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B) TCAR torácico, corte coronal. C) Imagen broncoscópica de cuerpo extraño. D) Imagen anatomopatológica compatible con tejido óseo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "David Clofent, Irene Sansano, Iñigo Ojanguren" "autores" => array:3 [ 0 => array:2 [ "nombre" => "David" "apellidos" => "Clofent" ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "Sansano" ] 2 => array:2 [ "nombre" => "Iñigo" "apellidos" => "Ojanguren" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212918303367" "doi" => "10.1016/j.arbr.2018.10.005" "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/S1579212918303367?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289618302084?idApp=UINPBA00003Z" "url" => "/03002896/0000005400000012/v1_201812020626/S0300289618302084/v1_201812020626/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212918303914" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.06.015" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1949" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:628" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 312 "formatos" => array:3 [ "EPUB" => 72 "HTML" => 145 "PDF" => 95 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Dark Airway Pigmentation in a Copper Miner" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "628" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pigmentación oscura de la vía aérea en un minero del cobre" ] ] "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" => 529 "Ancho" => 1500 "Tamanyo" => 164012 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Flexible bronchoscopy shows extensive dark airway pigmentation with bronchial obliteration of both upper lobes. (b) Bronchial mucosa biopsy demonstrates silica crystalline material under polarized light (40×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sebastian Fernandez-Bussy, Gonzalo Labarca, Adnan Majid" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Sebastian" "apellidos" => "Fernandez-Bussy" ] 1 => array:2 [ "nombre" => "Gonzalo" "apellidos" => "Labarca" ] 2 => array:2 [ "nombre" => "Adnan" "apellidos" => "Majid" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0300289618302801" "doi" => "10.1016/j.arbres.2018.06.015" "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/S0300289618302801?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918303914?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000012/v1_201812020625/S1579212918303914/v1_201812020625/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212918303379" "issn" => "15792129" "doi" => "10.1016/j.arbr.2018.10.006" "estado" => "S300" "fechaPublicacion" => "2018-12-01" "aid" => "1933" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2018;54:626" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 435 "formatos" => array:3 [ "EPUB" => 90 "HTML" => 243 "PDF" => 102 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "The Many Radiological Presentations of Pulmonary Nodules in Type IV Ehlers-Danlos Syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "626" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Las muchas caras radiológicas de los nódulos pulmonares en el síndrome de Ehlers-Danlos tipo <span class="elsevierStyleSmallCaps">iv</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" => 426 "Ancho" => 475 "Tamanyo" => 53476 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT axial image (pulmonary parenchymal window) from 2013, showing a solid nodule in the right lower lobe (arrow). (B) Chest CT coronal image of the scan of the (pulmonary parenchymal window) from 2014, showing the appearance of 2 nodules in the right lung: one solid (arrow) and other subsolid with mainly ground glass attenuation and a small, solid core (asterisk). (C) Chest CT axial image (pulmonary parenchymal window) from 2016 showing the appearance of 2 cavitary lung nodules in the right pulmonary apex (arrows). Note that the most lateral nodule has non-centered cavitation with half-moon morphology. (D) Chest CT axial image (mediastinal window) from 2017 in which linear calcification (arrow) has appeared within a solid nodule in the middle lobe.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe Sarasúa, Gemma María Muñoz-Molina, Paola Arrieta" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe Sarasúa" ] 1 => array:2 [ "nombre" => "Gemma María" "apellidos" => "Muñoz-Molina" ] 2 => array:2 [ "nombre" => "Paola" "apellidos" => "Arrieta" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289618302102" "doi" => "10.1016/j.arbres.2018.05.020" "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/S0300289618302102?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918303379?idApp=UINPBA00003Z" "url" => "/15792129/0000005400000012/v1_201812020625/S1579212918303379/v1_201812020625/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "High Resolution Computed Tomography and Fiberoptic Bronchoscopy in the Study of Severe Asthma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "627" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "David Clofent, Irene Sansano, Iñigo Ojanguren" "autores" => array:3 [ 0 => array:3 [ "nombre" => "David" "apellidos" => "Clofent" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Irene" "apellidos" => "Sansano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Iñigo" "apellidos" => "Ojanguren" "email" => array:1 [ 0 => "iojangur@vhebron.net" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Departamento de Medicina, Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "CIBER Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La tomografía computarizada de alta resolución y la fibrobroncoscopia en el estudio del asma grave" ] ] "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" => 1455 "Ancho" => 1583 "Tamanyo" => 403875 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest HRCT, axial slice: image of calcification in the righter lower lobe. (B) Chest HRCT, coronal slice. (C) Bronchoscopy image of foreign body. (D) Pathology image consistent with bone tissue.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 73-year-old woman who in 2012 developed a clinical picture of dyspnea on exertion, wheezing, and repeated episodes of acute bronchitis. Forced spirometry was performed, showing FVC: 1.58<span class="elsevierStyleHsp" style=""></span>l (62%), FEV<span class="elsevierStyleInf">1</span>: 1.17<span class="elsevierStyleHsp" style=""></span>l (64%), FEV<span class="elsevierStyleInf">1</span>/FVC: 0.73, with significant FVC changes on bronchodilator challenge. The chest X-ray showed no pathological findings. A diagnosis of asthma was given, and treatment with inhaled corticosteroids began with little clinical response.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient was referred to a pulmonologist in 2016 with a probable diagnosis of severe asthma, and forced spirometry was repeated, showing FVC: 1.54<span class="elsevierStyleHsp" style=""></span>l (61%), FEV<span class="elsevierStyleInf">1</span>: 1.04<span class="elsevierStyleHsp" style=""></span>l (57%), FEV<span class="elsevierStyleInf">1</span>/FVC: 0.67. In view of these findings, high-resolution computed tomography (HRCT) of the chest was performed, revealing an image of calcium density in the bronchus of the right lower lobe with small distal atelectasis. Fiberoptic bronchoscopy confirmed the presence of a foreign body that could be extracted with forceps, despite significant inflammation of the adjacent bronchial mucosa. The patient was unable to remember any episode of aspiration that could be related. The pathology laboratory reported that the sample was consistent with a fragment of bony tissue (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). After extraction, the patient's previous clinical symptoms resolved.</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: Clofent D, Sansano I, Ojanguren I. La tomografía computarizada de alta resolución y la fibrobroncoscopia en el estudio del asma grave. Arch Bronconeumol. 2018;54:627.</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" => 1455 "Ancho" => 1583 "Tamanyo" => 403875 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest HRCT, axial slice: image of calcification in the righter lower lobe. (B) Chest HRCT, coronal slice. (C) Bronchoscopy image of foreign body. (D) Pathology image consistent with bone tissue.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005400000012/v1_201812020625/S1579212918303367/v1_201812020625/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/15792129/0000005400000012/v1_201812020625/S1579212918303367/v1_201812020625/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918303367?idApp=UINPBA00003Z" ]
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