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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2021;157:e304-e305" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Haemolytic anemia triggered by SARS-CoV-2 in patient with hereditary spherocytosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e304" "paginaFinal" => "e305" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Anemia hemolítica desencadenada por SARS-CoV-2 en una paciente con esferocitosis hereditaria" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Paula María Barberá-Pérez, Irene Baquedano Lobera, Pedro José Paúl-Vidaller" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Paula María" "apellidos" => "Barberá-Pérez" ] 1 => array:2 [ "nombre" => "Irene" "apellidos" => "Baquedano Lobera" ] 2 => array:2 [ "nombre" => "Pedro José" "apellidos" => "Paúl-Vidaller" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775321002360" "doi" => "10.1016/j.medcli.2021.03.023" "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/S0025775321002360?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621005155?idApp=UINPBA00004N" "url" => "/23870206/0000015700000008/v1_202110160801/S2387020621005155/v1_202110160801/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Skin metastases" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "407" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antonio Torres-Gómez, José Ramón Vizán-Caravaca, Sara López-García" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "Torres-Gómez" ] 1 => array:4 [ "nombre" => "José Ramón" "apellidos" => "Vizán-Caravaca" "email" => array:1 [ 0 => "joserra.vizan@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Sara" "apellidos" => "López-García" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Medicina Interna, Hospital Básico General Santa Ana de Motril, Motril, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Letálides" ] ] "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" => 367 "Ancho" => 950 "Tamanyo" => 58410 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">57-year-old male, heavy smoker with liver cirrhosis, who was admitted to internal medicine for constitutional symptoms, with significant progressive weight loss of about 15 kg in the last 6 months, associated with hyporexia, cachexia and significant asthenia. In the following weeks, multiple skin lesions of stony consistency, painless and immobile on palpation, measuring approximately 2.5 cm in diameter, developed over the thoracic, abdominal and even lumbar region (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A chest-abdominal CT scan was performed, showing images compatible with advanced stage lung cancer (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A, arrow) with mediastinal lymphadenopathy extension and peritoneal carcinomatosis, as well as multiple subcutaneous and muscular implants (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A and B, asterisk). One of the superficial lesions was biopsied and found to be a poorly differentiated carcinoma of probable pulmonary origin. The progression of the patient during hospitalization was torpid, finally dying.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Cutaneous metastases, although a rare clinical entity (0.7–9%), are considered a late manifestation of disseminated malignancies and, therefore, cast a shadow over the prognosis. The tumours that most often produce these lesions in men are lung cancer and melanoma. In conclusion, we want to highlight the relevance of dermatological lesions since they can be the guiding sign of potentially serious diseases.</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: Torres-Gómez A, Vizán-Caravaca JR, López-García S. Letálides. Med Clin (Barc). 2021;157:407.</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" => 564 "Ancho" => 950 "Tamanyo" => 113932 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 367 "Ancho" => 950 "Tamanyo" => 58410 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015700000008/v1_202110160801/S238702062100512X/v1_202110160801/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/23870206/0000015700000008/v1_202110160801/S238702062100512X/v1_202110160801/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062100512X?idApp=UINPBA00004N" ]
