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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:97" "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" => "Aquagenic keratoderma and cystic fibrosis screening" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "97" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Queratodermia acuagénica y despistaje de fibrosis quística" ] ] "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" => 600 "Ancho" => 800 "Tamanyo" => 72167 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jesica Martín Carmona, Elisabeth Gómez Moyano, Ricardo Gómez Huelgas, Leandro Martínez Pilar" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Jesica" "apellidos" => "Martín Carmona" ] 1 => array:2 [ "nombre" => "Elisabeth" "apellidos" => "Gómez Moyano" ] 2 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Gómez Huelgas" ] 3 => array:2 [ "nombre" => "Leandro" "apellidos" => "Martínez Pilar" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320305091" "doi" => "10.1016/j.medcli.2020.05.055" "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/S0025775320305091?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062100320X?idApp=UINPBA00004N" "url" => "/23870206/0000015700000002/v1_202107200643/S238702062100320X/v1_202107200643/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Paraneoplastic erythema annulare centrifugum eruption (PEACE)" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "98" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Javier Aubán Pariente, Borja Gómez Vila, Beatriz Vázquez Losada, Jorge Santos-Juanes" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Javier" "apellidos" => "Aubán Pariente" "email" => array:1 [ 0 => "javiauban@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Borja" "apellidos" => "Gómez Vila" ] 2 => array:2 [ "nombre" => "Beatriz" "apellidos" => "Vázquez Losada" ] 3 => array:2 [ "nombre" => "Jorge" "apellidos" => "Santos-Juanes" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Dermatology Department, Central University Hospital of Asturias, Oviedo, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Eritema anular centrífugo paraneoplásico (PEACE)" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1218 "Ancho" => 1625 "Tamanyo" => 205441 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 70-year-old man was referred to us for evaluation of annular and polycyclic lesions on the extremities that had expanded centrifugally over the past two months. Physical examination revealed multiple, 2-to-20-cm, oval, annular and polycyclic plaques with nonscaling erythematous indurated edges on both upper and lower extremities (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). A skin biopsy of one plaque was consistent with a deep form of erythema annulare centrifugum (EAC). Laboratory investigations including complete blood count, serum chemistry profile, antinuclear antibodies, Lyme titer and cultures for fungi were within normal limits. Urinalysis revealed microscopic hematuria. Abdominal computed tomography showed a hypervascular, exophytic, heterogeneous mass on the upper pole of the left kidney (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). A pathological examination confirmed a clear cell renal cell carcinoma. Skin lesions gradually resolved within several weeks after urological surgery and a diagnosis of paraneoplastic EAC eruption (PEACE) was made.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">EAC is a figurate erythema which is considered as a delayed-type hypersensitivity reaction to a wide variety of antigens. This entity has been associated with infections, drugs, endocrine disorders and occult malignancies, including lymphoproliferative and solid tumors. When EAC occurs in a paraneoplastic setting, it typically precedes the diagnosis of malignancy and resolves with treatment of the underlying disease.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 963 "Ancho" => 1349 "Tamanyo" => 202261 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1218 "Ancho" => 1625 "Tamanyo" => 205441 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015700000002/v1_202107200643/S2387020621003090/v1_202107200643/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/23870206/0000015700000002/v1_202107200643/S2387020621003090/v1_202107200643/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621003090?idApp=UINPBA00004N" ]
