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Pigmentation01:19

Pigmentation

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The color of the skin is influenced by a number of pigments, including melanin, carotene, and hemoglobin. Recall that melanin is produced by cells called melanocytes, which are found scattered throughout the stratum basale of the epidermis. The melanin is transferred to the keratinocytes via melanosomes.
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Changes in Skin Color: Clinical Perspectives01:14

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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Ethnic Identity within a Larger Culture01:27

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Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
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Influence of Parents and Peers on Identity01:23

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Adolescence is a pivotal period of identity formation, during which individuals begin to answer questions central to their sense of self, such as "Who am I?" and "Who do I hope to become?" Both parents and peers play critical roles in guiding adolescents through this complex developmental phase.
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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Video Experimental Relacionado

Updated: Feb 22, 2026

Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
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Adolescente con hiperpigmentación

Maik Tenhagen1,2, Wim Opstelten1

  • 1Gezondheidscentrum Vondelplein, Amersfoort.

Nederlands tijdschrift voor geneeskunde
|February 20, 2026
PubMed
Resumen
Este resumen es generado por máquina.

La dermatosis terra firma-forme es una afección cutánea benigna que causa decoloración oscura en el cuello de los adolescentes. La limpieza suave con gasa empapada en alcohol resuelve eficazmente la hiperpigmentación, ofreciendo un tratamiento sencillo para este problema dermatológico común.

Palabras clave:
Dermatosis terra firma-formehiperpigmentación del cuellotratamiento con alcoholdermatología pediátricaestudio de caso

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Área de la Ciencia:

  • Dermatología; Estudio de caso clínico

Sus antecedentes:

  • La dermatosis terra firma-forme (TFFD) se presenta como máculas y parches hiperpigmentados adquiridos, unilaterales o bilaterales, bien delimitados.
  • Afecta comúnmente el cuello, el tronco y las extremidades, confundiéndose a menudo con acantosis nigricans u otros trastornos pigmentarios.
  • La etiología exacta sigue sin estar clara, pero se cree que está relacionada con la disfunción epidérmica y la acumulación de queratina y melanina.

Objetivo del estudio:

  • Informar un caso de TFFD en un paciente pediátrico.
  • Describir la presentación clínica y el enfoque diagnóstico.
  • Destacar la eficacia de una modalidad de tratamiento sencilla.

Principales métodos:

  • Se realizó un diagnóstico clínico de TFFD en una niña de 13 años que presentaba un historial de un año de decoloración oscura en el cuello.
  • El tratamiento consistió en la aplicación de gasa empapada en alcohol al 70% para limpiar firmemente la piel afectada.
  • La mejora clínica se evaluó visualmente.

Principales resultados:

  • La paciente presentó un parche hiperpigmentado unilateral y bien delimitado en el cuello.
  • Tras el tratamiento con toallitas de alcohol al 70%, se observó una resolución completa de la hiperpigmentación.
  • El tratamiento fue bien tolerado y no se informaron efectos adversos.

Conclusiones:

  • La dermatosis terra firma-forme es una afección benigna que puede tratarse eficazmente con la aplicación tópica de alcohol.
  • Este caso subraya la importancia del diagnóstico clínico preciso y la utilidad de tratamientos sencillos y no invasivos para la TFFD.
  • El diagnóstico y tratamiento tempranos pueden prevenir el diagnóstico erróneo y las intervenciones innecesarias para esta dermatosis pediátrica común.