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Zonas de consolidación del espacio aéreo y áreas de vidrio deslustrado de predominio en hemitórax izquierdo. B) Citología del lavado broncoalveolar. Abundantes macrófagos con citoplasma vacuolado y espumoso.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Aurelio Luis Wangüemert Pérez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Aurelio Luis" "apellidos" => "Wangüemert Pérez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921000367" "doi" => "10.1016/j.arbr.2020.05.014" "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/S1579212921000367?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620301939?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000004/v1_202104020827/S0300289620301939/v1_202104020827/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212921000896" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.06.017" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2544" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:299" "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 Biliobronchial Fistula" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "299" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fístula biliobronquial" ] ] "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" => 1311 "Ancho" => 2250 "Tamanyo" => 257426 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Axial thoracoabdominal-CT image shows ground glass opacities on right lower lobe. (B) Coronal thoracoabdominal-CT image shows new right subphrenic collection contiguous with diaphragm, consistent with an abscess; multiples focal hepatic lesions, one extending to right lung base, with a fistulous track (arrow). (C) Bronchofibroscopy revealed yellowish secretions in all bronchial tree. (D) Bronchofibroscopy revealed mucosa inflammation of medial basal segment of right lower lobe bronchus, from where yellowish secretions flowed, confirming fistulization site (circle). (E) Coronal CT image performed after embolization of the fistulous track shows the presence of high-attenuation embolization material (metallic coils and cyanoacrylate glue) in the right subphrenic space extending into the thorax (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Sónia Silva Guerra, Carla António" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Sónia Silva" "apellidos" => "Guerra" ] 1 => array:2 [ "nombre" => "Carla" "apellidos" => "António" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000896?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000896/v1_202104020819/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921000914" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.07.023" "estado" => "S300" "fechaPublicacion" => "2021-04-01" "aid" => "2580" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2021;57:291-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "HLA-DRB1 Alleles are Associated With COPD in a Latin American Admixed Population" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:3 [ 0 => "en" 1 => "en" 2 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "291" "paginaFinal" => "297" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Los alelos de HLA-DRB1 se asocian con la EPOC en una población latinoamericana mestiza" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 1 "multimedia" => array:5 [ "identificador" => "fig0010" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 988 "Ancho" => 1333 "Tamanyo" => 99797 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Roberto Díaz-Peña, Rafael S. Silva, H. Dean Hosgood, Sergio Jaime, Marc Miravitlles, Jordi Olloquequi" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Roberto" "apellidos" => "Díaz-Peña" ] 1 => array:2 [ "nombre" => "Rafael S." "apellidos" => "Silva" ] 2 => array:3 [ "nombre" => "H. Dean" "apellidos" => "Hosgood" "sufijo" => "III" ] 3 => array:2 [ "nombre" => "Sergio" "apellidos" => "Jaime" ] 4 => array:2 [ "nombre" => "Marc" "apellidos" => "Miravitlles" ] 5 => array:2 [ "nombre" => "Jordi" "apellidos" => "Olloquequi" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0010"></elsevierMultimedia></p></span>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000914?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000914/v1_202104020819/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Exogenous lipoid pneumonia secondary to use of lipstick" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "298" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Aurelio Luis Wangüemert Pérez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Aurelio Luis" "apellidos" => "Wangüemert Pérez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología, Hospital San Juan de Dios, Santa Cruz de Tenerife, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía lipoidea exógena secundario a uso de vaselina labial" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1197 "Ancho" => 1500 "Tamanyo" => 454769 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed tomography. Areas of airspace consolidation and ground glass opacities in left hemitorax. (B) Bronchoalveolar lavage cytology. Abundant macrophages with foamy vacuolated cytoplasm.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 69-year-old woman, former smoker who stopped 20 years previously, with no other background of interest, had a 30-year history of using of Vaseline lip balm up to 6 times a day. She presented in the respiratory medicine clinic with a 2-month history of non-productive cough, dyspnea on minimal exertion, and temperature of 37 °C in the last few days. Examination showed an oxygen saturation of 93% in room air and bilateral crackles. Chest X-ray revealed bilateral multiple consolidations. Chest computed tomography located these multifocal consolidations in the left hemitorax and basal segments of the right lower lobe consistent with pneumonic changes.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Treatment began with dual antibiotic therapy, with little clinical and radiological improvement. Bronchoscopy was performed with bronchoalveolar lavage that was negative for microbiological culture, fungi and mycobacteria, while bronchial cytology findings showed abundant macrophages with foamy vacuolated cytoplasm consistent with lipoid pneumonia associated with the excessive use of petroleum jelly. Discontinuation of this product resulted in clinical and radiological improvement in subsequent follow-ups (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Exogenous lipoid pneumonia is an uncommon disease caused by lipid deposition within the pulmonary alveoli, which may be caused by absorption of oily agents such as Vaseline lip balm.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">The current manuscript had no source of funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests directly or indirectly related with the contents of this manuscript.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] 2 => array:2 [ "identificador" => "xack522199" "titulo" => "Acknowledgements" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Wangüemert Pérez AL. Neumonía lipoidea exógena secundario a uso de vaselina labial. Arch Bronconeumol. 2021;57:298.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1197 "Ancho" => 1500 "Tamanyo" => 454769 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed tomography. Areas of airspace consolidation and ground glass opacities in left hemitorax. (B) Bronchoalveolar lavage cytology. Abundant macrophages with foamy vacuolated cytoplasm.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lipoid pneumonia: spectrum of clinical and radiologic manifestations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.L. Betancourt" 1 => "S. Martinez-Jimenez" 2 => "S.E. Rossi" 3 => "M.T. Truong" 4 => "J. Carrillo" 5 => "J.J. Erasmus" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2214/AJR.09.3040" "Revista" => array:6 [ "tituloSerie" => "AJR Am J Roentgenol" "fecha" => "2010" "volumen" => "194" "paginaInicial" => "103" "paginaFinal" => "109" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20028911" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory failure caused by lipoid pneumonia from vaping e-cigarettes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D. Viswam" 1 => "S. Trotter" 2 => "P.S. Burge" 3 => "G.I. Walters" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/bcr-2018-224350" "Revista" => array:2 [ "tituloSerie" => "BMJ Case Rep" "fecha" => "2018" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack522199" "titulo" => "Acknowledgements" "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">We thank all the people who collaborated in this study.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000004/v1_202104020819/S1579212921000367/v1_202104020819/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/15792129/0000005700000004/v1_202104020819/S1579212921000367/v1_202104020819/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921000367?idApp=UINPBA00003Z" ]
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