array:23 [
  "pii" => "S157921290760069X"
  "issn" => "15792129"
  "doi" => "10.1016/S1579-2129(07)60069-X"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "60069"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2007;43:289-91"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3121
    "formatos" => array:3 [
      "EPUB" => 75
      "HTML" => 2475
      "PDF" => 571
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1579212907600706"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60070-6"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60070"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2007;43:292-4"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2219
      "formatos" => array:3 [
        "EPUB" => 85
        "HTML" => 1538
        "PDF" => 596
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>"
      "titulo" => "Intrathoracic Gossypiboma Interpreted as Bronchogenic Carcinoma&#46; Another False Positive With Positron Emission Tomography"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "292"
          "paginaFinal" => "294"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#233;sar Garc&#237;a de Llanos, Pedro Cabrera Navarro, Jordi Freixinet Gilart, Pedro Rodr&#237;guez Su&#225;rez, Mohamed Hussein Serhald, Teresa Romero Saavedra"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "C&#233;sar Garc&#237;a"
              "apellidos" => "de Llanos"
            ]
            1 => array:2 [
              "nombre" => "Pedro Cabrera"
              "apellidos" => "Navarro"
            ]
            2 => array:2 [
              "nombre" => "Jordi Freixinet"
              "apellidos" => "Gilart"
            ]
            3 => array:2 [
              "nombre" => "Pedro Rodr&#237;guez"
              "apellidos" => "Su&#225;rez"
            ]
            4 => array:2 [
              "nombre" => "Mohamed Hussein"
              "apellidos" => "Serhald"
            ]
            5 => array:2 [
              "nombre" => "Teresa Romero"
              "apellidos" => "Saavedra"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600706?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600706/v1_201305150317/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212907600688"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60068-8"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60068"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "rev"
    "cita" => "Arch Bronconeumol. 2007;43:283-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5305
      "formatos" => array:3 [
        "EPUB" => 107
        "HTML" => 4338
        "PDF" => 860
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>"
      "titulo" => "Nutritional Status In COPD"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "283"
          "paginaFinal" => "288"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sergio Alcolea Batres, Jos&#233; Villamor Le&#243;n, &#193;lvarez-Sala Rodolfo"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Sergio Alcolea"
              "apellidos" => "Batres"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233; Villamor"
              "apellidos" => "Le&#243;n"
            ]
            2 => array:2 [
              "nombre" => "&#193;lvarez-Sala"
              "apellidos" => "Rodolfo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600688?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600688/v1_201305150317/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>"
    "titulo" => "Severe Obstructive Sleep Apnea Syndrome in a Toddler"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "291"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Virginia Le&#243;n Miranda, &#193;ngeles S&#225;nchez Armengol, Ar&#225;nzazu Ruiz Garc&#237;a, Carmen Carmona Bernal, Georgina Botebol Benhamou, Francisco Capote Gil"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Virginia Le&#243;n"
            "apellidos" => "Miranda"
            "email" => array:1 [
              0 => "virginia&#95;leon&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "&#193;ngeles S&#225;nchez"
            "apellidos" => "Armengol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ar&#225;nzazu Ruiz"
            "apellidos" => "Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Carmen Carmona"
            "apellidos" => "Bernal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Georgina Botebol"
            "apellidos" => "Benhamou"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Francisco Capote"
            "apellidos" => "Gil"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Sue&#241;o&#44; Unidad M&#233;dico-Quir&#250;rgica de Enfermedades Respiratorias&#44; Hospitales Universitarios Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Neurolog&#237;a y Neurofisiolog&#237;a Cl&#237;nica&#44; Hospitales Universitarios Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondence&#58; Dra&#46; V&#46; Le&#243;n Miranda&#46; Unidad de Sue&#241;o&#46; Unidad M&#233;dico-Quir&#250;rgica de Enfermedades Respiratorias&#46; Manuel Siurot&#44; s&#47;n&#46; 41013 Sevilla&#46; Espa&#241;a"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2006-04-18"
