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array:23 [ "pii" => "S113835932300059X" "issn" => "11383593" "doi" => "10.1016/j.semerg.2023.101980" "estado" => "S300" "fechaPublicacion" => "2023-10-01" "aid" => "101980" "copyright" => "Sociedad Española de Médicos de Atención Primaria (SEMERGEN)" "copyrightAnyo" => "2023" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Semergen. 2023;49:" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S1138359323001417" "issn" => "11383593" "doi" => "10.1016/j.semerg.2023.102061" "estado" => "S300" "fechaPublicacion" => "2023-10-01" "aid" => "102061" "copyright" => "Sociedad Española de Médicos de Atención Primaria (SEMERGEN)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Semergen. 2023;49:" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Family practice images</span>" "titulo" => "Rupioid psoriasis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Psoriasis rupioide" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1105 "Ancho" => 755 "Tamanyo" => 233805 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Various hyperkeratotic plaques with a limpet shell appearance in the back of a 58-year-old male.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Prados-Carmona, R. Ruiz-Villaverde, J.C. Ruiz-Carrascosa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Prados-Carmona" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Ruiz-Villaverde" ] 2 => array:2 [ "nombre" => "J.C." "apellidos" => "Ruiz-Carrascosa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1138359323001417?idApp=UINPBA00004N" "url" => "/11383593/0000004900000007/v1_202310012026/S1138359323001417/v1_202310012026/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1138359323000060" "issn" => "11383593" "doi" => "10.1016/j.semerg.2023.101927" "estado" => "S300" "fechaPublicacion" => "2023-10-01" "aid" => "101927" "copyright" => "Sociedad Española de Médicos de Atención Primaria (SEMERGEN)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Semergen. 2023;49:" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">CARTA CLÍNICA</span>" "titulo" => "Dermatoscopia en atención primaria: diagnóstico en dos etapas en un solo vistazo" "tienePdf" => "es" "tieneTextoCompleto" => "es" "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Dermatoscopy in primary care: diagnosis in two steps at a glance" ] ] "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" => 2250 "Ancho" => 1591 "Tamanyo" => 670747 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Algoritmo diagnóstico rápido para la evaluación inicial de imágenes dermatoscópicas en Atención Primaria: Diagnóstico en dos etapas en un solo vistazo<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">1-11</span></a>.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Riber López, M. Jiménez Puche, J.M. Martín Moros" "autores" => array:3 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Riber López" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Jiménez Puche" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Martín Moros" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1138359323000060?idApp=UINPBA00004N" "url" => "/11383593/0000004900000007/v1_202310012026/S1138359323000060/v1_202310012026/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Family practice images</span>" "titulo" => "Goldman-Fox syndrome as presentation of onychomycosis superinfection" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Naharro-Rodríguez, M. Recio-Monescillo" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Naharro-Rodríguez" "email" => array:1 [ 0 => "jorgenrmed@gmail.com" ] "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" => "M." "apellidos" => "Recio-Monescillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Dermatology Department, Ramón y Cajal University Hospital, IRYCIS, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Dermatology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Goldman-Fox como presentación de onicomicosis sobreinfectada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1314 "Ancho" => 987 "Tamanyo" => 203803 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Overview of both hands showing greenish coloration of the nail plate of fourth nail on the left hand and of third and fourth nails on the right hand.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 42-year-old woman, otherwise healthy, consulted for greenish discoloration of three fingernails for the last two months with occasional purulent discharge. The patient reported working as a cook with often maceration of both hands. Physical examination revealed greenish discoloration of the nail plate of fourth nail on the left hand and of third and fourth nails on the right hand, with associated laterodistal onycholysis of the latter (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). A bacterial nail culture was positive for <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span> and a fungal nail culture was positive for <span class="elsevierStyleItalic">Candida parapsilosis</span>. Treatment with itraconazole and ciprofloxacin was initiated with disappearance of nail discoloration on the six-week follow-up visit.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Green nail discoloration or Goldman-Fox syndrome is classically related to <span class="elsevierStyleItalic">P. aeruginosa</span> nail infection. Nail discoloration occurs due to the bacterial production of pyoverdine and pyocyanin. Eventual coexistence of onychomycosis has been reported, acting as a predisposing factor in most cases.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">As a conclusion, we present a case of chloronychia resulting from co-infection by <span class="elsevierStyleItalic">P. aeruginosa</span> and <span class="elsevierStyleItalic">C. parapsilosis</span>. The clinical approach of this syndrome should include ruling out coexisting onychomycosis in order to ensure adequate treatment as well as avoiding future recurrences.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0020" class="elsevierStylePara elsevierViewall">Patient written consent was obtained for publication and center protocols for the processing of patient information were respected.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">The article has no funding source.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflict of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethical considerations" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] 3 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1314 "Ancho" => 987 "Tamanyo" => 203803 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Overview of both hands showing greenish coloration of the nail plate of fourth nail on the left hand and of third and fourth nails on the right hand.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1314 "Ancho" => 987 "Tamanyo" => 219258 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Detail of the third and fourth digits of the right hand showing yellowish-greenish discoloration with associated laterodistal onycholysis of the latter.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0010" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Goldman-Fox syndrome: treating and preventing green pseudomonas nails in the era of COVID-19" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.A. Schwartz" 1 => "R. Kapila" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/dth.14624" "Revista" => array:5 [ "tituloSerie" => "Dermatol Ther" "fecha" => "2021" "volumen" => "34" "paginaInicial" => "e14624" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33274584" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/11383593/0000004900000007/v1_202310012026/S113835932300059X/v1_202310012026/en/main.assets" "Apartado" => array:4 [ "identificador" => "73140" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes en medicina de familia" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/11383593/0000004900000007/v1_202310012026/S113835932300059X/v1_202310012026/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S113835932300059X?idApp=UINPBA00004N" ]
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