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Perandones-González H, Boixeda P. Reply to 'Response to the article by Perandones-González H et al entitled "Ex vivo dermoscopy in demodicosis"'. J Am Acad Dermatol 2023; 89:e243. [PMID: 37487834 DOI: 10.1016/j.jaad.2023.07.1008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 07/12/2023] [Indexed: 07/26/2023]
Affiliation(s)
| | - Pablo Boixeda
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Langbroek GB, Wolkerstorfer A, Horbach SE, Spuls PI, Kelly KM, Robertson SJ, van Raath MI, Al‐Niaimi F, Kono T, Boixeda P, Laubach HJ, Badawi AM, Rubin AT, Haedersdal M, Manuskiatti W, van der Horst CM, Ubbink D. A core outcome domain set for clinical research on capillary malformations (the COSCAM project): an e-Delphi process and consensus meeting. Br J Dermatol 2022; 187:730-742. [PMID: 35762296 PMCID: PMC9796083 DOI: 10.1111/bjd.21723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 06/16/2022] [Accepted: 06/26/2022] [Indexed: 01/19/2023]
Abstract
BACKGROUND There is limited evidence on the best available treatment options for capillary malformations (CMs), mainly due to the absence of uniform outcome measures in trials on therapies. A core outcome set (COS) enables standard reporting of trial outcomes, which facilitates comparison of treatment results. OBJECTIVES To develop a core outcome domain set (CDS), as part of a core outcome set (COS), for clinical research on CMs. METHODS Sixty-seven potentially relevant outcome subdomains were recognized based on the literature, focus group sessions, and input from the COSCAM working group. These outcome subdomains were presented in an online Delphi study to CM experts (medical specialists and authors of relevant literature) and (parents of) patients with CM (international patient associations). During three e-Delphi study rounds, the participants repeatedly scored the importance of these outcome subdomains on a seven-point Likert scale. Participants could also propose other relevant outcome subdomains. Consensus was defined as ≥ 80% agreement as to the importance of an outcome subdomain among both stakeholder groups. The CDS was finalized during an online consensus meeting. RESULTS In total 269 participants from 45 countries participated in the first e-Delphi study round. Of these, 106 were CM experts from 32 countries, made up predominantly of dermatologists (59%) and plastic surgeons (18%). Moreover, 163 (parents of) patients with CM from 28 countries participated, of whom 58% had Sturge-Weber syndrome. During the two subsequent e-Delphi study rounds, 189 and 148 participants participated, respectively. After the entire consensus process, consensus was reached on 11 outcome subdomains: colour/redness, thickness, noticeability, distortion of anatomical structures, glaucoma, overall health-related quality of life, emotional functioning, social functioning, tolerability of intervention, patient satisfaction with treatment results, and recurrence. CONCLUSIONS We recommend the CDS to be used as a minimum reporting standard in all future trials of CM therapy. Our next step will be to select suitable outcome measurement instruments to score the core outcome subdomains. What is already known about this topic? Besides physical and functional sequelae, capillary malformations (CMs) often cause emotional and social burden. The lack of uniform outcome measures obstructs proper evaluation and comparison of treatment strategies. As a result, there is limited evidence on the best available treatment options. The development of a core outcome set (COS) may improve standardized reporting of trial outcomes. What does this study add? A core outcome domain set (CDS), as part of a COS, was developed for clinical research on CMs. International consensus was reached on the recommended core outcome subdomains to be measured in CM trials: colour/redness, thickness, noticeability, distortion of anatomical structures, glaucoma, overall health-related quality of life, emotional functioning, social functioning, tolerability of intervention, patient satisfaction with treatment results, and recurrence. This CDS enables the next step in the development of a COS, namely to reach consensus on the core outcome measurement instruments to score the core outcome subdomains. What are the clinical implications of this work? The obtained CDS will facilitate standardized reporting of treatment outcomes, thereby enabling proper comparison of treatment results. This comparison is likely to provide more reliable information for patients about the best available treatment options.
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Affiliation(s)
- Ginger Beau Langbroek
- Department of SurgeryAmsterdam University Medical Centers, location AMC, University of AmsterdamAmsterdamthe Netherlands,Department of Plastic, Reconstructive and Hand SurgeryAmsterdam University Medical Centers, University of AmsterdamAmsterdamthe Netherlands
| | - Albert Wolkerstorfer
- Department of DermatologyAmsterdam University Medical Centers, Amsterdam Public Health, Immunity and Infections, University of AmsterdamAmsterdamthe Netherlands
| | - Sophie E.R. Horbach
- Department of Plastic, Reconstructive and Hand SurgeryAmsterdam University Medical Centers, University of AmsterdamAmsterdamthe Netherlands
| | - Phyllis I. Spuls
- Department of DermatologyAmsterdam University Medical Centers, Amsterdam Public Health, Immunity and Infections, University of AmsterdamAmsterdamthe Netherlands
| | - Kristen M. Kelly
- Department of DermatologyUniversity of California IrvineIrvineCAUSA
| | - Susan J. Robertson
- Department of DermatologyMurdoch Children’s Research Institute, The Royal Children’s HospitalMelbourneVICAustralia
| | - M. Ingmar van Raath
- Department of Plastic, Reconstructive, and Hand SurgeryMaastricht University Medical Center, Maastricht UniversityMaastrichtthe Netherlands
| | - Firas Al‐Niaimi
- Private dermatological practiceLondonUK,Department of DermatologyUniversity of AalborgAalborgDenmark
| | - Taro Kono
- Department of Plastic SurgeryTokai University School of MedicineShimokasuyaIseharaKanagawaJapan
| | - Pablo Boixeda
- Department of DermatologyHospital Ramon y CajalMadridSpain
| | - Hans J. Laubach
- Department of DermatologyGeneva University Hospitals (HUG)GenevaSwitzerland
| | - Ashraf M. Badawi
- Department of DermatologySzeged UniversitySzegedHungary,Department of Medical Laser ApplicationsNational Institute of Laser Enhanced Sciences, Cairo UniversityGizaEgypt
| | | | - Merete Haedersdal
- Department of DermatologyUniversity of Copenhagen, Bispebjerg HospitalCopenhagenNVDenmark
| | - Woraphong Manuskiatti
