La participacion pleural en la asbestosis pulmonar
The pleural participation in pulmonary asbestosis
L. López Areal del Amo, I. Fdez. Martín-Granizo, F. Múgica Iza, E. García Sáinz
Administración Institucional de la Sanidad Nacional. Hospital de Enfermedades del Tórax - Bilbao
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López Pujol, J. Lago Viguera, L. Schacke de Miguel, F. Canseco González, J. Rico Blázquez, C. Martínez-Bordiu" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "López Pujol" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Lago Viguera" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Schacke de Miguel" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Canseco González" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Rico Blázquez" ] 5 => array:2 [ "nombre" => "C." "apellidos" => "Martínez-Bordiu" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615327186?idApp=UINPBA00003Z" "url" => "/03002896/0000001200000004/v1_201509151245/S0300289615327186/v1_201509151245/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "La participacion pleural en la asbestosis pulmonar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "184" "paginaFinal" => "190" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "L. López Areal del Amo, I. Fdez. Martín-Granizo, F. Múgica Iza, E. García Sáinz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "López Areal del Amo" ] 1 => array:2 [ "nombre" => "I. Fdez." "apellidos" => "Martín-Granizo" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Múgica Iza" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "García Sáinz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Administración Institucional de la Sanidad Nacional. Hospital de Enfermedades del Tórax - Bilbao" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The pleural participation in pulmonary asbestosis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La pleura participa de un modo constante en la fibrosis pulmonar progresiva de la asbestosis. La fibrosis pleural se manifiesta de un modo difuso o en forma de placas hialinas, que llegan a calcificarse, y la genera cualquiera de los tipos comerciales de amianto. Las placas se desarrollan de un modo exclusivo en la hoja parietal de la serosa, sin que se establezca sínfisis entre las dos hojas pleurales. Esta fibrosis pleural, tanto difusa como segmentaria, en placas, se desarrolla insidiosamente, paso a paso, sin un síndrome agudo, ostensible, de exudación, por lo que habitualmente sólo llegamos a percibirla por sus manifestaciones radiológicas en las cisuras y senos pleurales y en el diafragma. Para su demostración ha de preferirse un régimen radiológico de alto voltaje, superior a 100 kV, siendo imprescindible la incidencia oblicua, derecha o izquierda, a 45 grados.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Según nuestra experiencia, en no menos del 75 por 100 de los enfermos asbestósicos indemnizables laboralmente, y coexistiendo en la fibrosis pulmonar, se demuestra fibrosis pleural en forma de anormalidades de la silueta diafragmática, de cisuritis, de bandas paralelas a la pared torácica o de placas calcáreas de distinta forma y magnitud. El llamado corazón hirsuto o velloso es de presentación más rara, aproximadamente en 10 por 100 de los casos.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La importancia concedida a estas manifestaciones pleurales de la asbestosis la demuestra el que su notación es obligatoria en la Clasificación Internacional de Radiografías de las Neumoconiosis desde octubre del año 1967, fecha de la conocida reunión de Cincinnati. La notación allí propuesta fue la siguiente: pl significa engrosamiento pleural, pie, equivale a calcificación de la pleura y co, corazón hirsuto o velloso, continuando válidos tales signos en la clasificación vigente hoy día, que es conocida como B.I.T./U.C., 1971.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The pleura takes an important role in the progressive pulmonary fibrosis in asbestosis. Pleural fibrosis could be diffuse or appears in the form of hyline plates which become calcified. It is produced by any of the commercial types of amianthus. The plates develop only on the parietal pleural layer without any attachment between the two pleural layers. Pleural fibrosis in plates, both diffuse and segmentary, develops slowly without there being an acute exudate syndrome. For this reason it is rerely detected except by its roentgenological manifestations on the costophrenic angles. A radiological high-voltage higher than 100 kw must be used, and at an oblique incidente of 45 degrees to right or left.