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(d) Note the striking interstitial involvement of both lungs with multiple lung cysts and diffuse thickening of the pulmonary interstitium.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ruben Eduardo Pacios Blanco, Luis Gorospe Sarasua, María Eugenia Reguero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ruben Eduardo" "apellidos" => "Pacios Blanco" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasua" ] 2 => array:2 [ "nombre" => "María Eugenia" "apellidos" => "Reguero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212918300508" "doi" => "10.1016/j.arbr.2017.08.017" "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/S1579212918300508?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961730296X?idApp=UINPBA00003Z" "url" => "/03002896/0000005400000004/v2_201804150418/S030028961730296X/v2_201804150418/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212918300521" "issn" => "15792129" "doi" => "10.1016/j.arbr.2017.06.012" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1667" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2018;54:220-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1001 "formatos" => array:3 [ "EPUB" => 133 "HTML" => 552 "PDF" => 316 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Mediastinitis After Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration of a Follicular Dendritic Cell Sarcoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "220" "paginaFinal" => "221" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mediastinitis después de una aspiración transbronquial con aguja guiada por ecografía endobronquial de un sarcoma de células dendríticas foliculares" ] ] "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" => 1541 "Ancho" => 2917 "Tamanyo" => 422535 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sections of an axial chest CT of the mediastinal presenting the tumor in the posterior mediastinum. (a) Tumor of the posterior mediastinum before EBUS measuring 74×71×53<span class="elsevierStyleHsp" style=""></span>m. (b) Tumor of 5.4<span class="elsevierStyleHsp" style=""></span>cm (short axis) 14 days after EBUS with puncture. (c) Mediastinal axis 3 months following resection of the tumor.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fiorenza Gautschi, Isabelle Opitz, Didier Schneiter, Daniel Franzen" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Fiorenza" "apellidos" => "Gautschi" ] 1 => array:2 [ "nombre" => "Isabelle" "apellidos" => "Opitz" ] 2 => array:2 [ "nombre" => "Didier" "apellidos" => "Schneiter" ] 3 => array:2 [ "nombre" => "Daniel" "apellidos" => "Franzen" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289617302223" "doi" => "10.1016/j.arbres.2017.06.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302223?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300521?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000004/v2_201804150412/S1579212918300521/v2_201804150412/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212918300338" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.02.003" "estado" => "S300" "fechaPublicacion" => "2018-04-01" "aid" => "1713" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:218" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 934 "formatos" => array:3 [ "EPUB" => 149 "HTML" => 535 "PDF" => 250 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pulmonary Hypoplasia in a Young Adult" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "218" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hipoplasia pulmonar en un adulto joven" ] ] "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" => 1131 "Ancho" => 1667 "Tamanyo" => 311693 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial image of the chest CT showing (a) left lung with marked reduction of volume and bronchiectasis, corresponding to pulmonary hypoplasia, and (b) large compensatory hyperinflation of the right lung; 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(b) Chest wall mass histological section confirming xanthomatous CD68-positive, CD1a/S100-negative foamy histiocytes with positive BRAF-V600E. (c) Axial CT image showing thorax drainage tubes due to bilateral pneumothoraces (arrows). (d) Note the striking interstitial involvement of both lungs with multiple lung cysts and diffuse thickening of the pulmonary interstitium.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An acutely ill 22-year-old man was admitted to hospital with severe chest pain, high-grade dyspnoea and sinus tachycardia. He had a history of low-growth and polyostotic bone alterations since the age of 14. The patient presented 3 months before the current episode with a large left chest wall mass (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) that was biopsied, showing xanthomatous CD68-positive, CD1a/S100 negative foamy histiocytes and BRAFV600E mutation, which confirmed Erdheim-Chester disease (ECD) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), as well as bone biopsy results. Emergency chest X-ray showed massive bilateral pneumothoraces, so chest tubes were placed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Computed tomography (CT) demonstrated multiple lung cysts and diffuse interstitial thickening. Lung biopsy was positive. ECD is a rare non-Langerhans histiocytosis, with around 600 published cases to date,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> which primarily affects male patients between their 5th and 7th decades. More than 50% of ECD patients have BRAFV600E mutations.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> It encompasses a spectrum of manifestations: osseous, cardiovascular, pulmonary, central nervous system, orbital, neuroendocrine, retroperitoneal and cutaneous. Interstitial pulmonary disease and lung cysts appear in less than 18% of reported cases.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> To the best of our knowledge, there have been no cases of bilateral pneumothoraces and fewer than five cases of unilateral pneumothorax complicating ECD have been reported.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1070 "Ancho" => 1600 "Tamanyo" => 383474 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Axial CT image demonstrating a large soft tissue mass in the left chest wall (asterisk). (b) Chest wall mass histological section confirming xanthomatous CD68-positive, CD1a/S100-negative foamy histiocytes with positive BRAF-V600E. (c) Axial CT image showing thorax drainage tubes due to bilateral pneumothoraces (arrows). (d) Note the striking interstitial involvement of both lungs with multiple lung cysts and diffuse thickening of the pulmonary interstitium.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary involvement in ErdheimChester disease: a single-center study of thirty-four patients and a review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Arnaud" 1 => "I. Pierre" 2 => "C. Beigelman-Aubry" 3 => "F. Capron" 4 => "A.-L. 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Ingravallo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.critrevonc.2015.02.004" "Revista" => array:6 [ "tituloSerie" => "Crit Rev Oncol Hematol" "fecha" => "2015" "volumen" => "95" "paginaInicial" => "1" "paginaFinal" => "11" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25744785" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000004/v2_201804150412/S1579212918300508/v2_201804150412/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/15792129/0000005400000004/v2_201804150412/S1579212918300508/v2_201804150412/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918300508?idApp=UINPBA00003Z" ]
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