- Department of Dermatology, Faculty of Medicine Siriraj HospitalMahidol UniversityBangkokThailand
| | - Chantal M.A.M. van der Horst
- Department of Plastic, Reconstructive and Hand SurgeryAmsterdam University Medical Centers, University of AmsterdamAmsterdamthe Netherlands
| | - D.T. Ubbink
- Department of SurgeryAmsterdam University Medical Centers, location AMC, University of AmsterdamAmsterdamthe Netherlands
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Altemir A, Boixeda P. [Translated article] Laser Treatment of Burn Scars. Actas Dermo-Sifiliográficas 2022; 113:T938-T944. [DOI: 10.1016/j.ad.2022.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/20/2022] [Indexed: 11/07/2022] Open
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Altemir A, Boixeda P. Tratamiento láser de cicatrices por quemaduras. Actas Dermo-Sifiliográficas 2022; 113:938-944. [DOI: 10.1016/j.ad.2022.06.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 05/31/2022] [Accepted: 06/20/2022] [Indexed: 10/15/2022] Open
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Jimenez-Cauhe J, Boixeda P, Cornejo P, Fernandez S, Vitale M, Serra C. Real-life experience of a lidocaine/tetracaine self-occluding topical anesthetic for dermatological procedures. J Cosmet Dermatol 2021; 21:2939-2944. [PMID: 34766699 DOI: 10.1111/jocd.14583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 10/18/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Pliaglis® is a self-occluding topical anesthetic containing a eutectic mixture of 7% lidocaine and 7% tetracaine, with proven efficacy and safety in several trials. AIMS To evaluate the effectiveness and safety of Pliaglis® for different dermatological procedures in real-life clinical practice. METHODS This retrospective, multicenter study included 35 patients treated with Pliaglis® prior to five dermatological procedures (pulsed dyed laser, picosecond laser, non-ablative fractional laser, radiofrequency microneedling, and photodynamic therapy). The primary endpoint was to assess the pain during the procedure with a visual analogue score (VAS) from 0 (no pain) to 10 (most severe pain). Secondary endpoints were the global effectiveness and tolerability (from 0 = very low to 10 = excellent), and the adverse events (AEs) after Pliaglis® removal, classified according to intensity (1-3). RESULTS The median and mean pain VAS reported by patients was 2 (range 0-9) and 2.9 (±2.3), respectively. More than 65% of the patients had a VAS score ≤3. The effectiveness reported by investigators was "very good" (median 8 [range 2-10], mean 7.5 [±1.9]), which was strongly correlated with the pain VAS reported by patients (Spearman coefficient = - 0.9; p < 0.001). Forty-five percent of patients reported AEs and they were transient and mostly mild, with a mean intensity score of 1.5 (range 1-3). Tolerability of Pliaglis® was reported by investigators as "excellent" (median 10 [range 1-10], mean 9 [±1.8]). CONCLUSIONS Pliaglis® is an effective topical anesthetic for several dermatological procedures, with an excellent safety and tolerability profile.
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Affiliation(s)
- Juan Jimenez-Cauhe
- Servicio de Dermatología, Hospital Universitario Ramon y Cajal, Madrid, Spain
| | - Pablo Boixeda
- Servicio de Dermatología, Hospital Universitario Ramon y Cajal, Madrid, Spain
| | | | | | - Maria Vitale
- Departamento Médico. Cantabria Labs, Madrid, Spain
| | - Carlos Serra
- Servicio de Dermatologia, Instituto Valenciano de Oncología (IVO), Valencia, Spain
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Jimenez-Cauhe J, Cerejeira D, Fernandez-Nieto D, Ortega-Quijano D, Boixeda P. Sägezahnartige kapilläre Malformation der Unterlippe bei CLAPO‐Syndrom. J Dtsch Dermatol Ges 2021; 19:1220-1221. [PMID: 34390143 DOI: 10.1111/ddg.14525_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Juan Jimenez-Cauhe
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
| | - Diogo Cerejeira
- Dermatology Department, Hospital Garcia de Orta EPE, Almada, Portugal
| | | | | | - Pablo Boixeda
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
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7
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Langbroek GB, Wolkerstorfer A, Horbach SER, Spuls PI, Kelly KM, Robertson SJ, van Raath MI, Al-Niaimi F, Kono T, Boixeda P, Laubach HJ, Badawi AM, Troilius Rubin A, Haedersdal M, Manuskiatti W, van der Horst CMAM, Ubbink DT. Development of a core outcome domain set for clinical research on capillary malformations (the COSCAM project). J Eur Acad Dermatol Venereol 2021; 35:1888-1895. [PMID: 34014582 PMCID: PMC8453952 DOI: 10.1111/jdv.17376] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 04/21/2021] [Indexed: 01/19/2023]
Abstract
Background Due to a large variety in treatment outcomes reported in therapeutic trials and lacking patient‐relevant outcomes, it is hard to adequately compare and improve current therapies for patients with capillary malformations (CMs). The Core Outcome Set for Capillary Malformations (COSCAM) project aims to develop a core outcome set (COS) for use in future CM trials, in which we will first develop a core outcome (sub)domain set (CDS). Here, we describe the methods for the development of a CDS and present the results of the first development stage. Methods The COSCAM project is carried out according to the recommendations of the Cochrane Skin Core OUtcomes Set INitiative (CS‐COUSIN) and the Core Outcome Measures in Effectiveness Trials (COMET) initiative. During the first stage, we identified all potentially relevant outcome subdomains based on a systematic review, two focus group sessions and input from patient representatives of Dutch patient organizations and the COSCAM‐founding group. In stage two, we will present the subdomains in a three‐round e‐Delphi study and online consensus meeting, in which CM patients, parents/caregivers and CM experts worldwide rate the importance of the proposed subdomains, hereby finalizing the core outcome (sub)domains of the CDS. Results A total of 67 potential outcome subdomains were included; sixteen were previously used in the literature, 20 were proposed by Dutch patients and their parents/caregivers (n = 13) in focus group sessions and 38 were suggested by the experts of the COSCAM‐founding group. Seven were excluded because of overlap. Conclusion The final CDS may serve as a minimum standard in future CM trials, thereby facilitating adequate comparison of treatment outcomes. After this CDS development, we will select appropriate outcome measurement instruments to measure the core outcome subdomains.
