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array:24 [ "pii" => "S1579212921003013" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.09.003" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2502" "copyright" => "SEPAR" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:702" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0300289620301678" "issn" => "03002896" "doi" => "10.1016/j.arbres.2020.05.013" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2502" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:702" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Masa mediastínica anterior asociada a síndrome febril como única manifestación de enfermedad relacionada con IgG4" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "702" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Anterior Mediastinal Mass Associated with Febrile Syndrome as a Single Manifestation of IgG4-Related Disease" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 832 "Ancho" => 1250 "Tamanyo" => 85538 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tomografía computarizada torácica y abdominopélvica con contraste intravenoso en planos axial (A) y coronal (B), donde se observa la masa mediastínica anterior con realce heterogéneo, de aspecto infiltrante (flechas rojas). Imagen de la RM potenciada en T2 con supresión grasa (C) en la que se identifica la masa mediastínica anterior hiperintensa (flecha roja). La lesión era marcadamente hipermetabólica en las imágenes de PET/TC iniciales (SUVmáx<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>11,9) (D) y desapareció en la PET/TC transcurridos 4 meses tras comenzar el tratamiento (E).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María Dolores Rabadán-Caravaca, Eduardo Ruiz-Carazo, María Dolores García-Roa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "María Dolores" "apellidos" => "Rabadán-Caravaca" ] 1 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Ruiz-Carazo" ] 2 => array:2 [ "nombre" => "María Dolores" "apellidos" => "García-Roa" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212921003013" "doi" => "10.1016/j.arbr.2021.09.003" "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/S1579212921003013?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620301678?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000011/v2_202111040649/S0300289620301678/v2_202111040649/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S1579212921003025" "issn" => "15792129" "doi" => "10.1016/j.arbr.2021.09.004" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2512" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:703" "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" => "Intraoperatory diagnosis of partial anomalous pulmonary venous return during pulmonary resection surgery in a non-small cell lung cancer patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "703" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diagnóstico intraoperatorio de drenaje venoso pulmonar anómalo parcial durante cirugía de resección pulmonar en paciente con diagnóstico con carcinoma no microcítico de pulmón" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 658 "Ancho" => 1000 "Tamanyo" => 110130 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A. Partial anomalous pulmonary venous return (PAPVR) straddling the left main pulmonary artery. B. Volumetric reconstruction of left pulmonary vessels showing the PAPVR draining into the left brachiocephalic trunk.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Alfredo Fraile Olivero, Marina Asunción Pardina Solano, Lucia Milla Collado" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Carlos Alfredo" "apellidos" => "Fraile Olivero" ] 1 => array:2 [ "nombre" => "Marina Asunción" "apellidos" => "Pardina Solano" ] 2 => array:2 [ "nombre" => "Lucia" "apellidos" => "Milla Collado" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0300289620301770" "doi" => "10.1016/j.arbres.2020.05.023" "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/S0300289620301770?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003025?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003025/v1_202111020702/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212921003517" "issn" => "15792129" "doi" => "10.1016/j.arbr.2020.04.019" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2486" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:701" "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" => "Acquired Perfusion Defect" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "701" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Defecto de Perfusión Adquirido" ] ] "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" => 742 "Ancho" => 2917 "Tamanyo" => 317503 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial contrast-enhanced chest CT with mediastinal (A) and lung (B) windows shows conglomerate tumor (yellow asterisk) in the right hilar and subcarinal space with narrowing of the right bronchus intermedius and right distal main (yellow arrow) pulmonary artery. Quantitative lung perfusion scintigraphy (C) revealed nearly absent perfusion of right lung.