    "fechaAceptado" => "2006-06-27"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec154879"
          "palabras" => array:3 [
            0 => "Obstructive sleep apnea syndrome"
            1 => "Infancy"
            2 => "Adenoidectomy"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec154878"
          "palabras" => array:3 [
            0 => "S&#237;ndrome de apnea obstructiva del sue&#241;o"
            1 => "Infan-cia"
            2 => "Adenoidectom&#237;a"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We report the case of a 3-year-old boy who had experienced intense snoring&#44; frequent awakenings&#44; intense respiratory effort during sleep&#44; and delayed growth starting at the age of 15 months&#46; He underwent adenoidectomy at 18 months&#46; Symptoms initially improved but reappeared 3 months after surgery&#46; He underwent a second adenoidectomy&#44; this time with tonsillectomy&#44; but there was no significant clinical improvement&#46; Polysomnography revealed severe sleep apnea-hypopnea with an apnea-hypopnea index of 45&#46; Continuous positive airway pressure improved sleep quality&#44; although some symptoms&#44; mainly snoring&#44; persisted&#46; A third adenoidectomy was necessary to normalize his breathing pattern during sleep&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Describimos el caso de un paciente var&#243;n de 3 a&#241;os de edad&#44; que desde los 15 meses presentaba un cuadro cl&#237;nico consistente en ronquidos intensos&#44; despertares frecuentes&#44; esfuerzo respiratorio intenso durante el sue&#241;o y retraso del desarrollo pondoestatural&#46; Se le practic&#243; una adenoidecto-m&#237;a a los 18 meses de edad&#44; con mejor&#237;a inicial de los s&#237;nto-mas&#44; que sin embargo reaparecieron a los 3 meses de la ciru-g&#237;a&#46; Se le realiz&#243; una segunda adenoidectom&#237;a&#44; acompa&#241;ada esta vez de amigdalectom&#237;a&#44; sin mejor&#237;a significativa de la cl&#237;nica&#46; Se le efectu&#243; una polisomnograf&#237;a&#44; que result&#243; diag-n&#243;stica de s&#237;ndrome de apneas-hipopneas durante el sue&#241;o de car&#225;cter grave&#44; con un &#237;ndice de apneas-hipopneas de 45&#46; Tras comenzar tratamiento con presi&#243;n positiva continua de la v&#237;a a&#233;rea mejor&#243; la calidad del sue&#241;o&#44; pero persistieron algunos de los s&#237;ntomas&#44; fundamentalmente el ronquido&#46; Para normalizar su patr&#243;n respiratorio durante el sue&#241;o re-quiri&#243;&#44; finalmente&#44; una tercera adenoidectom&#237;a&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "REFERENCES"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pediatric obstructive sleep apnea syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C Guilleminault"
                            1 => "L Ji Hyun"
                            2 => "C Alison"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archpedi.159.8.775"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Pediatr Adolesc Med"
                        "fecha" => "2005"
                        "volumen" => "159"
                        "paginaInicial" => "775"
                        "paginaFinal" => "785"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16061787"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Grupo Espa&#241;ol de Sue&#241;o &#40;GES&#41;&#46; El SAHS en la edad pedi&#225;trica&#46; Cl&#237;nica&#44; diagn&#243;stico y tratamiento"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Consenso Nacional sobre el s&#237;ndrome de apneas-hipopneas del sue&#241;o"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "81"
                        "paginaFinal" => "101"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sleep-disordered breathing in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "CL Marcus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Pediatr"
                        "fecha" => "2000"
                        "volumen" => "12"
                        "paginaInicial" => "208"
                        "paginaFinal" => "212"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10836154"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluaci&#243;n cl&#237;nica y polisomnogr&#225;fica de ni&#241;os con SAOS antes y despu&#233;s de la amigdalectom&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "JR Villa"
                            1 => "J De Miguel"
                            2 => "A Vecchi"
                            3 => "F Romero"
                            4 => "R Mu&#241;oz"
                            5 => "M Bartolom&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Pediatr Esp"
                        "fecha" => "2000"
                        "volumen" => "58"
                        "paginaInicial" => "16"
                        "paginaFinal" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sleep-disordered breathing in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C Guilleminault"
