array:24 [
  "pii" => "S2254887421001259"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2020.01.013"
  "estado" => "S300"
  "fechaPublicacion" => "2022-02-01"
  "aid" => "1847"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2022;222:114-5"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256520301260"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2020.01.008"
      "estado" => "S300"
      "fechaPublicacion" => "2022-02-01"
      "aid" => "1847"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2022;222:114-5"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">MEDICINA EN IM&#193;GENES</span>"
        "titulo" => "Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "114"
            "paginaFinal" => "115"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Abdominal pain&#58; Initial clinical manifestation of nonalcoholic steatohepatitis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1033
                "Ancho" => 1740
                "Tamanyo" => 360047
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de tomograf&#237;a y biopsia hep&#225;tica&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "S&#46; Sanz-Baena, A&#46; D&#237;az-Men&#233;ndez, P&#46; Quintana-Valcarcel"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Sanz-Baena"
              ]
              1 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "D&#237;az-Men&#233;ndez"
              ]
              2 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Quintana-Valcarcel"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887421001259"
          "doi" => "10.1016/j.rceng.2020.01.013"
          "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/S2254887421001259?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256520301260?idApp=WRCEE"
      "url" => "/00142565/0000022200000002/v2_202202020603/S0014256520301260/v2_202202020603/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887421001600"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2021.05.006"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "1979"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Rev Clin Esp. 2022;222:116-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>"
      "titulo" => "Access to the results of non-commercial clinical trials with medicines conducted in Spain"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "116"
          "paginaFinal" => "118"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Acceso a los resultados de los ensayos cl&#237;nicos no comerciales con medicamentos realizados en Espa&#241;a"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Dal-R&#233;"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Dal-R&#233;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256521001363"
        "doi" => "10.1016/j.rce.2021.05.008"
        "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/S0014256521001363?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421001600?idApp=WRCEE"
    "url" => "/22548874/0000022200000002/v1_202202020644/S2254887421001600/v1_202202020644/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S225488742100120X"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2020.01.012"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "1855"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2022;222:112-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
      "titulo" => "Ostesyntesis-associated infection by <span class="elsevierStyleItalic">S&#46; aureus</span> and the role of PET&#47;CT in the diagnosis of septic complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "112"
          "paginaFinal" => "113"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Infecci&#243;n de material de osteos&#237;ntesis por <span class="elsevierStyleItalic">S&#46; aureus</span> y la utilidad del PET&#47;TC en el diagn&#243;stico de las complicaciones s&#233;pticas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1274
              "Ancho" => 3340
              "Tamanyo" => 289904
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Roa-Chamorro, A&#46; Godoy-Montijano, A&#46; Moral-Ruiz"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Roa-Chamorro"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Godoy-Montijano"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Moral-Ruiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S001425652030134X"
        "doi" => "10.1016/j.rce.2020.01.009"
        "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/S001425652030134X?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488742100120X?idApp=WRCEE"
    "url" => "/22548874/0000022200000002/v1_202202020644/S225488742100120X/v1_202202020644/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
    "titulo" => "Abdominal pain&#58; Initial clinical manifestation of nonalcoholic steatohepatitis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "114"
        "paginaFinal" => "115"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "S&#46; Sanz-Baena, A&#46; D&#237;az-Men&#233;ndez, P&#46; Quintana-Valcarcel"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "S&#46;"
            "apellidos" => "Sanz-Baena"
            "email" => array:1 [
              0 => "susanasanzbaena@yahoo.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "D&#237;az-Men&#233;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "P&#46;"
            "apellidos" => "Quintana-Valcarcel"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Radiodiagn&#243;stico&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1486
            "Ancho" => 2507
            "Tamanyo" => 550247
