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=> array:3 [ "entidad" => "Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Paciente con nódulos supurativos en el dorso nasal" ] ] "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" => 1033 "Ancho" => 930 "Tamanyo" => 108100 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">62-year-old male patient who came to the emergency department for a 10-day history of lesions on the nasal dorsum, which did not improve with amoxicillin-clavulanic acid. One week before the onset of symptoms the patient suffered a trauma injury with a board inside a sheep barn. Two erythematous-brownish protuberances, 1 and 2<span class="elsevierStyleHsp" style=""></span>cm long, with erosive and suppurative areas (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) were observed on examination. The clinical diagnosis of suspected ORF was confirmed by cutaneous biopsy and culture. The lesions resolved spontaneously within 5 weeks without scarring.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">ORF or contagious pustular dermatitis is a cutaneous infection caused by the ORF virus, a <span class="elsevierStyleItalic">Parapoxvirus</span> of the <span class="elsevierStyleItalic">Poxviridae</span> family. It mainly affects sheep and goats, and in most cases, is transmitted to humans by direct contact, typically causing hand lesions. Facial location and transmission through contaminated objects are rarer, which can make diagnosis difficult. The incubation period ranges from 3 to 7 days and has a self-limited course, typically resolving in 4–8 weeks without treatment, and without scarring.</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: García García B, Suárez Casado H, Gómez de Castro C, Fernández Vañes L. Paciente con nódulos supurativos en el dorso nasal. Med Clin (Barc). 2017;148:e67.</p>" ] ] "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" => 1033 "Ancho" => 930 "Tamanyo" => 108100 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000012/v1_201707060050/S2387020617303728/v1_201707060050/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/23870206/0000014800000012/v1_201707060050/S2387020617303728/v1_201707060050/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303728?idApp=UINPBA00004N" ]
Journal Information
Vol. 148. Issue 12.
Pages e67 (June 2017)
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Vol. 148. Issue 12.
Pages e67 (June 2017)
Image in medicine
A patient with suppurative nodules on the nasal dorsum
Paciente con nódulos supurativos en el dorso nasal
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