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Extensa representación de opacificación en vidrio esmerilado con una sutil reticulación interna (patrón en empedrado) hasta los espacios pleurales (flechas negras), 8 meses después de la suspensión de la vaselina de petróleo y la terapia de esteroides (prolongada durante 6 meses).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gaetano Rea, Francesco Lassandro, Tullio Valente" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Gaetano" "apellidos" => "Rea" ] 1 => array:2 [ "nombre" => "Francesco" "apellidos" => "Lassandro" ] 2 => array:2 [ "nombre" => "Tullio" "apellidos" => "Valente" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212916000677" "doi" => "10.1016/j.arbr.2016.02.016" "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/S1579212916000677?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289616000156?idApp=UINPBA00003Z" "url" => "/03002896/0000005200000008/v1_201607230338/S0300289616000156/v1_201607230338/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212916301112" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.06.007" "estado" => "S300" "fechaPublicacion" => "2016-08-01" "aid" => "1300" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Arch Bronconeumol. 2016;52:439-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2529 "formatos" => array:3 [ "EPUB" => 132 "HTML" => 1918 "PDF" => 479 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Life-Threatening Hemoptysis Secondary to Rasmussen's Aneurysm in an HIV Patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "439" "paginaFinal" => "440" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemoptisis amenazante secundaria a aneurisma de Rasmussen en paciente VIH" ] ] "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" => 1350 "Ancho" => 1432 "Tamanyo" => 321017 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Coronal maximum intensity projection (MIP) CT reconstruction, showing a Rasmussen's aneurysm (arrow) on a subsegmentary branch of the right lower lobe artery. (B) CT volumetric reconstruction (3D or volume rendering) confirming Rasmussen's aneurysm (arrow). (C) Coronal MIP CT reconstruction (pulmonary parenchyma window) showing signs of lung hemorrhage (asterisk) and bilateral residual infectious parenchymal opacities (arrows). (D) Coronal oblique MIP CT reconstruction after embolization showing embolization material (coil) occluding the Rasmussen's aneurysm (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Jaureguizar Oriol, Ana María Ayala Carbonero, Luis Gorospe Sarasúa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Jaureguizar Oriol" ] 1 => array:2 [ "nombre" => "Ana María" "apellidos" => "Ayala Carbonero" ] 2 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616000107" "doi" => "10.1016/j.arbres.2015.12.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289616000107?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301112?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301112/v1_201607230336/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212916301094" "issn" => "15792129" "doi" => "10.1016/j.arbr.2016.06.005" "estado" => "S300" "fechaPublicacion" => "2016-08-01" "aid" => "1239" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2016;52:436-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2013 "formatos" => array:3 [ "EPUB" => 137 "HTML" => 1352 "PDF" => 524 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Ulcerative Pseudomembranous Tracheobronchitis Caused by <span class="elsevierStyleItalic">Aspergillus fumigatus</span>" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "436" "paginaFinal" => "437" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Traqueobronquitis seudomembranosa y ulcerativa causada por <span class="elsevierStyleItalic">Aspergillus fumigatus</span>" ] ] "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" => 1100 "Ancho" => 1212 "Tamanyo" => 160208 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Loss of volume in the left hemithorax with stenosis of the left main bronchus and bronchiectasis in the apical segment of the right upper lobe. (B) Left lower paratracheal ulcerative lesion covered with mucopurulent secretion (arrow). (C) Pseudomembranous mucosa in the distal third of the trachea and left main bronchus. (D) Balloon catheter dilation of stenosis in left main bronchus.