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array:24 [ "pii" => "S0300289621001563" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.04.028" "estado" => "S300" "fechaPublicacion" => "2022-03-01" "aid" => "2836" "copyright" => "SEPAR" "copyrightAnyo" => "2021" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:257" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289621004154" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.04.032" "estado" => "S300" "fechaPublicacion" => "2022-03-01" "aid" => "2971" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T257" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Pulmonary Calcifications as COVID-19 Pneumonia Sequelae" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T257" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calcificaciones pulmonares como secuela de neumonía COVID-19" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 722 "Ancho" => 1024 "Tamanyo" => 79975 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The images on the left show lung window slices from the computerized tomography performed at admission, revealing multiple patchy consolidations associated with COVID-19 pneumonia. On the right, bone window slices with lung calcifications that coincide with the previous opacities. The variability between the slices is due to the fact that the tomography scan at admission obtained 2.5<span class="elsevierStyleHsp" style=""></span>mm slices and the follow-up CT scan obtained 1<span class="elsevierStyleHsp" style=""></span>mm slices.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Virginia Gallo González, Daniel López-Padilla, Luis Puente Maestú" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Virginia" "apellidos" => "Gallo González" ] 1 => array:2 [ "nombre" => "Daniel" "apellidos" => "López-Padilla" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Puente Maestú" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621004154?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000003/v2_202210210711/S0300289621004154/v2_202210210711/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289621004142" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.04.031" "estado" => "S300" "fechaPublicacion" => "2022-03-01" "aid" => "2970" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T255" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Acute Mediastinitis due to Spontaneous Rupture of a Thyroid Cyst" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T255" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mediastinitis aguda por rotura espontánea de quiste tiroideo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 486 "Ancho" => 641 "Tamanyo" => 55128 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) B-mode neck ultrasound showing the thyroid gland (empty arrow) with a cystic lesion containing septations and mobile echoes on the left lobe (thin arrow). (B and C) Cervico-thoracic CT with intravenous contrast in coronal (B) and axial (C) planes. A formation of cystic density is seen on the lower pole of the left thyroid lobe, with intrathoracic extension (fine arrow), causing the trachea (asterisks) and esophagus to shift to the right, with parietal thickening of the trachea (asterisks). Disruption of the wall is observed at the caudal-most margin of the cystic lesion (arrowhead), probably associated with the rupture. Increased density of upper mediastinal fat, and lymphadenopathies (empty arrow), suggestive of mediastinal inflammatory changes are also seen.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Irene Garrido Márquez, Patricia Virginia García Pérez, José Luis Martín Rodríguez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Irene" "apellidos" => "Garrido Márquez" ] 1 => array:2 [ "nombre" => "Patricia Virginia" "apellidos" => "García Pérez" ] 2 => array:2 [ "nombre" => "José Luis" "apellidos" => "Martín Rodríguez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621004142?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000003/v2_202210210711/S0300289621004142/v2_202210210711/en/main.assets" ] "asociados" => array:1 [ 0 => array:18 [ "pii" => "S0300289621004154" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.04.032" "estado" => "S300" "fechaPublicacion" => "2022-03-01" "aid" => "2971" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2022;58:T257" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => " Pulmonary Calcifications as COVID-19 Pneumonia Sequelae" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "T257" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calcificaciones pulmonares como secuela de neumonía COVID-19" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 722 "Ancho" => 1024 "Tamanyo" => 79975 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The images on the left show lung window slices from the computerized tomography performed at admission, revealing multiple patchy consolidations associated with COVID-19 pneumonia. On the right, bone window slices with lung calcifications that coincide with the previous opacities. The variability between the slices is due to the fact that the tomography scan at admission obtained 2.5<span class="elsevierStyleHsp" style=""></span>mm slices and the follow-up CT scan obtained 1<span class="elsevierStyleHsp" style=""></span>mm slices.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Virginia Gallo González, Daniel López-Padilla, Luis Puente Maestú" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Virginia" "apellidos" => "Gallo González" ] 1 => array:2 [ "nombre" => "Daniel" "apellidos" => "López-Padilla" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Puente Maestú" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621004154?