{"id":"https://openalex.org/W22705351","doi":null,"title":"\"Cowboy's belt with revolver\" scleroderma caused by vitamin K1 injections.","display_name":"\"Cowboy's belt with revolver\" scleroderma caused by vitamin K1 injections.","publication_year":2012,"publication_date":"2012-04-01","ids":{"openalex":"https://openalex.org/W22705351","mag":"22705351","pmid":"https://pubmed.ncbi.nlm.nih.gov/22481583"},"language":"en","primary_location":{"id":"pmid:22481583","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22481583","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia","raw_type":"Case Reports"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041630787","display_name":"Serena Lembo","orcid":"https://orcid.org/0000-0001-9053-1793","observed_orcids":["https://orcid.org/0000-0001-9053-1793","https://orcid.org/0009-0002-0930-3545"]},"institutions":[{"id":"https://openalex.org/I4210117450","display_name":"Federico II University Hospital","ror":"https://ror.org/02jr6tp70","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210117450","https://openalex.org/I71267560"]},{"id":"https://openalex.org/I71267560","display_name":"University of Naples Federico II","ror":"https://ror.org/05290cv24","country_code":"IT","type":"education","lineage":["https://openalex.org/I71267560"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"S Lembo","raw_affiliation_strings":["Department of Dermatology, University of Naples Federico II, Naples, Italy. serenalembo@yahoo.it"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Naples Federico II, Naples, Italy. serenalembo@yahoo.it","institution_ids":["https://openalex.org/I4210117450","https://openalex.org/I71267560"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015814702","display_name":"Matteo Megna","orcid":"https://orcid.org/0000-0003-1803-2046","observed_orcids":["https://orcid.org/0000-0003-1803-2046"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M Megna","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054555628","display_name":"Anna Balato","orcid":"https://orcid.org/0000-0001-5485-0172","observed_orcids":["https://orcid.org/0000-0001-5485-0172"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A Balato","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5021664210","display_name":"Nicola Balato","orcid":"https://orcid.org/0000-0003-4871-2413","observed_orcids":["https://orcid.org/0000-0003-4871-2413"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N Balato","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.00333235,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"147","issue":"2","first_page":"203","last_page":"5"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14126","display_name":"Intramuscular injections and effects","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14126","display_name":"Intramuscular injections and effects","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13004","display_name":"Vitamin K Research Studies","score":0.009200000204145908,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12433","display_name":"Skin Diseases and Diabetes","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vitamin-k1","display_name":"vitamin K1","score":0.9010000228881836},{"id":"https://openalex.org/keywords/injection-site-reactions","display_name":"injection site reactions","score":0.6209999918937683},{"id":"https://openalex.org/keywords/hypoprothrombinemia","display_name":"hypoprothrombinemia","score":0.8270000219345093},{"id":"https://openalex.org/keywords/hepatitis-c","display_name":"hepatitis C","score":0.7829999923706055},{"id":"https://openalex.org/keywords/drug-induced-skin-reaction","display_name":"drug-induced skin reaction","score":0.6209999918937683},{"id":"https://openalex.org/keywords/coagulopathy","display_name":"coagulopathy","score":0.5210000276565552}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8636025786399841},{"id":"https://openalex.org/C2777260480","wikidata":"https://www.wikidata.org/wiki/Q3801629","display_name":"Hypoprothrombinemia","level":3,"score":0.8297770619392395},{"id":"https://openalex.org/C2779967694","wikidata":"https://www.wikidata.org/wiki/Q1383511","display_name":"Scleroderma (fungus)","level":3,"score":0.6658051609992981},{"id":"https://openalex.org/C2776940978","wikidata":"https://www.wikidata.org/wiki/Q34956","display_name":"Vitamin","level":2,"score":0.6100744009017944},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.6032959222793579},{"id":"https://openalex.org/C2781197403","wikidata":"https://www.wikidata.org/wiki/Q193472","display_name":"Trunk","level":2,"score":0.49749091267585754},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4138121008872986},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.2660612463951111},{"id":"https://openalex.org/C2993590494","wikidata":"https://www.wikidata.org/wiki/Q182338","display_name":"Vitamin