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Ariza-Prota, Arturo Morales-Soto, Antoni Rosell-Grataços" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Ariza-Prota" ] 1 => array:2 [ "nombre" => "Arturo" "apellidos" => "Morales-Soto" ] 2 => array:2 [ "nombre" => "Antoni" "apellidos" => "Rosell-Grataços" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289615003531" "doi" => "10.1016/j.arbres.2015.07.018" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615003531?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301094?idApp=UINPBA00003Z" "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916301094/v1_201607230336/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Exogenous Lipoid Pneumonia in Laryngectomy Patients: Is Ground Glass Opacity/Crazy Paving Pattern an Organizing Pneumonia Reaction That Can Predict Poor Outcome?" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">To the Editor</span>," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "438" "paginaFinal" => "439" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gaetano Rea, Francesco Lassandro, Tullio Valente" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Gaetano" "apellidos" => "Rea" "email" => array:1 [ 0 => "gaetano.rea71@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Francesco" "apellidos" => "Lassandro" ] 2 => array:2 [ "nombre" => "Tullio" "apellidos" => "Valente" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiología, Hospital Monaldi, Nápoles, Italy" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía lipoidea exógena en pacientes laringectomizados: ¿es el patrón de opacificación en vidrio esmerilado/en empedrado una reacción organizada de la neumonía capaz de predecir una mala evolución?" ] ] "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" => 1084 "Ancho" => 1321 "Tamanyo" => 188308 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High resolution computed tomography scan of the chest shows peribronchial fat consolidation in middle lobe (white arrows). Extensive representation of GGO containing subtle reticulation (crazy paving) up to pleural spaces (black arrows) 8 months after discontinuing petroleum jelly (Vaseline) and steroid therapy (prolonged for 6 months).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with great interest the exogenous lipoid pneumonia (ELP) case series from Latorre et al.,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> which elegantly demonstrates the radiological findings inherent to pathological aspiration of petroleum jelly (Vaseline). The authors report that the most common high-resolution computed tomography (HRCT) findings in ELP are areas of low attenuation and ground glass opacity (GGO). However, on careful analysis, the CT images for Case 1 exclusively show peribronchial consolidation tissue, but no areas of GGO. The second case reported, supported by CT, CT-PET and MRI, very clearly shows fat in middle lobe. Some of the clinical cases did not have an accompanying radiological image. We respectfully would like to share our experience of two cases of aspiration of oily product, used for cleaning the stoma in adult patients (a 63-year-old woman and a 68-year-old man) after laryngectomy for cancer. Our patients showed an extended GGO component in the middle lobe, lingula and lower lobes, confirmed on bronchoalveolar lavage testing to be alveolar lipid-laden macrophages. Despite the administration of corticosteroids for a period of 6 months (after discontinuing the use of Vaseline), the results were very disappointing: the man showed absolute stability of the HRCT findings and the woman's GGO component continued to worsen, to a greater extent in the lower lobes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The clinical conditions of both patients worsened with further marked reduction in DLCO in both cases. We are aware that this deterioration could be associated with an increased of level of inflammation due to fatty acids, as described in a recent paper.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> Fatty acids either remain in the alveolar compartment or are phagocytized by macrophages that then migrate to the interlobular septa. This phenomenon could partly explain the meaning of the “crazy paving” pattern observed on HRCT.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> However, we assume that reactivity of the affected lung is also consistent with organizing pneumonia, leading to toxic lung injury.