Statistics

 array:24 [
  "pii" => "S1579212916301781"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2016.07.020"
  "estado" => "S300"
  "fechaPublicacion" => "2016-10-01"
  "aid" => "1346"
  "copyright" => "SEPAR"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Arch Bronconeumol. 2016;52:533-4"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1388
    "formatos" => array:3 [
      "EPUB" => 131
      "HTML" => 897
      "PDF" => 360
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289616300035"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2016.02.010"
      "estado" => "S300"
      "fechaPublicacion" => "2016-10-01"
      "aid" => "1346"
      "copyright" => "SEPAR"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Arch Bronconeumol. 2016;52:533-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 2500
        "formatos" => array:3 [
          "EPUB" => 106
          "HTML" => 1818
          "PDF" => 576
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
        "titulo" => "Seudoquilot&#243;rax sin engrosamiento pleural asociado a artritis reumatoide"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "533"
            "paginaFinal" => "534"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Pseudochylotorax without pleural thickening associated with rheumatoid arthritis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 601
                "Ancho" => 900
                "Tamanyo" => 66095
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imagen de la TAC&#44; donde se observa derrame pleural&#44; sin signos de engrosamiento pleural&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Luc&#237;a Zamora Molina, Guillermo Moreno Redondo, Alejandro Maestro Borbolla"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Luc&#237;a"
                "apellidos" => "Zamora Molina"
              ]
              1 => array:2 [
                "nombre" => "Guillermo"
                "apellidos" => "Moreno Redondo"
              ]
              2 => array:2 [
                "nombre" => "Alejandro"
                "apellidos" => "Maestro Borbolla"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212916301781"
          "doi" => "10.1016/j.arbr.2016.07.020"
          "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/S1579212916301781?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289616300035?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005200000010/v3_201609300128/S0300289616300035/v3_201609300128/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212916301793"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.07.021"
    "estado" => "S300"
    "fechaPublicacion" => "2016-10-01"
    "aid" => "1349"
    "copyright" => "SEPAR"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Arch Bronconeumol. 2016;52:534-5"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2074
      "formatos" => array:3 [
        "EPUB" => 139
        "HTML" => 1390
        "PDF" => 545
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "<span class="elsevierStyleItalic">Pneumocystis jirovecii</span> Pneumonia Complicating the Progress of a Patient with Glioblastoma Multiforme Receiving Temozolomide"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "534"
          "paginaFinal" => "535"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Neumon&#237;a por <span class="elsevierStyleItalic">Pneumocystis jirovecii</span> complicando la evoluci&#243;n de una paciente con glioblastoma multiforme en tratamiento con temozolomida"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1424
              "Ancho" => 1795
              "Tamanyo" => 297059
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Axial CT image of the head&#44; after administration of intravenous contrast medium&#44; showing 2 intra-axial ring enhancing lesions &#40;arrows&#41; in the left cerebral hemisphere&#44; with a significant mass effect and associated perilesional edema&#46; &#40;B&#41; Anteroposterior chest radiograph showing ground glass opacities in both lungs&#46; &#40;C&#41; Axial image of chest CT &#40;lung window&#41;&#44; showing a noteworthy mosaic pattern in the pulmonary parenchyma&#44; with areas of ground glass attenuation alternating with others of less density&#44; typical of <span class="elsevierStyleItalic">Pneumocystis jirovecii</span> infection&#46; &#40;D&#41; Axial image of chest CT &#40;mediastinum window&#41; with intravenous contrast &#40;obtained at the same level as image C&#41;&#44; showing central filling defect in the right lower lobe artery &#40;arrow&#41;&#44; associated with pulmonary thromboembolism&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Luis Gorospe Saras&#250;a, Almudena Ure&#241;a-Vacas, Jacobo Rodrigo Mu&#241;oz del Toro"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Gorospe Saras&#250;a"
            ]
            1 => array:2 [
              "nombre" => "Almudena"
              "apellidos" => "Ure&#241;a-Vacas"
            ]
            2 => array:2 [
              "nombre" => "Jacobo Rodrigo"
              "apellidos" => "Mu&#241;oz del Toro"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289616300060"
        "doi" => "10.1016/j.arbres.2016.02.013"
        "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/S0300289616300060?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301793?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000010/v2_201609300109/S1579212916301793/v2_201609300109/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1579212916301720"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2016.07.014"
    "estado" => "S300"
    "fechaPublicacion" => "2016-10-01"
    "aid" => "1241"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2016;52:531-2"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1781
      "formatos" => array:3 [
        "EPUB" => 131
        "HTML" => 1231
        "PDF" => 419
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>"
      "titulo" => "Cavitating Lung Cancer as Response to Bevacizumab Treatment"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "531"
