ASIA (Autoimmune/inflammatory syndrome induced by adjuvants): A new case?

array:24 ["pii" => "S2254887418301978" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.12.003" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1592" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:73-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0014256518302959" "issn" => "00142565" "doi" => "10.1016/j.rce.2018.09.019" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1592" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:73-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 57 "formatos" => array:2 [ "HTML" => 32 "PDF" => 25 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicina en imágenes" "titulo" => "ASIA (Autoimmune/Inflammatory Syndrome Induced by Adjuvants): ¿un nuevo caso?" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "73" "paginaFinal" => "74" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "ASIA (Autoimmune/Inflammatory Syndrome Induced by Adjuvants): A new case?" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1485 "Ancho" => 2167 "Tamanyo" => 396329 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P. Fernández-Canga, M. Lamoca-Martín, C. Prada-García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Fernández-Canga" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Lamoca-Martín" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Prada-García" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887418301978" "doi" => "10.1016/j.rceng.2018.12.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301978?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518302959?idApp=WRCEE" "url" => "/00142565/0000022000000001/v1_202001221235/S0014256518302959/v1_202001221235/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2254887419302139" "issn" => "22548874" "doi" => "10.1016/j.rceng.2019.06.009" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1703" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2020;220:75" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Correspondence" "titulo" => "End-of-life care for patients hospitalized in internal medicine departments" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "75" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cuidados en los últimos días de vida en los pacientes hospitalizados en medicina interna" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Ameneiros-Lago, C. Carballada-Rico, I. Gómez-Buela" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Ameneiros-Lago" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Carballada-Rico" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Gómez-Buela" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256519301766" "doi" => "10.1016/j.rce.2019.06.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301766?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419302139?idApp=WRCEE" "url" => "/22548874/0000022000000001/v1_202002130124/S2254887419302139/v1_202002130124/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887418301954" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.12.001" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1591" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Clin Esp. 2020;220:71-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Medicine in Images" "titulo" => "Diagnostic orientation of abdominal aortic graft infection using 18F-FDG PET/CT" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "71" "paginaFinal" => "72" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Orientación diagnóstica de infección de prótesis aorto abdominal mediante 18F-FDG PET/TC" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 914 "Ancho" => 1071 "Tamanyo" => 139159 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P.A. de la Riva-Pérez, F.J. García-Gómez, G. Sabatel-Hernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "de la Riva-Pérez" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "García-Gómez" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Sabatel-Hernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518302947" "doi" => "10.1016/j.rce.2018.09.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518302947?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301954?idApp=WRCEE" "url" => "/22548874/0000022000000001/v1_202002130124/S2254887418301954/v1_202002130124/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "Medicine in Image" "titulo" => "ASIA (Autoimmune/inflammatory syndrome induced by adjuvants): A new case?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "73" "paginaFinal" => "74" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. Fernández-Canga, M. Lamoca-Martín, C. Prada-García" "autores" => array:3 [ 0 => array:4 [ "nombre" => "P." "apellidos" => "Fernández-Canga" "email" => array:1 [ 0 => "paulafcanga@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Lamoca-Martín" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Prada-García" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Complejo Asistencial Universitario de León, León, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "ASIA (Autoimmune/inflammatory syndrome induced by adjuvants): ¿un nuevo caso?" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 722 "Ancho" => 2500 "Tamanyo" => 388417 ] ] ] ] "textoCompleto" => "A 40-year-old woman, with a history of asthma and atopic dermatitis, with breast implants and silicone fluid in the buttocks implanted 10 years earlier, presented generalized pruritus and skin lesions that started a year earlier, accompanied by polymyalgia, diarrhea and dyspepsia.The examination revealed disseminated excoriated papules-plaques (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a). The skin biopsy showed a perivascular histiocytic foreign-body reaction with lipid vacuoles consistent with silicone granulomas (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b and c).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Autoimmune/inflammatory syndrome induced by adjuvants (ASIA), described by Shoenfeld in 2011, is a condition that encompasses various autoinflammatory disorders after exposure to adjuvants such as silicone.The condition can appear up to 15 years after exposure to the material and is characterized by joint pain, myalgia, chronic fatigue, local or distal granulomas, rash, eczema, urticaria and pruritus. ASIA has also been associated with neurological symptoms, various autoimmune diseases and the production of nonspecific autoantibodies.The scarce number of published cases and its clinical variability hinders the diagnosis, which is based on ruling out other causes and requires the use of the Shoenfeld criteria: 2 major criteria or 1 major and 2 minor criteria (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).<elsevierMultimedia ident="fig0010"></elsevierMultimedia>The therapeutic options consist of removing the external stimulus, if possible, and employing immunomodulatory drugs." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-09-03" "fechaAceptado" => "2018-09-17" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Fernández-Canga P, Lamoca-Martín M, Prada-García C. ASIA (Autoimmune/Inflammatory Syndrome Induced by Adjuvants): ¿un nuevo caso? Rev Clin Esp. 2020;220:73–74." ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 722 "Ancho" => 2500 "Tamanyo" => 388417 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1485 "Ancho" => 2167 "Tamanyo" => 304380 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000001/v1_202002130124/S2254887418301978/v1_202002130124/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000001/v1_202002130124/S2254887418301978/v1_202002130124/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301978?idApp=WRCEE"]