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Affiliation(s)
- G B Langbroek
- Department of Surgery, Amsterdam University Medical Center (UMC) Location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - A Wolkerstorfer
- Department of Dermatology, Amsterdam University Medical Center UMC, Amsterdam Public Health, Immunity and Infections, University of Amsterdam, Amsterdam, The Netherlands
| | - S E R Horbach
- Department of Plastic-, Reconstructive- and Hand Surgery, Amsterdam University Medical Center (UMC), University of Amsterdam, Amsterdam, The Netherlands
| | - P I Spuls
- Department of Dermatology, Amsterdam University Medical Center UMC, Amsterdam Public Health, Immunity and Infections, University of Amsterdam, Amsterdam, The Netherlands
| | - K M Kelly
- Department of Dermatology, University of California Irvine, Irvine, CA, USA
| | - S J Robertson
- Department of Dermatology and Murdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC, Australia
| | - M I van Raath
- Department of Plastic, Reconstructive, and Hand Surgery, Maastricht University Medical Center, Maastricht University, Maastricht, The Netherlands
| | - F Al-Niaimi
- Private Dermatological Practice, London, UK.,Department of Dermatology, University of Aalborg, Aalborg, Denmark
| | - T Kono
- Department of Plastic Surgery, Tokai University School of Medicine, Shimokasuya Isehara Kanagawa, Kanagawa, Japan
| | - P Boixeda
- Department of Dermatology, Hospital Ramon y Cajal, Madrid, Spain
| | - H J Laubach
- Department of Dermatology, Geneva University Hospitals (HUG), Geneva, Switzerland
| | - A M Badawi
- Department of Dermatology, Szeged University, Szeged, Hungary.,Department of Medical Laser Applications, National Institute of Laser Enhanced Sciences, Cairo University, Giza, Egypt
| | - A Troilius Rubin
- Department of Dermatology, Skåne University Hospital, Malmö, Sweden
| | - M Haedersdal
- Department of Dermatology, University of Copenhagen, Bispebjerg Hospital, Copenhagen NV, Denmark
| | - W Manuskiatti
- Department of Dermatology, Siriraj Skin Laser Center Department of Dermatology, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand
| | - C M A M van der Horst
- Department of Plastic-, Reconstructive- and Hand Surgery, Amsterdam University Medical Center (UMC), University of Amsterdam, Amsterdam, The Netherlands
| | - D T Ubbink
- Department of Surgery, Amsterdam University Medical Center (UMC) Location AMC, University of Amsterdam, Amsterdam, The Netherlands
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8
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Jimenez-Cauhe J, Cerejeira D, Fernandez-Nieto D, Ortega-Quijano D, Boixeda P. Lower lip capillary malformation with sawtooth border in CLAPO syndrome. J Dtsch Dermatol Ges 2021; 19:1220-1221. [PMID: 34015190 DOI: 10.1111/ddg.14525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Juan Jimenez-Cauhe
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
| | - Diogo Cerejeira
- Dermatology Department, Hospital Garcia de Orta EPE, Almada, Portugal
| | | | | | - Pablo Boixeda
- Dermatology Department, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
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Ivars M, Boixeda P, Triana P, Martinez-Glez V, Rodríguez-Laguna L, Agra N, López-Gutiérrez JC. Clinical overlap between CLAPO syndrome and macrocephaly-capillary malformation syndrome. J Dtsch Dermatol Ges 2021; 18:479-482. [PMID: 32413215 DOI: 10.1111/ddg.14081] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Marta Ivars
- Vascular Anomalies Unit, Department of Dermatology, University Clinic of Navarra, Madrid, Spain
| | - Pablo Boixeda
- Vascular Anomalies Unit, Department of Dermatology, University Hospital Ramon y Cajal, Madrid, Spain
| | - Paloma Triana
- Vascular Anomalies Unit, Department of Pediatric Surgery, University Hospital La Paz, Madrid, Spain
| | - Victor Martinez-Glez
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
| | - Lara Rodríguez-Laguna
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
| | - Noelia Agra
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
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Fernandez‐Nieto D, Jimenez‐Cauhe J, Ortega‐Quijano D, Pindado‐Ortega C, Boixeda P. Behandlung eines segmentalen Lichen aureus bei einem Kind mit 755 nm‐Alexandrit‐Pikosekunden‐Laser. J Dtsch Dermatol Ges 2020; 18:1201-1203. [DOI: 10.1111/ddg.14172_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | | | - Pablo Boixeda
- Dermatology Department Ramon y Cajal University Hospital Madrid Spain
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11
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Fernandez-Nieto D, Segurado-Miravalles G, Gonzalez-Cantero A, Ortega-Quijano D, Jimenez-Cauhe J, Boixeda P. Fluorescence-advanced videodermatoscopy characterization of demodex mites: a comparison with reflectance confocal microscopy. J Eur Acad Dermatol Venereol 2020; 35:e215-e216. [PMID: 32924177 DOI: 10.1111/jdv.16938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- D Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | - A Gonzalez-Cantero
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - D Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - J Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | - P Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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12
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Pindado-Ortega C, Boixeda P. Treatment of segmental lichen aureus in the pediatric age with a 755 nm alexandrite picosecond laser. A new therapeutic approach for pigmented purpuric dermatosis. J Dtsch Dermatol Ges 2020; 18:1201-1203. [PMID: 32656950 DOI: 10.1111/ddg.14172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
| | - Juan Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | | | - Pablo Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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13
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Fransen F, Spuls P, Alam M, Badawi A, Boixeda P, Haedersdal M, Hamzavi I, Hedelund L, Kelly KM, Kono T, Laubach HJ, Manuskiatti W, Marini L, Nouri K, Paasch U, Passeron T, Prinsen CACS, Verner I, Wolkerstorfer A. Generic outcome set for the international registry on Laser trEAtments in Dermatology (LEAD): a protocol for a Delphi study to achieve consensus on what to measure. BMJ Open 2020; 10:e038145. [PMID: 32595165 PMCID: PMC7322331 DOI: 10.1136/bmjopen-2020-038145] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
INTRODUCTION While laser technology has expanded the armamentarium of treatment for various skin diseases during the past years, heterogeneity in study outcomes hampers comparability and appropriate evidence synthesis. Part of these issues can be addressed by developing a generic outcome set. Using the Delphi method, this study aims to seek consensus between key stakeholders on relevant generic outcomes (what to measure) for implementation in the international registry on Laser trEAtments in Dermatology (LEAD). The registry is focused on collecting research data on various laser treatments for skin disorders. METHODS AND ANALYSIS By reviewing the literature and involvement of key stakeholder groups and adult patients in need or after laser surgery and health professionals, a preliminary list of outcomes will be generated and categorised into domains. Using these outcomes, an international three-round Delphi study will be performed to rate the importance of outcomes in the selection of a generic outcome set. Participants are allowed to provide new outcomes to the preliminary list for revisions during the first Delphi round. Finally, results will be discussed during a consensus meeting to agree on generic outcomes to be used in the LEAD registry. ETHICS AND DISSEMINATION An ethics approval was not applicable (W19_290 # 18.336). The study is registered with the Cochrane Skin Core OUtcome Set INitiative) and the Core Outcome Measures in Effectiveness Trials initiative. Procedures will be conducted according to the Declaration of Helsinki. The findings will be disseminated through peer-reviewed publications and conference presentations.
