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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;156:313" "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" => "PAPASH syndrome with MEFV gene mutation" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "313" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome PAPASH con mutación en el gen MEFV" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 825 "Ancho" => 950 "Tamanyo" => 174726 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Monte Serrano, Sonia de la Fuente Meira, Joana Cruañes Monferrer, Miguel Fernando García-Gil" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Monte Serrano" ] 1 => array:2 [ "nombre" => "Sonia" "apellidos" => "de la Fuente Meira" ] 2 => array:2 [ "nombre" => "Joana" "apellidos" => "Cruañes Monferrer" ] 3 => array:2 [ "nombre" => "Miguel Fernando" "apellidos" => "García-Gil" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320303675" "doi" => "10.1016/j.medcli.2020.03.018" "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/S0025775320303675?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062100067X?idApp=UINPBA00004N" "url" => "/23870206/0000015600000006/v1_202103200954/S238702062100067X/v1_202103200954/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Pacemaker dermatitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "314" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Fernando García Souto" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Fernando" "apellidos" => "García Souto" "email" => array:1 [ 0 => "fernandogarciasouto@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Dermatología, Hospital Universitario de Valme, Sevilla, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Dermatitis por marcapasos" ] ] "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" => 1000 "Ancho" => 750 "Tamanyo" => 116115 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A man in his 60s was referred for erythema and pruritus in the left pectoral region for more than one month. Interestingly, the patient has been carrying an implanted cardioverter-defibrillator for 8 years due to severe dilated cardiomyopathy. Physical examination revealed a non-infiltrated eczematous plaque in the area of the cardioverter-defibrillator implantation (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). A skin biopsy confirmed the diagnosis of eczema. Local therapy with steroids for several weeks resulted in complete resolution.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Cutaneous reactions overlying a pacemaker or defibrillator are often termed “pacemaker dermatitis”. It is a relatively unknown form of contact dermatitis. 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