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the tomography and liver biopsy&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old woman who was not overweight and did not drink alcohol and who had a medical history of tobacco use and hypertension was admitted for investigation of abdominal pain that had been ongoing for two months&#46; She had a previous endoscopic and ultrasound study that was normal&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The examination and tests performed only detected significant hepatomegaly&#44; which measured 26&#160;cm and reached the iliac crest with displacement of the bowel loops&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The results of the liver disease study were anodyne&#46; Likewise&#44; she presented with a general blood test with glucose 118&#160;mg&#47;dL&#44; total cholesterol 212&#160;mg&#47;dL&#44; and triglycerides 264&#160;mg&#47;dL&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Given how notable the hepatomegaly was&#44; it was decided to perform a liver biopsy&#46; The histopathological study reported a tissue cast with marked steatosis that was predominantly macrovacuolar and with little liver parenchyma conserved&#46; It had an inflammatory component and focal ballooning degeneration &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">With a diagnosis of nonalcoholic steatohepatitis &#40;NASH&#41;&#44; treatment was started with vitamin E&#44; omega-3 fatty acids&#44; statins&#44; pioglitazone&#44; and analgesics&#46; She continues in follow-up&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">This is a particularly noteworthy case for the reported symptoms that led to the diagnosis&#44; the speed of onset&#44; and the absence of classic risk factors for this disease&#46; In addition&#44; the marked steatosis merits mention&#44; with an almost complete replacement of the liver parenchyma and signs of activity&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2019-12-27"
    "fechaAceptado" => "2020-01-10"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Sanz-Baena S&#44; D&#237;az-Men&#233;ndez A&#44; Quintana-Valcarcel P&#46; Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica&#46; Rev Clin Esp&#46; 2022&#59;222&#58;114&#8211;115&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1486
            "Ancho" => 2507
            "Tamanyo" => 550247
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the tomography and liver biopsy&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000022200000002/v1_202202020644/S2254887421001259/v1_202202020644/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/22548874/0000022200000002/v1_202202020644/S2254887421001259/v1_202202020644/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421001259?idApp=WRCEE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Medicine in Images
Abdominal pain: Initial clinical manifestation of nonalcoholic steatohepatitis
Dolor abdominal: manifestación clínica inicial de esteatohepatitis no alcohólica
S. Sanz-Baenaa,
Corresponding author
susanasanzbaena@yahoo.com

Corresponding author.
, A. Díaz-Menéndezb, P. Quintana-Valcarcelc
a Servicio de Medicina Interna, H.U. Henares, Coslada, Madrid, Spain
b Servicio de Anatomía Patológica, H.U. Henares, Coslada, Madrid, Spain
c Servicio de Radiodiagnóstico, H.U. Henares, Coslada, Madrid, Spain
Read
15
Times
was read the article
6
Total PDF
9
Total HTML
Share statistics
 array:24 [
  "pii" => "S2254887421001259"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2020.01.013"
  "estado" => "S300"
  "fechaPublicacion" => "2022-02-01"
  "aid" => "1847"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2022;222:114-5"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256520301260"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2020.01.008"
      "estado" => "S300"
      "fechaPublicacion" => "2022-02-01"
      "aid" => "1847"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2022;222:114-5"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">MEDICINA EN IM&#193;GENES</span>"
        "titulo" => "Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "114"
            "paginaFinal" => "115"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Abdominal pain&#58; Initial clinical manifestation of nonalcoholic steatohepatitis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 1033
                "Ancho" => 1740
                "Tamanyo" => 360047
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de tomograf&#237;a y biopsia hep&#225;tica&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "S&#46; Sanz-Baena, A&#46; D&#237;az-Men&#233;ndez, P&#46; Quintana-Valcarcel"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Sanz-Baena"
              ]
              1 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "D&#237;az-Men&#233;ndez"
              ]
              2 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Quintana-Valcarcel"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887421001259"
          "doi" => "10.1016/j.rceng.2020.01.013"
          "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/S2254887421001259?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256520301260?idApp=WRCEE"
      "url" => "/00142565/0000022200000002/v2_202202020603/S0014256520301260/v2_202202020603/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887421001600"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2021.05.006"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "1979"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Rev Clin Esp. 2022;222:116-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>"
      "titulo" => "Access to the results of non-commercial clinical trials with medicines conducted in Spain"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "116"
          "paginaFinal" => "118"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Acceso a los resultados de los ensayos cl&#237;nicos no comerciales con medicamentos realizados en Espa&#241;a"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Dal-R&#233;"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Dal-R&#233;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256521001363"
        "doi" => "10.1016/j.rce.2021.05.008"