                            1 => "R Pelayo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Med"
                        "fecha" => "1998"
                        "volumen" => "30"
                        "paginaInicial" => "350"
                        "paginaFinal" => "356"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9783833"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obstructive sleep apnea syndrome&#58; differences between children and adults"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "CL Marcus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sleep"
                        "fecha" => "2000"
                        "volumen" => "23"
                        "numero" => "Suppl 4"
                        "paginaInicial" => "140"
                        "paginaFinal" => "141"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical practice guideline&#58; diagnosis and management of childhood obstructive sleep apnea syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "American Academy of Pediatrics"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2002"
                        "volumen" => "109"
                        "paginaInicial" => "704"
                        "paginaFinal" => "712"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11927718"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Polysomnographic studies in children with adenotonsillar hypertrophy and suspected obstructive sleep apnea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A S&#225;nchez Armengol"
                            1 => "F Capote Gil"
                            2 => "S Cano G&#243;mez"
                            3 => "R Ayerbe Garc&#237;a"
                            4 => "F Delgado Moreno"
                            5 => "J Castillo G&#243;mez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/(SICI)1099-0496(199608)22:2<101::AID-PPUL4>3.0.CO;2-T"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Pulmonol"
                        "fecha" => "1996"
                        "volumen" => "22"
                        "paginaInicial" => "101"
                        "paginaFinal" => "105"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8875583"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morphometric facial changes and obstructive sleep apnea in adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C Guilleminault"
                            1 => "M Partinen"
                            2 => "JP Praud"
                            3 => "MA Quera-Salva"
                            4 => "N Powell"
                            5 => "R Riley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr"
                        "fecha" => "1989"
                        "volumen" => "114"
                        "paginaInicial" => "997"
                        "paginaFinal" => "999"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2723918"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000004300000005/v1_201305150317/S157921290760069X/v1_201305150317/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004300000005/v1_201305150317/S157921290760069X/v1_201305150317/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921290760069X?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case Reports
Severe Obstructive Sleep Apnea Syndrome in a Toddler
Virginia León Mirandaa,
Corresponding author
virginia_leon@hotmail.com

Correspondence: Dra. V. León Miranda. Unidad de Sueño. Unidad Médico-Quirúrgica de Enfermedades Respiratorias. Manuel Siurot, s/n. 41013 Sevilla. España
, Ángeles Sánchez Armengola, Aránzazu Ruiz Garcíaa, Carmen Carmona Bernala, Georgina Botebol Benhamoub, Francisco Capote Gila
a Unidad de Sueño, Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain
b Servicio de Neurología y Neurofisiología Clínica, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain
Read
5066
Times
was read the article
1612
Total PDF
3454
Total HTML
Share statistics
 array:23 [
  "pii" => "S157921290760069X"
  "issn" => "15792129"
  "doi" => "10.1016/S1579-2129(07)60069-X"
  "estado" => "S300"
  "fechaPublicacion" => "2007-01-01"
  "aid" => "60069"
  "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2007;43:289-91"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3121
    "formatos" => array:3 [
      "EPUB" => 75
      "HTML" => 2475
      "PDF" => 571
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1579212907600706"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60070-6"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60070"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2007;43:292-4"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2219
      "formatos" => array:3 [
        "EPUB" => 85
        "HTML" => 1538
        "PDF" => 596
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>"
      "titulo" => "Intrathoracic Gossypiboma Interpreted as Bronchogenic Carcinoma&#46; Another False Positive With Positron Emission Tomography"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "292"