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000003/v2_202210210711/S0300289621004154/v2_202210210711/en/main.assets" ] ] "es" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Calcificaciones pulmonares como secuela de neumonía COVID-19" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "257" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Virginia Gallo González, Daniel López-Padilla, Luis Puente Maestú" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Virginia" "apellidos" => "Gallo González" "email" => array:1 [ 0 => "vgallogonzalez@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Daniel" "apellidos" => "López-Padilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Luis" "apellidos" => "Puente Maestú" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología. Hospital General Universitario Gregorio Marañón, Madrid, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Complutense de Madrid, Madrid, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary Calcifications as COVID-19 Pneumonia Sequelae" ] ] "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" => 916 "Ancho" => 1300 "Tamanyo" => 108291 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las imágenes de la izquierda corresponden con cortes en ventana de pulmón de la tomografía computarizada realizada en el ingreso, en la que se ven múltiples focos consolidativos parcheados en relación con neumonía por COVID-19. A la derecha, se observan cortes en ventana de hueso con calcificaciones pulmonares que coinciden con las opacidades previas. La variabilidad entre los cortes se debe a que la tomografía del ingreso fue de cortes de 2,5 mm y la de control de 1 mm.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Varón de 49 años con síndrome de Liddle tipo 1 con hipertensión arterial e insuficiencia renal crónica, portador de trasplante renal, e hipoparatiroidismo secundario a paratiroidectomía. Ingresó por neumonía bilateral por COVID-19. En la tomografía computarizada (TC) de tórax de control al alta se observaron múltiples focos de calcificaciones pulmonares, coincidiendo con las zonas de las opacidades de la TC previa del ingreso, que correspondían a los focos de bronconeumonía (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Existen diversos factores que contribuyen al depósito de calcio en los órganos, como alteraciones del metabolismo del calcio-fósforo, actividad de la fosfatasa alcalina y pH básico<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Dentro de las calcificaciones pulmonares podemos distinguir entre las calcificaciones metastásicas o distróficas y la microlitiasis alveolar pulmonar. Las calcificaciones metastásicas se producen principalmente en pacientes con enfermedad renal crónica avanzada que requieren de hemodiálisis<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>, mientras que las calcificaciones distróficas se producen sobre un tejido previamente dañado como en el contexto de un proceso infeccioso<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Nuestro paciente presenta los antecedentes de enfermedad renal crónica, alteraciones del metabolismo del fósforo-calcio y tratamiento con hemodiálisis, como factores favorecedores de la generación de calcificaciones sobre un sustrato susceptible para ello, como es el tejido pulmonar dañado por la infección.</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financiación</span><p id="par0020" class="elsevierStylePara elsevierViewall">Este trabajo no ha recibido ningún tipo de financiación.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicto de intereses</span><p id="par0025" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ningún conflicto de intereses.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Financiación" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicto de intereses" ] 2 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 916 "Ancho" => 1300 "Tamanyo" => 108291 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las imágenes de la izquierda corresponden con cortes en ventana de pulmón de la tomografía computarizada realizada en el ingreso, en la que se ven múltiples focos consolidativos parcheados en relación con neumonía por COVID-19. A la derecha, se observan cortes en ventana de hueso con calcificaciones pulmonares que coinciden con las opacidades previas. La variabilidad entre los cortes se debe a que la tomografía del ingreso fue de cortes de 2,5 mm y la de control de 1 mm.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Calcium deposition with or without bone formation in the lung" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E.D. Chan" 1 => "D.V. Morales" 2 => "C.H. Welsh" 3 => "M.T. McDermott" 4 => "M.I. Schwarz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/rccm.2108054" "Revista" => array:5 [ "tituloSerie" => "Am J Respir Crit Care Med." "fecha" => "2002" "volumen" => "165" "paginaInicial" => "1654" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12070068" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary Calcifications: Is it an Entity in the New World Dialysis Patient?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Kauntia" 1 => "V. Bhargava" 2 => "P. Gupta" 3 => "D.S. Rana" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4103/ijn.IJN_5_18" "Revista" => array:6 [ "tituloSerie" => "Indian J Nephrol." "fecha" => "2019" "volumen" => "29" "paginaInicial" => "128" "paginaFinal" => "131" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30983755" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005800000003/v2_202210210711/S0300289621001563/v2_202210210711/es/main.assets" "Apartado" => array:4 [ "identificador" => "93646" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images/Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000003/v2_202210210711/S0300289621001563/v2_202210210711/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621001563?idApp=UINPBA00003Z" ]
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