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Affiliation(s)
- Frederike Fransen
- Dermatology, Amsterdam UMC, Amsterdam, Noord-Holland, The Netherlands
| | - Phyllis Spuls
- Dermatology, Amsterdam UMC, Amsterdam, Noord-Holland, The Netherlands
- Department of Dermatology, Amsterdam Public Health, Infection and Immunity, Amsterdam University Medical Center, Amsterdam, The Netherlands
| | - Murad Alam
- Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois (IL), United States
- Department of Dermatology, Northwestern Memorial Hospital, Arkes Family Pavilion, Chicago, Illinois (IL), United States
| | - Ashraf Badawi
- Dermatology Unit, Department of Medical Applications of Lasers, National Institute of Laser Enhanced Sciences, Cairo University, Giza, Egypt
| | - Pablo Boixeda
- Dermatology Department, Ramón y Cajal Hospital, Madrid, Spain
| | - Merete Haedersdal
- Dermatology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark
- Massachusetts General Hospital, Harvard Medical School Boston, Boston, United States
| | - Iltefat Hamzavi
- Department of Dermatology, Henry Ford Hospital, Detroit, Michigan, USA
| | - Lene Hedelund
- Dermatology, Aarhus Universitetshospital, Aarhus, Denmark
| | - Kristen M Kelly
- Beckman Laser Institute, University of California, Irvine, California, USA
| | - Tara Kono
- Department of Plastic and Reconstructive Surgery, Tokai University School of Medicine, Isehera, Japan
| | - Hans Joachim Laubach
- Dermatology and Venereology, Hopitaux Universitaires de Geneve, Geneva, Switzerland
| | - Woraphong Manuskiatti
- Faculty of Medicine Siriraj Hospital, Department of Dermatology, Mahidol University, Bangkok, Thailand
| | | | - Keyvan Nouri
- Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Miami, Florida, USA
| | | | - Thierry Passeron
- Dermatology, Centre Hospitalier Universitaire de Nice, Nice, Provence-Alpes-Côte d'Azu, France
| | - Cecilia A C Sanna Prinsen
- Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, VU University Medical Center, Amsterdam, The Netherlands
| | - Ines Verner
- Dermatology, Verner clinic, Tel Aviv, Israel
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Boixeda P. A novel high-power 1060-nm diode laser for the treatment of vascular malformations: a pilot study using dermoscopy to evaluate clinical endpoints. Lasers Med Sci 2020; 36:455-461. [PMID: 32583189 DOI: 10.1007/s10103-020-03068-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Accepted: 06/09/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Diego Fernandez-Nieto
- Dermatology Department, Ramon y Cajal University Hospital, Carretera Colmenar Viejo km 9.100, 28034, Madrid, Spain.
| | - Juan Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Carretera Colmenar Viejo km 9.100, 28034, Madrid, Spain
| | - Daniel Ortega-Quijano
- Dermatology Department, Ramon y Cajal University Hospital, Carretera Colmenar Viejo km 9.100, 28034, Madrid, Spain
| | - Pablo Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Carretera Colmenar Viejo km 9.100, 28034, Madrid, Spain
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15
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Ivars M, Boixeda P, Triana P, Martinez-Glez V, Rodríguez-Laguna L, Agra N, López-Gutiérrez JC. Klinische Überlappung zwischen CLAPO‐Syndrom und Megalenzephalie‐Kapillarfehlbildungen‐Polymikrogyrie‐Syndrom. J Dtsch Dermatol Ges 2020; 18:480-484. [PMID: 32413214 DOI: 10.1111/ddg.14081_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Marta Ivars
- Vascular Anomalies Unit, Department of Dermatology, University Clinic of Navarra, Madrid, Spain
| | - Pablo Boixeda
- Vascular Anomalies Unit, Department of Dermatology, University Hospital Ramon y Cajal, Madrid, Spain
| | - Paloma Triana
- Vascular Anomalies Unit, Department of Pediatric Surgery, University Hospital La Paz, Madrid, Spain
| | - Victor Martinez-Glez
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
| | - Lara Rodríguez-Laguna
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
| | - Noelia Agra
- Vascular Malformations Section and Clinical Genetics Section, Institute of Medical and Molecular Genetics, INGEMM-IdiPAZ, Hospital Universitario La Paz, Madrid, Spain
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16
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Jimenez-Cauhe J, Boixeda P. Visual Dermatology: Subungual Red Comets in Tuberous Sclerosis Complex. J Cutan Med Surg 2020; 24:309. [DOI: 10.1177/1203475420915443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Juan Jimenez-Cauhe
- Servicio de Dermatologia, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
| | - Pablo Boixeda
- Servicio de Dermatologia, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
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Iglesias-Puzas Á, Boixeda P. Deep Learning and Mathematical Models in Dermatology. Actas Dermo-Sifiliográficas (English Edition) 2020. [DOI: 10.1016/j.adengl.2020.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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18
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Iglesias-Puzas Á, Conde-Taboada A, Boixeda P, López-Bran E. [Electronic health records. New technologies to protect patient privacy]. J Healthc Qual Res 2020; 35:123-124. [PMID: 32241727 DOI: 10.1016/j.jhqr.2020.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2020] [Accepted: 01/24/2020] [Indexed: 06/11/2023]
Affiliation(s)
- Á Iglesias-Puzas
- Servicio de Dermatología, Hospital Universitario Clínico San Carlos, Madrid, España.
