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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2016;146:282-3" "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" => "Vasculopathy of the central nervous system in limited systemic sclerosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "282" "paginaFinal" => "283" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vasculopatía del sistema nervioso central en esclerosis sistémica limitada" ] ] "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" => 1082 "Ancho" => 999 "Tamanyo" => 174254 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Angio-resonance of the brain showing a narrowing of the middle cerebral artery (arrow) and of the anterior cerebral artery in its precommunicating segment (*).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gabriel Horta-Baas, Imelda Vergara-Sánchez, Maria del Socorro Romero-Figueroa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Gabriel" "apellidos" => "Horta-Baas" ] 1 => array:2 [ "nombre" => "Imelda" "apellidos" => "Vergara-Sánchez" ] 2 => array:2 [ "nombre" => "Maria del Socorro" "apellidos" => "Romero-Figueroa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315005953" "doi" => "10.1016/j.medcli.2015.10.021" "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/S0025775315005953?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061630211X?idApp=UINPBA00004N" "url" => "/23870206/0000014600000006/v3_201704140441/S238702061630211X/v3_201704140441/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S238702061630211X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.05.010" "estado" => "S300" "fechaPublicacion" => "2016-03-18" "aid" => "3430" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2016;146:282-3" "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" => "Vasculopathy of the central nervous system in limited systemic sclerosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "282" "paginaFinal" => "283" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Vasculopatía del sistema nervioso central en esclerosis sistémica limitada" ] ] "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" => 1082 "Ancho" => 999 "Tamanyo" => 174254 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Angio-resonance of the brain showing a narrowing of the middle cerebral artery (arrow) and of the anterior cerebral artery in its precommunicating segment (*).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gabriel Horta-Baas, Imelda Vergara-Sánchez, Maria del Socorro Romero-Figueroa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Gabriel" "apellidos" => "Horta-Baas" ] 1 => array:2 [ "nombre" => "Imelda" "apellidos" => "Vergara-Sánchez" ] 2 => array:2 [ "nombre" => "Maria del Socorro" "apellidos" => "Romero-Figueroa" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315005953" "doi" => "10.1016/j.medcli.2015.10.021" "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/S0025775315005953?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061630211X?idApp=UINPBA00004N" "url" => "/23870206/0000014600000006/v3_201704140441/S238702061630211X/v3_201704140441/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "283" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Beatriz Tejera Segura, Ivan Ferraz-Amaro" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Beatriz" "apellidos" => "Tejera Segura" "email" => array:1 [ 0 => "btejerasegura@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ivan" "apellidos" => "Ferraz-Amaro" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Reumatología, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with interest the letter by Horta-Bass et al. entitled “Vasculopathy of the central nervous system in limited systemic sclerosis.” The authors describe an interesting case of a rare involvement within the complex disease that is systemic sclerosis.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In our review, we did not focus on the central nervous system disease, although there are increasingly more cases of them described in the medical literature and are of great interest to the clinician. Lee and Haynes<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> describe for the first time a case of carotid arteritis, stroke and systemic sclerosis that histologically corresponded with a central nervous system vasculitis. More have subsequently appeared, but the cases are always insufficient for a more detailed analysis of the likely factors influencing the pathogenesis, and even the different ways they are presented in regard to vasculitis in patients without systemic sclerosis.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2–4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The micro- and macro-vascular involvement in this disease, however, appears to be more studied. Cutolo et al. describe a number of patients with limited systemic sclerosis and note that more than half had cerebral hypoperfusion demonstrated by angio-NMR, despite being asymptomatic.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> In most cases it is difficult to discern between vasculitis per se and vascular disease: the experience is reduced to daily clinical practice, and biopsy of the central nervous system is, in many instances, not feasible.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The diagnosis of any involvement of the central nervous system in these patients is a challenge for the clinician. We believe the contributions of clinical cases are of great interest, given their infrequency, as is the importance of early treatment.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Tejera Segura B, Ferraz-Amaro I. Respuesta. Med Clin (Barc). 2016;146:283.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Carotid arteritis and cerebral infarction due to scleroderma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.E. Lee" 1 => "J.M. Haynes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12883-017-0805-6" "Revista" => array:7 [ "tituloSerie" => "Neurology" "fecha" => "1967" "volumen" => "17" "paginaInicial" => "18" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28137246" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0210569108709550" "estado" => "S300" "issn" => "02105691" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Central nervous system vasculitis secondary to systemic sclerosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.S. Abers" 1 => "E.K. Iluonakhamhe" 2 => "C.E. Goldsmith" 3 => "J.S. Kass" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jocn.2012.09.022" "Revista" => array:6 [ "tituloSerie" => "J Clin Neurosci" "fecha" => "2013" "volumen" => "20" "paginaInicial" => "1168" "paginaFinal" => "1170" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23664129" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "[In French]" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "[Central nervous system involvement in systemic sclerosis]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Ajili" 1 => "A. Mersni" 2 => "L. Métoui" 3 => "I. Gharsallah" 4 => "J. Laabidi" 5 => "R. Battikh" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.revmed.2011.10.011" "Revista" => array:6 [ "tituloSerie" => "Rev Med Interne" "fecha" => "2011" "volumen" => "32" "paginaInicial" => "e122" "paginaFinal" => "e124" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22093798" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Scleroderma and central nervous system vasculitis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R. Pathak" 1 => "A.J. Gabor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Stroke" "fecha" => "1991" "volumen" => "22" "paginaInicial" => "410" "paginaFinal" => "413" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2003313" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evidence of cerebral hypoperfusion in scleroderma patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Cutolo" 1 => "F. Nobili" 2 => "C. Sulli" 3 => "M. Pizzorni" 4 => "F. Briata" 5 => "P. 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