k","level":2,"score":0.262299507856369},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2499730885028839},{"id":"https://openalex.org/C180032290","wikidata":"https://www.wikidata.org/wiki/Q1664296","display_name":"Inoculation","level":2,"score":0.059984803199768066},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003924","descriptor_name":"Diabetes Mellitus, Type 2","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D004890","descriptor_name":"Erythema","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007020","descriptor_name":"Hypoprothrombinemias","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D007020","descriptor_name":"Hypoprothrombinemias","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D007273","descriptor_name":"Injections, Intramuscular","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010837","descriptor_name":"Vitamin K 1","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D010837","descriptor_name":"Vitamin K 1","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D010837","descriptor_name":"Vitamin K 1","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D012594","descriptor_name":"Scleroderma, Localized","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":true},{"descriptor_ui":"D012594","descriptor_name":"Scleroderma, Localized","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D012594","descriptor_name":"Scleroderma, Localized","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D019698","descriptor_name":"Hepatitis C, Chronic","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:22481583","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22481583","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia","raw_type":"Case Reports"},{"id":"pmh:oai:iris.unicampania.it:11591/453887","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/11591/453887","pdf_url":null,"source":{"id":"https://openalex.org/S7407055255","display_name":"Archivio Istituzionale della Ricerca - Universit\u00e0 degli Studi della Campania \"Luigi Vanvitelli\"","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"},{"id":"mag:22705351","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22481583","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":116,"referenced_works":["https://openalex.org/W142730296","https://openalex.org/W1490760691","https://openalex.org/W1507515137","https://openalex.org/W1509530066","https://openalex.org/W1526647255","https://openalex.org/W1566432282","https://openalex.org/W1574831557","https://openalex.org/W1587363777","https://openalex.org/W1677457722","https://openalex.org/W1821834469","https://openalex.org/W1930849747","https://openalex.org/W1943068820","https://openalex.org/W1963838170","https://openalex.org/W1965202553","https://openalex.org/W1968432442","https://openalex.org/W1972009259","https://openalex.org/W1972292788","https://openalex.org/W1974829226","https://openalex.org/W1978427724","https://openalex.org/W1979274256","https://openalex.org/W1982726026","https://openalex.org/W1985670865","https://openalex.org/W1986248861","https://openalex.org/W1991113810","https://openalex.org/W1991738499","https://openalex.org/W1994778254","https://openalex.org/W1995691453","https://openalex.org/W1996669272","https://openalex.org/W1997282555","https://openalex.org/W2000388340","https://openalex.org/W2004972894","https://openalex.org/W2005274995","https://openalex.org/W2005770471","https://openalex.org/W2009015720","https://openalex.org/W2011970960","https://openalex.org/W2012678641","https://openalex.org/W2013961817","https://openalex.org/W2014163893","https://openalex.org/W2014923822","https://openalex.org/W2015704490","https://openalex.org/W2017888097","https://openalex.org/W2018775189","https://openalex.org/W2024490989","https://openalex.org/W2025533401","https://openalex.org/W2026403140","https://openalex.org/W2027436298","https://openalex.org/W2027810531","https://openalex.org/W2029500247","https://openalex.org/W2031091912","https://openalex.org/W2032554631","https://openalex.org/W2035414542","https://openalex.org/W2038110344","https://openalex.org/W2041848251","https://openalex.org/W2043485993","https://openalex.org/W2045499828","https://openalex.org/W2052000300","https://openalex.org/W2053010338","https://openalex.org/W2055377380","https://openalex.org/W2056701485","https://openalex.org