Images in Paediatrics
Inflammatory myofibroblastic tumor: An uncommon pathology in pediatrics
Tumor miofibroblástico inflamatorio, una patología infrecuente en pediatría
Read
1087
Timeswas read the article
403
Total PDF
684
Total HTML
Share statistics
array:23 [ "pii" => "S2341287923002958" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.12.008" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3521" "copyrightAnyo" => "2023" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2024;100:75-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S1695403323002084" "issn" => "16954033" "doi" => "10.1016/j.anpedi.2023.09.014" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3521" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2024;100:75-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMÁGENES EN PEDIATRÍA</span>" "titulo" => "Tumor miofibroblástico inflamatorio, una patología infrecuente en pediatría" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "75" "paginaFinal" => "76" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Inflammatory myofibroblastic tumor: An uncommon pathology in pediatrics" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 444 "Ancho" => 1340 "Tamanyo" => 79985 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">TC torácica. Condensación alveolar pulmonar en segmentos apical y posterior del lóbulo superior derecho, con broncograma central y hepatización periférica. Moderado aumento de tamaño de ganglios en localización paratraqueal derecha, en hilio pulmonar derecho y área subcarinal. Aumento difuso de componente de partes blandas, sin límites precisos, afectando a la pared apical y posterior de hemitórax derecho, interdigitándose a través de espacios intercostales y afectando musculatura paraespinal derecha.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gemma Claramunt Andreu, Laura Murcia Clemente, María Ángeles Calzado Agrasot, Sabrina Kalbouza Bouziane" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Gemma" "apellidos" => "Claramunt Andreu" ] 1 => array:2 [ "nombre" => "Laura" "apellidos" => "Murcia Clemente" ] 2 => array:2 [ "nombre" => "María Ángeles" "apellidos" => "Calzado Agrasot" ] 3 => array:2 [ "nombre" => "Sabrina" "apellidos" => "Kalbouza Bouziane" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287923002958" "doi" => "10.1016/j.anpede.2023.12.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002958?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323002084?idApp=UINPBA00005H" "url" => "/16954033/0000010000000001/v2_202401110512/S1695403323002084/v2_202401110512/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341287923002983" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.12.011" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3522" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2024;100:77-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Annular grouped blisters on an infant" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "77" "paginaFinal" => "78" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesiones anulares ampollosas en lactante" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1240 "Ancho" => 1647 "Tamanyo" => 151869 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0110" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Direct immunofluorescence for detection of immunoglobulin A: continuous the dermoepidermal junction.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jana Codina Barbosa, Ares Benavent Puiggené, Mariana Álvarez Vukov, Eulàlia Baselga Torres, Yolanda Fernández Santervás" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Jana" "apellidos" => "Codina Barbosa" ] 1 => array:2 [ "nombre" => "Ares" "apellidos" => "Benavent Puiggené" ] 2 => array:2 [ "nombre" => "Mariana" "apellidos" => "Álvarez Vukov" ] 3 => array:2 [ "nombre" => "Eulàlia" "apellidos" => "Baselga Torres" ] 4 => array:2 [ "nombre" => "Yolanda" "apellidos" => "Fernández Santervás" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323002096" "doi" => "10.1016/j.anpedi.2023.09.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323002096?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002983?idApp=UINPBA00005H" "url" => "/23412879/0000010000000001/v1_202401141514/S2341287923002983/v1_202401141514/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S234128792300296X" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.12.009" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3533" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "An Pediatr (Barc). 2024;100:72-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Not everything is as it seems: Todd paralysis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "72" "paginaFinal" => "74" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "No todo es lo que parece. Parálisis de Todd" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1407 "Ancho" => 1874 "Tamanyo" => 195418 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Magnetic resonance imaging at the level of the basal ganglia. A) diffusion sequence, B) FLAIR sequence, C) gradient echo sequence and D) TOF angiography revealing no abnormalities. E) Decreased blood flow in left hemisphere with preservation of left basal ganglia in ASL perfusion sequence.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">ASL, arterial spin labelling: FLAIR, fluid-attenuated inversion recovery; TOF, time of flight.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Paloma Puyalto de Pablo, Javier Rodriguez-Fanjul, Clara Sorribes Ortí, Anna Oliva Ortiz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Paloma" "apellidos" => "Puyalto de Pablo" ] 1 => array:2 [ "nombre" => "Javier" "apellidos" => "Rodriguez-Fanjul" ] 2 => array:2 [ "nombre" => "Clara" "apellidos" => "Sorribes Ortí" ] 3 => array:2 [ "nombre" => "Anna" "apellidos" => "Oliva Ortiz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323002205" "doi" => "10.1016/j.anpedi.2023.10.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403323002205?