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Biopsy of ME and cavum: infiltrate of chronic inflammatory cells, small foci of necrosis, fibrinoid degeneration, granulation tissue and extravasation of red blood cells (hematoxylin–eosin staining, 40×).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Bharti Tulsidas-Mahtani, Herminio Pérez-Garrigues, Noelia Muñoz-Fernández, Constantino Morera" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Bharti" "apellidos" => "Tulsidas-Mahtani" ] 1 => array:2 [ "nombre" => "Herminio" "apellidos" => "Pérez-Garrigues" ] 2 => array:2 [ "nombre" => "Noelia" "apellidos" => "Muñoz-Fernández" ] 3 => array:2 [ "nombre" => "Constantino" "apellidos" => "Morera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651912002002" "doi" => "10.1016/j.otorri.2012.08.004" "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/S0001651912002002?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000271?idApp=UINPBA00004N" "url" => "/21735735/0000006500000002/v1_201404170146/S2173573514000271/v1_201404170146/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173573514000258" "issn" => "21735735" "doi" => "10.1016/j.otoeng.2012.07.016" "estado" => "S300" "fechaPublicacion" => "2014-03-01" "aid" => "418" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "crp" "cita" => "Acta Otorrinolaringol Esp. 2014;65:126-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2320 "formatos" => array:3 [ "EPUB" => 43 "HTML" => 1728 "PDF" => 549 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Study</span>" "titulo" => "Granular Cell Tumor of Laryngeal Location: Description of 2 Pediatric Cases" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "126" "paginaFinal" => "128" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor de células granulares de localización laríngea: descripción de 2 casos pediátricos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 742 "Ancho" => 902 "Tamanyo" => 100637 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Whitish lesion in anterior angle of the mouth, with a wart-like appearance, predominantly subglottic. It occupies a third of the length of the subglottis at most, with normal mobility.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Saturnino Santos Santos, Ingerman J. Gutiérrez González, Isabel Colmenero, María Jesús Domínguez González de Rivera" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Saturnino" "apellidos" => "Santos Santos" ] 1 => array:2 [ "nombre" => "Ingerman J." "apellidos" => "Gutiérrez González" ] 2 => array:2 [ "nombre" => "Isabel" "apellidos" => "Colmenero" ] 3 => array:2 [ "nombre" => "María Jesús" "apellidos" => "Domínguez González de Rivera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001651912001756" "doi" => "10.1016/j.otorri.2012.07.002" "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/S0001651912001756?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573514000258?idApp=UINPBA00004N" "url" => "/21735735/0000006500000002/v1_201404170146/S2173573514000258/v1_201404170146/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case study</span>" "titulo" => "Abscess Secondary to Tophaceous Gout: A Rare Cause of Parotid Region Tumour" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "129" "paginaFinal" => "130" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Jose Góngora Lencina, Juan García-Valdecasas Bernal, Mercedes Caba Molina, Manuel Sainz Quevedo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Juan Jose" "apellidos" => "Góngora Lencina" "email" => array:1 [ 0 => "juanjogongora@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" => "Juan" "apellidos" => "García-Valdecasas Bernal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Mercedes" "apellidos" => "Caba Molina" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Manuel" "apellidos" => "Sainz Quevedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario San Cecilio, Granada, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario San Cecilio, Granada, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Absceso secundario a tofo gotoso: una causa rara de tumoración en la región parotídea" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 942 "Ancho" => 982 "Tamanyo" => 110791 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography image showing an increased-capture lesion with a 3-cm outer diameter in the right parotid area.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Clinical Case</span><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 74-year-old woman, who came to emergency services due to the sudden appearance of a mass at the right lateral cervical level 2 days earlier. The most relevant personal history data were: diabetes mellitus type 2, hypertension, dyslipidaemia and chronic kidney disease Stage IV (with normal serum levels of uric acid for the previous 8 years).</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient did not report fever, dysphagia, odynophagia, dyspnoea or dysphonia. However, she did indicate pain with palpation of the lesion.</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the physical examination, we did not observe any other alterations at the buccal oropharyngeal, laryngeal or cavity levels.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The most significant data from analyses were leukocytosis with left deviation, as well as elevated CRP; the other figures were as expected considering her base condition. Computed axial tomography (CAT) scan revealed a nodular lesion with increased uptake in the right parotid space (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The fine-needle aspiration biopsy (FNAB) performed later yielded the diagnosis of abscess secondary to deposits of monosodium urate crystals (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The patient was treated with cefditoren pivoxil and deflazacort and the lesion subsided in the successive days, as shown via sonography. To date, she has had no relapse.