          "paginaFinal" => "294"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#233;sar Garc&#237;a de Llanos, Pedro Cabrera Navarro, Jordi Freixinet Gilart, Pedro Rodr&#237;guez Su&#225;rez, Mohamed Hussein Serhald, Teresa Romero Saavedra"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "C&#233;sar Garc&#237;a"
              "apellidos" => "de Llanos"
            ]
            1 => array:2 [
              "nombre" => "Pedro Cabrera"
              "apellidos" => "Navarro"
            ]
            2 => array:2 [
              "nombre" => "Jordi Freixinet"
              "apellidos" => "Gilart"
            ]
            3 => array:2 [
              "nombre" => "Pedro Rodr&#237;guez"
              "apellidos" => "Su&#225;rez"
            ]
            4 => array:2 [
              "nombre" => "Mohamed Hussein"
              "apellidos" => "Serhald"
            ]
            5 => array:2 [
              "nombre" => "Teresa Romero"
              "apellidos" => "Saavedra"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600706?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600706/v1_201305150317/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1579212907600688"
    "issn" => "15792129"
    "doi" => "10.1016/S1579-2129(07)60068-8"
    "estado" => "S300"
    "fechaPublicacion" => "2007-01-01"
    "aid" => "60068"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica &#40;SEPAR&#41;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "rev"
    "cita" => "Arch Bronconeumol. 2007;43:283-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 5305
      "formatos" => array:3 [
        "EPUB" => 107
        "HTML" => 4338
        "PDF" => 860
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>"
      "titulo" => "Nutritional Status In COPD"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "283"
          "paginaFinal" => "288"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sergio Alcolea Batres, Jos&#233; Villamor Le&#243;n, &#193;lvarez-Sala Rodolfo"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Sergio Alcolea"
              "apellidos" => "Batres"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233; Villamor"
              "apellidos" => "Le&#243;n"
            ]
            2 => array:2 [
              "nombre" => "&#193;lvarez-Sala"
              "apellidos" => "Rodolfo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212907600688?idApp=UINPBA00003Z"
    "url" => "/15792129/0000004300000005/v1_201305150317/S1579212907600688/v1_201305150317/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>"
    "titulo" => "Severe Obstructive Sleep Apnea Syndrome in a Toddler"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "289"
        "paginaFinal" => "291"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Virginia Le&#243;n Miranda, &#193;ngeles S&#225;nchez Armengol, Ar&#225;nzazu Ruiz Garc&#237;a, Carmen Carmona Bernal, Georgina Botebol Benhamou, Francisco Capote Gil"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "Virginia Le&#243;n"
            "apellidos" => "Miranda"
            "email" => array:1 [
              0 => "virginia&#95;leon&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "&#193;ngeles S&#225;nchez"
            "apellidos" => "Armengol"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ar&#225;nzazu Ruiz"
            "apellidos" => "Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Carmen Carmona"
            "apellidos" => "Bernal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Georgina Botebol"
            "apellidos" => "Benhamou"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Francisco Capote"
            "apellidos" => "Gil"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Sue&#241;o&#44; Unidad M&#233;dico-Quir&#250;rgica de Enfermedades Respiratorias&#44; Hospitales Universitarios Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Neurolog&#237;a y Neurofisiolog&#237;a Cl&#237;nica&#44; Hospitales Universitarios Virgen del Roc&#237;o&#44; Sevilla&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondence&#58; Dra&#46; V&#46; Le&#243;n Miranda&#46; Unidad de Sue&#241;o&#46; Unidad M&#233;dico-Quir&#250;rgica de Enfermedades Respiratorias&#46; Manuel Siurot&#44; s&#47;n&#46; 41013 Sevilla&#46; Espa&#241;a"
          ]
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2006-04-18"
    "fechaAceptado" => "2006-06-27"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec154879"
          "palabras" => array:3 [
            0 => "Obstructive sleep apnea syndrome"
            1 => "Infancy"
            2 => "Adenoidectomy"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec154878"
          "palabras" => array:3 [
            0 => "S&#237;ndrome de apnea obstructiva del sue&#241;o"
            1 => "Infan-cia"
