Actas dermo-sifiliograficas最新文献

{"title":"AEDV 2025-2030 Strategic Plan for Public-Sector Dermatology.","authors":"Jose-Manuel Carrascosa, Isabel Bielsa Marsol, Leopoldo Borrego, Rafael Botella, Cristina Carrera Álvarez, Eugenia Cutillas, Pablo de la Cueva Dobao, Jesús Del Pozo Losada, Lara Ferrándiz, Irene Fuertes, Tamara Gracia-Cazaña, Ana Martin-Santiago, Leandro Martínez, Iñigo Martínez de Espronceda Ezquerro, Trinidad Montero-Vilchez, Amparo Pérez Ferriols, Raquel Rivera-Díaz, Ricardo Ruiz Villaverde, Antonio Sahuquillo, Jorge Santos-Juanes, Yolanda Gilaberte","doi":"10.1016/j.ad.2026.104736","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104736","url":null,"abstract":"<p><strong>Introduction: </strong> Public hospital dermatology in Spain faces an increasingly complex environment characterized by health care pressure, the incorporation of therapeutic and technological innovation, structural limitations of the health care system, and regional inequalities in access to care. Against this background, the Spanish Academy of Dermatology and Venereology (AEDV) promoted the development of its 2025-2030 Strategic Plan.</p><p><strong>Methods: </strong> The plan was developed using a consultative and participatory approach based on a structured survey of dermatologists with clinical experience in the public health care system and representative roles within the AEDV. Based on the results, a SWOT analysis was conducted to define priority areas for action, strategic objectives, and associated actions. The actions were subsequently prioritized according to their relevance and feasibility using a second online questionnaire. Measures of central tendency and dispersion were calculated for each action, allowing a structured comparative classification according to predefined quantitative criteria.</p><p><strong>Results: </strong> The strategic assessment identified relevant strengths, including a high level of professional specialization and research capacity, together with structural weaknesses, including health care overload and regional inequalities. The prioritization exercise enabled the actions to be classified into four categories, identifying initiatives with potential for immediate impact and others of a structural nature to be developed over the medium to long term.</p><p><strong>Conclusions: </strong> The 2025-2030 Strategic Plan is an implementation-oriented tool that provides a pragmatic roadmap for strengthening public hospital dermatology and the role of the AEDV within the public health care system. The plan also incorporates a preliminary monitoring framework based on outcome-oriented strategic indicators.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104736"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987632","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}

{"title":"The ñ sign and Auspitz sign: a clinicopathologic synonym.","authors":"Á Fernández-Camporro, Á Santos-Briz Terrón","doi":"10.1016/j.ad.2026.104733","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104733","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104733"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987604","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}

{"title":"Patch testing with limonene and linalool hydroperoxides: higher yield with higher concentrations in a multicenter observational REIDAC* study of 10,502 patients.","authors":"N Torres-Panduro, D Pesqué, L Borrego, T Sanz-Sánchez, V Zaragoza Ninet, S Córdoba Guijarro, J Miquel Miquel, J F Silvestre Salvador, R González-Pérez, I Ruíz González, P Mercader-García, E Serra Baldrich, J M Carrascosa, M Munera-Campos, F J Ortiz de Frutos, F Tous Romero, M Rodríguez Serna, M E Gatica Ortega, C Paredes Suárez, F J Navarro Triviño, P Chicharro, M Andreu-Barasoain, A Sánchez Gilo, J J Pereyra Rodríguez, M A Pastor Nieto, G Melé-Ninot, C Barrabés-Torrella, P Sánchez-Pedreño Guillén, M Lova Navarro, E Gómez de la Fuente, M Elosua-González, M Á Descalzo, I García Doval, A M Giménez-Arnau","doi":"10.1016/j.ad.2026.104734","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104734","url":null,"abstract":"<p><strong>Background: </strong> Limonene hydroperoxides (Lim-OOHs) 0.2% and 0.3% and linalool hydroperoxides (Lin-OOHs) 0.5% and 1% are terpenes included in the Spanish standard and extended series. The use of both concentrations is currently being evaluated in clinical practice.</p><p><strong>Objective: </strong> To evaluate the performance of both concentrations in consecutive patch testing of patients evaluated at dermatology centers in Spain reporting to the Spanish Contact Dermatitis and Cutaneous Allergy Research Registry (REIDAC).</p><p><strong>Methods: </strong> A multicenter, cross-sectional, observational study was conducted. Clinical and demographic characteristics were described for patients consecutively patch tested with limonene hydroperoxides (0.3% and 0.2%) and linalool hydroperoxides (1% and 0.5%) between January 2019 and December 2024. Patch test results were analyzed for each concentration, and their usefulness in clinical practice was assessed.</p><p><strong>Results: </strong> Among the 10,502 patients included, the frequency of positive reactions was 2% and 4.1% to Lim-OOHs 0.2% and 0.3%, respectively, and 2.9% and 5.3% to Lin-OOHs 0.5% and 1%, respectively. The higher concentrations detected a greater number of positive, doubtful, and irritant reactions, with low concordance between concentrations. The loss of positive cases when using only the higher concentrations was limited, and the detection efficiency of the lower concentrations was low.</p><p><strong>Conclusions: </strong> Lim-OOHs 0.3% and Lin-OOHs 1% showed better diagnostic performance, with a limited loss of clinically relevant cases, and could therefore be considered more appropriate for the assessment of contact dermatitis caused by these hydroperoxides.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104734"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987596","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}