| | - A Conde-Taboada
- Servicio de Dermatología, Hospital Universitario Clínico San Carlos, Madrid, España
| | - P Boixeda
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, España
| | - E López-Bran
- Servicio de Dermatología, Hospital Universitario Clínico San Carlos, Madrid, España
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19
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Iglesias-Puzas Á, Boixeda P. Deep Learning and Mathematical Models in Dermatology. Actas Dermosifiliogr (Engl Ed) 2020; 111:192-195. [PMID: 31910947 DOI: 10.1016/j.ad.2019.01.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Revised: 01/28/2019] [Accepted: 01/30/2019] [Indexed: 01/05/2023] Open
Affiliation(s)
- Á Iglesias-Puzas
- Servicio de Dermatología, Complejo Hospitalario Universitario de Pontevedra, EOXI Pontevedra-Salnés, Pontevedra, España.
| | - P Boixeda
- Unidad de Láser, Servicio de Dermatología, Hospital Ramón y Cajal, Universidad de Alcalá, Madrid, España; Clínica Bioláser La Moraleja, Alcobendas, Madrid, España
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20
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Pindado-Ortega C, Alegre-Sánchez A, Robledo-Sánchez A, Tormo-Alfaro I, Boixeda P. Treatment of gingival pigmentation with a 755-nm alexandrite picosecond laser. J COSMET LASER THER 2019; 22:39-41. [PMID: 31884838 DOI: 10.1080/14764172.2019.1708951] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Hyperpigmentation of the gums can be associated to several etiological factors. Although it is physiological in most cases it can cause esthetic concerns in some patients. The objective of our study was to evaluate the clinical efficacy and patient satisfaction with the treatment of gingival hyperpigmentation with picosecond alexandrite laser of 755 nm. We selected two patients with gingival hyperpigmentation on the anterior face of the upper and lower gums of years of evolution. Malignancy, drug ingestion, exposure to tobacco and underlying genetic and endocrine alterations were ruled out. Clinical photographs were taken before treatment and 2 weeks after the procedure. In both cases, anterior gingival areas were depigmented with satisfaction. The patients did not complain of severe pain or discomfort. Two weeks after the procedure the gingiva showed almost complete depigmentation. In conclusion, the 755-nm alexandrite picosecond laser seems to be safe and effective for the esthetic treatment of gingival hyperpigmentation.
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Affiliation(s)
| | | | | | | | - Pablo Boixeda
- Dermatology Department, Hospital Ramón y Cajal, Madrid, Spain
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21
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Salleras M, Alegre M, Alonso-Usero V, Boixeda P, Domínguez-Silva J, Fernández-Herrera J, García-Navarro X, Jiménez N, Llamas M, Nadal C, del Pozo-Losada J, Querol I, Salgüero I, Schaller M, Soto de Delás J. Spanish Consensus Document on the Treatment Algorithm for Rosacea. Actas Dermo-Sifiliográficas (English Edition) 2019. [DOI: 10.1016/j.adengl.2019.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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22
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García-Montero P, Pérez-Mesonero R, Barrutia-Borque A, Boixeda P. Usefulness of Pulsed Dye Laser in Cutaneous Lupus Erythematosus. Actas Dermo-Sifiliográficas (English Edition) 2019. [DOI: 10.1016/j.adengl.2018.03.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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23
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Salleras M, Alegre M, Alonso-Usero V, Boixeda P, Domínguez-Silva J, Fernández-Herrera J, García-Navarro X, Jiménez N, Llamas M, Nadal C, Del Pozo-Losada J, Querol I, Salgüero I, Schaller M, Soto de Delás J. Spanish Consensus Document on the Treatment Algorithm for Rosacea. Actas Dermosifiliogr (Engl Ed) 2019; 110:533-545. [PMID: 30837074 DOI: 10.1016/j.ad.2019.01.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 12/28/2018] [Accepted: 01/01/2019] [Indexed: 01/11/2023] Open
Abstract
Recent scientific evidence and the incorporation of new drugs into the therapeutic arsenal against rosacea have made it necessary to review and update treatment criteria and strategies. To this end, a panel of 15 dermatologists, all experts in rosacea, was formed to share experiences and discuss treatment options, response criteria, and changes to treatment. Based on a critical review of the literature and a discussion of the routine practices of Spanish dermatologists, the panel proposed and debated different options, with consideration of the experience of professionals and the preferences of patients or equality criteria. Following validation of the proposals, the final recommendations were formulated and, together with the evidence from the main international guidelines and studies, used to produce this consensus document. The goal of this consensus document is to provide dermatologists with practical recommendations for the management of rosacea.
