Alveolitis alérgica extrínseca por Penicillium frequentans. Revisión y presentación de un caso
Extrinsic allergic alveolitis due to Penicillium frequentans. A review and case study
Sección de Alergología. Hospital Virgen del Valle. Toledo
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Roger Casals, J.A. Barberà Mir" "autores" => array:2 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Roger Casals" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Barberà Mir" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961531019X?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000009/v1_201509151216/S030028961531019X/v1_201509151216/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Alveolitis alérgica extrínseca por Penicillium frequentans. Revisión y presentación de un caso" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "462" "paginaFinal" => "464" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A.J. Moral, J. Arias, M.A. García, R. Abengózar, C. Pérez-Carral, C.J. Senent" "autores" => array:6 [ 0 => array:2 [ "nombre" => "A.J." "apellidos" => "Moral" ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Arias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "M.A." "apellidos" => "García" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Abengózar" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Pérez-Carral" ] 5 => array:2 [ "nombre" => "C.J." "apellidos" => "Senent" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Alergología. Hospital Virgen del Valle. Toledo" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Sección de Alergología. Hospital Virgen del Valle. Crta. de Cobisa, s/n. 45071 Toledo." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Extrinsic allergic alveolitis due to <span class="elsevierStyleItalic">Penicillium frequentans</span>. A review and case study" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-01-04" "fechaAceptado" => "1994-01-25" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec569894" "palabras" => array:3 [ 0 => "Neumonitis por hipersensibilidad" 1 => "Suberosis" 2 => "<span class="elsevierStyleItalic">Penicillium</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec569895" "palabras" => array:3 [ 0 => "Hypersensitivity pneumonitis" 1 => "Suberosis" 2 => "<span class="elsevierStyleItalic">Penicillium</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso de alveolitis alérgica extrínseca por <span class="elsevierStyleItalic">Penicillium frequentans</span> (suberosis) en un trabajador de una fábrica de corcho. El diagnóstico se realizó por la historia clínica y la presencia de un patrón espirométrico restrictivo, infiltrados pulmonares reticulonodulares en la radiografía, pruebas cutáneas intradérmicas con reacción dual y precipitinas séricas positivas frente a dicho hongo.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A pesar de que el paciente se negó a la realización de una provocación bronquial específica, se evidenciaron en dos ocasiones unas provocaciones naturales coincidiendo de nuevo con la manipulación de corcho enmohecido una vez que había abandonado su anterior puesto de trabajo.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Así mismo se realiza una breve revisión histórica de la enfermedad hasta nuestros días.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We present a case of extrinsic allergic alveolitis due to <span class="elsevierStyleItalic">Penicillium frequentans</span> exposure (suberosis) at a cork factory. Diagnosis was based on clinical history, a restrictive spirometric pattern, evidence of reticular-nodular lung infiltrates on the X-ray, intradermal skin tests with dual reaction and precipitins-positive serum samples in the presence of the <span class="elsevierStyleItalic">P. frequentans</span> fungus.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Although the patient refused to submit to a specific bronchial challenge, two natural challenges occured when he once again happened to handle wet cork after leaving his previous job.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The literature referring to this disease is reviewed.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Enfermedades respiratorias en los trabajadores del corcho (suberosis)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. 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