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array:23 [ "pii" => "S2387020620300863" "issn" => "23870206" "doi" => "10.1016/j.medcle.2019.04.040" "estado" => "S300" "fechaPublicacion" => "2020-03-27" "aid" => "4898" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2020;154:242" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S0025775319304166" "issn" => "00257753" "doi" => "10.1016/j.medcli.2019.04.037" "estado" => "S300" "fechaPublicacion" => "2020-03-27" "aid" => "4898" "copyright" => "Elsevier España, S.L.U." 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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2020;154:241" "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" => "Hyperkeratotic buttocks plaques and generalized pruritus in an AIDS patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "241" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Placas hiperqueratósicas en nalgas y prurito generalizado en un paciente con infección por el VIH" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 617 "Ancho" => 750 "Tamanyo" => 79417 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ángeles Arnandis Muñoz, Fernando Millán Parrilla" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Ángeles" "apellidos" => "Arnandis Muñoz" ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Millán Parrilla" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775319304282" "doi" => "10.1016/j.medcli.2019.05.019" "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/S0025775319304282?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620300413?idApp=UINPBA00004N" "url" => "/23870206/0000015400000006/v1_202003210833/S2387020620300413/v1_202003210833/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Breast milk with unusual colour" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "242" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Cristina Borràs Novell, Carla Balcells Esponera, Victoria Aldecoa-Bilbao, José Manuel Rodríguez-Miguélez, Ana Herranz Barbero" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Borràs Novell" ] 1 => array:4 [ "nombre" => "Carla" "apellidos" => "Balcells Esponera" "email" => array:1 [ 0 => "cbalcells@clinic.cat" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Victoria" "apellidos" => "Aldecoa-Bilbao" ] 3 => array:2 [ "nombre" => "José Manuel" "apellidos" => "Rodríguez-Miguélez" ] 4 => array:2 [ "nombre" => "Ana" "apellidos" => "Herranz Barbero" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Neonatal Service, BCNatal_Centre de Medicina Maternofetal Barcelona, Hospital Clínic i Sant Joan de Déu, Universitat de Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leche humana de color poco habitual" ] ] "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" => 1154 "Ancho" => 2500 "Tamanyo" => 151986 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A mother with an unremarkable medical history delivered a moderate preterm neonate. On fifth day post-partum, the extracted milk had a green hue (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). No abnormalities at breast examination were detected. She denied inadequate food intake neither exposure to drugs. Her newborn remained asymptomatic with an adequate tolerance to enteral feedings. The green hue gradually disappeared after 4 days.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The colour of breast milk is variable. The green tone has been linked to the intake of excessive vegetables or drinks with greenish coloured additives. It might be also caused by propofol (sporadic use in c-section).</p><p id="par0015" class="elsevierStylePara elsevierViewall">In Rusty-Pipe syndrome breast milk becomes reddish, greenish or brownish due to the presence of blood or its degradation products through the lactiferous ducts. This rusty colour is painless, self-limited and innocuous for the newborn, as we have described above.</p><p id="par0020" class="elsevierStylePara elsevierViewall">In case of a mother with green breast milk it is appropriate to accurately review her diet and the drugs to which she might have been exposed, although in most cases this colouration is harmless and transient. Awareness of staff dealing with lactating women about this benign condition is essential for a proper management, to avoid unnecessary explorations and unjustified concerns.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "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" => 1154 "Ancho" => 2500 "Tamanyo" => 151986 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015400000006/v1_202003210833/S2387020620300863/v1_202003210833/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/23870206/0000015400000006/v1_202003210833/S2387020620300863/v1_202003210833/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020620300863?idApp=UINPBA00004N" ]
