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"https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020619303250?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775318307607?idApp=UINPBA00004N" "url" => "/00257753/0000015300000005/v1_201908290641/S0025775318307607/v1_201908290641/es/main.assets" ] ] "itemAnterior" => array:18 [ "pii" => "S2387020619303511" "issn" => "23870206" "doi" => "10.1016/j.medcle.2018.12.018" "estado" => "S300" "fechaPublicacion" => "2019-09-13" "aid" => "4736" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2019;153:223" "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" => "Polycyclic skin lesions in a 14-year-old boy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "223" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesiones anulares en paciente de 14 años de edad" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 1433 "Ancho" => 1030 "Tamanyo" => 122297 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana García-Rabasco, Daniela Subiabre-Ferrer, Víctor Alegre-de-Miquel" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "García-Rabasco" ] 1 => array:2 [ "nombre" => "Daniela" "apellidos" => "Subiabre-Ferrer" ] 2 => array:2 [ "nombre" => "Víctor" "apellidos" => "Alegre-de-Miquel" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020619303511?idApp=UINPBA00004N" "url" => "/23870206/0000015300000005/v1_201909070744/S2387020619303511/v1_201909070744/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Slapped cheek syndrome in the adult" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e25" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Eva Cervilla-Muñoz, Francisco Galeano-Valle, Jorge del-Toro-Cervera, Pablo Demelo-Rodríguez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Eva" "apellidos" => "Cervilla-Muñoz" "email" => array:1 [ 0 => "e.cervilla.munoz@gmail.com" ] "referencia" => array:4 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Francisco" "apellidos" => "Galeano-Valle" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 2 => array:3 [ "nombre" => "Jorge" "apellidos" => "del-Toro-Cervera" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Pablo" "apellidos" => "Demelo-Rodríguez" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Unidad de Enfermedad Tromboembólica Venosa, Departamento de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de las mejillas abofeteadas en el adulto" ] ] "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" => 1134 "Ancho" => 850 "Tamanyo" => 142479 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 62-year-old female patient with no medical history visited the emergency room because of an erythematous rash on her cheeks and a pruritic, lace-like rash on her trunk and limbs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) – but not her palms and soles – which had evolved 12<span class="elsevierStyleHsp" style=""></span>h earlier. The previous days the patient had had a fever that reached 38<span class="elsevierStyleHsp" style=""></span>°C at home, arthralgia, predominantly in her hands and generalised myalgia. Her blood analyses showed: ESR 90<span class="elsevierStyleHsp" style=""></span>mm per hour, AST 82<span class="elsevierStyleHsp" style=""></span>U/l, ALT 75<span class="elsevierStyleHsp" style=""></span>U/l and 600<span class="elsevierStyleHsp" style=""></span>lymphocytes/mm<span class="elsevierStyleSup">3</span>, and the rest normal. Chest X-ray and urinalysis were normal. The determination of ANA and anti-DNA, anti-Ro, anti-La, anti-Jo1, anti-SRP and anti-Mi-2 antibodies were negative. Serology of parvovirus B19 was positive for IgM antibodies, and negative for IgG. Symptomatic treatment was performed with favourable evolution and complete resolution of erythema and fever in 72<span class="elsevierStyleHsp" style=""></span>h. The most common presentation of the primal infection by parvovirus B19 occurs in children, known as infectious erythema or fifth disease, in the form of the classic syndrome “slapped cheeks”, although this rash is rare in adults.</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: Cervilla-Muñoz E, Galeano-Valle F, del-Toro-Cervera J, Demelo-Rodríguez P. Síndrome de las mejillas abofeteadas en el adulto. 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