            2 => "Adenoidectom&#237;a"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We report the case of a 3-year-old boy who had experienced intense snoring&#44; frequent awakenings&#44; intense respiratory effort during sleep&#44; and delayed growth starting at the age of 15 months&#46; He underwent adenoidectomy at 18 months&#46; Symptoms initially improved but reappeared 3 months after surgery&#46; He underwent a second adenoidectomy&#44; this time with tonsillectomy&#44; but there was no significant clinical improvement&#46; Polysomnography revealed severe sleep apnea-hypopnea with an apnea-hypopnea index of 45&#46; Continuous positive airway pressure improved sleep quality&#44; although some symptoms&#44; mainly snoring&#44; persisted&#46; A third adenoidectomy was necessary to normalize his breathing pattern during sleep&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Describimos el caso de un paciente var&#243;n de 3 a&#241;os de edad&#44; que desde los 15 meses presentaba un cuadro cl&#237;nico consistente en ronquidos intensos&#44; despertares frecuentes&#44; esfuerzo respiratorio intenso durante el sue&#241;o y retraso del desarrollo pondoestatural&#46; Se le practic&#243; una adenoidecto-m&#237;a a los 18 meses de edad&#44; con mejor&#237;a inicial de los s&#237;nto-mas&#44; que sin embargo reaparecieron a los 3 meses de la ciru-g&#237;a&#46; Se le realiz&#243; una segunda adenoidectom&#237;a&#44; acompa&#241;ada esta vez de amigdalectom&#237;a&#44; sin mejor&#237;a significativa de la cl&#237;nica&#46; Se le efectu&#243; una polisomnograf&#237;a&#44; que result&#243; diag-n&#243;stica de s&#237;ndrome de apneas-hipopneas durante el sue&#241;o de car&#225;cter grave&#44; con un &#237;ndice de apneas-hipopneas de 45&#46; Tras comenzar tratamiento con presi&#243;n positiva continua de la v&#237;a a&#233;rea mejor&#243; la calidad del sue&#241;o&#44; pero persistieron algunos de los s&#237;ntomas&#44; fundamentalmente el ronquido&#46; Para normalizar su patr&#243;n respiratorio durante el sue&#241;o re-quiri&#243;&#44; finalmente&#44; una tercera adenoidectom&#237;a&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "REFERENCES"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pediatric obstructive sleep apnea syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C Guilleminault"
                            1 => "L Ji Hyun"
                            2 => "C Alison"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archpedi.159.8.775"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Pediatr Adolesc Med"
                        "fecha" => "2005"
                        "volumen" => "159"
                        "paginaInicial" => "775"
                        "paginaFinal" => "785"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16061787"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Grupo Espa&#241;ol de Sue&#241;o &#40;GES&#41;&#46; El SAHS en la edad pedi&#225;trica&#46; Cl&#237;nica&#44; diagn&#243;stico y tratamiento"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Consenso Nacional sobre el s&#237;ndrome de apneas-hipopneas del sue&#241;o"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2005"
                        "volumen" => "41"
                        "paginaInicial" => "81"
                        "paginaFinal" => "101"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sleep-disordered breathing in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "CL Marcus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Pediatr"
                        "fecha" => "2000"
                        "volumen" => "12"
                        "paginaInicial" => "208"
                        "paginaFinal" => "212"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10836154"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluaci&#243;n cl&#237;nica y polisomnogr&#225;fica de ni&#241;os con SAOS antes y despu&#233;s de la amigdalectom&#237;a"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "JR Villa"
                            1 => "J De Miguel"
                            2 => "A Vecchi"
                            3 => "F Romero"
                            4 => "R Mu&#241;oz"
                            5 => "M Bartolom&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Pediatr Esp"
                        "fecha" => "2000"
                        "volumen" => "58"
                        "paginaInicial" => "16"
                        "paginaFinal" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sleep-disordered breathing in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C Guilleminault"
                            1 => "R Pelayo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Med"
                        "fecha" => "1998"
                        "volumen" => "30"
                        "paginaInicial" => "350"
                        "paginaFinal" => "356"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9783833"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Obstructive sleep apnea syndrome&#58; differences between children and adults"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "CL Marcus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Sleep"
                        "fecha" => "2000"
                        "volumen" => "23"
                        "numero" => "Suppl 4"
