array:24 [ "pii" => "S2387020617302991" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.04.025" "estado" => "S300" "fechaPublicacion" => "2017-05-23" "aid" => "3721" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2016" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;148:481" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775316303396" "issn" => "00257753" "doi" => "10.1016/j.medcli.2016.07.008" "estado" => "S300" "fechaPublicacion" => "2017-05-23" "aid" => "3721" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;148:481" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 24 "formatos" => array:2 [ "HTML" => 16 "PDF" => 8 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Complicaciones de la anemia falciforme" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "481" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complications of sickle cell disease" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1296 "Ancho" => 1337 "Tamanyo" => 236809 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Elena Peña Gomez, Hector Vidal Trueba" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Elena" "apellidos" => "Peña Gomez" ] 1 => array:2 [ "nombre" => "Hector" "apellidos" => "Vidal Trueba" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020617302991" "doi" => "10.1016/j.medcle.2017.04.025" "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/S2387020617302991?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775316303396?idApp=UINPBA00004N" "url" => "/00257753/0000014800000010/v1_201705050106/S0025775316303396/v1_201705050106/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S238702061730298X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.04.024" "estado" => "S300" "fechaPublicacion" => "2017-05-23" "aid" => "3709" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;148:e55" "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">Image in medicine</span>" "titulo" => "Dermatomyositis associated with ovarian cancer" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e55" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatomiositis asociada a cáncer ovárico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 602 "Ancho" => 900 "Tamanyo" => 65528 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco Vílchez-Márquez, Rita Prieto-Llamas, Guadalupe Sánchez-Sánchez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Francisco" "apellidos" => "Vílchez-Márquez" ] 1 => array:2 [ "nombre" => "Rita" "apellidos" => "Prieto-Llamas" ] 2 => array:2 [ "nombre" => "Guadalupe" "apellidos" => "Sánchez-Sánchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775316303128" "doi" => "10.1016/j.medcli.2016.06.031" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775316303128?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730298X?idApp=UINPBA00004N" "url" => "/23870206/0000014800000010/v1_201706100114/S238702061730298X/v1_201706100114/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020617303157" "issn" => "23870206" "doi" => "10.1016/j.medcle.2017.02.023" "estado" => "S300" "fechaPublicacion" => "2017-05-23" "aid" => "3975" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2017;148:480" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "480" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cayetana Barbeito-Caamaño, Alberto Bouzas-Mosquera, Gabriel Sánchez-Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cayetana" "apellidos" => "Barbeito-Caamaño" ] 1 => array:2 [ "nombre" => "Alberto" "apellidos" => "Bouzas-Mosquera" ] 2 => array:2 [ "nombre" => "Gabriel" "apellidos" => "Sánchez-Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775317301471" "doi" => "10.1016/j.medcli.2017.02.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775317301471?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303157?idApp=UINPBA00004N" "url" => "/23870206/0000014800000010/v1_201706100114/S2387020617303157/v1_201706100114/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Complications of sickle cell disease" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "481" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Elena Peña Gomez, Hector Vidal Trueba" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Elena" "apellidos" => "Peña Gomez" "email" => array:1 [ 0 => "mepena@humv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Hector" "apellidos" => "Vidal Trueba" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Complicaciones de la anemia falciforme" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1296 "Ancho" => 1337 "Tamanyo" => 236809 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A teenager with sickle cell disease was hospitalized with acute pain in the proximal left thigh.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Previously, he had only had one vasocclusive episode in the arm and one suspected acute chest syndrome. A MRI showed a bone infarction in the proximal femoral diaphysis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, arrow). The patient had anemia but other biochemical data were unremarkable. The patient developed fever, chest pain and decreased oxygen saturation (93%). A condensation appeared in the chest radiography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, arrow). A bronchoscopy with lavage was performed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Microbiological tests were positive for Influenza B, but otherwise negative. A thorax CT scan showed pulmonary consolidation involving the lower pulmonary lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D, arrow), cardiomegaly (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C, star) and pleural effusion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D, star). The diagnosis was acute chest syndrome, a common complication of infection and of vasocclusive crisis in sickle cell disease. Hypoxia associated to alterations in ventilation-perfusion relationship (infection, fat embolus, atelectasis, bronchospasm, pain, etc.) triggers falciformation of the red cells, that in turn causes vascular occlusion, ischemia and vascular injury. The patient received opioid analgesics, hyperhydration, antibiotics, antivirals, transfusion, oxygen and physiotherapy and was finally discharged.</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: Peña Gomez E, Vidal Trueba H. Complicaciones de la anemia falciforme. Med Clin (Barc). 2017;148:481.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1296 "Ancho" => 1337 "Tamanyo" => 236809 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000010/v1_201706100114/S2387020617302991/v1_201706100114/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014800000010/v1_201706100114/S2387020617302991/v1_201706100114/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617302991?idApp=UINPBA00004N" ]
Journal Information
Vol. 148. Issue 10.
Pages 481 (May 2017)
Share
Download PDF
More article options
Vol. 148. Issue 10.
Pages 481 (May 2017)
Image in medicine
Complications of sickle cell disease
Complicaciones de la anemia falciforme
Visits
3
Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
This item has received
Article information
These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscribe
Purchase
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail