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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:374" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4 "HTML" => 4 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>" "titulo" => "Follicular mycosis fungoides, a rare and aggressive variant" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "374" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Micosis fungoide folicular, una variante infrecuente y agresiva" ] ] "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" => 593 "Ancho" => 791 "Tamanyo" => 98077 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ricardo Ruiz-Villaverde, Israel Pérez-López, Cristina Garrido-Colmenero, Jose Aneiros-Fernández" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Ricardo" "apellidos" => "Ruiz-Villaverde" ] 1 => array:2 [ "nombre" => "Israel" "apellidos" => "Pérez-López" ] 2 => array:2 [ "nombre" => "Cristina" "apellidos" => "Garrido-Colmenero" ] 3 => array:2 [ "nombre" => "Jose" "apellidos" => "Aneiros-Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S002577531500113X" "doi" => "10.1016/j.medcli.2015.01.025" "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/S002577531500113X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616001194?idApp=UINPBA00004N" "url" => "/23870206/0000014500000008/v1_201604030058/S2387020616001194/v1_201604030058/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the week</span>" "titulo" => "Silicone lymphadenopathy; unexpected cause of adenopathic syndrome" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e15" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Beatriz Arencibia Pérez, Juan Manuel Llanos Gomez, Victoria Castro López-Tarruela, Javier Padilla Quintana" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Beatriz" "apellidos" => "Arencibia Pérez" "email" => array:1 [ 0 => "bearenci@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Juan Manuel" "apellidos" => "Llanos Gomez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Victoria" "apellidos" => "Castro López-Tarruela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Javier" "apellidos" => "Padilla Quintana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfadenopatía por silicona; inesperada causa de síndrome poliadenopático" ] ] "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" => 750 "Ancho" => 1000 "Tamanyo" => 181957 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">34-Year-old woman with fever and adenopathic syndrome under study, with one-year progression. Nulliparous, with no family history of breast cancer and breast implants for cosmetic purposes for 6 years. On physical examination 3<span class="elsevierStyleHsp" style=""></span>cm left-sided mobile axillary lymph nodes were revealed, which had increased in size. A beta-2-microglobulin stood out in the blood test, with 3.35<span class="elsevierStyleHsp" style=""></span>mg/l (N: 1.2–2.8<span class="elsevierStyleHsp" style=""></span>mg/l), and positive serology for Epstein–Barr virus Ac. IgG anti-EBNA. CT showed supraclavicular and axillary left-sided adenopathic complexes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) and extracapsular rupture of the left-sided breast prosthesis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The nodal biopsy pathologic diagnosis showed a significant alteration of nodal architecture, multinucleated giant cells of foreign body type and cystic spaces by phagocytosis of silicone particles (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). The patient was diagnosed with silicone lymphadenopathy and breast implants were later removed.</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: Arencibia Pérez B, Llanos Gomez JM, Castro López-Tarruela V, Padilla Quintana J. Linfadenopatía por silicona; inesperada causa de síndrome poliadenopático. 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