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Firas Bahdi, Audra J. Schwalk, Saadia A. Faiz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Firas" "apellidos" => "Bahdi" ] 1 => array:2 [ "nombre" => "Audra J." "apellidos" => "Schwalk" ] 2 => array:2 [ "nombre" => "Saadia A." "apellidos" => "Faiz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003517?idApp=UINPBA00003Z" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003517/v1_202111020702/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Anterior mediastinal mass associated with febrile syndrome as a single manifestation of IgG4-related disease" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "702" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María Dolores Rabadán-Caravaca, Eduardo Ruiz-Carazo, María Dolores García-Roa" "autores" => array:3 [ 0 => array:4 [ "nombre" => "María Dolores" "apellidos" => "Rabadán-Caravaca" "email" => array:1 [ 0 => "mariadolrc@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Ruiz-Carazo" ] 2 => array:2 [ "nombre" => "María Dolores" "apellidos" => "García-Roa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Masa mediastínica anterior asociada a síndrome febril como única manifestación de enfermedad relacionada con IgG4" ] ] "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" => 832 "Ancho" => 1250 "Tamanyo" => 85548 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest-abdomen-pelvis computed tomography with intravenous contrast in axial (A) and coronal (B) planes, showing the anterior mediastinal mass with heterogeneous enhancement and an infiltrative appearance (red arrows). T2-weighted MRI image with fat suppression (C) identifying the hyperintense anterior mediastinal mass (red arrow). The lesion was markedly hypermetabolic on the initial PET/CT images (SUVmax = 11.9) (D) and disappeared on PET/CT after 4 months of treatment (E).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 14-year-old boy with no significant clinical history consulted with a 6-month history of febrile syndrome. Labs were significant for leukocytosis and elevated C-reactive protein and serum IgG levels, specifically IgG4. Computed tomography, magnetic resonance imaging, and PET/CT showed a right paradiaphragmatic anterior mediastinal mass of infiltrating appearance with intense heterogeneous enhancement (<a class="elsevierStyleCrossRef" href="#fig0005">Figs. 1</a>A–C) and marked hypermetabolism (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D). Pathology study of a percutaneous biopsy revealed an inflammatory lesion associated with IgG4-related disease. The clinical picture resolved completely after 4 months of treatment with glucocorticoids (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">IgG4-related disease is an entity associated with autoimmune mechanisms, characterized by elevated IgG4 serum levels, fibrosis, tissue infiltration by IgG4-secreting plasma cells, and response to glucocorticoids<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Mediastinal involvement usually manifests as lymphadenopathies, either in isolation or concomitantly with the enlargement of other organs<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>. Presentation in the form of a mass is exceptional<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>.</p><p id="par0020" class="elsevierStylePara elsevierViewall">In the case of a patient with a mediastinal mass, IgG4-related disease should be included in the differential diagnosis. Proper diagnosis and conservative treatment can prevent unnecessary invasive diagnostic or therapeutic procedures and their associated comorbidities.</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: Rabadán-Caravaca MD, Ruiz-Carazo E, García-Roa MD. Masa mediastínica anterior asociada a síndrome febril como única manifestación de enfermedad relacionada con IgG4. Arch Bronconeumol. 2021;57:702.</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" => 832 "Ancho" => 1250 "Tamanyo" => 85548 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest-abdomen-pelvis computed tomography with intravenous contrast in axial (A) and coronal (B) planes, showing the anterior mediastinal mass with heterogeneous enhancement and an infiltrative appearance (red arrows). T2-weighted MRI image with fat suppression (C) identifying the hyperintense anterior mediastinal mass (red arrow). The lesion was markedly hypermetabolic on the initial PET/CT images (SUVmax = 11.9) (D) and disappeared on PET/CT after 4 months of treatment (E).</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" => "IgG4-related disease from head to toe" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Martínez-de-Alegría" 1 => "S. Baleato-González" 2 => "R. García-Figueiras" 3 => "A. Bermúdez- Naveira" 4 => "I. Abdulkader-Nallib" 5 => "J.A. Díaz-Peromingo" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/rg.357150066" "Revista" => array:6 [ "tituloSerie" => "Radiographics." 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"fecha" => "2019" "volumen" => "107" "paginaInicial" => "405" "paginaFinal" => "407" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000005700000011/v1_202111020702/S1579212921003013/v1_202111020702/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/15792129/0000005700000011/v1_202111020702/S1579212921003013/v1_202111020702/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212921003013?idApp=UINPBA00003Z" ]
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