          "paginaFinal" => "532"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Cavitaci&#243;n de adenocarcinoma de pulm&#243;n como respuesta al tratamiento con bevacizumab"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:2 [
            0 => array:1 [
              "imagen" => "gr1ad.jpeg"
            ]
            1 => array:1 [
              "imagen" => "gr1ef.jpeg"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A and C&#41; Axial CT slices in the mediastinal and lung windows&#44; respectively&#46; A solid mass 6<span class="elsevierStyleHsp" style=""></span>cm&#215;4<span class="elsevierStyleHsp" style=""></span>cm with infiltrative margins&#44; containing necrosis&#44; and peripheral enhancement in the posterior segment of the RUL adjacent to the posterior pleura&#46; &#40;B and D&#41; Axial CT slices in the mediastinal and lung windows&#46; Another solid lesion is seen in the LLL&#44; adjacent to the diaphragmatic pleura&#44; with infiltrative contours and less necrosis&#46; &#40;E and F&#41; Axial CT slices in lung window&#44; 6 months after starting bevacizumab treatment&#46; In E&#44; the RUL lesion can be seen to be larger&#44; cavitated and with no solid component&#44; and in F&#44; the solid tumor in the LLL is smaller with lower attenuation than in images B and D&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Luc&#237;a Fern&#225;ndez Rodr&#237;guez, Alicia Linares Beltr&#225;n, Isabel Torres S&#225;nchez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Luc&#237;a"
              "apellidos" => "Fern&#225;ndez Rodr&#237;guez"
            ]
            1 => array:2 [
              "nombre" => "Alicia"
              "apellidos" => "Linares Beltr&#225;n"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Torres S&#225;nchez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289615003555"
        "doi" => "10.1016/j.arbres.2015.08.001"
        "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/S0300289615003555?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301720?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005200000010/v2_201609300109/S1579212916301720/v2_201609300109/en/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Pseudochylotorax without Pleural Thickening Associated with Rheumatoid Arthritis"
    "tieneTextoCompleto" => true
    "saludo" => "<span class="elsevierStyleItalic">To the Editor</span>&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "533"
        "paginaFinal" => "534"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Luc&#237;a Zamora Molina, Guillermo Moreno Redondo, Alejandro Maestro Borbolla"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Luc&#237;a"
            "apellidos" => "Zamora Molina"
            "email" => array:1 [
              0 => "lucia&#95;lzjc&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Guillermo"
            "apellidos" => "Moreno Redondo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Alejandro"
            "apellidos" => "Maestro Borbolla"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Secci&#243;n de Neumolog&#237;a&#44; Hospital General de Elche&#44; Elche&#44; Alicante&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital General de Elche&#44; Elche&#44; Alicante&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Seudoquilot&#243;rax sin engrosamiento pleural asociado a artritis reumatoide"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 601
            "Ancho" => 900
            "Tamanyo" => 65608
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT image showing pleural effusion with no signs of pleural thickening&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Pseudochylothorax is a very uncommon type of pleural effusion characterized by a high cholesterol content&#44; and usually occurs in chronic effusions with pleural thickening&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> The most common causes are tuberculous effusion&#44; sequelae from therapeutic pneumothorax&#44; and rheumatoid pleurisy&#44; although it has been seen in other clinical situations&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#44;2</span></a> While pleural effusion is a relatively common finding in rheumatoid arthritis&#44; only around 20 cases of pseudochylothorax have been reported in these patients&#44; so it is difficult to determine the real prevalence of this process&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Cholesterol in the pleural space was thought to be due to erythrocyte and neutrophil degradation within a thickened pleura&#44; but it seems more likely to originate from serum lipoproteins than from cell lysis&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> Pleural thickening with fibrotic scar tissue preventing fluid absorption was considered a key element in the etiopathogenesis of pseudochylothorax&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> However&#44; in recent years&#44; some cases of pseudochylothorax have been reported in patients with rheumatoid arthritis who have not shown pleural thickening&#44; bringing the generally accepted pathogenic mechanism into question&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">4&#44;5</span></a> We have diagnosed a new case of pseudochylothorax in a patient with rheumatoid arthritis who did not present pleural thickening&#46; A 53-year-old woman&#44; smoker &#40;25 pack-years&#41; with no previous respiratory symptoms&#44; was referred to the respiratory medicine specialist after a small pleural effusion with no associated symptoms was detected on the study performed before an intervention for abdominal hernia&#46; A chest radiograph obtained 7 months previously from the same patient did not show pleural effusion&#46; She had been diagnosed with rheumatoid arthritis 2 years previously and was receiving treatment with corticosteroids&#44; methotrexate and certolizumab&#46; On chest CT &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; pleural effusion was observed with no signs