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] 1 => array:3 [ "nombre" => "Miguel Ángel" "apellidos" => "Sanchez-Corral Mena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Juan José" "apellidos" => "Sanchez Fernandez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:4 [ "nombre" => "Eduard" "apellidos" => "Claver i Garrido" "email" => array:1 [ 0 => "eclaver@bellvitgehospital.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Resonancia Magnética IDI, Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Esclerosis tuberosa: degeneración grasa del rabdomioma" ] ] "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" => 354 "Ancho" => 1000 "Tamanyo" => 68362 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0020" class="elsevierStylePara elsevierViewall">A 24-year-old male with tuberous sclerosis (TS), with renal angiomyolipomatosis, intracranial lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, axial T2 MRI shows multiple subependymal nodular formations called tuberomas) and retinal hamartomas. The medical record includes data on an echocardiography performed when the patient was 2 years of age showing a mass in the interventricular septum compatible with rhabdomyoma. A cardiac MRI was recently performed, which showed an intramural, oval mass, in the apical interventricular septum of 10<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>18<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A, arrow), 3-D CINE sequence (<a class="elsevierStyleCrossRef" href="#sec0010">video 1, additional material in Web</a>), of fat-like intensity, hyperintense on T1 (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B, arrow) and hypointense on T1 with fat suppression (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>C, arrow), suggesting its lipidic nature. TS is an autosomal dominant genetic disorder, characterized by an abnormal cell proliferation that leads to the development of tumours, primarily in the brain and skin. Cardiac involvement is due to the presence of rhabdomyomas, which most patients have at birth, although most of them disappear in the first years of life by spontaneous regression. Our observation suggests a fatty degeneration of cardiac rhabdomyomas in TS.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></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: di Girolamo F, Sanchez-Corral Mena MÁ, Sanchez Fernandez JJ, Claver i Garrido E. Esclerosis tuberosa: degeneración grasa del rabdomioma. Med Clin (Barc). 2017;148:e71.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0030" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 850 "Ancho" => 669 "Tamanyo" => 105949 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 354 "Ancho" => 1000 "Tamanyo" => 68362 ] ] ] 2 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:3 [ "fichero" => "mmc1.mp4" "ficheroTamanyo" => 187903 "Video" => array:2 [ "mp4" => array:5 [ "fichero" => "mmc1.m4v" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] "flv" => array:5 [ "fichero" => "mmc1.flv" "poster" => "mmc1.jpg" "tiempo" => 0 "alto" => 0 "ancho" => 0 ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000012/v1_201707060050/S2387020617303704/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/S2387020617303704/v1_201707060050/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020617303704?idApp=UINPBA00004N" ]
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Vol. 148. Issue 12.
Pages e71 (June 2017)
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Vol. 148. Issue 12.
Pages e71 (June 2017)
Image in medicine
Tuberous sclerosis: Fatty degeneration of rhabdomyoma
Esclerosis tuberosa: degeneración grasa del rabdomioma
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