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Affiliation(s)
- M Salleras
- Servicio de Dermatología, Hospital Universitario Sagrado Corazón, Barcelona, España.
| | - M Alegre
- Servicio de Dermatología, Hospital Plató, Barcelona, España
| | - V Alonso-Usero
- Servicio de Dermatología, Hospital Nisa 9 de Octubre, Valencia, España
| | - P Boixeda
- Sección de Dermatología, Hospital Ramón y Cajal, Madrid, España
| | - J Domínguez-Silva
- Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España
| | | | - X García-Navarro
- Servicio de Dermatología, Consorci Sanitari del Garraf, Barcelona, España
| | - N Jiménez
- Sección de Dermatología, Hospital Ramón y Cajal, Madrid, España
| | - M Llamas
- Sección de Dermatología, Hospital de La Princesa, Madrid, España
| | - C Nadal
- Servicio de Dermatología, Hospital Son Llatzer, Palma de Mallorca, España
| | - J Del Pozo-Losada
- Servicio de Dermatología, Hospital Universitario A Coruña, La Coruña, España
| | - I Querol
- Universidad de Zaragoza, Zaragoza, España
| | - I Salgüero
- Servicio de Dermatología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España
| | - M Schaller
- Departamento de Dermatología, Universidad de Klinikum, Tubinga, Alemania
| | - J Soto de Delás
- Servicio de Dermatología, Policlínica Gipuzkoa, San Sebastián, España
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Alegre-Sánchez A, Boixeda P. RF-Topical Rapamycin as an Adjuvant to Laser Treatment in Capillary Malformations. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2017.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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26
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Alegre-Sánchez A, Jiménez-Gómez N, Boixeda P. Vehiculización de fármacos asistida por láser. Actas Dermo-Sifiliográficas 2018; 109:858-867. [DOI: 10.1016/j.ad.2018.07.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 07/10/2018] [Accepted: 07/13/2018] [Indexed: 02/02/2023] Open
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27
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Pindado-Ortega C, Alegre-Sánchez A, Pérez-García B, Boixeda P. Reply to: S2k guideline for treatment of cutaneous lupus erythematosus-guided by the European Dermatology Forum (EDF) in cooperation with the European Academy of Dermatology and Venereology (EADV). J Eur Acad Dermatol Venereol 2018; 33:e70-e71. [PMID: 30098058 DOI: 10.1111/jdv.15209] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - B Pérez-García
- Dermatology, University Hospital Ramón y Cajal, Madrid, Spain
| | - P Boixeda
- Dermatology, University Hospital Ramón y Cajal, Madrid, Spain
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Fonda-Pascual P, Moreno-Arrones OM, Saceda-Corralo D, Rodrigues-Barata AR, Pindado-Ortega C, Boixeda P, Vaño-Galvan S. Effectiveness of low-level laser therapy in lichen planopilaris. J Am Acad Dermatol 2018; 78:1020-1023. [DOI: 10.1016/j.jaad.2017.11.040] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 11/13/2017] [Accepted: 11/19/2017] [Indexed: 12/11/2022]
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Alegre-Sánchez A, Boixeda P. RF-Topical Rapamycin as an Adjuvant to Laser Treatment in Capillary Malformations. Actas Dermosifiliogr (Engl Ed) 2018; 109:915-916. [PMID: 29636196 DOI: 10.1016/j.ad.2017.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 08/31/2017] [Accepted: 09/03/2017] [Indexed: 11/19/2022] Open
Affiliation(s)
- A Alegre-Sánchez
- Unidad de Láser, Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, España.
| | - P Boixeda
- Unidad de Láser, Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, España
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Alcántara-González J, Boixeda P, Truchuelo-Díez M, Jiménez-Gómez N, Pérez-García B, Pérez-Carmona L, Jaén Olasolo P. Capillary Malformations Treated With Sequential Pulsed Dye and Nd:YAG Laser Therapy: A Retrospective Study. Actas Dermo-Sifiliográficas (English Edition) 2018. [DOI: 10.1016/j.adengl.2017.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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31
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Millán-Cayetano JF, Boixeda P. Clinical clue leading to a genetic condition. Med Clin (Barc) 2018; 150:e1. [PMID: 28325507 DOI: 10.1016/j.medcli.2017.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2017] [Accepted: 02/09/2017] [Indexed: 11/29/2022]
Affiliation(s)
| | - Pablo Boixeda
- Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, España
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32
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Alegre-Sánchez A, Bernárdez C, Fonda-Pascual P, Moreno-Arrones OM, López-Gutiérrez JC, Jaén-Olasolo P, Boixeda P. Videodermoscopy and doppler-ultrasound in spider naevi: towards a new classification? J Eur Acad Dermatol Venereol 2017; 32:156-159. [PMID: 28960458 DOI: 10.1111/jdv.14602] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 09/05/2017] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Spider naevi (SN) are considered a subtype of telangiectasias, currently classified as low-flow vascular malformations. OBJECTIVE To describe the videodermoscopy and Doppler-ultrasound (US) features of a large group of SN. MATERIAL AND METHODS A retrospective study of cases of SN collected at our Dermatology department during the period between June 2015 and June 2017 was performed. Clinical images, dermoscopic, videodermoscopic and Doppler-US files were reviewed. For each case, the age of the patient, time since onset, size and dermoscopic pattern of the lesions were recorded. The presence of pulsatility was also evaluated visually on the videodermoscopy. RESULTS Two hundred and thirty-three SN in 189 patients were included. The mean age was 39.5 years (range: 10-76 years). Mean size of the lesions was 4.1 ± 2.0 mm. We described three dermoscopic patterns: network, star and looping. Older age, longer time since onset and larger size were found associated with higher frequency of the looping and star patterns compared to that of network pattern (P < 0.01). Pulsatility during videodermoscopy was found in 88 patients (37%). This pulsatility phenomenon was more commonly associated with the looping pattern (64.7%) than star- (40.3%) or network-like patterns (29.9%) (P < 0.001). In Doppler-US studies, a high-flow with arterial biphasic waveform was found. CONCLUSIONS In the light of the results, we support that SN could be reconsidered in upcoming classifications as lesions closer to the group of high-flow arteriovenous malformations.
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Affiliation(s)
- A Alegre-Sánchez
- Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - C Bernárdez
- Dermatology, Complejo Hospitalario Ruber Juan Bravo, Madrid, Spain
| | - P Fonda-Pascual
- Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | | | | | - P Jaén-Olasolo
- Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
| | - P Boixeda
- Dermatology, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Alegre-Sánchez A, Pérez-García B, Boixeda P. Pulsed-Dye Laser Treatment of Port-Wine Stains in Children: Useful Tips to Avoid General Anesthesia. Pediatr Dermatol 2017; 34:619-621. [PMID: 28758247 DOI: 10.1111/pde.13207] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Pulsed dye laser (PDL) treatment of port-wine stains (PWSs) in children is a common procedure performed in most laser units. Pain assessment in our younger patients is a major concern, especially in those with extensive PWSs. The use of general anesthesia (GA) results in pain-free treatment, but its effects on the developing brain are far from totally understood. Thus we propose some tips that avoid the use of GA in most of our young patients, including the use of topical anesthetics and cooling systems, large laser spot size and high frequencies, early and frequent treatment with parents present, and the "introduction" and "pressure" techniques, among others.
