation, while systemic symptoms remain nonspecific. Mpox is emerging as a significant sexually transmitted infection, and dermatologists play a key role in its diagnóstico, particularly when evaluating patients with dermatological lesions. It is essential to include Mpox in the differential diagnosis of such cases.
猴痘病毒（Mpox）于1970年在刚果民主共和国首次从人类中分离出来，目前仍在刚果流行，此后与全球多个地区的疫情有关。方法对2022年8月至2023年4月期间在Pablo Arturo Suarez医院就诊的所有经PCR确诊的Mpox患者进行回顾性描述性研究。流行病学和临床资料匿名收集。结果共纳入22例患者。90.5%的患者为男性，66.7%的患者为hiv阳性，大多数患者接受抗逆转录病毒治疗，CD4细胞计数为200个/μL。最常见的全身症状为发热，占77.3%。31.8%的患者出现多形态皮损。结论：目前的证据表明，m痘对男男性行为者和艾滋病毒感染者的影响不成比例。m痘的皮肤表现表现出很大的可变性，可能受到临床评估时间的影响，而全身症状仍然是非特异性的。m痘正在成为一种重要的性传播感染，皮肤科医生在其diagnóstico中发挥着关键作用，特别是在评估皮肤病变患者时。必须将m痘纳入此类病例的鉴别诊断。
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引用次数: 0
Enfermedad de Crohn mestastásica: un reto diagnóstico 中期克罗恩病：一项诊断挑战
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.02.013
Luis Espín Fernández , María del Mar Escudero Góngora , Fernando Martínez Ortiz , Francisca Simón López
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引用次数: 0
Reconstrucción con colgajo de avance V-Y tras cirugía micrográfica de Mohs Mohs显微摄影手术后的V-Y重建
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.02.001
Kyrsten Zimmer, Nelson Turra, Carlos Bazzano, Julio Magliano
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引用次数: 0
Síndrome autoinmune inducido por adyuvantes (ASIA) 佐剂诱发的自身免疫综合征（亚洲）
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.02.016
Maximiliano Dávalos
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引用次数: 0
Dermatosis IgA lineal en la infancia 儿童期IgA型线型皮肤病
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.01.024
Juan Sebastián Freire Londoño , Gladys Cleotilde Castillo Soto , Carla Patricia Verdugo Morales , Fernando Sebatian Montalvo Zumárraga , Santiago Alberto Palacios Álvarez , Myriam Johanna Brito Luna
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引用次数: 0
Lesión cutánea en la articulación metacarpofalángica 踝关节皮肤损伤
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.01.016
María Luz Hubner-Garretón , Tomás Andrés O'Brien-Alvarado , Daniela Alfaro-Sepúlveda , Marianne Kolbach-Rengifo
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引用次数: 0
Placas queratósicas palmoplantares en un paciente anciano con síndrome confusional. Diagnóstico y comentario 手足角化斑块在老年混淆综合征患者中的应用。诊断与评论
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.05.007
Consuelo Verónica Mosquera Hidalgo , Isabel Ayala Guilcapi , María de los Ángeles Manteca Oñate
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引用次数: 0
Calcio en el pabellón auricular 耳机中的钙
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.02.010
Adrián Santiago López-Caamaño , Catarina Livana Fernández-Traba , Rafael Lago-Cascudo , Cristina de las Heras-Sotos
{"title":"Calcio en el pabellón auricular","authors":"Adrián Santiago López-Caamaño ,&nbsp;Catarina Livana Fernández-Traba ,&nbsp;Rafael Lago-Cascudo ,&nbsp;Cristina de las Heras-Sotos","doi":"10.1016/j.piel.2025.02.010","DOIUrl":"10.1016/j.piel.2025.02.010","url":null,"abstract":"","PeriodicalId":20182,"journal":{"name":"Piel","volume":"40 10","pages":"Pages 699-700"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145652066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La dieta como agente exposomal en el acné 饮食作为痤疮的暴露剂
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.03.001
Jaime Piquero-Casals , Vanesa Piquero-Casals , Edgar La Rotta-Higuera , Daniel Morgado-Carrasco , Jaime Piquero-Martin
The relationship between diet and the onset of acne has been a topic of debate since ancient times and continues to generate controversy. To clarify whether diet influences the development of acne, we have conducted a comprehensive review of the existing literature. This phenomenon fits into a complex puzzle that includes the pathophysiology of acne, where genetic, environmental, and epigenetic factors are involved. Among these, a diet with a high glycemic index, the consumption of dairy products, and chocolate stand out, along with other elements of the exposome. In this narrative review, we provide an update on the influence of diet on acne, also incorporating epigenetic considerations that may modulate the body's response to these dietary factors.
饮食和痤疮之间的关系自古以来就是一个争论的话题，并继续产生争议。为了澄清饮食是否影响痤疮的发展，我们对现有文献进行了全面的回顾。这种现象符合一个复杂的难题，包括痤疮的病理生理，其中涉及遗传，环境和表观遗传因素。其中，血糖指数高的饮食、奶制品和巧克力的摄入，以及其他暴露因素都很突出。在这篇叙述性综述中，我们提供了饮食对痤疮影响的最新研究，同时也纳入了可能调节身体对这些饮食因素的反应的表观遗传因素。
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引用次数: 0
Placas queratósicas palmoplantares en un paciente anciano con síndrome confusional 老年混淆综合征患者手掌足底角化斑块
Q4 Medicine
Piel
Pub Date : 2025-12-01 DOI: 10.1016/j.piel.2025.02.012
Consuelo Verónica Mosquera Hidalgo , Isabel Ayala Guilcapi , María de los Ángeles Manteca Oñate
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引用次数: 0
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