                        "paginaInicial" => "140"
                        "paginaFinal" => "141"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical practice guideline&#58; diagnosis and management of childhood obstructive sleep apnea syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "American Academy of Pediatrics"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2002"
                        "volumen" => "109"
                        "paginaInicial" => "704"
                        "paginaFinal" => "712"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11927718"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Polysomnographic studies in children with adenotonsillar hypertrophy and suspected obstructive sleep apnea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A S&#225;nchez Armengol"
                            1 => "F Capote Gil"
                            2 => "S Cano G&#243;mez"
                            3 => "R Ayerbe Garc&#237;a"
                            4 => "F Delgado Moreno"
                            5 => "J Castillo G&#243;mez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/(SICI)1099-0496(199608)22:2<101::AID-PPUL4>3.0.CO;2-T"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Pulmonol"
                        "fecha" => "1996"
                        "volumen" => "22"
                        "paginaInicial" => "101"
                        "paginaFinal" => "105"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8875583"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morphometric facial changes and obstructive sleep apnea in adolescents"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C Guilleminault"
                            1 => "M Partinen"
                            2 => "JP Praud"
                            3 => "MA Quera-Salva"
                            4 => "N Powell"
                            5 => "R Riley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Pediatr"
                        "fecha" => "1989"
                        "volumen" => "114"
                        "paginaInicial" => "997"
                        "paginaFinal" => "999"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2723918"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000004300000005/v1_201305150317/S157921290760069X/v1_201305150317/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004300000005/v1_201305150317/S157921290760069X/v1_201305150317/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921290760069X?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 4 8
2024 October 31 16 47
2024 September 25 15 40
2024 August 40 46 86
2024 July 30 19 49
2024 June 30 27 57
2024 May 36 26 62
2024 April 19 23 42
2024 March 28 19 47
2024 February 17 15 32
2023 March 2 3 5
2023 February 18 19 37
2023 January 21 28 49
2022 December 16 21 37
2022 November 17 26 43
2022 October 25 41 66
2022 September 18 21 39
2022 August 19 31 50
2022 July 20 41 61
2022 June 16 27 43
2022 May 17 30 47
2022 April 25 24 49
2022 March 21 29 50
2022 February 19 33 52
2022 January 20 26 46
2021 December 12 43 55
2021 November 17 44 61
2021 October 23 38 61
2021 September 16 54 70
2021 August 18 29 47
2021 July 20 13 33
2021 June 16 22 38
2021 May 21 27 48
2021 April 27 33 60
2021 March 35 15 50
2021 February 16 13 29
2021 January 17 14 31
2020 December 14 10 24
2020 November 24 8 32
2020 October 16 7 23
2020 September 9 3 12
2020 August 19 6 25
2020 July 26 15 41
2020 June 63 4 67
2020 May 14 9 23
2020 April 14 12 26
2020 March 7 8 15
2020 February 12 11 23
2020 January 13 13 26
2019 December 19 13 32
2019 November 4 9 13
2019 October 7 4 11
2019 September 15 10 25
2019 August 10 9 19
2019 July 11 12 23
2019 June 8 4 12
2019 May 11 13 24
2019 April 6 31 37
2019 March 4 18 22
2019 February 7 11 18
2019 January 7 6 13
2018 December 6 14 20
2018 November 20 11 31
2018 October 15 16 31
2018 September 12 12 24
2018 May 4 0 4
2018 April 4 8 12
2018 March 15 5 20
2018 February 6 8 14
2018 January 6 4 10
2017 December 3 8 11
2017 November 7 6 13
2017 October 5 8 13
2017 September 4 9 13
2017 August 6 20 26
2017 July 4 14 18
2017 June 11 9 20
2017 May 4 10 14
2017 April 4 3 7
2017 March 8 21 29
2017 February 0 2 2
2017 January 2 3 5
2016 December 6 9 15
2016 November 12 8 20
2016 October 4 2 6
2016 September 7 4 11
2016 August 8 4 12
2016 July 2 0 2
2016 March 2 0 2
2015 December 2 0 2
2015 October 71 7 78
2015 September 65 11 76
2015 August 63 4 67
2015 July 59 6 65
2015 June 58 2 60
2015 May 82 3 85
2015 April 57 8 65
2015 March 220 3 223
2015 February 72 5 77
2015 January 70 5 75
2014 December 114 4 118
2014 November 86 6 92
2014 October 109 8 117
2014 September 66 6 72
2014 August 82 7 89
2014 July 68 3 71
2014 June 70 9 79
2014 May 82 8 90
2014 April 76 5 81
2014 March 86 8 94
2014 February 78 7 85
2014 January 49 10 59
2013 December 51 5 56
2013 November 40 3 43
2013 October 46 10 56
2013 September 46 4 50
2013 August 35 9 44
2013 July 50 10 60
2013 June 44 4 48
2013 May 34 8 42
2013 April 18 3 21
2013 March 6 2 8
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?