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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Cutaneous vasculitides are inflammatory disorders affecting the wall of the vessels of the skin&#46; There can be a number of causes &#40;drug exposure&#44; infection&#44; neoplastic disease or systemic inflammatory disease&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> and skin involvement may be its only manifestation&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Leukocytoclastic vasculitis is the most frequent cause of cutaneous vasculitis found in clinical practice&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> On occasion&#44; it can be associated with constitutional symptoms&#44; and thus be confused with systemic diseases and certain conditions like mycoplasma&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Ureaplasma</span>&#44; which belongs to the same family as <span class="elsevierStyleItalic">Mycoplasma</span>&#44; is associated&#44; in adults&#44; with genital infections like nongonococcal urethritis&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Clinical Observation</span><p id="par0020" class="elsevierStylePara elsevierViewall">We present the case of a 28-year-old man who had no significant previous medical history&#46; He presented at the emergency service with lesions in the skin on lower limbs and trunk that did not disappear when pressed by a finger&#46; The patient had no other systemic symptoms&#46; He did not have fever or signs of infection anywhere else&#44; except certain genital symptoms that were not well defined&#46; He denied the use of drugs&#44; sexual risk behavior and the consumption of any type of medication&#46; He had arthralgia but not arthritis and&#44; on the level of the skin&#44; he had flat&#44; erythematous&#44; nonpruritic lesions&#44; together with other bullous lesions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; He underwent a skin biopsy which revealed leukocytoclastic vasculitis &#40;perivascular inflammatory infiltrate with predominance of neutrophils&#44; and nuclear dust&#44; fibrinoid degeneration and extravasated red blood cells&#59; subepidermal blisters with hemorrhagic and pustular content and focal epidermal necrosis&#41;&#46; The analytical study&#44; which involved acute-phase reactants&#44; complete blood count and biochemical and immunological data&#44; was normal&#46; A urine culture was negative&#44; as were serological tests for the hepatotropic viruses&#46; Colonies of <span class="elsevierStyleItalic">Ureaplasma urealyticum</span> were identified in the urethral exudate&#46; At admission&#44; treatment was begun with prednisone &#40;30<span class="elsevierStyleHsp" style=""></span>mg&#47;day&#41; and a nonsteroidal anti-inflammatory drug &#40;ibuprofen at 600<span class="elsevierStyleHsp" style=""></span>mg every 8<span class="elsevierStyleHsp" style=""></span>h&#41;&#46; This was followed by clinical improvement&#59; however&#44; it did not persist until antibiotic therapy was initiated with doxycycline&#44; in accordance with antibiogram indications for <span class="elsevierStyleItalic">Ureaplasma</span>&#46; Steroids were discontinued after 1 month and&#44; 6 months later&#44; the patient was asymptomatic without treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0025" class="elsevierStylePara elsevierViewall">Leukocytoclastic vasculitis is the most common cutaneous vasculitis&#46; Although in 50&#37; of the cases&#44; the cause is usually idiopathic&#44; the histopathological diagnosis enabled by biopsy should be established as soon as possible to rule out other possibilities such as systemic&#44; neoplastic or infectious diseases&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#44;3&#8211;5</span></a> Nevertheless&#44; the term &#8220;leukocytoclastic vasculitis&#8221; does not specify the exact diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">4&#44;5</span></a> In sexually active patients&#44; we cannot forget that sexually transmitted diseases&#44; which include <span class="elsevierStyleItalic">Ureaplasma</span> infection&#44; can be asymptomatic and are related to a wide variety of pathological settings&#44; one of which is leukocytoclastic vasculitis&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">With regard to the treatment of leukocytoclastic vasculitis&#44; the first situation that should be treated is the triggering factor&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a><span class="elsevierStyleItalic">Ureaplasma</span> infection in our patient&#44; leaving immunosuppressive therapy for cases that are refractory or in which the involvement is severe&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclusions</span><p id="par0035" class="elsevierStylePara elsevierViewall">There are many factors that can be associated with leukocytoclastic vasculitis as triggers of the disease&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Infections are a frequent cause of cutaneous vasculitis and joint involvement&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">There are infections in which the symptoms are less evident that should be taken into account in the examination of our patients&#44; because there may be a causal relationship&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Ethical Disclosures</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Protection of human and animal subjects</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Confidentiality of data</span><p id="par0055" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Right to privacy and informed consent</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Conflicts of Interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Leukocytoclastic vasculitis is the most common cause of cutaneous vasculitis in clinical