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A late-onset reduction in FEV<span class="elsevierStyleInf">1</span> of 23% from baseline was observed after inhalation of zinc sulfate at a concentration of 0.1<span class="elsevierStyleHsp" style=""></span>mg/ml for 5<span class="elsevierStyleHsp" style=""></span>min, requiring administration of a ß2-agonist (B2).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Angelica Leal, Irene Caselles, Maria Jesús Rodriguez-Bayarri, Xavier Muñoz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Angelica" "apellidos" => "Leal" ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "Caselles" ] 2 => array:2 [ "nombre" => "Maria Jesús" "apellidos" => "Rodriguez-Bayarri" ] 3 => array:2 [ "nombre" => "Xavier" "apellidos" => "Muñoz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616302460" "doi" => "10.1016/j.arbres.2016.09.009" "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/S0300289616302460?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917301118?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000006/v2_201707150125/S1579212917301118/v2_201707150125/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212917301271" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.04.011" "estado" => "S300" "fechaPublicacion" => "2017-06-01" "aid" => "1520" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2017;53:344" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1320 "formatos" => array:3 [ "EPUB" => 155 "HTML" => 861 "PDF" => 304 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pancreatic-Thoracic Fistula. An Unusual Complication of Pancreatitis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "344" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fístula pancreato-torácica, una inusual complicación de la pancreatitis" ] ] "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" => 600 "Ancho" => 1447 "Tamanyo" => 146922 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A and B) Coronal reconstructions of CT in a 47-year-old patient with a history of chronic pancreatitis complicated by a thoracopancreatic fistula. CT shows a loculated pleural effusion (star in B) connecting (arrow in A) with the pseudocyst (star in A), which in turn connects with the pancreatic duct (arrow in B). (C) Follow-up CT performed at 12 days, after ERCP and prosthesis placement (arrow in C), draining the pseudocyst and pleural collection via the pancreatic duct to the duodenum.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Nuria Alonso Ordás, Helena Gómez Herrero, Lesly Ortega Molina" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Nuria" "apellidos" => "Alonso Ordás" ] 1 => array:2 [ "nombre" => "Helena" "apellidos" => "Gómez Herrero" ] 2 => array:2 [ "nombre" => "Lesly" "apellidos" => "Ortega Molina" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289616303507" "doi" => "10.1016/j.arbres.2016.12.002" "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/S0300289616303507?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212917301271?idApp=UINPBA00003Z" "url" => "/15792129/0000005300000006/v2_201707150125/S1579212917301271/v2_201707150125/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Web-Like Endobronchial Membranous Stenosis: A Rare Complication in Granulomatosis With Polyangiitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "345" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Angel Ariza-Prota, Manuel Vaquero-Cacho, Antonio Bango Álvarez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Miguel Angel" "apellidos" => "Ariza-Prota" "email" => array:1 [ 0 => "arizamiguel@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Manuel" "apellidos" => "Vaquero-Cacho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Antonio Bango" "apellidos" => "Álvarez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Instituto Nacional de Silicosis, Área del Pulmón, Hospital Universitario Central de Asturias, Facultad de Medicina, Universidad de Oviedo, Oviedo, Asturias, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Área del Pulmón, Servicio de Cirugía Torácica, Hospital Universitario Central de Asturias, Facultad de Medicina, Universidad de Oviedo, Oviedo, Asturias, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estenosis membranosa endobronquial <span class="elsevierStyleItalic">web-like:</span> una complicación infrecuente en la granulomatosis con poliangeitis" ] ] "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" => 570 "Ancho" => 1500 "Tamanyo" => 97855 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Concentric web-like membranous stenosis.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 17-year-old boy was diagnosed in August 2015 with granulomatosis with polyangiitis (GPA) with sinus, nasal, pulmonary and renal involvement, for which he started a 4-month course of induction therapy with corticosteroid and cyclophosphamide. He was admitted in 2015 for dyspnea and partial respiratory failure. On pulmonary auscultation, he showed hypophonesis in the left lung base. Flexible bronchoscopy revealed concentric web-like membranous stenosis of the left lower lobe (LLL) bronchus, preventing passage of the bronchoscope to the distal airway (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). He required admission to the ICU with non-invasive mechanical ventilation. Effective dilation of the LLL bronchus was achieved with a balloon catheter (CRE™ Pulmonary; Boston Scientific; diameter 13.5<span class="elsevierStyleHsp" style=""></span>mm at an intermediate pressure of 4.5<span class="elsevierStyleHsp" style=""></span>atm) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Since optimal control of the patient's systemic disease was not achieved, he continued to be followed up by our bronchoscopy unit, requiring bronchial dilation every 2 months.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">GPA is the recently accepted denomination for Wegener's granulomatosis, defined as a systemic disease with necrotizing vasculitis affecting small and medium-caliber vessels with granulomatous inflammation, involving the respiratory tract (upper and lower), and often the kidney, in the form of glomerulonephritis with focal necrosis.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> Between 15% and 30% of patients in the different series have tracheobronchial involvement; thickening of the wall of diverse bronchi, whether primary or lobar, and reduction of the lumen size are often observed.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ariza-Prota MA, Vaquero-Cacho M, Álvarez AB. Estenosis membranosa endobronquial <span class="elsevierStyleItalic">web-like:</span> una complicación infrecuente en la granulomatosis con poliangeitis. Arch Bronconeumol. 2017;53:345.</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" => 570 "Ancho" => 1500 "Tamanyo" => 97855 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Concentric web-like membranous stenosis.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Granulomatosis with polyangiitis (Wegener's): an alternative name for Wegener's granulomatosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.J. Falk" 1 => "W.L. Gross" 2 => "L. Guillevin" 3 => "G.S. Hoffman" 4 => "D.R. Jayne" 5 => "J.C. Jenette" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.30286" "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "2011" "volumen" => "63" "paginaInicial" => "863" "paginaFinal" => "864" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21374588" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary vasculitis: the spectrum of radiological findings" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.B. Seo" 1 => "J.G. Im" 2 => "J.W. Chung" 3 => "J.W. Song" 4 => "J.M. Goo" 5 => "J.H. Park" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1259/bjr.73.875.11144805" "Revista" => array:6 [ "tituloSerie" => "Br J Radiol" "fecha" => "2000" "volumen" => "73" "paginaInicial" => "1224" "paginaFinal" => "1231" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11144805" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005300000006/v2_201707150125/S157921291730126X/v2_201707150125/en/main.assets" "Apartado" => array:4 [ "identificador" => "21342" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005300000006/v2_201707150125/S157921291730126X/v2_201707150125/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157921291730126X?idApp=UINPBA00003Z" ]
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