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Pujol" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Alejandro" "apellidos" => "Lobato-Berezo" "email" => array:1 [ 0 => "allobe@hotmail.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ferran" "apellidos" => "Olmos-Alpiste" ] 2 => array:2 [ "nombre" => "Ramón M." "apellidos" => "Pujol" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Dermatology, Hospital del Mar-Parc de Salut Mar, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Herpes zoster polimórfico multimetamérico" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1158 "Ancho" => 1625 "Tamanyo" => 284044 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A previously healthy 75-year-old woman presented with a 7 days eruption of painful lesions on the left side of her neck and chest. She had been at the emergency department due to chest pain and acute myocardial infarction was ruled out. Afterwards, multiple and grouped vesicles, pustules, erosions and necrotic crusts over an erythematous area could be seen on physical examination. They spread from cervical (C3, C4, C5, C6) to thoracic dermatomes (T1,T2). Unilateral neck and axillary tender lymphadenopathies were noticed on palpation. PCR testing was performed from the lesions and confirmed herpes zoster. A swab from the lesions ruled out bacterial superinfection. The results of a blood test, including a complete blood count, liver and renal functions, were all within normal limits. Human immunodeficiency virus infection was also ruled out and no other underlying immunosuppressive illnesses were found. The patient completed a 7-day course of oral valaciclovir and gabapentin was required for a postherpetic neuralgia. Skin lesions resolved after 2 weeks and the intensity of the herpetic neuralgia decreased within 2 months of follow-up (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding sources</span><p id="par0010" class="elsevierStylePara elsevierViewall">None.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">None.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding sources" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1158 "Ancho" => 1625 "Tamanyo" => 284044 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00257753/0000015600000012/v1_202106110528/S0025775320304991/v1_202106110528/en/main.assets" "Apartado" => array:4 [ "identificador" => "64289" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes médicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000015600000012/v1_202106110528/S0025775320304991/v1_202106110528/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320304991?idApp=UINPBA00004N" ]
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