        "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/S0014256521001363?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421001600?idApp=WRCEE"
    "url" => "/22548874/0000022200000002/v1_202202020644/S2254887421001600/v1_202202020644/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S225488742100120X"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2020.01.012"
    "estado" => "S300"
    "fechaPublicacion" => "2022-02-01"
    "aid" => "1855"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2022;222:112-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
      "titulo" => "Ostesyntesis-associated infection by <span class="elsevierStyleItalic">S&#46; aureus</span> and the role of PET&#47;CT in the diagnosis of septic complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "112"
          "paginaFinal" => "113"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Infecci&#243;n de material de osteos&#237;ntesis por <span class="elsevierStyleItalic">S&#46; aureus</span> y la utilidad del PET&#47;TC en el diagn&#243;stico de las complicaciones s&#233;pticas"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1274
              "Ancho" => 3340
              "Tamanyo" => 289904
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Roa-Chamorro, A&#46; Godoy-Montijano, A&#46; Moral-Ruiz"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Roa-Chamorro"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Godoy-Montijano"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Moral-Ruiz"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S001425652030134X"
        "doi" => "10.1016/j.rce.2020.01.009"
        "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/S001425652030134X?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488742100120X?idApp=WRCEE"
    "url" => "/22548874/0000022200000002/v1_202202020644/S225488742100120X/v1_202202020644/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
    "titulo" => "Abdominal pain&#58; Initial clinical manifestation of nonalcoholic steatohepatitis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "114"
        "paginaFinal" => "115"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "S&#46; Sanz-Baena, A&#46; D&#237;az-Men&#233;ndez, P&#46; Quintana-Valcarcel"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "S&#46;"
            "apellidos" => "Sanz-Baena"
            "email" => array:1 [
              0 => "susanasanzbaena@yahoo.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "D&#237;az-Men&#233;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "P&#46;"
            "apellidos" => "Quintana-Valcarcel"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Radiodiagn&#243;stico&#44; H&#46;U&#46; Henares&#44; Coslada&#44; Madrid&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1486
            "Ancho" => 2507
            "Tamanyo" => 550247
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the tomography and liver biopsy&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 56-year-old woman who was not overweight and did not drink alcohol and who had a medical history of tobacco use and hypertension was admitted for investigation of abdominal pain that had been ongoing for two months&#46; She had a previous endoscopic and ultrasound study that was normal&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The examination and tests performed only detected significant hepatomegaly&#44; which measured 26&#160;cm and reached the iliac crest with displacement of the bowel loops&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The results of the liver disease study were anodyne&#46; Likewise&#44; she presented with a general blood test with glucose 118&#160;mg&#47;dL&#44; total cholesterol 212&#160;mg&#47;dL&#44; and triglycerides 264&#160;mg&#47;dL&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Given how notable the hepatomegaly was&#44; it was decided to perform a liver biopsy&#46; The histopathological study reported a tissue cast with marked steatosis that was predominantly macrovacuolar and with little liver parenchyma conserved&#46; It had an inflammatory component and focal ballooning degeneration &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">With a diagnosis of nonalcoholic steatohepatitis &#40;NASH&#41;&#44; treatment was started with vitamin E&#44; omega-3 fatty acids&#44; statins&#44; pioglitazone&#44; and analgesics&#46; She continues in follow-up&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">This is a particularly noteworthy case for the reported symptoms that led to the diagnosis&#44; the speed of onset&#44; and the absence of classic risk factors for this disease&#46; In addition&#44; the marked steatosis merits mention&#44; with an almost complete replacement of the liver parenchyma and signs of activity&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2019-12-27"
    "fechaAceptado" => "2020-01-10"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Sanz-Baena S&#44; D&#237;az-Men&#233;ndez A&#44; Quintana-Valcarcel P&#46; Dolor abdominal&#58; manifestaci&#243;n cl&#237;nica inicial de esteatohepatitis no alcoh&#243;lica&#46; Rev Clin Esp&#46; 2022&#59;222&#58;114&#8211;115&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1486
            "Ancho" => 2507
            "Tamanyo" => 550247
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image of the tomography and liver biopsy&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000022200000002/v1_202202020644/S2254887421001259/v1_202202020644/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/22548874/0000022200000002/v1_202202020644/S2254887421001259/v1_202202020644/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887421001259?idApp=WRCEE"
]
Article information
ISSN: 22548874
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2023 March 7 4 11
2022 January 0 2 2
2021 August 2 0 2

Follow this link to access the full text of the article

Idiomas
Revista Clínica Española (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?