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array:23 [ "pii" => "S0300289617300273" "issn" => "03002896" "doi" => "10.1016/j.arbres.2016.12.017" "estado" => "S300" "fechaPublicacion" => "2017-08-01" "aid" => "1550" "copyright" => "SEPAR" "copyrightAnyo" => "2017" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:453" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2159 "formatos" => array:3 [ "EPUB" => 139 "HTML" => 1539 "PDF" => 481 ] ] "itemSiguiente" => array:19 [ "pii" => "S0300289617300042" "issn" => "03002896" "doi" => "10.1016/j.arbres.2016.11.025" "estado" => "S300" "fechaPublicacion" => "2017-08-01" "aid" => "1527" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2017;53:454-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4822 "formatos" => array:3 [ "EPUB" => 116 "HTML" => 4249 "PDF" => 457 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta científica</span>" "titulo" => "Gran absceso pulmonar con seudoaneurisma de la arteria pulmonar" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "454" "paginaFinal" => "455" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Large Lung Abscess with Pulmonary Artery Pseudoaneurysm" ] ] "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" => 1913 "Ancho" => 2938 "Tamanyo" => 392452 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imágenes radiológicas del día del ingreso (A) y de 4 días más tarde (B). Imagen de la TAC con contraste (C). Imágenes radiológicas de 3 días (D) y un mes (E) después de la embolización de la arteria pulmonar.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Satoshi Hamada, Akira Nakano, Mitsuhiro Tsukino" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Satoshi" "apellidos" => "Hamada" ] 1 => array:2 [ "nombre" => "Akira" "apellidos" => "Nakano" ] 2 => array:2 [ "nombre" => "Mitsuhiro" "apellidos" => "Tsukino" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212917300083" "doi" => "10.1016/j.arbr.2017.01.004" "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/S1579212917300083?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300042?idApp=UINPBA00003Z" "url" => "/03002896/0000005300000008/v1_201707280103/S0300289617300042/v1_201707280103/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0300289617300261" "issn" => "03002896" "doi" => "10.1016/j.arbres.2016.12.016" "estado" => "S300" "fechaPublicacion" => "2017-08-01" "aid" => "1549" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:452" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1987 "formatos" => array:3 [ "EPUB" => 132 "HTML" => 1416 "PDF" => 439 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen clínica</span>" "titulo" => "Schwannoma endobronquial que involucra la carina" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "452" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endobronchial Schwannoma Involving the Carina" ] ] "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" => 951 "Ancho" => 950 "Tamanyo" => 167288 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">a) TAC torácica inicial; b) masa endobronquial que ocluía los bronquios principales; c) TAC torácica de reevaluación y d) vista de la tráquea, de izquierda a derecha: bronquio superior derecho, bronquio intermedio, carina y entrada del bronquio principal izquierdo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cláudia Guerreiro, Jorge Dionísio, José Duro da Costa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cláudia" "apellidos" => "Guerreiro" ] 1 => array:2 [ "nombre" => "Jorge" "apellidos" => "Dionísio" ] 2 => array:2 [ "nombre" => "José" "apellidos" => "Duro da Costa" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212917300617" "doi" => "10.1016/j.arbr.2017.02.013" "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/S1579212917300617?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300261?idApp=UINPBA00003Z" "url" => "/03002896/0000005300000008/v1_201707280103/S0300289617300261/v1_201707280103/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Relapsing Polychondritis With Airway Involvement: A Clinical Challenge" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "453" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Marta Sousa, João Silva, Bárbara Rodrigues" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Marta" "apellidos" => "Sousa" "email" => array:1 [ 0 => "martadias.sousa@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "João" "apellidos" => "Silva" ] 2 => array:2 [ "nombre" => "Bárbara" "apellidos" => "Rodrigues" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Centro Hospitalar Tondela-Viseu, Viseu, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Policondritis recidivante y compromiso de las vías aéreas: un desafío diagnóstico" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 420 "Ancho" => 1812 "Tamanyo" => 119376 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT showing tracheal and bronchial wall thickening and luminal narrowing.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 68-year-old female with a diagnosis of childhood asthma, was referred to the pulmonologist for recurrent episodes of acute severe dyspnoea and wheezing for the last three years. These were treated as asthma, with inhaled bronchodilators and corticosteroids, but without significant clinical improvement. She performed lung function tests, which showed a moderate bronchial obstruction, with limited response to bronchodilation. Chest CT revealed tracheal and bronchial wall thickening and luminal narrowing (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). This tracheobronchial stenosis was also observed in bronchoscopy. In the subsequent year of follow up, she developed red eye episodes, polyarthritis, recurrent ear pain and saddle nose deformity. Autoimmunity was negative, but sedimentation rate was elevated (26<span class="elsevierStyleHsp" style=""></span>mm). Relapsing polychondritis was then diagnosed, according to the criteria developed by McAdams et al.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> The patient started treatment with oral corticosteroids and methotrexate, with good clinical response. No specific treatment for tracheobronchial stenosis has yet been required. We highlight the clinical challenge of this diagnosis, due to insidious manifestations of the disease, and raise awareness of tracheobronchial involvement in relapsing polychondritis, which in some cases can lead to critical airway stenosis.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 420 "Ancho" => 1812 "Tamanyo" => 119376 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest CT showing tracheal and bronchial wall thickening and luminal narrowing.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Relapsing polychondritis: prospective study of 23 patients and a review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L.P. McAdam" 1 => "M.A. O’Hanlan" 2 => "R. Bluestone" 3 => "C.M. Pearson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Medicine (Baltimore)" "fecha" => "1976" "volumen" => "55" "paginaInicial" => "193" "paginaFinal" => "215" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Critical airway involvement in relapsing polychondritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Gorard" 1 => "S. Kadri" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2014" "paginaInicial" => "2014" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005300000008/v1_201707280103/S0300289617300273/v1_201707280103/en/main.assets" "Apartado" => array:4 [ "identificador" => "45361" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imagen clínica" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005300000008/v1_201707280103/S0300289617300273/v1_201707280103/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617300273?idApp=UINPBA00003Z" ]
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