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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2017;149:47" "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" => "Intravascular pulmonary echinococcosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "47" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hidatidosis intravascular pulmonar" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 459 "Ancho" => 900 "Tamanyo" => 81641 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Ángel Santos Sánchez, Pilar García Hernández, María José Martín Sánchez, Heidy Yizzet Sáenz Acuña" "autores" => array:4 [ 0 => array:2 [ "nombre" => "José Ángel" "apellidos" => "Santos Sánchez" ] 1 => array:2 [ "nombre" => "Pilar" "apellidos" => "García Hernández" ] 2 => array:2 [ "nombre" => "María José" "apellidos" => "Martín Sánchez" ] 3 => array:2 [ "nombre" => "Heidy Yizzet" "apellidos" => "Sáenz Acuña" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775316303967" "doi" => "10.1016/j.medcli.2016.09.006" "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/S0025775316303967?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730387X?idApp=UINPBA00004N" "url" => "/23870206/0000014900000001/v1_201707230028/S238702061730387X/v1_201707230028/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Localized cutaneous leishmaniasis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e1" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Miguel Ángel Flores-Terry, Manuela López-Nieto, Rafael Cruz-Conde de Boom, Jose Antonio Garrido-Martín" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Miguel Ángel" "apellidos" => "Flores-Terry" "email" => array:1 [ 0 => "miguelterry85@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Manuela" "apellidos" => "López-Nieto" ] 2 => array:2 [ "nombre" => "Rafael" "apellidos" => "Cruz-Conde de Boom" ] 3 => array:2 [ "nombre" => "Jose Antonio" "apellidos" => "Garrido-Martín" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología y Venereología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Leishmaniasis cutánea localizada" ] ] "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" => 1204 "Ancho" => 2667 "Tamanyo" => 607460 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">50-year-old man on treatment with adalimumab and azathioprine for Crohn's disease, who presented with a 2-month history of pain in facial lesion that had not responded to antibiotics. On examination, an infiltrated, slightly desquamative erythematous plaque of 3<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>2.5<span class="elsevierStyleHsp" style=""></span>cm was observed, with ulceration and central scab (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, circle). A biopsy of the non-ulcerated site was performed, showing areas of parakeratosis, mild spongiosis, lymphocyte exocytosis and isolated necrotic keratinocytes in the epidermis, and a perivascular and perifollicular lymphohistiocytic infiltrate with plasma cells in the dermis. The PCR for <span class="elsevierStyleItalic">Leishmaniasis infantum</span> was positive. No other lesions were observed and there was no systemic involvement, so the patient continued his previous treatment; the lesion was treated with intralesional meglumine antimoniate (glucantime 1500<span class="elsevierStyleHsp" style=""></span>mg/5<span class="elsevierStyleHsp" style=""></span>ml) during 6 cycles, with resolution at 3 months (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Leishmaniasis is an infection caused by a protozoan of the <span class="elsevierStyleItalic">Leishmania</span> genus and transmitted by a vector (phlebotome female mosquitoes). Localized cutaneous leishmaniasis is the most frequent cutaneous clinical form, which usually begins as papules that progress to nodules and/or plaques with soft and/or ulcerated centers.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Flores-Terry MÁ, López-Nieto M, Cruz-Conde de Boom R, Garrido-Martín JA. Leishmaniasis cutánea localizada. Med Clin (Barc). 2017;149:e1.</p>" ] ] "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" => 1204 "Ancho" => 2667 "Tamanyo" => 607460 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014900000001/v1_201707230028/S2387020617303856/v1_201707230028/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/23870206/0000014900000001/v1_201707230028/S2387020617303856/v1_201707230028/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303856?idApp=UINPBA00004N" ]
