Estadísticas

 array:24 [
  "pii" => "S0014256518302364"
  "issn" => "00142565"
  "doi" => "10.1016/j.rce.2018.08.004"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1561"
  "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. 2019;219:458-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 66
    "formatos" => array:2 [
      "HTML" => 42
      "PDF" => 24
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2254887418301553"
      "issn" => "22548874"
      "doi" => "10.1016/j.rceng.2018.10.005"
      "estado" => "S300"
      "fechaPublicacion" => "2019-11-01"
      "aid" => "1561"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2019;219:458-9"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 4
        "formatos" => array:2 [
          "HTML" => 2
          "PDF" => 2
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
        "titulo" => "Calciphylaxis in a kidney transplant patient"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "458"
            "paginaFinal" => "459"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Calcifilaxia en paciente trasplantado renal"
          ]
        ]
        "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" => 1079
                "Ancho" => 1305
                "Tamanyo" => 278736
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "&#193;&#46; Gonz&#225;lez-Cantero, B&#46; Moreno-Torres, A&#46;B&#46; Gargallo-Quintero"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "&#193;&#46;"
                "apellidos" => "Gonz&#225;lez-Cantero"
              ]
              1 => array:2 [
                "nombre" => "B&#46;"
                "apellidos" => "Moreno-Torres"
              ]
              2 => array:2 [
                "nombre" => "A&#46;B&#46;"
                "apellidos" => "Gargallo-Quintero"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "es" => array:9 [
          "pii" => "S0014256518302364"
          "doi" => "10.1016/j.rce.2018.08.004"
          "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/S0014256518302364?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301553?idApp=WRCEE"
      "url" => "/22548874/0000021900000008/v1_201910300730/S2254887418301553/v1_201910300730/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0014256518302467"
    "issn" => "00142565"
    "doi" => "10.1016/j.rce.2018.06.014"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1571"
    "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. 2019;219:460-1"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 46
      "formatos" => array:2 [
        "HTML" => 32
        "PDF" => 14
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
      "titulo" => "Piomiositis secundaria a abscesos prost&#225;ticos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "460"
          "paginaFinal" => "461"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pyomyositis secondary to prostatic abscesses"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 972
              "Ancho" => 1300
              "Tamanyo" => 142011
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S&#46; S&#225;nchez Garc&#237;a, D&#46; Rubio Sol&#237;s, V&#46; D&#237;az Fern&#225;ndez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "S&#225;nchez Garc&#237;a"
            ]
            1 => array:2 [
              "nombre" => "D&#46;"
              "apellidos" => "Rubio Sol&#237;s"
            ]
            2 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "D&#237;az Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2254887418301759"
        "doi" => "10.1016/j.rceng.2018.11.001"
        "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/S2254887418301759?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518302467?idApp=WRCEE"
    "url" => "/00142565/0000021900000008/v1_201910300637/S0014256518302467/v1_201910300637/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0014256519300402"
    "issn" => "00142565"
    "doi" => "10.1016/j.rce.2018.12.010"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1636"
    "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" => "crp"
    "cita" => "Rev Clin Esp. 2019;219:451-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 76
      "formatos" => array:2 [
        "HTML" => 51
        "PDF" => 25
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">CONFERENCIA CL&#205;NICO-PATOL&#211;GICA</span>"
      "titulo" => "Insuficiencia renal en un var&#243;n de 23 a&#241;os con colitis ulcerosa tratada con 5-aminosalicilato"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "451"
          "paginaFinal" => "457"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Renal failure in a 23-year-old man with ulcerative colitis treated with 5-aminosalicylate"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figura 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 1387
              "Ancho" => 2154
              "Tamanyo" => 146099
