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array:23 [ "pii" => "S1579212920301129" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.05.024" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "2193" "copyright" => "SEPAR" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:392-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S1579212920301117" "issn" => "15792129" "doi" => "10.1016/j.arbr.2019.05.023" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "2182" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:394" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Case of Vanishing Pulmonary Aspergilloma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "394" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Un caso de desaparición del aspergiloma pulmonar" ] ] "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" => 434 "Ancho" => 900 "Tamanyo" => 56919 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph (A) and CT (B) show a destructive pattern of the right lung and a stable, previously documented, aspergilloma (asterisk) within a dominant right upper lobe cavity (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Luis Gorospe, Ana María Ayala-Carbonero, Jesús Fortún" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Luis" "apellidos" => "Gorospe" ] 1 => array:2 [ "nombre" => "Ana María" "apellidos" => "Ayala-Carbonero" ] 2 => array:2 [ "nombre" => "Jesús" "apellidos" => "Fortún" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301117?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000006/v1_202006030729/S1579212920301117/v1_202006030729/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S1579212920300781" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.04.001" "estado" => "S300" "fechaPublicacion" => "2020-06-01" "aid" => "2183" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:391" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Rib Fractures, Pulmonary Hernia and Diaphragmatic Rupture After a Fit of Coughing" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "391" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fracturas costales, hernia pulmonar y rotura diafragmática tras acceso de tos" ] ] "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" => 741 "Ancho" => 1756 "Tamanyo" => 255389 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Three-D reconstruction of computed tomography showing fractures of the 7th, 8th and 9th costal arches and intercostal diastasis of the 7th space, associated with pulmonary herniation. (B) Five cm diaphragmatic defect repaired with Prolene® and polytetrafluoroethylene sutures. (C) Biological mesh (Permacol®) on costal plane.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Teresa Gómez Hernández, Israel Rodríguez Alvarado, Marcelo F. Jiménez López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "Gómez Hernández" ] 1 => array:2 [ "nombre" => "Israel" "apellidos" => "Rodríguez Alvarado" ] 2 => array:2 [ "nombre" => "Marcelo F." "apellidos" => "Jiménez López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289619302571" "doi" => "10.1016/j.arbres.2019.05.005" "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/S0300289619302571?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920300781?idApp=UINPBA00003Z" "url" => "/15792129/0000005600000006/v1_202006030729/S1579212920300781/v1_202006030729/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Nail Dystrophy due to Tuberculosis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "392" "paginaFinal" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Filipa Carriço, Manuel Mário Sousa, Raquel Duarte" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Filipa" "apellidos" => "Carriço" "email" => array:1 [ 0 => "a.filipa.carrico@gmail.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 Mário" "apellidos" => "Sousa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Raquel" "apellidos" => "Duarte" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Pulmonology Department, Unidade Local de Saúde da Guarda E.P.E. – Hospital Sousa Martins, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Center of Reference of Multi-resistant Tuberculosis of the North Region, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Pulmonology Department, Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Faculty of Medicine of the University of Porto, Portugal" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Distrofia ungueal causada por tuberculosis" ] ] "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" => 612 "Ancho" => 1305 "Tamanyo" => 87914 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nail before (A) and after 6 months (B) of anti-tuberculosis treatment.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 80-year-old Caucasian woman presented with a 1-year history of nail dystrophy on the left thumb. She had no history of diabetes, nail trauma, neoplastic disease or other dermatological disorders such as psoriasis. Diagnosis of onychomycosis was initially assumed, so she started topical and oral antifungal agents, but no improvement was noticed. The nail (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) was then biopsied and the histopathological examination revealed epithelioid granulomas with foci of necrosis and lymphocytic infiltrate. Cultural examination of the biopsy was positive for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>. Pulmonary involvement was excluded since chest computed tomography was normal and there was no mycobacterial growth on respiratory secretions. Contiguous involvement of the nail by an underlying tuberculous focus in bones was also excluded, since the hand radiograph was normal. Treatment with isoniazid, rifampicin, pyrazinamide, and ethambutol was started. The antibiotic sensitivity test showed sensitivity to all first-line drugs. After 6 months of therapy, the patient presented significant clinical improvement (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Nail dystrophy may result of any traumatic or inflammatory process that involves the nail matrix, nail bed or surrounding tissues. Onychomycosis is the most common cause of nail dystrophy in adults, but there are other causes including trauma, congenital abnormalities, psoriasis or cancer. To our knowledge, this is the first case of nail dystrophy due to tuberculosis reported in literature. We excluded tuberculosis of the adjacent osteoarticular structures, as well as other possible causes of nail dystrophy.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> This clinical image demonstrates the relevance of a detailed history as well as proper diagnostic tests in determining the etiology of a suspicious and treatment-resistant lesion.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> The importance of systematically sending biopsy samples to mycobacteriological culture should not be overlooked, especially if the histopathological examination shows caseating granulomas.</p></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" => 612 "Ancho" => 1305 "Tamanyo" => 87914 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Nail before (A) and after 6 months (B) of anti-tuberculosis treatment.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cutaneous tuberculosis overview and current treatment regimens" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Zyl" 1 => "J. Plessis" 2 => "J. Viljoen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.tube.2014.12.006" "Revista" => array:7 [ "tituloSerie" => "Tuberculosis" "fecha" => "2015" "volumen" => "95" "paginaInicial" => "629" "paginaFinal" => "638" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26616847" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S1885585715003618" "estado" => "S300" "issn" => "18855857" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nail disorders Lookingbill and Marks’ principles of dermatology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.G. Marks" 1 => "J.J. Miller" 2 => "J.G. Marks" 3 => "J.J. Miller" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/B978-0-323-43040-1.00021-X" "Libro" => array:5 [ "edicion" => "sixth edition" "fecha" => "2019" "paginaInicial" => "277-82" "editorial" => "Elsevier" "editorialLocalizacion" => "London" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005600000006/v1_202006030729/S1579212920301129/v1_202006030729/en/main.assets" "Apartado" => array:4 [ "identificador" => "60604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005600000006/v1_202006030729/S1579212920301129/v1_202006030729/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301129?idApp=UINPBA00003Z" ]
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