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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:265" "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" => "Hard tick infestation of the eyelid" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "265" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Infestación palpebral por garrapata dura" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 498 "Ancho" => 750 "Tamanyo" => 63590 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Borja Arias-Peso, Manuel Subías-Perié" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Borja" "apellidos" => "Arias-Peso" ] 1 => array:2 [ "nombre" => "Manuel" "apellidos" => "Subías-Perié" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320307582" "doi" => "10.1016/j.medcli.2020.09.018" "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/S0025775320307582?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621004083?idApp=UINPBA00004N" "url" => "/23870206/0000015700000005/v1_202109171210/S2387020621004083/v1_202109171210/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Acute arterial ischemia due to SARS-CoV-2 infection" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "266" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Francisco de Borja Quero Espinosa, Águeda María Jiménez Aguilar, Francisco Javier Montero-Pérez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Francisco de Borja" "apellidos" => "Quero Espinosa" "email" => array:1 [ 0 => "borjaquero@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Águeda María" "apellidos" => "Jiménez Aguilar" ] 2 => array:2 [ "nombre" => "Francisco Javier" "apellidos" => "Montero-Pérez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Gestión Clínica de Urgencias del Adulto, Hospital Universitario Reina Sofía, Córdoba, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Isquemia arterial aguda secundaria a infección por SARS-CoV-2" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 570 "Ancho" => 905 "Tamanyo" => 56349 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Care of <span class="elsevierStyleItalic">severe acute respiratory syndrome coronavirus 2</span> (SARS-CoV-2) infection mainly involves patients with respiratory symptoms, although other manifestations less related to this pathogen and those due to the cardiovascular and pulmonary sequelae it produces are also seen.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We present the images of a 78-year-old woman with pain and skin discolouration in the left foot (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) after her discharge from hospital due to SARS-CoV-2 respiratory infection, with no significant history of smoking, peripheral arterial ischaemia, hypercholesterolaemia or arrhythmias. On examination she had necrosis of the toes. An electrocardiogram was performed, ruling out atrial fibrillation. She was then hospitalised, during which a computed tomography angiography of the lower limbs was performed, showing no arterial circulation abnormalities.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Acute ischaemia in the absence of atherosclerosis, atrial fibrillation or clotting disorders is reported in a post-acute SARS-CoV-2 infection phase.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Coagulation disorders have been reported in these cases (increased <span class="elsevierStyleSmallCaps">d</span>-dimer, fibrin, fibrinogen degradation products and reduced antithrombin, prothrombin activity and thrombin time), which together with the systemic inflammatory response can lead to these phenomena, knowledge of which will help to specify treatment and prophylaxis protocols.</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: Quero Espinosa FB, Jiménez Aguilar ÁM, Montero-Pérez FJ. Isquemia arterial aguda secundaria a infección por SARS-CoV-2. Med Clin (Barc). 2021;157:266.</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" => 668 "Ancho" => 805 "Tamanyo" => 59934 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 570 "Ancho" => 905 "Tamanyo" => 56349 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015700000005/v1_202109171210/S2387020621004162/v1_202109171210/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/23870206/0000015700000005/v1_202109171210/S2387020621004162/v1_202109171210/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621004162?idApp=UINPBA00004N" ]
