Statistics

 array:24 [
  "pii" => "S2341287924000747"
  "issn" => "23412879"
  "doi" => "10.1016/j.anpede.2024.03.020"
  "estado" => "S300"
  "fechaPublicacion" => "2024-05-01"
  "aid" => "3239"
  "copyright" => "Asociación Española de Pediatría"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "An Pediatr (Barc). 2024;100:e12-e13"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S1695403321003866"
      "issn" => "16954033"
      "doi" => "10.1016/j.anpedi.2021.11.005"
      "estado" => "S300"
      "fechaPublicacion" => "2022-10-01"
      "aid" => "3239"
      "copyright" => "Asociación Española de Pediatría"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "sco"
      "cita" => "An Pediatr (Barc). 2022;97:290-1"
      "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">Im&#225;genes en pediatr&#237;a</span>"
        "titulo" => "Lesi&#243;n necr&#243;tica vulvar&#46; Un diagn&#243;stico infrecuente"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "290"
            "paginaFinal" => "291"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Vulvar necrotic lesion&#46; An uncommon diagnosis"
          ]
        ]
        "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" => 839
                "Ancho" => 600
                "Tamanyo" => 51391
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lesi&#243;n t&#237;pica de ectima gangrenoso&#58; lesi&#243;n bullosa bien demarcada con &#225;rea central necr&#243;tica y base hinchada eritematosa en los genitales&#46; Peque&#241;a lesi&#243;n necr&#243;tica en el margen anal &#40;flecha&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Paula Manuel Vieira, Juliana da Silva Cardoso, Carla Teixeira, Isabel Couto Guerra"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Paula Manuel"
                "apellidos" => "Vieira"
              ]
              1 => array:2 [
                "nombre" => "Juliana"
                "apellidos" => "da Silva Cardoso"
              ]
              2 => array:2 [
                "nombre" => "Carla"
                "apellidos" => "Teixeira"
              ]
              3 => array:2 [
                "nombre" => "Isabel"
                "apellidos" => "Couto Guerra"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2341287924000747"
          "doi" => "10.1016/j.anpede.2024.03.020"
          "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/S2341287924000747?idApp=UINPBA00005H"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403321003866?idApp=UINPBA00005H"
      "url" => "/16954033/0000009700000004/v1_202210061345/S1695403321003866/v1_202210061345/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2341287924000759"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2021.12.003"
    "estado" => "S300"
    "fechaPublicacion" => "2024-05-01"
    "aid" => "3249"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2024;100:e14-e15"
    "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" => "Paediatric secondary trigeminal autonomic cephalalgia&#58; While rare&#44; it exists"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e14"
          "paginaFinal" => "e15"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Cefalea trig&#233;mino-auton&#243;mica secundaria pedi&#225;trica&#58; la rareza existe"
        ]
      ]
      "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" => 637
              "Ancho" => 950
              "Tamanyo" => 61539
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0125"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prominent cranial autonomic features &#40;ptosis&#44; conjunctival injection&#44; lachrymation and rhinorrhoea&#41;&#44; unilateral and ipsilateral to the headaches&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Maria In&#234;s Linhares, Joana Amaral, Rui Pedro Pais, Filipe Palavra"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Maria In&#234;s"
              "apellidos" => "Linhares"
            ]
            1 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Amaral"
            ]
            2 => array:2 [
              "nombre" => "Rui Pedro"
              "apellidos" => "Pais"
            ]
            3 => array:2 [
              "nombre" => "Filipe"
              "apellidos" => "Palavra"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403322000066"
        "doi" => "10.1016/j.anpedi.2021.12.002"
        "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/S1695403322000066?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924000759?idApp=UINPBA00005H"
    "url" => "/23412879/0000010000000005/v1_202405192134/S2341287924000759/v1_202405192134/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341287924000735"
    "issn" => "23412879"
    "doi" => "10.1016/j.anpede.2024.03.019"
    "estado" => "S300"
    "fechaPublicacion" => "2024-05-01"
    "aid" => "3234"
    "copyright" => "Asociaci&#243;n Espa&#241;ola de Pediatr&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "An Pediatr &#40;Barc&#41;. 2024;100:e10-e11"
    "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" => "Virilizations&#44; are they always adrenal hyperplasias or tumors&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e10"
          "paginaFinal" => "e11"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Virilizaciones&#44; &#191;son siempre hiperplasias suprarrenales o tumores&#63;"
        ]
      ]
      "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" => 1041
              "Ancho" => 900
              "Tamanyo" => 63311
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0100"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Enlarged clitoris measuring 30<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Bel&#233;n Ariza Jim&#233;nez, Beatriz Martin Tejedor, Juan Pedro Lopez-Siguero"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ana Bel&#233;n"
              "apellidos" => "Ariza Jim&#233;nez"
            ]
            1 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Martin Tejedor"
            ]
            2 => array:2 [
              "nombre" => "Juan Pedro"
              "apellidos" => "Lopez-Siguero"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1695403321003805"
        "doi" => "10.1016/j.anpedi.2021.11.002"
        "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/S1695403321003805?idApp=UINPBA00005H"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924000735?idApp=UINPBA00005H"
    "url" => "/23412879/0000010000000005/v1_202405192134/S2341287924000735/v1_202405192134/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Paediatrics</span>"
    "titulo" => "Vulvar necrotic lesion&#46; An uncommon diagnosis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "e12"
        "paginaFinal" => "e13"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Paula Manuel Vieira, Juliana da Silva Cardoso, Carla Teixeira, Isabel Couto Guerra"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Paula Manuel"