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Affiliation(s)
| | | | - Pablo Boixeda
- Dermatology Service, Laser Unit, Ramon y Cajal Hospital, Madrid, Spain
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34
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Alegre-Sánchez A, Saceda-Corralo D, Segurado-Miravalles G, de Perosanz-Lobo D, Fonda-Pascual P, Moreno-Arrones OM, Buendía-Castaño D, Perez-García B, Boixeda P. Pulsed dye laser on ecchymoses: clinical and histological assessment. Lasers Med Sci 2017; 33:683-688. [DOI: 10.1007/s10103-017-2142-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2016] [Accepted: 01/03/2017] [Indexed: 11/28/2022]
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35
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Brás S, Gonzalez B, Segurado-Miravalles G, Boixeda P. Treatment of lupus erythematosus of the eyelids with pulsed dye laser. Lasers Med Sci 2016; 33:215-219. [DOI: 10.1007/s10103-016-2131-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Accepted: 12/14/2016] [Indexed: 11/25/2022]
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36
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Moreno-Arrones O, Boixeda P. The Importance of Innate Immunity in Acne. Actas Dermo-Sifiliográficas (English Edition) 2016. [DOI: 10.1016/j.adengl.2016.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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37
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Grillo E, Rita Travassos A, Boixeda P, Cuevas A, Pérez B, Paoli J, Jaén P. Histochemical Evaluation of the Vessel Wall Destruction and Selectivity After Treatment with Intense Pulsed Light in Capillary Malformations. Actas Dermo-Sifiliográficas (English Edition) 2016. [DOI: 10.1016/j.adengl.2015.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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38
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Grillo E, Rita Travassos A, Boixeda P, Cuevas A, Pérez B, Paoli J, Jaén P. Histochemical Evaluation of the Vessel Wall Destruction and Selectivity After Treatment with Intense Pulsed Light in Capillary Malformations. Actas Dermosifiliogr 2015; 107:215-23. [PMID: 26744242 DOI: 10.1016/j.ad.2015.10.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2015] [Revised: 10/09/2015] [Accepted: 10/18/2015] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Among the different approaches for improving the effectiveness in the treatment of Capillary Malformations type Port Wine Stain (CM type PWS) are the intense pulsed light sources. There are few clinical studies prove useful in the treatment of CM. Furthermore, no studies have been published yet demonstrating the histological effects of IPL in CM. OBJECTIVES To assess the histological effects of pulsed light in capillary malformations type port wine stain. We wanted to compare epidermal, dermal and vessel wall damage after treatment with different combinations of IPL parameters. MATERIAL AND METHODS Fifty-five post-treatment biopsies were performed in 15 consenting patients with CM and stained with nitroblue-tetrazolium chloride (NBTC). Patients had not been treated previously. RESULTS Fifteen patients with CM, with a median age of 39 years-old were enrolled in this study. In this series, the patients with the most severe epidermal damage were those with a darker phototype. Pink CM were especially resistant to treatment, even using high fluences, short pulse durations and stacking pulses. Longer intra- and interpulse delays were effective in purple CM, achieving adequate vessel destruction. CONCLUSIONS IPL devices provide a vast amount of treatment possibilities and further studies are necessary to optimize therapeutic approaches to CM. In this study we have observed the histological effects of different pulses on the MC type PWS.
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Affiliation(s)
- E Grillo
- Department of Dermatology, Hospital Ramón y Cajal, Madrid, Spain.
| | - A Rita Travassos
- Clínica Universitária de Dermatologia, Hospital de Santa Maria-Centro Hospital Norte, Lisboa, Portugal
| | - P Boixeda
- Department of Dermatology, Hospital Ramón y Cajal, Madrid, Spain
| | - A Cuevas
- Department of Pathology, Hospital Ramón y Cajal, Madrid, Spain
| | - B Pérez
- Department of Dermatology, Hospital Ramón y Cajal, Madrid, Spain
| | - J Paoli
- Department of Dermatology, Hospital Ramón y Cajal, Madrid, Spain
| | - P Jaén
- Department of Dermatology, Hospital Ramón y Cajal, Madrid, Spain
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Marqués L, Núñez-Córdoba JM, Aguado L, Pretel M, Boixeda P, Nagore E, Baselga E, Redondo P. Reply to: “Topical rapamycin combined with pulsed dye laser (PDL) in the treatment of capillary vascular malformations—Anatomical differences in response to PDL are relevant to interpretation of study results”. J Am Acad Dermatol 2015; 73:e73-4. [DOI: 10.1016/j.jaad.2015.04.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 04/28/2015] [Accepted: 04/28/2015] [Indexed: 10/23/2022]
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40
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Adamič M, Pavlović MD, Troilius Rubin A, Palmetun-Ekbäck M, Boixeda P. Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology. J Eur Acad Dermatol Venereol 2015; 29:1661-78. [PMID: 25931003 DOI: 10.1111/jdv.13177] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2014] [Accepted: 04/07/2015] [Indexed: 12/16/2022]
Abstract
AIM Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. METHODS These guidelines were produced by a Consensus Panel made up of experts in the field of vascular laser surgery under the auspices of the European Society of Laser Dermatology. Recommendations on the use of vascular lasers and IPLS were made based on the quality of evidence for efficacy, safety, tolerability, cosmetic outcome, patient satisfaction/preference and, where appropriate, on the experts' opinion. The recommendations of these guidelines are graded according to the American College of Chest Physicians Task Force recommendations on Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines. RESULTS Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects.