{"title":"Screening for internal malignancies in extramammary Paget disease.","authors":"M Aparicio-Domínguez, A Jiménez-Sánchez, M Olivares-Guerrero","doi":"10.1016/j.ad.2026.104737","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104737","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104737"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987646","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}

{"title":"CRTC1::TRIM11 fusion melanocytic tumor as a histological mimic of primary dermal melanoma: presentation of 3 cases.","authors":"L Moreno-Hernández, C M Martorell-Moreau, N Izquierdo-Herce, M Mir-Bonafe, C Gómez-Bellvert, C Saus-Sarrias","doi":"10.1016/j.ad.2026.104731","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104731","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104731"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987630","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}

{"title":"A serpiginous lesion: when a larva is not the cause.","authors":"G Baeza-Hernández, F E Rojas-Farias, B Casado-Verrier, C Sanz Muñoz","doi":"10.1016/j.ad.2026.104722","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104722","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104722"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982118","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}

{"title":"A therapeutic pearl for lower-extremity graft or flap necrosis.","authors":"I Oteiza-Rius, N Martínez-Peña, S De Benito-Mendieta, E Conde-Montero","doi":"10.1016/j.ad.2026.104724","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104724","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104724"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982125","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}

{"title":"Clinicopathologic features and outcomes of 39 primary cutaneous leiomyosarcomas in Spain: a multicenter retrospective study.","authors":"M Aparicio-Domínguez, S Berenguer-Ruiz, L Turrión-Merino, I Alcaraz León, M Menéndez-Sánchez, C F Caballero-Linares, R García Castro, S Medina-Montalvo, P Muñoz-Hernández, P Rodríguez-Jiménez","doi":"10.1016/j.ad.2026.104725","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104725","url":null,"abstract":"<p><strong>Background: </strong> Primary cutaneous leiomyosarcoma (PCL) is a rare tumor of smooth muscle origin.</p><p><strong>Methods: </strong> We analyzed 39 cases of PCL diagnosed between 1998 and 2023 at 5 hospitals in Madrid, Spain.</p><p><strong>Results: </strong> The median age was 79 years, with a predominance of men (68%) and preferential involvement of the scalp (36%). Overall, 92% of tumors were T1 (<5 cm), and 62% showed predominantly dermal involvement on histopathology. The local recurrence rate was 18%, regardless of depth of invasion. Local recurrence was less frequent after Mohs surgery (12%) than after conventional surgery (28% with 1-cm margins and 16% with margins >1 cm). Three patients (8%) developed metastases, with only 1 tumor-related death. The 5-year disease-free survival rate was 80%.</p><p><strong>Conclusions: </strong> PCL generally has a favorable prognosis, although the high proportion of late recurrences reinforces the need for close and prolonged clinical follow-up.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104725"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982141","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}

{"title":"Dermoscopy of Lisch nodules in neurofibromatosis type 1.","authors":"Laura Bernal Masferrer, María Teresa Monserrat García, Carmen Cruz Catalán","doi":"10.1016/j.ad.2026.104726","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104726","url":null,"abstract":"","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104726"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982116","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}

{"title":"Therapeutic approaches for in-transit melanoma metastases: a practical review.","authors":"V Alfaro-Fierro, C Retamal-Altbir, P Vargas-Mora","doi":"10.1016/j.ad.2026.104729","DOIUrl":"https://doi.org/10.1016/j.ad.2026.104729","url":null,"abstract":"<p><p>In-transit melanoma metastases are defined as deposits of tumor cells in the cutaneous and/or subcutaneous planes occurring between the primary melanoma and the regional lymph node. They may be present at diagnosis or develop as recurrences in 5%-10% of patients, and their presence has been associated with an adverse prognosis. The complexity and heterogeneity of this condition, together with the lack of studies specifically focused on the affected population, make it difficult to establish evidence-based treatment algorithms. This review aims to describe, from a practical perspective, the therapeutic options available for patients with in-transit melanoma metastases, including local, regional, and systemic treatments.</p>","PeriodicalId":7173,"journal":{"name":"Actas dermo-sifiliograficas","volume":" ","pages":"104729"},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148982150","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}