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In our experience, in no less than 75 percent of patients with asbestosis and diffuse pulmonary fibrosis, various pleural abnormalities can be shown as obliteration of the costopheric angles, thickened interlobar septums, and pleural calcifications. The shaggy heart shadow is rare, appering in about 10 percent of cases.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The anotation proposed in the International Classification of Roentgenographic Pattern of Pneumoconiosis since October of 1967, date of the well-known meeting in Cincinnati, is the following: pl indicates pleural enlargement; plc pleural calcification; and co shaggy heart. All of these sings are still valid in the classification used today known as B.I.T./U.C., 1971.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:36 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Biological effects of asbestos. Proceedings Working Conference. IARC, Lyon 1972. Scientif. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 1 | 8 |
| 2024 October | 38 | 18 | 56 |
| 2024 September | 36 | 21 | 57 |
| 2024 August | 42 | 36 | 78 |
| 2024 July | 36 | 38 | 74 |
| 2024 June | 44 | 30 | 74 |
| 2024 May | 46 | 22 | 68 |
| 2024 April | 28 | 24 | 52 |
| 2024 March | 43 | 29 | 72 |
| 2024 February | 37 | 36 | 73 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 5 | 5 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 12 | 12 |
| 2023 June | 0 | 1 | 1 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 2 | 4 | 6 |
| 2023 February | 36 | 21 | 57 |
| 2023 January | 27 | 31 | 58 |
| 2022 December | 34 | 26 | 60 |
| 2022 November | 42 | 20 | 62 |
| 2022 October | 68 | 47 | 115 |
| 2022 September | 27 | 19 | 46 |
| 2022 August | 70 | 45 | 115 |
| 2022 July | 75 | 31 | 106 |
| 2022 June | 56 | 39 | 95 |
| 2022 May | 35 | 48 | 83 |
| 2022 April | 27 | 49 | 76 |
| 2022 March | 29 | 37 | 66 |
| 2022 February | 27 | 23 | 50 |
| 2022 January | 25 | 35 | 60 |
| 2021 December | 15 | 41 | 56 |
| 2021 November | 16 | 40 | 56 |
| 2021 October | 15 | 40 | 55 |
| 2021 September | 14 | 42 | 56 |
| 2021 August | 8 | 19 | 27 |
| 2021 July | 14 | 17 | 31 |
| 2021 June | 9 | 24 | 33 |
| 2021 May | 9 | 29 | 38 |
| 2021 April | 23 | 39 | 62 |
| 2021 March | 22 | 21 | 43 |
| 2021 February | 29 | 17 | 46 |
| 2021 January | 17 | 16 | 33 |
| 2020 December | 16 | 17 | 33 |
| 2020 November | 8 | 19 | 27 |
| 2020 October | 16 | 13 | 29 |
| 2020 September | 13 | 9 | 22 |
| 2020 August | 16 | 14 | 30 |
| 2020 July | 22 | 11 | 33 |
| 2020 June | 11 | 11 | 22 |
| 2020 May | 10 | 9 | 19 |
| 2020 April | 12 | 10 | 22 |
| 2020 March | 17 | 13 | 30 |
| 2020 February | 15 | 27 | 42 |
| 2020 January | 12 | 39 | 51 |
| 2019 December | 12 | 37 | 49 |
| 2019 November | 8 | 36 | 44 |
| 2019 October | 15 | 53 | 68 |
| 2019 September | 7 | 50 | 57 |
| 2019 August | 12 | 40 | 52 |
| 2019 July | 15 | 45 | 60 |
| 2019 June | 17 | 44 | 61 |
| 2019 May | 15 | 46 | 61 |
| 2019 April | 48 | 70 | 118 |
| 2019 March | 8 | 28 | 36 |
| 2019 February | 6 | 15 | 21 |
| 2019 January | 4 | 16 | 20 |
| 2018 December | 4 | 23 | 27 |
| 2018 November | 24 | 8 | 32 |
| 2018 October | 18 | 13 | 31 |
| 2018 September | 8 | 7 | 15 |
| 2018 July | 0 | 1 | 1 |
| 2018 May | 10 | 2 | 12 |
| 2018 April | 7 | 12 | 19 |
| 2018 March | 8 | 11 | 19 |
| 2018 February | 17 | 16 | 33 |
| 2018 January | 2 | 13 | 15 |
| 2017 December | 10 | 17 | 27 |
| 2017 November | 9 | 11 | 20 |
| 2017 October | 6 | 13 | 19 |
| 2017 September | 4 | 14 | 18 |
| 2017 August | 15 | 20 | 35 |
| 2017 July | 9 | 11 | 20 |
| 2017 June | 14 | 21 | 35 |
| 2017 May | 13 | 10 | 23 |
| 2017 April | 9 | 18 | 27 |
| 2017 March | 7 | 12 | 19 |
| 2017 February | 5 | 7 | 12 |
| 2017 January | 6 | 10 | 16 |
| 2016 December | 8 | 7 | 15 |
| 2016 November | 15 | 12 | 27 |
| 2016 October | 24 | 22 | 46 |
| 2016 September | 18 | 12 | 30 |
| 2016 August | 17 | 7 | 24 |
| 2016 July | 22 | 6 | 28 |
| 2016 June | 25 | 13 | 38 |
| 2016 May | 27 | 13 | 40 |
| 2016 April | 17 | 2 | 19 |
| 2016 March | 12 | 0 | 12 |
| 2016 February | 9 | 2 | 11 |
| 2016 January | 17 | 8 | 25 |
| 2015 December | 31 | 25 | 56 |
| 2015 November | 33 | 8 | 41 |
| 2015 October | 8 | 2 | 10 |
| 2015 September | 2 | 0 | 2 |
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