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Affiliation(s)
- M Adamič
- Dermatology Center Parmova, Ljubljana, Slovenia
| | - M D Pavlović
- Dermatology Center Parmova, Ljubljana, Slovenia.,Faculty of Medicine, University of Maribor, Maribor, Slovenia
| | - A Troilius Rubin
- Department of Dermatology, Centre for Laser and Vascular Anomalies, Skåne University Hospital, Malmö, Sweden
| | - M Palmetun-Ekbäck
- Department of Dermatology, University Hospital Örebro, Örebro, Sweden
| | - P Boixeda
- Laser Service, Department of Dermatology, Ramón y Cajal Hospital, University of Alcalá, Madrid, Spain
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41
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Alonso-Castro L, Ríos-Buceta L, Boixeda P, Paoli J, Moreno C, Jaén P. The effect of pulsed dye laser on high-risk basal cell carcinomas with response control by Mohs micrographic surgery. Lasers Med Sci 2014; 30:2009-14. [PMID: 25359622 DOI: 10.1007/s10103-014-1686-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Accepted: 10/23/2014] [Indexed: 11/30/2022]
Abstract
Several reports have shown the effectiveness of pulsed dye laser (PDL) for the treatment of basal cell carcinoma (BCC). Most studies have focused on low-risk BCCs, but an important limitation has been the lack of histologic confirmation of the treatment results. The aim of this study was to assess the effectiveness of PDL in high-risk BCCs with complete histologic evaluation with Mohs micrographic surgery (MMS). Seven patients with high-risk BCCs located on the face were included. All tumors were treated with three sessions of PDL (595 nm) at 4-week intervals. The tumor and 4 mm of peripheral skin were treated with two stacked pulses with a 1-s delay, a fluence of 15 J/cm(2), a pulse duration of 2 ms, and a spot size of 7 mm. MMS was performed at least 1 month after the last PDL session including excisional tumor debulking prior to the first stage of MMS for standard histologic evaluation. Apparent complete clinical response was achieved in five of seven patients. MMS was finally performed in six patients, and clear margins were achieved after one stage of MMS. The histologic evaluation of the tumor debulking specimens showed complete clearance in four of six cases. One patient who did not undergo MMS showed a recurrence after 14 months. This is the first pilot study that demonstrates that PDL can be effective for the treatment of high-risk BCCs. Until further scientific evidence is available, treatment of high-risk BCCs should include histologic confirmation of clearance.
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Grillo E, Boixeda P, Miguel-Morrondo A, Jaén-Olasolo P. Coexistencia de hemangioma y malformación capilar. ¿Asociación fortuita o algo más? An Pediatr (Barc) 2014; 81:55-6. [DOI: 10.1016/j.anpedi.2013.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2013] [Accepted: 10/02/2013] [Indexed: 10/26/2022] Open
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43
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Lapresta A, Hermosa E, Boixeda P, Carrillo-Gijón R. Acquired Digital Arteriovenous Malformations: Laser Treatment Of An Uncommon Vascular Abnormality. Actas Dermo-Sifiliográficas (English Edition) 2014. [DOI: 10.1016/j.adengl.2014.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Lapresta A, Hermosa E, Boixeda P, Carrillo-Gijón R. Malformaciones arteriovenosas digitales adquiridas. Una anomalía vascular infrecuente tratada con láser. Actas Dermo-Sifiliográficas 2014; 105:e33-7. [DOI: 10.1016/j.ad.2013.12.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Revised: 12/12/2013] [Accepted: 12/14/2013] [Indexed: 12/15/2022] Open
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45
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de Miguel R, López-Gutierrez J, Boixeda P. Arteriovenous Malformations: A Diagnostic and Therapeutic Challenge. Actas Dermo-Sifiliográficas (English Edition) 2014. [DOI: 10.1016/j.adengl.2013.04.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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46
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Abstract
A congenital smooth muscle hamartoma is a rare, benign proliferation of smooth muscle bundles in the dermis that is usually diagnosed in the neonatal period or infancy. Surgical excision is the first-line therapeutic option, but in certain areas such as the face, surgery may be too aggressive, and different treatments should be considered. We present the case of a congenital smooth muscle hamartoma on the face treated using pulsed dye laser with good response.
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Affiliation(s)
- Emiliano Grillo
- Departments of DermatologyPathology, Ramón y Cajal University Hospital, Madrid, Spain
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47
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Grillo E, Boixeda P, Paoli J, Vano-Galván S, Carrillo R, Jaén P. Congenital plaque-like glomangioma treated successfully with dual wavelength pulsed-dye and neodymium:yttrium-aluminum-garnet laser. Photodermatol Photoimmunol Photomed 2013; 29:212-4. [PMID: 23815354 DOI: 10.1111/phpp.12036] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/05/2013] [Indexed: 11/28/2022]
Abstract
Glomovenous malformations are disseminated variants of cutaneous glomus tumors. These malformations are subdivided into regional or localized, disseminated, and congenital plaque-like forms. The congenital plaque-like form is the rarest variant. Most treatment modalities have been disappointing in the treatment of large glomangiomas, leading to high recurrence rates. We report a case of a 34-year-old man with a congenital plaque-like glomangioma on his left arm and forearm treated successfully with sequential pulsed-dye neodymium yttrium aluminum garnet laser.
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Affiliation(s)
- Emiliano Grillo
- Department of Dermatology, Ramon y Cajal University Hospital, University of Alcalá, Madrid, Spain.
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48
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Alcántara-González J, Boixeda P, Truchuelo-Díez M, Pérez-García B, Alonso-Castro L, Jaén Olasolo P. Infantile Hemangiomas Treated by Sequential Application of Pulsed Dye Laser and Nd:YAG Laser Radiation: A Retrospective Study. Actas Dermo-Sifiliográficas (English Edition) 2013. [DOI: 10.1016/j.adengl.2012.12.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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49
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Grillo E, Boixeda P, Jaén-Olasolo P. Successful treatment of venous malformation located on glans penis with dual-wavelength 595- and 1064-nm laser system. J COSMET LASER THER 2013; 15:334-5. [DOI: 10.3109/14764172.2013.803368] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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50
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Affiliation(s)
- E. Grillo
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
| | - P. Boixeda
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
| | - A. Ballester
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
| | - A. Miguel-Morrondo
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
| | - T. Truchuelo
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
| | - P. Jaén
- Department of Dermatology; Ramon y Cajal University Hospital; University of Alcalá; Madrid Spain
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