practice&#46; Its causes are various&#44; among which are certain infections&#46; We report the case of a man &#40;28 years old&#41; who debuted with vasculitic lesions in inferior members compatibles leukocytoclastic vasculitis on pathology&#46; The study of causation is the presence of a positive urethral discharge to <span class="elsevierStyleItalic">Ureaplasma urealyticum</span>&#44; dramatically improving lesions after treatment thereof&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La vasculitis leucocitocl&#225;stica es la causa m&#225;s frecuente de vasculitis cut&#225;nea en la pr&#225;ctica cl&#237;nica&#46; Sus causas son diversas&#44; entre las que se encuentran ciertas infecciones&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un var&#243;n de 28 a&#241;os que debuta con lesiones vascul&#237;ticas en miembros inferiores&#44; compatibles con una vasculitis leucocitocl&#225;stica en la anatom&#237;a patol&#243;gica&#46; En el estudio de causalidad se encuentra la presencia de un exudado uretral positivo a <span class="elsevierStyleItalic">Ureaplasma urealyticum</span>&#44; mejorando dr&#225;sticamente las lesiones tras el tratamiento del mismo&#46;</p></span>"
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                    0 => array:2 [
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Pulido-P&#233;rez"
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                            2 => "R&#46; Su&#225;rez-Fern&#225;ndez"
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                      "doi" => "10.1016/j.ad.2011.06.001"
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                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2012"
                        "volumen" => "103"
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                        "paginaFinal" => "191"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21839977"
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                  ]
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                0 => array:3 [
                  "comentario" => "Available from&#58; <span class="elsevierStyleInterRef" id="intr0010" href="http://www.ine.gov.ar/documentos/publicaciones/028.pdf">http&#58;&#47;&#47;www&#46;ine&#46;gov&#46;ar&#47;documentos&#47;publicaciones&#47;028&#46;pdf</span> &#91;accessed 18&#46;11&#46;15&#93;"
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Infecciones de transmisi&#243;n sexual por <span class="elsevierStyleItalic">Ureaplasma urealyticum</span> y <span class="elsevierStyleItalic">Mycoplasma hominis</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;M&#46; Zotta"
                            1 => "D&#46; G&#243;mez"
                            2 => "S&#46; Lavay&#233;n"
                            3 => "M&#46;G&#46; Galeano"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "SaludiCiencia"
                        "fecha" => "2013"
                        "volumen" => "20"
                        "paginaInicial" => "37"
                        "paginaFinal" => "40"
                      ]
                    ]
                  ]
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
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                            1 => "V&#46; Laniosz"
                            2 => "D&#46;A&#46; Wetter"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "doi" => "10.1007/s40257-014-0076-6"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Clin Dermatol"
                        "fecha" => "2014"
                        "volumen" => "15"
                        "paginaInicial" => "299"
                        "paginaFinal" => "306"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24756249"
                            "web" => "Medline"
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                    ]
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                ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Cutaneous manifestations of vasculitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Xu"
                            1 => "E&#46; Esparza"
                            2 => "M&#46; Anadkat"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.semarthrit.2008.01.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Semin Arthritis Rheum"
                        "fecha" => "2009"
                        "volumen" => "38"
                        "paginaInicial" => "348"
                        "paginaFinal" => "360"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18355896"
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                  ]
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                0 => array:2 [
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                      "titulo" => "Skin involvement in cutaneous and systemic vasculitis"
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                        0 => array:2 [
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                          "autores" => array:3 [
                            0 => "A&#46;V&#46; Marzano"
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                            2 => "E&#46; Berti"
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                        ]
                      ]
                    ]
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                        "tituloSerie" => "Autoimmun Rev"
                        "fecha" => "2013"
                        "volumen" => "12"
                        "paginaInicial" => "467"
                        "paginaFinal" => "476"
                        "link" => array:1 [
                          0 => array:2 [
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                          ]
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