            "apellidos" => "Vieira"
            "email" => array:1 [
              0 => "paula@pvieira.net"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Juliana"
            "apellidos" => "da Silva Cardoso"
          ]
          2 => array:2 [
            "nombre" => "Carla"
            "apellidos" => "Teixeira"
          ]
          3 => array:2 [
            "nombre" => "Isabel Couto"
            "apellidos" => "Guerra"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Centro Materno-Infantil do Norte Albino Aroso&#44; Centro Hospitalar Universit&#225;rio do Porto&#44; Oporto&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Lesi&#243;n necr&#243;tica vulvar&#46; Un diagn&#243;stico infrecuente"
      ]
    ]
    "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" => 839
            "Ancho" => 600
            "Tamanyo" => 51391
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0135"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Typical ecthyma gangrenosum lesion&#58; well-demarcated bullous lesion with a central necrotic area and a swollen&#44; erythematous base in the genitals&#46; Small necrotic lesion in the anal margin &#40;arrow&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A previously healthy girl aged 15 months with no family history of interest who attended a childcare facility received a diagnosis of lobar pneumonia that responded favourably to treatment with amoxicillin at a dose of 90<span class="elsevierStyleHsp" style=""></span>mg&#47;kg&#47;day&#46; On day 10 of treatment&#44; the fever recurred&#46; A hard mass with an erythematous base and a necrotic central area with a bullous lesion was detected in the genitals &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; There was also a small&#44; purplish necrotic lesion in the anal margin&#46; Both lesions worsened over the next 24<span class="elsevierStyleHsp" style=""></span>hours&#46; The laboratory tests revealed severe neutropenia &#40;420&#47;&#956;L&#41; and elevation of liver enzymes &#40;AST&#47;ALT&#44; 43&#47;102 U&#47;L&#41; and C-reactive protein &#40;244&#46;6<span class="elsevierStyleHsp" style=""></span>mg&#47;L&#41;&#46; This led to diagnosis of ecthyma gangrenosum and initiation of antibiotherapy with ceftazidime&#44; amikacin and vancomycin&#46; <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span> was isolated from culture of a sample of the cutaneous lesion&#44; and there was no growth in the blood culture&#46; Treatment with ceftazidime and amikacin continued for a total of 21 days&#46; The response was favourable&#44; with full resolution of the genital lesion and re-epithelialization of the necrotic area&#46; The neutrophil count normalised&#44; and there has been no evidence of immunodeficiency to date &#40;normal respiratory burst and immunophenotyping of peripheral lymphocytes&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Ecthyma gangrenosum is an infrequent infectious disease manifesting with a papular or nodular lesion that progresses rapidly to necrotic ulceration with a black central crust&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> It is typically associated with infection by <span class="elsevierStyleItalic">P&#46; aeruginosa</span>&#44; although other aetiological agents may be involved&#44; chiefly <span class="elsevierStyleItalic">Staphylococcus aureus&#46;</span><a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> Early detection and initiation of antibiotherapy are key prognostic factors&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> This disease is frequently associated with neutropenia and immunodeficiencies&#44; so their presence must always be ruled out&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3</span></a></p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-09-10"
    "fechaAceptado" => "2021-11-09"
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 839
            "Ancho" => 600
            "Tamanyo" => 51391
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0135"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Typical ecthyma gangrenosum lesion&#58; well-demarcated bullous lesion with a central necrotic area and a swollen&#44; erythematous base in the genitals&#46; Small necrotic lesion in the anal margin &#40;arrow&#41;&#46;</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" => "Ecthyma gangrenosum&#44; a skin manifestation of <span class="elsevierStyleItalic">Pseudomonas aeruginosa</span> sepsis in a previously healthy child&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Biscaye"
                            1 => "D&#46; Demonchy"
                            2 => "M&#46; Afanetti"
                            3 => "A&#46; Dupont"
                            4 => "H&#46; Haas"
                            5 => "A&#46; Tran"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/MD.0000000000005507"
                      "Revista" => array:5 [
                        "tituloSerie" => "Medicine &#40;Baltimore&#41;"
                        "fecha" => "2017"
                        "volumen" => "96"
                        "paginaInicial" => "e5507"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28079790"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ecthyma gangrenosum in a neonate&#58; not always pseudomonas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Pathak"
                            1 => "P&#46; Singh"
                            2 => "Y&#46; Yadav"
                            3 => "M&#46; Dhaneria"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "BMJ Case Rep"
                        "fecha" => "2013"
                        "volumen" => "2013"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ectima gangrenoso&#58; um alerta para imunodefici&#234;ncia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E&#46; Torres"
                            1 => "B&#46; Marques"
                            2 => "J&#46; Gil"
                            3 => "M&#46;J&#46; Virtuoso"
                            4 => "A&#46;B&#46; Sousa"
                            5 => "I&#46; Esteves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Pedi&#225;tra Port"
                        "fecha" => "2016"
                        "volumen" => "47"
                        "paginaInicial" => "172"
                        "paginaFinal" => "176"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23412879/0000010000000005/v1_202405192134/S2341287924000747/v1_202405192134/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/23412879/0000010000000005/v1_202405192134/S2341287924000747/v1_202405192134/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287924000747?idApp=UINPBA00005H"
]