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"idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">IMÁGENES EN PEDIATRÍA</span>" "titulo" => "Lesiones anulares ampollosas en lactante" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "77" "paginaFinal" => "78" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Annular grouped blísters on an infant" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1865 "Ancho" => 1250 "Tamanyo" => 154701 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se aprecian las ampollas tensas dando a la lesión una morfología en roseta.</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" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287923002983" "doi" => "10.1016/j.anpede.2023.12.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => 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=> "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "79" "paginaFinal" => "80" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Torsión esplénica como causa de abdomen agudo" ] ] "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" => 541 "Ancho" => 1207 "Tamanyo" => 67955 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0430" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abdominal ultrasound of the left hypochondrium. <span class="elsevierStyleBold">A</span> image shows an enlarged spleen (13<span class="elsevierStyleHsp" style=""></span>mm) for the patient's age, with heterogeneous echogenicity (red star). In addition, there were seen geographical areas with well-defined hypoechogenic borders inside the spleen (red arrow), due to ischaemia. <span class="elsevierStyleBold">B</span> image demonstrates moderate amount of intra-abdominal free fluid (red asterisks).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Héctor Lajusticia, Angela Bronte, Rocío Ruiz Marzo" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Héctor" "apellidos" => "Lajusticia" ] 1 => array:2 [ "nombre" => "Angela" "apellidos" => "Bronte" ] 2 => array:2 [ "nombre" => "Rocío" "apellidos" => "Ruiz Marzo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323002102" "doi" => "10.1016/j.anpedi.2023.08.010" "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/S1695403323002102?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002582?idApp=UINPBA00005H" "url" => "/23412879/0000010000000001/v1_202401141514/S2341287923002582/v1_202401141514/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2341287923002958" "issn" => "23412879" "doi" => "10.1016/j.anpede.2023.12.008" "estado" => "S300" "fechaPublicacion" => "2024-01-01" "aid" => "3521" "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 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Inflammatory myofibroblastic tumor: An uncommon pathology in pediatrics" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "75" "paginaFinal" => "76" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor miofibroblástico inflamatorio, una patología infrecuente en pediatría" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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>" ] ] ] "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" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403323002084" "doi" => "10.1016/j.anpedi.2023.09.014" "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/S1695403323002084?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002958?idApp=UINPBA00005H" "url" => "/23412879/0000010000000001/v1_202401141514/S2341287923002958/v1_202401141514/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>" "titulo" => "Annular grouped blisters on an infant" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "77" "paginaFinal" => "78" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Jana Codina Barbosa, Ares Benavent Puiggené, Mariana Álvarez Vukov, Eulàlia Baselga Torres, Yolanda Fernández Santervás" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Jana" "apellidos" => "Codina Barbosa" "email" => array:1 [ 0 => "jana.codina@sjd.es" ] "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" => "Ares" "apellidos" => "Benavent Puiggené" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Mariana" "apellidos" => "Álvarez Vukov" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Eulàlia" "apellidos" => "Baselga Torres" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "Yolanda" "apellidos" => "Fernández Santervás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital Sant Joan de Déu, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica, Hospital Sant Joan de Déu, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Dermatología Pediátrica, Hospital Sant Joan de Déu, Universidad de Barcelona, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Área de Urgencias, Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Lesiones anulares ampollosas en lactante" ] ] "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>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A patient aged 20 months with no relevant medical history was brought to the emergency department for assessment of skin lesions with onset 15 days prior. The examination (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>) revealed the presence of tense vesicles and blisters clustered around macules or crusts with an arrangement resembling a rosette. The patient was afebrile and there was no mucosal involvement. No exposure to pharmaceuticals or recent vaccination reported.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Linear immunoglobulin A bullous dermatosis was suspected. The findings of the histological examination and direct immunofluorescence (DIF) confirmed the diagnosis: subepidermal bullae and visualization on DIF of continuous linear deposition of IgA at the dermoepidermal junction (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Treatment was initiated with prednisone, adding dapsone after 15 days at a dose of 1<span class="elsevierStyleHsp" style=""></span>mg/kg/day with tapering off of prednisone until its discontinuation. The levels of glucose-6-phosphate dehydrogenase remained in the normal range, and the patient had a favourable outcome.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Linear immunoglobulin A bullous is an acquired blistering dermatosis of an autoimmune aetiology,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> although there can be cases induced by drugs. The main diseases that need to be considered in the differential diagnosis are dermatitis herpetiformis, bullous pemphigoid, lichen planus and toxic epidermal necrolysis.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1–3</span></a> It is important for paediatricians to know how to recognise the typical rosette or ‘cluster of jewels’ pattern, although the pathognomonic feature is the linear deposit of IgA along the basal membrane. Dapsone is the treatment of choice, and the course of disease is characterised by exacerbation and remission periods until its full resolution.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></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>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => 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" => 1865 "Ancho" => 1250 "Tamanyo" => 157214 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0100" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bulging blisters in a rosette arrangement.</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" => 2456 "Ancho" => 1646 "Tamanyo" => 295123 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0105" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Formation of crusts in some lesions.</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" => 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>" ] ] ] "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" => "Linear immunoglobulin A bullous dermatosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G. Fortuna" 1 => "M.P. Marinkovich" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.clindermatol.2011.03.008" "Revista" => array:6 [ "tituloSerie" => "Clin Dermatol" "fecha" => "2012" "volumen" => "30" "paginaInicial" => "38" "paginaFinal" => "50" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22137225" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatosis IgA lineal de la infancia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V. Fuentelsaz del Barrio" 1 => "M. Campos Domínguez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Pediatr Aten Primaria" "fecha" => "2013" "volumen" => "15" "paginaInicial" => "141" "paginaFinal" => "145" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatosis IgA linear" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Joly" 1 => "M. Castel" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Enciclopedia de Orphanet" "fecha" => "2020" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=ES&Expert=46488" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000010000000001/v1_202401141514/S2341287923002983/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/S2341287923002983/v1_202401141514/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287923002983?idApp=UINPBA00005H" ]
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