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"documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2015;144:528" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 85 "formatos" => array:2 [ "HTML" => 71 "PDF" => 14 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Mastitis granulomatosa perilobulillar idiopática: aspectos diagnósticos y terapéuticos" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "528" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Idiopathic perilobular granulomatous mastitis: Diagnostic and therapeutic considerations" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juana Sanint, Antonio Mariscal Martínez, Joan Francesc Julián Ibáñez, Alejandro Olivé Marqués" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juana" "apellidos" => "Sanint" ] 1 => array:2 [ "nombre" => "Antonio" "apellidos" => "Mariscal Martínez" ] 2 => array:2 [ "nombre" => "Joan Francesc" "apellidos" => "Julián Ibáñez" ] 3 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Olivé Marqués" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020615002582" "doi" => "10.1016/j.medcle.2014.09.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020615002582?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775314006708?idApp=UINPBA00004N" "url" => "/00257753/0000014400000011/v2_201505100049/S0025775314006708/v2_201505100049/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen de la semana</span>" "titulo" => "Pioderma gangrenoso periestomal asociado a cáncer de colon" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "529" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Laura Miguel-Gómez, Eva Hermosa-Zarza, Ernesto Muñoz-Zato, Pedro Jaén-Olasolo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Laura" "apellidos" => "Miguel-Gómez" "email" => array:1 [ 0 => "lmg_0007@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Eva" "apellidos" => "Hermosa-Zarza" ] 2 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Muñoz-Zato" ] 3 => array:2 [ "nombre" => "Pedro" "apellidos" => "Jaén-Olasolo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Dermatología, Hospital Ramón y Cajal, Madrid, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Peristomal pyoderma gangrenosum associated with colon cancer" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 662 "Ancho" => 995 "Tamanyo" => 103945 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Presentamos el caso de un varón de 79 años de edad, con antecedente de cáncer de colon tratado mediante resección quirúrgica con colostomía de descarga hacía 6 meses, que consultó por una lesión ulcerosa dolorosa cerca del estoma abdominal de 15 días de evolución. El examen físico reveló una úlcera profunda con un borde violáceo sobreelevado y puentes de epitelio sano atravesando la base de la lesión (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>). El estudio histopatológico reveló un infiltrado inflamatorio mixto en una dermis edematosa y proliferación vascular. No se observaron células atípicas. El cultivo microbiológico de la piel fue estéril, y los análisis de sangre resultaron ser normales. Tras descartar malignidad, infección o dermatitis de contacto, se llegó al diagnóstico de pioderma gangrenoso periestomal. Se inició tratamiento con tacrolimus al 0,1% en pomada una vez al día y prednisona a una dosis de 0,5<span class="elsevierStyleHsp" style=""></span>mg/kg al día, obteniéndose mejoría clínica después de un mes de tratamiento (<a class="elsevierStyleCrossRef" href="#fig0010">fig. 2</a>). El paciente pudo ser operado con cierre del estoma 2 meses más tarde.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 662 "Ancho" => 995 "Tamanyo" => 103945 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 662 "Ancho" => 883 "Tamanyo" => 93760 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000014400000011/v2_201505100049/S0025775314008835/v2_201505100049/es/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/00257753/0000014400000011/v2_201505100049/S0025775314008835/v2_201505100049/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775314008835?idApp=UINPBA00004N" ]
