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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:553" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Lupus neonatal" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "553" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Neonatal lupus" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 657 "Ancho" => 1667 "Tamanyo" => 162290 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Montes-Torres, Miguel Fernando García-Gil, Rebeca Lanuza-Arcos, Juan Monte-Serrano" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Montes-Torres" ] 1 => array:2 [ "nombre" => "Miguel Fernando" "apellidos" => "García-Gil" ] 2 => array:2 [ "nombre" => "Rebeca" "apellidos" => "Lanuza-Arcos" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Monte-Serrano" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621006306" "doi" => "10.1016/j.medcle.2021.01.016" "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/S2387020621006306?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775321000889?idApp=UINPBA00004N" "url" => "/00257753/0000015700000011/v1_202111210516/S0025775321000889/v1_202111210516/es/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Medicine</span>" "titulo" => "The value of the classic signs: Hypocalcemia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "554" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Silvia Calpena Martínez, Adrián Arapiles Muñoz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Silvia" "apellidos" => "Calpena Martínez" "email" => array:1 [ 0 => "silvia.calpena@quironsalud.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Adrián" "apellidos" => "Arapiles Muñoz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Internal Medicine – Emergency Division, Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El valor de los signos clásicos: hipocalcemia" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 31-year-old woman was seen in the emergency department because of paresthesia. She had a history of Cowden syndrome, thyroidectomy for a toxic adenoma with postoperative hypoparathyroidism more than ten years ago. She had undergone a breast reconstruction after prophylactic mastectomy 72<span class="elsevierStyleHsp" style=""></span>h ago. Physical examination evidenced the flexion contracture of the intrinsic hand muscles a few seconds after the sphyngomanometer cuff was inflated to more than the systolic blood pressure (Trousseau's sign) and facial muscle spasms after cheek percussion Chvostek sign (video). Laboratory testing revealed a corrected calcium of 6<span class="elsevierStyleHsp" style=""></span>mg/dl (8.5–10.5<span class="elsevierStyleHsp" style=""></span>mg/dl), 1.6 magnesium (1.5–2.5<span class="elsevierStyleHsp" style=""></span>mg/dl) and PTH<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>pg/ml (showing no variation from past analysis). Hypocalcemia in this patient with previously known hypoparathyroidism was related to fasting and surgical stress. The signs of Trousseau and Chvostek are classic signs of hypocalcemic tetany.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0015" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:1 [ 0 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 13102221 "Video" => array:2 [ "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00257753/0000015700000011/v1_202111210516/S0025775321001755/v1_202111210516/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/00257753/0000015700000011/v1_202111210516/S0025775321001755/v1_202111210516/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775321001755?idApp=UINPBA00004N" ]
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