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array:22 [ "pii" => "S2387020623000736" "issn" => "23870206" "doi" => "10.1016/j.medcle.2022.10.016" "estado" => "S300" "fechaPublicacion" => "2023-03-10" "aid" => "6125" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2022" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2023;160:229" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:18 [ "pii" => "S238702062300061X" "issn" => "23870206" "doi" => "10.1016/j.medcle.2022.10.015" "estado" => "S300" "fechaPublicacion" => "2023-03-10" "aid" => "6102" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Med Clin. 2023;160:227-8" "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" => "Calvaria thickening in acromegaly" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "227" "paginaFinal" => "228" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Engrosamiento de la bóveda craneal en la acromegalia" ] ] "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" => 1290 "Ancho" => 1679 "Tamanyo" => 199341 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiological appearance of acromegaly-related calvaria thickening. Generalized calvaria thickness involving all cranial bones, most notably the fronto-parietal skull regions, is visible in the shown sagittal MRI scan image.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Inês Cosme, Pedro Marques, Maria João Bugalho" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Inês" "apellidos" => "Cosme" ] 1 => array:2 [ "nombre" => "Pedro" "apellidos" => "Marques" ] 2 => array:2 [ "nombre" => "Maria João" "apellidos" => "Bugalho" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702062300061X?idApp=UINPBA00004N" "url" => "/23870206/0000016000000005/v1_202303052139/S238702062300061X/v1_202303052139/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Paraphimosis in a patient with papulonecrotic lesions on the penis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "229" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Omar Al-wattar Ceballos, Fernando Moro Bolado, Laura García Montalvo, Marcos Carmona Rodríguez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Omar" "apellidos" => "Al-wattar Ceballos" "email" => array:2 [ 0 => "omaralwattarmed@gmal.com" 1 => "oalwattar@sescam.jccm.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Fernando" "apellidos" => "Moro Bolado" ] 2 => array:2 [ "nombre" => "Laura" "apellidos" => "García Montalvo" ] 3 => array:2 [ "nombre" => "Marcos" "apellidos" => "Carmona Rodríguez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital General Universitario de Ciudad Real, Ciudad Real, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Parafimosis en un paciente con lesiones papulonecróticas en el pene" ] ] "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" => 430 "Ancho" => 2007 "Tamanyo" => 126266 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year-old man with a personal medical history of human immunodeficiency virus disease controlled with triple antiretroviral therapy presented with a 3-day history of asymptomatic pseudovesicular lesions in the balanopreputial sulcus (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) after unsafe sexual intercourse. Samples were taken to rule out herpes virus, monkeypox, and screening for sexually transmitted infections; symptomatic treatment was prescribed at discharge.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The patient sought emergency treatment 3 days later for swelling and oedema of the foreskin, which was retracted below the balanopreputial sulcus, with progression towards papulonecrotic lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Following a diagnosis of paraphimosis, reduction treatment was carried out.</p><p id="par0015" class="elsevierStylePara elsevierViewall">After one week, there was a decrease in swelling and oedema, with the lesions having a more residual appearance (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). Tests were positive for the monkeypox virus.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The lesions caused by this virus tend to be accompanied by some degree of inflammation. We report a case of paraphimosis secondary to specific monkeypox lesions on the penis, as a potentially serious complication, secondary to the inflammation they produce. We recommend close monitoring of these patients to detect possible complications.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">No funding has been received for this publication.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Ethical considerations</span><p id="par0030" class="elsevierStylePara elsevierViewall">Informed consent has been obtained from the patient.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Ethical considerations" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 430 "Ancho" => 2007 "Tamanyo" => 126266 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000016000000005/v1_202303052139/S2387020623000736/v1_202303052139/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/23870206/0000016000000005/v1_202303052139/S2387020623000736/v1_202303052139/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020623000736?idApp=UINPBA00004N" ]
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