of pleural thickening&#46; A thoracocentesis was performed&#44; yielding a sterile&#44; opalescent fluid with no malignant cells&#44; pH 7&#46;03&#44; glucose &#60;20<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; proteins 7<span class="elsevierStyleHsp" style=""></span>g&#47;dl&#44; LDH 14&#44;691<span class="elsevierStyleHsp" style=""></span>U&#47;l&#44; ADA 137<span class="elsevierStyleHsp" style=""></span>U&#47;l&#44; rheumatoid factor &#60;9<span class="elsevierStyleHsp" style=""></span>U&#47;ml&#44; triglycerides 17<span class="elsevierStyleHsp" style=""></span>mg&#47;dl and cholesterol 255<span class="elsevierStyleHsp" style=""></span>mg&#47;dl &#40;in serum 186<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Our case showed characteristics of pleural effusion due to rheumatoid arthritis &#40;very low pH and glucose and high LDL levels&#41; and pseudochylothorax &#40;low triglycerides and high cholesterol concentration in pleural fluid&#41;&#44; and adds to the few previous observations of pseudochylothorax associated with rheumatoid arthritis in the absence of pleural thickening&#46; This finding suggests that pathogenic mechanisms must exist for the formation of this type of pleural effusion other than the chronic process of fluid within a fibrotic pleura&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> and confirms that the absence of pleural thickening does not rule out pseudochylothorax&#46; Pseudochylothorax&#44; if asymptomatic&#44; does not require any specific treatment&#46; However&#44; when it occurs in association with rheumatoid arthritis&#44; cases have been described in which intensive treatment of the underlying disease leads to control or resolution of the pseudochylothorax&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Molina LZ&#44; Redondo GM&#44; Borbolla AM&#46; Seudoquilot&#243;rax sin engrosamiento pleural asociado a artritis reumatoide&#46; Arch Bronconeumol&#46; 2016&#59;52&#58;533&#8211;534&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 601
            "Ancho" => 900
            "Tamanyo" => 65608
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT image showing pleural effusion with no signs of pleural thickening&#46;</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" => "Chylothorax and pseudochylothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Hillerdal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1997"
                        "volumen" => "10"
                        "paginaInicial" => "1157"
                        "paginaFinal" => "1162"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9163662"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudochylothorax in pleural effusion due to coronary artery bypass surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Garc&#237;a-Pach&#243;n"
                            1 => "L&#46;C&#46; Fern&#225;ndez"
                            2 => "F&#46; L&#243;pez-Azor&#237;n"
                            3 => "I&#46; Padilla-Navas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1999"
                        "volumen" => "13"
                        "paginaInicial" => "1487"
                        "paginaFinal" => "1488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10445629"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109703014141"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thoracic complications of rheumatoid disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46; Massey"
                            1 => "M&#46; Darby"
                            2 => "A&#46; Edey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.crad.2012.07.007"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Radiol"
                        "fecha" => "2013"
                        "volumen" => "68"
                        "paginaInicial" => "293"
                        "paginaFinal" => "301"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22998801"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pseudochylthorax without pleural thickening&#58; time to reconsider pathogenesis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;M&#46; Wrightson"
                            1 => "A&#46;E&#46; Stanton"
                            2 => "N&#46;A&#46; Maskell"
                            3 => "R&#46;J&#46; Davies"
                            4 => "Y&#46;C&#46; Lee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.09-0445"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2009"
                        "volumen" => "136"
                        "paginaInicial" => "1144"
                        "paginaFinal" => "1147"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19809057"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Chyliform effusion without pleural thickening in a patient with rheumatoid arthritis&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Muresan"
                            1 => "L&#46; Muresan"
                            2 => "I&#46; Grigorescu"
                            3 => "D&#46;L&#46; Dumitrascu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/0970-2113.168127"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lung India"
                        "fecha" => "2015"
                        "volumen" => "32"
                        "paginaInicial" => "616"
                        "paginaFinal" => "619"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26664172"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:3 [
        "titulo" => "Acknowledgement"
        "texto" => "<p id="par0020" class="elsevierStylePara elsevierViewall">Our thanks to Eduardo Garc&#237;a Pach&#243;n&#44; without whom we could not have produced this paper&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005200000010/v2_201609300109/S1579212916301781/v2_201609300109/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/15792129/0000005200000010/v2_201609300109/S1579212916301781/v2_201609300109/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212916301781?idApp=UINPBA00003Z"
]