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class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Plastic bronchitis and Noonan syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "705" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Bronquitis plástica y síndrome de Noonan" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1059 "Ancho" => 2508 "Tamanyo" => 246704 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">(a)</span> Bronchial mold expected by the patient. <span class="elsevierStyleBold">(b)</span> Posterior-anterior chest X-ray showing multilobar infiltrates in both lung fields. <span class="elsevierStyleBold">(c)</span> Thoracic computed tomography showing multiple parenchymal opacities in tarnished glass with geographic distribution in both lung fields. <span class="elsevierStyleBold">(d)</span> Chest computed tomography with smooth thickening of the interlobular septa in both lower lobes that in a patient with Noonan syndrome suggest the presence of lymphatic dysplasia.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Adrián López-Alba, Iago Aldao-Argüelles, José Ignacio de Granda-Orive" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Adrián" "apellidos" => "López-Alba" ] 1 => array:2 [ "nombre" => "Iago" "apellidos" => "Aldao-Argüelles" ] 2 => array:2 [ "nombre" => "José Ignacio" "apellidos" => "de Granda-Orive" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ 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"descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Chest CT scan: cavitary lesions in the lung and right pleural effusion. (B) Surgical linen tie and fastening the balloon with the linen handle. (C) PAC in airways. (D) Complete set with syringe balloon and 60<span class="elsevierStyleHsp" style=""></span>ml syringe.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rodolfo Navarrete, Luis Pablo Cardonnet, Lisandro Roberto Bettini, Gonzalo Morosano, Gustavo Cumbo Nacheli" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Rodolfo" "apellidos" => "Navarrete" ] 1 => array:2 [ "nombre" => "Luis Pablo" "apellidos" => "Cardonnet" ] 2 => array:2 [ "nombre" => "Lisandro Roberto" "apellidos" => "Bettini" ] 3 => array:2 [ "nombre" => "Gonzalo" "apellidos" => "Morosano" ] 4 => array:2 [ "nombre" => "Gustavo Cumbo" "apellidos" => "Nacheli" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289620303860?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000011/v2_202111040649/S0300289620303860/v2_202111040649/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289621000454" "issn" => "03002896" "doi" => "10.1016/j.arbres.2021.01.023" "estado" => "S300" "fechaPublicacion" => "2021-11-01" "aid" => "2747" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2021;57:704" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Pulmonary Embolism Caused by a Migrated Biochip: An Alert for the Future" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "704" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Embolia pulmonar por biochip. Una alerta para el futuro" ] ] "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" => 1376 "Ancho" => 1667 "Tamanyo" => 281292 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Anteroposterior radiograph of the right humerus showing a small, dense linear projection in the right hemithorax (arrow). (B and C) Axial and coronal reconstructed images depicting the device lodged in a vascular branch of the right lower lobe of the lung (arrows). (D) Axial CT image (obtained with the mediastinal window setting) showing the small metallic device (arrow). (E) The biochip being implanted in the patient's hand.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Thyago Alem Dall’Acqua, Edson Marchiori, Rosana Souza Rodrigues" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Thyago Alem" "apellidos" => "Dall’Acqua" ] 1 => array:2 [ "nombre" => "Edson" "apellidos" => "Marchiori" ] 2 => array:2 [ "nombre" => "Rosana Souza" "apellidos" => "Rodrigues" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621000454?idApp=UINPBA00003Z" "url" => "/03002896/0000005700000011/v2_202111040649/S0300289621000454/v2_202111040649/en/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Bronquitis plástica y síndrome de Noonan" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "705" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Adrián López-Alba, Iago Aldao-Argüelles, José Ignacio de Granda-Orive" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Adrián" "apellidos" => "López-Alba" "email" => array:1 [ 0 => "alalba@salud.madrid.org" ] "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" => "Iago" "apellidos" => "Aldao-Argüelles" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "José Ignacio" "apellidos" => "de Granda-Orive" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna. Hospital Universitario 12 de Octubre, Madrid, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología. Hospital Universitario 12 de Octubre, Madrid, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Plastic Bronchitis and Noonan Syndrome" ] ] "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" => 1059 "Ancho" => 2508 "Tamanyo" => 246704 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">a)</span> Molde bronquial expectorado por la paciente. <span class="elsevierStyleBold">b)</span> Radiografía de tórax posteroanterior en la que se objetivan infiltrados multilobares en ambos campos pulmonares. <span class="elsevierStyleBold">b)</span> Tomografía computarizada torácica en la que se visualizan múltiples opacidades parenquimatosas en vidrio deslustrado con distribución geográfica en ambos campos pulmonares. <span class="elsevierStyleBold">c)</span> Tomografía computarizada torácica con engrosamiento liso de los septos interlobulillares en ambos lóbulos inferiores que en el contexto de síndrome de Noonan sugieren la presencia de displasia linfática.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Mujer de 48 años con síndrome de Noonan que presenta episodios de repetición de fiebre y disnea con expectoración ocasional de esputos densos de gran tamaño seguidos de opresión torácica y palpitaciones. Al evaluar los esputos se observan moldes bronquiales (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>a). Se realizan una radiografía y una tomografía computarizada que evidencian opacidades parenquimatosas en vidrio deslustrado (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>b y c) y un patrón con engrosamiento de septos interlobulillares (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>d). El análisis anatomopatológico de los moldes bronquiales presenta material fibrinomucoide amorfo o arboriforme con inflamación inespecífica. Con el diagnóstico de bronquitis plástica y neumonía multilobar se inició tratamiento con levofloxacino y fisioterapia respiratoria con resolución del cuadro.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">La bronquitis plástica o fibrinosa es una entidad infrecuente caracterizada por la formación de moldes bronquiales ramificados e impactados que posteriormente se expectoran<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a>. Los pacientes pueden presentar infecciones respiratorias de repetición y si es bilateral puede conllevar riesgo de asfixia<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a>. Se ha asociado a neumopatías como asma bronquial y aspergilosis broncopulmonar alérgica y alteraciones del drenaje linfático<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> presentes en el síndrome de Noonan (displasia y linfangiectasias pulmonares) aunque no hay casos comunicados en este síndrome. El tratamiento consiste en facilitar la expectoración de los moldes y optimización de las enfermedades de base<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1059 "Ancho" => 2508 "Tamanyo" => 246704 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">a)</span> Molde bronquial expectorado por la paciente. <span class="elsevierStyleBold">b)</span> Radiografía de tórax posteroanterior en la que se objetivan infiltrados multilobares en ambos campos pulmonares. <span class="elsevierStyleBold">b)</span> Tomografía computarizada torácica en la que se visualizan múltiples opacidades parenquimatosas en vidrio deslustrado con distribución geográfica en ambos campos pulmonares. <span class="elsevierStyleBold">c)</span> Tomografía computarizada torácica con engrosamiento liso de los septos interlobulillares en ambos lóbulos inferiores que en el contexto de síndrome de Noonan sugieren la presencia de displasia linfática.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "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" => "Plastic Bronchitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B.K. Rubin" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ccm.2016.04.003" "Revista" => array:6 [ "tituloSerie" => "Clin Chest Med." "fecha" => "2016" "volumen" => "37" "paginaInicial" => "405" "paginaFinal" => "408" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27514587" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis and Treatment of Lymphatic Plastic Bronchitis in adults using advanced lymphatic imaging and percutaneous embolization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Itkin" 1 => "F.X. McCormack" 2 => "Y. Dori" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Ann Am Thorac Soc." "fecha" => "2016" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000005700000011/v2_202111040649/S0300289621000466/v2_202111040649/es/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005700000011/v2_202111040649/S0300289621000466/v2_202111040649/es/main.pdf?idApp=UINPBA00003Z&text.app=https://www.archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289621000466?idApp=UINPBA00003Z" ]
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