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array:22 [ "pii" => "S2387020622005605" "issn" => "23870206" "doi" => "10.1016/j.medcle.2022.08.018" "estado" => "S300" "fechaPublicacion" => "2022-12-23" "aid" => "6064" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2022;159:606" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:18 [ "pii" => "S2387020622005617" "issn" => "23870206" "doi" => "10.1016/j.medcle.2022.08.019" "estado" => "S300" "fechaPublicacion" => "2022-12-23" "aid" => "6084" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2022;159:e87-e88" "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">Letter to the Editor</span>" "titulo" => "Skin lesions due to monkeypox virus in a well-controlled HIV patient" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e87" "paginaFinal" => "e88" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesiones cutáneas por virus de la viruela del mono en un paciente VIH bien controlado" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1005 "Ancho" => 755 "Tamanyo" => 132425 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Monkeypox-related facial pustules and vesicles in a well-controlled HIV patient.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco Javier Melgosa Ramos, Marina Parra Civera, Jesús José Pons Fuster" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Francisco Javier" "apellidos" => "Melgosa Ramos" ] 1 => array:2 [ "nombre" => "Marina" "apellidos" => "Parra Civera" ] 2 => array:2 [ "nombre" => "Jesús José" "apellidos" => "Pons Fuster" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622005617?idApp=UINPBA00004N" "url" => "/23870206/0000015900000012/v2_202301310808/S2387020622005617/v2_202301310808/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Erythromelalgia improvement after percutaneous tricuspid regurgitation repairment in a patient with polycythemia vera" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "606" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Eduardo Flores-Umanzor, Pedro Cepas-Guillen, Xavier Freixa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Eduardo" "apellidos" => "Flores-Umanzor" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Cepas-Guillen" ] 2 => array:4 [ "nombre" => "Xavier" "apellidos" => "Freixa" "email" => array:1 [ 0 => "freixa@clinic.cat" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Cardiología, Institut Clinic Cardiovascular, Hospital Clinic of Barcelona, IDIBAPS, Universidad de Barcelona, Barcelona, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mejoría de Eritromelagia después de tratamiento percutáneo de insuficiencia tricúspidea en un paciente con policitemia vera" ] ] "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" => 576 "Ancho" => 1005 "Tamanyo" => 58738 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 72-year-old female with a past medical history of polycythemia vera and atrial fibrillation treated with rivaroxaban. The patient consulted due to extreme fatigue and mild bilateral leg edema attributed to massive tricuspid regurgitation (TR) secondary to annular dilatation. However, the symptom that bothered him the most was due to erythromelalgia which caused intense pain in both feet preventing her from walking. This clinical condition was refractory to all types of analgesic treatment and even baths with ice water (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). After refusing cardiac surgery and given her intense fatigue, a percutaneous transcatheter repair was performed with the Triclip system (Abbott Medical) with a reduction of TR from massive to mild. The patient reported an immediate clinical improvement after the procedure with practically complete disappearance not only of fatigue but also of erythromelalgia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Erythromelalgia is a rare disorder consisting of vasodilation of the small arteries in the feet or hands, causing burning pain, erythema, and increased temperature. It can be primary or secondary to arterial hypertension, venous insufficiency, diabetes mellitus, autoimmune, myeloproliferative, vascular, or neurological diseases. We believe that this case may be of interest given that TR treatment not only resolved fatigue but also erythromelalgia in a patient with Polycythemia Vera and disabling symptoms related to it.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding source</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study has not received any funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding source" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] ] ] "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" => 576 "Ancho" => 1005 "Tamanyo" => 58738 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015900000012/v2_202301310808/S2387020622005605/v2_202301310808/en/main.assets" "Apartado" => array:4 [ "identificador" => "95029" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015900000012/v2_202301310808/S2387020622005605/v2_202301310808/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020622005605?idApp=UINPBA00004N" ]