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evoluci&#243;n de la funci&#243;n renal desde el inicio de 5-ASA&#44; retiro y posterior tratamiento con esteroides&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "H&#46;M&#46; Villafuerte Ledesma, J&#46;M&#46; Pe&#241;a Porta, C&#46;B&#46; Marta Casanova, R&#46; &#193;lvarez Lipe"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "H&#46;M&#46;"
              "apellidos" => "Villafuerte Ledesma"
            ]
            1 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Pe&#241;a Porta"
            ]
            2 => array:2 [
              "nombre" => "C&#46;B&#46;"
              "apellidos" => "Marta Casanova"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "&#193;lvarez Lipe"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2254887419300797"
        "doi" => "10.1016/j.rceng.2019.03.013"
        "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/S2254887419300797?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519300402?idApp=WRCEE"
    "url" => "/00142565/0000021900000008/v1_201910300637/S0014256519300402/v1_201910300637/es/main.assets"
  ]
  "es" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
    "titulo" => "Calcifilaxia en paciente trasplantado renal"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "458"
        "paginaFinal" => "459"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "&#193;&#46; Gonz&#225;lez-Cantero, B&#46; Moreno-Torres, A&#46;B&#46; Gargallo-Quintero"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "&#193;&#46;"
            "apellidos" => "Gonz&#225;lez-Cantero"
            "email" => array:1 [
              0 => "alvarogc261893@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "B&#46;"
            "apellidos" => "Moreno-Torres"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;B&#46;"
            "apellidos" => "Gargallo-Quintero"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Complejo Hospitalario de Toledo&#44; Toledo&#44; Espa&#241;a"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Complejo Hospitalario de Toledo&#44; Toledo&#44; Espa&#241;a"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Autor para correspondencia&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Calciphylaxis in a kidney transplant patient"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1079
            "Ancho" => 1305
            "Tamanyo" => 278736
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Var&#243;n de 70 a&#241;os de edad con antecedente de trasplante renal por enfermedad renal cr&#243;nica secundaria a nefropat&#237;a isqu&#233;mica&#44; consulta por una &#250;lcera dolorosa en miembro inferior derecho de 3 meses de evoluci&#243;n&#46; A la exploraci&#243;n se aprecia en pierna derecha una lesi&#243;n ulcerosa de fondo fibrinoso junto a zonas de necrosis&#44; destacando induraci&#243;n y dolor a la palpaci&#243;n tanto de las lesiones como de la piel perilesional &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46; Con el diagn&#243;stico de sospecha de calcifilaxia se realiz&#243; una biopsia cut&#225;nea del borde de la &#250;lcera&#44; que confirm&#243; el diagn&#243;stico &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La calcifilaxia es una enfermedad infrecuente&#44; caracterizada por isquemia cut&#225;nea y necrosis producida por la calcificaci&#243;n de vasos sangu&#237;neos de peque&#241;o y mediano calibre lo que conlleva a la ulceraci&#243;n cut&#225;nea con formaci&#243;n de escaras&#46; Afecta habitualmente a pacientes con insuficiencia renal en estadio terminal e hiperparatiroidismo secundario estando tambi&#233;n asociada a cirrosis&#44; enfermedad de Crohn o trasplante renal como es nuestro caso&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Con respecto al tratamiento las opciones terap&#233;uticas son limitadas y en gran medida de soporte&#44; destacando seg&#250;n el contexto las siguientes posibilidades&#58; di&#225;lisis baja en calcio&#44; dieta baja en fosfatos&#44; cuidados locales&#44; prevenci&#243;n y tratamiento de infecciones&#44; quelantes del f&#243;sforo y paratiroidectom&#237;a&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-05-27"
    "fechaAceptado" => "2018-08-08"
    "multimedia" => array:1 [
      0 => array:6 [
        "identificador" => "fig0005"
        "etiqueta" => "Figura 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1079
            "Ancho" => 1305
            "Tamanyo" => 278736
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/00142565/0000021900000008/v1_201910300637/S0014256518302364/v1_201910300637/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "1065"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Medicina en im&#225;genes"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021900000008/v1_201910300637/S0014256518302364/v1_201910300637/es/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518302364?idApp=WRCEE"
]