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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2015;144:528" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 52 "formatos" => array:2 [ "HTML" => 29 "PDF" => 23 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Idiopathic perilobular granulomatous mastitis: Diagnostic and therapeutic considerations" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "528" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Mastitis granulomatosa perilobulillar idiopática: aspectos diagnósticos y terapéuticos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juana Sanint, Antonio Mariscal Martínez, Joan Francesc Julián Ibáñez, Alejandro Olivé Marqués" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juana" "apellidos" => "Sanint" ] 1 => array:2 [ "nombre" => "Antonio" "apellidos" => "Mariscal Martínez" ] 2 => array:2 [ "nombre" => "Joan Francesc" "apellidos" => "Julián Ibáñez" ] 3 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Olivé Marqués" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775314006708" "doi" => "10.1016/j.medcli.2014.09.005" "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/S0025775314006708?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615002582?idApp=UINPBA00004N" "url" => "/23870206/0000014400000011/v1_201602060036/S2387020615002582/v1_201602060036/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>" "titulo" => "Peristomal pyoderma gangrenosum associated with colon cancer" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "529" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Laura Miguel-Gómez, Eva Hermosa-Zarza, Ernesto Muñoz-Zato, Pedro Jaén-Olasolo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Laura" "apellidos" => "Miguel-Gómez" "email" => array:1 [ 0 => "lmg_0007@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Eva" "apellidos" => "Hermosa-Zarza" ] 2 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Muñoz-Zato" ] 3 => array:2 [ "nombre" => "Pedro" "apellidos" => "Jaén-Olasolo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pioderma gangrenoso periestomal asociado a cáncer de colon" ] ] "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" => 662 "Ancho" => 883 "Tamanyo" => 93749 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a male patient of 79 years with a history of colon cancer treated 6 months ago by surgical resection, with a colostomy, who consulted for a painful ulcerous lesion near the abdominal stoma of 15 days evolution. The physical examination revealed a deep ulcer with a violescent raised edge and bridges of healthy epithelium crossing the base of the lesion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The histopathological study revealed a mixed inflammatory infiltrate in an oedematous dermis and vascular proliferation. No atypical cells were observed. A microbiological culture of the skin was negative and blood tests proved normal. After discarding malignancy, infection or contact dermatitis, the diagnosis was peristomal pyoderma gangrenosum. Treatment was initiated with 0.1% tacrolimus ointment once a day and one dose of 0.5%<span class="elsevierStyleHsp" style=""></span>mg/kg prednisone daily, obtaining clinical improvement after one month of treatment (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Two months later, the patient was operated and the stoma was closed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></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: Miguel-Gómez L, Hermosa-Zarza E, Muñoz-Zato E, Jaén-Olasolo P. Pioderma gangrenoso periestomal asociado a cáncer de colon. Med Clin (Barc). 2015;144:529.</p>" ] ] "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" => 662 "Ancho" => 995 "Tamanyo" => 108266 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 662 "Ancho" => 883 "Tamanyo" => 93749 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014400000011/v1_201602060036/S2387020615002521/v1_201602060036/en/main.assets" "Apartado" => array:4 [ "identificador" => "43312" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the week" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014400000011/v1_201602060036/S2387020615002521/v1_201602060036/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615002521?idApp=UINPBA00004N" ]