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234128792300296X?idApp=UINPBA00005H" "url" => "/23412879/0000010000000001/v1_202401141514/S234128792300296X/v1_202401141514/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Inflammatory myofibroblastic tumor: An uncommon pathology in pediatrics" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "75" "paginaFinal" => "76" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gemma Claramunt Andreu, Laura Murcia Clemente, María Ángeles Calzado Agrasot, Sabrina Kalbouza Bouziane" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Gemma" "apellidos" => "Claramunt Andreu" "email" => array:1 [ 0 => "gemma_claramunt@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Laura" "apellidos" => "Murcia Clemente" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "María Ángeles" "apellidos" => "Calzado Agrasot" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Sabrina" "apellidos" => "Kalbouza Bouziane" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital Universitario del Vinalopó, Elche, Alicante, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Gastroenterología, Hepatología y Nutrición Pediátrica, Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor miofibroblástico inflamatorio, una patología infrecuente en pediatría" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 444 "Ancho" => 1340 "Tamanyo" => 80290 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Chest CT scan. Lung consolidation in apical and posterior segments of the right upper lobe with central air bronchogram and peripheral hepatization. Moderate lymph node enlargement in the right paratracheal, right hilum and subcarinal regions. Diffuse enlargement of soft tissues with poorly defined borders involving the apical and posterior wall of the right hemithorax, traversing the intercostal spaces and extending into the right paraspinal musculature.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a female patient aged 11 years, previously healthy, who presented with an interscapular mass, right-sided omalgia and constitutional syndrome of 6 months’ duration.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The salient findings of the complete blood panel were leucocytosis with left shift and elevation of the erythrocyte sedimentation rate (ESR) and lactate dehydrogenase (LDH). The imaging evaluation confirmed a pulmonary pseudotumour extending beyond the lung with lung consolidation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>, X-ray; <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>, CT scan).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">The evaluation continued with fibreoptic bronchoscopy and bronchoalveolar lavage, which ruled out endobronchial lesions. The Mantoux and serology tests were negative. Examination of a biopsy of the extrapulmonary lesion evinced proliferation of fibrohistiocytic cells, without atypia, suggestive of an inflammatory or granulomatous disease or pseudotumour.</p><p id="par0015" class="elsevierStylePara elsevierViewall">A 28-day course of empiric antibiotherapy (cefotaxime and cloxacillin)<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> achieved resolution of the mass. The follow-up radiological evaluation, at 8 months (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>, MRI) evinced marked radiological improvement with residual pseudotumour tissue, rather than fibrotic tissue or scarring, in the right apical pleura and the posterior musculature of the upper right thorax. The patient was asymptomatic and the lung function tests were normal.</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Inflammatory myofibroblastic tumour is usually treated with surgical resection,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> although in some cases the lesion stabilises or even regresses, as was the case of our patient. In other cases, the mass becomes invasive at the local level and requires other treatments, such as steroid therapy, radiation or chemotherapy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0025" class="elsevierStylePara elsevierViewall">This research did not receive any external funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1192 "Ancho" => 1007 "Tamanyo" => 93505 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph. Homogeneous increase in density involving the apical and posterior segments of the right upper lobe and central air bronchogram.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 444 "Ancho" => 1340 "Tamanyo" => 80290 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Chest CT scan. Lung consolidation in apical and posterior segments of the right upper lobe with central air bronchogram and peripheral hepatization. Moderate lymph node enlargement in the right paratracheal, right hilum and subcarinal regions. Diffuse enlargement of soft tissues with poorly defined borders involving the apical and posterior wall of the right hemithorax, traversing the intercostal spaces and extending into the right paraspinal musculature.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 548 "Ancho" => 1207 "Tamanyo" => 45591 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">MRI. Visualization of residual pseudotumor tissue rather than fibrotic tissue or scarring, in the right apical pleura and the posterior musculature of the upper right thorax.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tumor miofibroblástico inflamatorio (TMI) de pulmón en un niño de 10 años con hipergammaglobulinemia y plaquetosis reactiva. A propósito de un caso" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. De María Blásquez Azúa" 1 => "D. Gutiérrez de la Vega" 2 => "H. Rendón García" 3 => "J. Cruz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Bol Clin Hosp Infant Edo Son" "fecha" => "2017" "volumen" => "34" "paginaInicial" => "151" "paginaFinal" => "158" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Masa torácica. Cuatro ojos ven más que dos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G.M. Serena Gómez" 1 => "M. del Olmo Fernández" 2 => "G. Javaloyes Soler" 3 => "S. Corral Hospital" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Form Act Pediatr Aten Prim" "fecha" => "2016" "volumen" => "9" "paginaInicial" => "193" "paginaFinal" => "196" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Primary pulmonary tumors in childhood: a review of 31 years’ experience and the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.C. Cohen" 1 => "R.O. Kaschula" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/ppul.1950140405" "Revista" => array:6 [ "tituloSerie" => "Pediatr Pulmonol" "fecha" => "1992" "volumen" => "14" "paginaInicial" => "222" "paginaFinal" => "232" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1336597" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000001/v1_202401141514/S2341287923002958/v1_202401141514/en/main.assets" "Apartado" => array:4 [ "identificador" => "77701" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Paediatrics" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000010000000001/v1_202401141514/S2341287923002958/v1_202401141514/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002958?idApp=UINPBA00005H" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 8 | 15 |
| 2024 October | 50 | 40 | 90 |
| 2024 September | 48 | 44 | 92 |
| 2024 August | 64 | 54 | 118 |
| 2024 July | 72 | 33 | 105 |
| 2024 June | 85 | 24 | 109 |
| 2024 May | 68 | 44 | 112 |
| 2024 April | 63 | 41 | 104 |
| 2024 March | 47 | 28 | 75 |
| 2024 February | 46 | 31 | 77 |
| 2024 January | 134 | 56 | 190 |
