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"apellidos" => "Grau" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad de Patología Muscular, Servicio de Medicina Interna, Hospital Clínic de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Investigación Biomédica en Red, Enfermedades Raras (CIBERER), Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Clínic de Barcelona, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Signo de Beevor «extendido». Un nuevo signo clínico en miositis con cuerpos de inclusión" ] ] "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" => 456 "Ancho" => 1045 "Tamanyo" => 70454 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">73-year-old male who was diagnosed with inclusion body myositis (IBM), after to a biopsy performed in the quadriceps muscle. Camptocormia and positive Beevor's sign (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, before [A] and after [B] neck flexion) were observed on physical examination. Also, a clinical sign not previously described was observed; the deviation of the navel to the right, in the standing position, in relation to the midline (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C), due to a paraspinal muscle asymmetry (oedema and atrophy with mild fatty infiltration on the right side), with transversus abdominis integrity and asymmetric atrophy of the rectus abdominis muscles, with left predominance (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The Beevor's sign reflects infraumbilical weakness of the rectus abdominis muscles, that is why the navel moves upwards when the patient is in supine position and bends the neck. It may be present in some myopathies, such as Facioscapulohumeral dystrophy, type 2 glycogen storage disease and, as recently described, in IBM.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Therefore, we propose the use of the term “extended” Beevor's sign, not previously described in any neuromuscular disease.</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: Milisenda JC, Rico Caballero V, García AI, Tomás X, Grau JM. Signo de Beevor «extendido». Un nuevo signo clínico en miositis con cuerpos de inclusión. Med Clin (Barc). 2017;148:e43</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 662 "Ancho" => 1045 "Tamanyo" => 127413 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 456 "Ancho" => 1045 "Tamanyo" => 70454 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000008/v1_201705270058/S238702061730267X/v1_201705270058/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/23870206/0000014800000008/v1_201705270058/S238702061730267X/v1_201705270058/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730267X?idApp=UINPBA00004N" ]
Journal Information
Vol. 148. Issue 8.
Pages e43 (April 2017)
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Vol. 148. Issue 8.
Pages e43 (April 2017)
Image in Medicine
“Extended” Beevor's sing as a new clinical sign in sporadic inclusion body myositis
Signo de Beevor «extendido». Un nuevo signo clínico en miositis con cuerpos de inclusión
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