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Discussion</span><p id="par0030" class="elsevierStylePara elsevierViewall">Gout is a metabolic disease that affects approximately 1% of the population. It is characterised by the deposit of monosodium urate crystals in joints, tendons, heart valves and eyes (among other sites), caused by an alteration that is primary or secondary to other diseases. The most frequent ENT location is the pinna and there is no published literature on cervical deposits.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">It is a disease whose gold standard diagnosis is the presence of monosodium urate crystals in the aspirate of tophus or joint liquid. When it is not possible to perform this test, a good approximation for diagnosis is the detection of hyperuricaemia and the clinical and radiological signs that the patient reveals.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">Tophaceous gout classically appears after years of acute gouty clinical results; there are very painful, rapidly occurring attacks, most often at night. However, it is true that the isolated appearance of a tophus can be the first indication of the disease.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">The most important imaging tests to perform in this location are the CT scan, nuclear magnetic resonance (NMR) and the sonography. The CT is capable of revealing deposits of monosodium urate crystals in joints and tissues, while these are detected earlier and with greater precision, in limits and characteristics, using NMR.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Sonography represents an interesting test, given its complete lack of radiation, limited invasion and low price, while it likewise detects monosodium urate deposits.</p><p id="par0050" class="elsevierStylePara elsevierViewall">In the differential diagnosis with other diseases susceptible to cervical appearance, it is important to perform a thorough exploration of the ENT area. Nasal fibreoptic endoscopy can be useful, above all if malignancy is suspected. The FNAB, which is an inexpensive, rapid and bloodless test, has become the gold standard for anatomopathological diagnosis and can be used in the thyroid, salivary glands, cervical masses and adenopathy.</p><p id="par0055" class="elsevierStylePara elsevierViewall">Let us now focus on the various masses that can appear at the parotid level: infections can have multiple origins, from tuberculosis, parotitis and sialadenitis to parotid abscesses and others. The background condition of the first branchial arch should also be taken into consideration. Among benign cancers, pleomorphic adenoma and Warthin's tumour stand out from the rest. With respect to the malignant ones, skin cancers can also be the origin of lesions in the parotid area. This is equally true of lymphomas. Among salivary gland cancers, mucoepidermoid and cystic adenoid carcinomas should be emphasised, as they are the first and second malignant tumours in frequency, respectively.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">The case history, physical examination and, above all, high-capture CT images and the appearance of crystals in the FNAB would differentiate it from all these cases.</p><p id="par0065" class="elsevierStylePara elsevierViewall">Treatment is based on the use of non-steroid anti-inflammatories as the first-line attack, glucocorticoids as the second choice and colchicine as the third option.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> For our patient, we included a wide-spectrum antibiotic, given the signs of abscessed infection that she presented.</p><p id="par0070" class="elsevierStylePara elsevierViewall">The clinical picture that we present represents the first case to be diagnosed as tophus of a cervical location that does not have any relation to laryngeal structures,<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">5,6</span></a> spinal cord<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> and the temporomandibular joint.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">The patient's personal history and concomitant condition, the location, radiological image and the anatomopathological image above all mean that we are facing a unique case, of which we have not found any references or similarities in the current medical literature.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of Interests</span><p id="par0080" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Clinical Case" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Discussion" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of Interests" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2012-03-28" "fechaAceptado" => "2012-06-19" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Góngora Lencina JJ, García-Valdecasas Bernal J, Caba Molina M, Sainz Quevedo M. Absceso secundario a tofo gotoso: una causa rara de tumoración en la región parotídea. Acta Otorrinolaringol Esp. 2014;65:129–130.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 942 "Ancho" => 982 "Tamanyo" => 110791 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography image showing an increased-capture lesion with a 3-cm outer diameter in the right parotid area.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 736 "Ancho" => 981 "Tamanyo" => 360649 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Micro-photography of the material obtained using FNAB and prepared with Papanicolau staining. The monosodium urate crystals are stained red.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis of gout: clinical, laboratory, and radiologic findings" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "N. 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Case study
Abscess Secondary to Tophaceous Gout: A Rare Cause of Parotid Region Tumour
Absceso secundario a tofo gotoso: una causa rara de tumoración en la región parotídea