/W2058632157","https://openalex.org/W2059161447","https://openalex.org/W2069361948","https://openalex.org/W2070600352","https://openalex.org/W2070616723","https://openalex.org/W2073430587","https://openalex.org/W2075027086","https://openalex.org/W2076185491","https://openalex.org/W2078948761","https://openalex.org/W2079286074","https://openalex.org/W2080240639","https://openalex.org/W2080550406","https://openalex.org/W2082038748","https://openalex.org/W2082983359","https://openalex.org/W2084807003","https://openalex.org/W2085350573","https://openalex.org/W2086499290","https://openalex.org/W2087728854","https://openalex.org/W2088539039","https://openalex.org/W2089078464","https://openalex.org/W2094065347","https://openalex.org/W2095939432","https://openalex.org/W2096829751","https://openalex.org/W2100075764","https://openalex.org/W2100972467","https://openalex.org/W2111407536","https://openalex.org/W2114370335","https://openalex.org/W2114911095","https://openalex.org/W2115645299","https://openalex.org/W2118141440","https://openalex.org/W2121220699","https://openalex.org/W2123591482","https://openalex.org/W2123832957","https://openalex.org/W2124813164","https://openalex.org/W2126579241","https://openalex.org/W2131134035","https://openalex.org/W2135004571","https://openalex.org/W2135149818","https://openalex.org/W2141061880","https://openalex.org/W2141236652","https://openalex.org/W2144874949","https://openalex.org/W2150180767","https://openalex.org/W2152741987","https://openalex.org/W2153371646","https://openalex.org/W2153604383","https://openalex.org/W2155342222","https://openalex.org/W2155890999","https://openalex.org/W2158920923","https://openalex.org/W2160536323","https://openalex.org/W2163895781","https://openalex.org/W2164187120","https://openalex.org/W2168166216","https://openalex.org/W2168801997","https://openalex.org/W2169578249","https://openalex.org/W2298147936","https://openalex.org/W4300750028","https://openalex.org/W6632917149"],"related_works":["https://openalex.org/W2060520975","https://openalex.org/W2408912617","https://openalex.org/W2402459217","https://openalex.org/W2402940031","https://openalex.org/W193559094","https://openalex.org/W2413724816","https://openalex.org/W1974826133","https://openalex.org/W4413962417","https://openalex.org/W2409829314","https://openalex.org/W1964039106"],"abstract_inverted_index":{"Vitamin":[0,93],"K1":[1,21,85,134,146],"(phytomenadione":[2],"or":[3,36],"phytonadione)":[4],"is":[5],"a":[6,48,75,97,121,186],"fat":[7],"soluble":[8],"vitamin":[9,20,84,133,145],"used":[10],"to":[11,140,163,169,174],"treat":[12],"certain":[13],"coagulation":[14,69],"disorders.":[15],"Intra":[16],"muscular":[17],"injection":[18,41,90,114],"of":[19,29,47,77,120,155,182,193],"can":[22,148,184,196],"occasionally":[23,149],"be":[24,150],"complicated":[25,151],"by":[26,88,152],"different":[27,153,194],"types":[28,154],"skin":[30,156],"reactions:":[31],"erythematous":[32],"plaques,":[33],"urticarial":[34],"rashes":[35],"scleroderma-like":[37,56,127],"lesions":[38,128,183],"at":[39,112],"the":[40,45,60,68,80,113,117,142,164,167,170,175],"site.":[42],"We":[43,136],"report":[44,137],"case":[46,139],"52-year-old":[49],"man":[50],"presenting":[51],"with":[52,71,124],"2":[53,100,130],"symmetrical":[54],"erythematous-infiltrated":[55],"plaques":[57,110],"localized":[58],"on":[59,83],"right":[61],"and":[62,190],"left":[63],"lower":[64],"trunk.":[65],"To":[66],"correct":[67],"deficiency":[70],"hypoprothrombinemia":[72],"developed":[73,111],"as":[74,159],"consequence":[76],"HCV+":[78],"hepatitis,":[79],"patient":[81],"was":[82],"therapy,":[86],"administered":[87],"i.m.":[89],"(10":[91],"mg":[92],"K1/1":[94],"ml)":[95],"once":[96],"day":[98],"for":[99,198],"weeks.":[101],"Three":[102],"months":[103],"after":[104,132,177],"treatment":[105],"interruption,":[106,179],"ivory":[107],"indurated":[108],"morphoeiform":[109],"sites,":[115],"assuming":[116],"typical":[118],"appearance":[119],"\"cowboy's":[122],"belt":[123],"revolver\".":[125],"The":[126],"persisted":[129],"years":[131],"withdrawal.":[135],"this":[138,180],"highlight":[141],"possibility":[143],"that":[144],"injections":[147],"reactions":[157],"such":[158],"sclerodermatous":[160],"plaques.":[161],"Due":[162],"delay":[165],"in":[166,191],"onset,":[168],"variable":[171],"clinical":[172],"picture,":[173],"persistence":[176],"therapy":[178],"kind":[181],"represent":[185],"tricky":[187],"diagnostic":[188],"challenge":[189],"spite":[192],"treatments":[195],"endure":[197],"years.":[199]},"counts_by_year":[{"year":2017,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