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> Due to their critical clinical status, our patients could not undergo a lung biopsy so our findings unfortunately remain only a hypothesis. To sum up, HRCT is the best imaging modality for establishing the diagnosis of lipoid pneumonia. However, there is an important issue which needs clarification: according to Marchiori et al.,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> consolidation is common in children, while GGO and crazy paving are more often seen in adults. The question here is why, after treatment, do areas of GGO and crazy paving sometimes become more extended but with no signs of fibrosis. In conclusion, in patients with pathological findings due to aspiration of petroleum jelly used to clean the tracheostoma, a careful clinical evaluation with FEV1 spirometry and possibly low dose HRCT with narrowed slices is recommended in cases in which GGO is a dominant HRCT pattern.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Rea G, Lassandro F, Valente T. Neumonía lipoidea exógena en pacientes laringectomizados: ¿es el patrón de opacificación en vidrio esmerilado/en empedrado una reacción organizada de la neumonía capaz de predecir una mala evolución?. Arch Bronconeumol. 2016;52:438–439.</p>" ] ] "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" => 1084 "Ancho" => 1321 "Tamanyo" => 188308 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">High resolution computed tomography scan of the chest shows peribronchial fat consolidation in middle lobe (white arrows). Extensive representation of GGO containing subtle reticulation (crazy paving) up to pleural spaces (black arrows) 8 months after discontinuing petroleum jelly (Vaseline) and steroid therapy (prolonged for 6 months).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hallazgos radiológicos de la neumonía lipoidea exógena en pacientes laringectomizados" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. García Latorre" 1 => "R. Rodríguez Díaz" 2 => "D. Barrios Barreto" 3 => "A. Ayala Carbonero" 4 => "M.I. García Gómez-Muriel" 5 => "L. 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Erasmus" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "AJR Am Roentgenol" "fecha" => "2010" "volumen" => "194" "paginaInicial" => "103" "paginaFinal" => "109" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Toxic lung injury in a patient addicted to “legal highs” – case study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Kulhawick" 1 => "J. Walecky" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12659/PJR.892334" "Revista" => array:6 [ "tituloSerie" => "Pol J Radiol" "fecha" => "2015" "volumen" => "80" "paginaInicial" => "62" "paginaFinal" => "66" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25691919" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lipoid pneumonia in 53 patients after aspiration of mineral oil: comparison of high-resolution computed tomography findings in adults and children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E. Marchiori" 1 => "G. Zanetti" 2 => "C.M. Mano" 3 => "K.L. Irion" 4 => "P.A. Daltro" 5 => "B. Hochhegger" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/RCT.0b013e3181a9ec9f" "Revista" => array:6 [ "tituloSerie" => "J Comput Assist Tomogr" "fecha" => "2010" "volumen" => "34" "paginaInicial" => "9" "paginaFinal" => "12" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20118714" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005200000008/v1_201607230336/S1579212916000677/v1_201607230336/en/main.assets" "Apartado" => array:4 [ "identificador" => "49861" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Scientific letters" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005200000008/v1_201607230336/S1579212916000677/v1_201607230336/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916000677?idApp=UINPBA00003Z" ]
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2019 November | 30 | 26 | 56 |
2019 October | 21 | 11 | 32 |
2019 September | 35 | 25 | 60 |
2019 August | 30 | 17 | 47 |
2019 July | 27 | 13 | 40 |
2019 June | 22 | 11 | 33 |
2019 May | 39 | 9 | 48 |
2019 April | 26 | 31 | 57 |
2019 March | 37 | 22 | 59 |
2019 February | 33 | 16 | 49 |
2019 January | 32 | 21 | 53 |
2018 December | 36 | 17 | 53 |
2018 November | 57 | 20 | 77 |
2018 October | 93 | 14 | 107 |
2018 September | 45 | 14 | 59 |
2018 May | 28 | 0 | 28 |
2018 April | 50 | 9 | 59 |
2018 March | 50 | 4 | 54 |
2018 February | 61 | 8 | 69 |
2018 January | 40 | 5 | 45 |
2017 December | 59 | 5 | 64 |
2017 November | 20 | 8 | 28 |
2017 October | 18 | 6 | 24 |
2017 September | 36 | 9 | 45 |
2017 August | 30 | 18 | 48 |
2017 July | 27 | 11 | 38 |
2017 June | 43 | 15 | 58 |
2017 May | 38 | 9 | 47 |
2017 April | 36 | 20 | 56 |
2017 March | 17 | 10 | 27 |
2017 February | 18 | 9 | 27 |
2017 January | 21 | 4 | 25 |
2016 December | 29 | 17 | 46 |
2016 November | 41 | 41 | 82 |
2016 October | 3 | 1 | 4 |
2016 August | 1 | 1 | 2 |