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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:553" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Lupus neonatal" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "553" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Neonatal lupus" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 657 "Ancho" => 1667 "Tamanyo" => 162290 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrea Montes-Torres, Miguel Fernando García-Gil, Rebeca Lanuza-Arcos, Juan Monte-Serrano" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Andrea" "apellidos" => "Montes-Torres" ] 1 => array:2 [ "nombre" => "Miguel Fernando" "apellidos" => "García-Gil" ] 2 => array:2 [ "nombre" => "Rebeca" "apellidos" => "Lanuza-Arcos" ] 3 => array:2 [ "nombre" => "Juan" "apellidos" => "Monte-Serrano" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621006306" "doi" => "10.1016/j.medcle.2021.01.016" "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/S2387020621006306?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775321000889?idApp=UINPBA00004N" "url" => "/00257753/0000015700000011/v1_202111210516/S0025775321000889/v1_202111210516/es/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Medicine</span>" "titulo" => "The value of the classic signs: Hypocalcemia" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "554" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Silvia Calpena Martínez, Adrián Arapiles Muñoz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Silvia" "apellidos" => "Calpena Martínez" "email" => array:1 [ 0 => "silvia.calpena@quironsalud.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Adrián" "apellidos" => "Arapiles Muñoz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Department of Internal Medicine – Emergency Division, Hospital Universitario Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El valor de los signos clásicos: hipocalcemia" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 31-year-old woman was seen in the emergency department because of paresthesia. She had a history of Cowden syndrome, thyroidectomy for a toxic adenoma with postoperative hypoparathyroidism more than ten years ago. She had undergone a breast reconstruction after prophylactic mastectomy 72<span class="elsevierStyleHsp" style=""></span>h ago. Physical examination evidenced the flexion contracture of the intrinsic hand muscles a few seconds after the sphyngomanometer cuff was inflated to more than the systolic blood pressure (Trousseau's sign) and facial muscle spasms after cheek percussion Chvostek sign (video). Laboratory testing revealed a corrected calcium of 6<span class="elsevierStyleHsp" style=""></span>mg/dl (8.5–10.5<span class="elsevierStyleHsp" style=""></span>mg/dl), 1.6 magnesium (1.5–2.5<span class="elsevierStyleHsp" style=""></span>mg/dl) and PTH<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>15<span class="elsevierStyleHsp" style=""></span>pg/ml (showing no variation from past analysis). Hypocalcemia in this patient with previously known hypoparathyroidism was related to fasting and surgical stress. 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