Pneumomediastinum and diffuse alveolar pain. Severe interstitial pneumopathy due to dermatomyositis
Neumomediastino y daño alveolar difuso. Afección pulmonar severa por dermatomiositis
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Severe interstitial pneumopathy due to dermatomyositis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "76" "paginaFinal" => "79" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Ramón de Dios, Ana Julia López de Goikoetxea, Juan Carlos Vesga, Laura Tomás, Vanesa Zorrilla, José Luis Lobo" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Ramón de Dios" "email" => array:1 [ 0 => "jrdedios@htxa.osakidetza.net" ] "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" => "Ana Julia" "apellidos" => "López de Goikoetxea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Juan" "apellidos" => "Carlos Vesga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Laura" "apellidos" => "Tomás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Vanesa" "apellidos" => "Zorrilla" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "José" "apellidos" => "Luis Lobo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Rheumatology, Hospital de Txagorritxu, Vitoria, Álava, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Pneumology, Hospital de Txagorritxu, Vitoria, Álava, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumomediastino y daño alveolar difuso. Afección pulmonar severa por dermatomiositis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-03-11" "fechaAceptado" => "2008-09-04" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112038" "palabras" => array:3 [ 0 => "Dermatomyositis" 1 => "Pneumomediastinum" 2 => "Subcutaneous emphysema" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112037" "palabras" => array:3 [ 0 => "Dermatomiositis" 1 => "Neumomediastino" 2 => "Enfisema subcutáneo" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">We have recently observed the case of a 36-year-old man with dermatomyositis of recent onset, who developed massive pneumomediastinum and subcutaneous emphysema at the onset of a progressive and severe pulmonary disease. Although there were no sign of parenchymal cysts, after the bronchoscopy it was possible to observe endobronchial necrotic injury, which was considered as the likely source of the air leak. He was treated with high dose of corticosteroids, cyclophosphamide and cyclosporin A that resulted in the disappearance of the pneumomediastinum and subcutaneous emphysema and the progressive improvement of both parenchymal lung disease and respiratory insufficiency, enabled us to progressively taper the dose of corticosteroids.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de un varón de 36 años con dermatomiositis de reciente comienzo, que desarrolló neumomediastino y enfisema subcutáneo masivo al inicio de una neumopatía intersticial progresiva y severa. En el momento del diagnóstico no había imágenes parenquimatosas quísticas evidentes; sin embargo, la broncoscopia permitió evidenciar una lesión endobronquial de aspecto necrótico que se consideró como probable origen de la fuga aérea. El paciente se trató con corticoides a dosis altas, ciclofosfamida y ciclosporina A, con resolución del neumomediastino y del enfisema subcutáneo. Con el tratamiento se observó una mejoría progresiva de la afección parenquimatosa pulmonar y de la insuficiencia respiratoria, lo que permitió la disminución progresiva de los corticoides.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| 2019 September | 4 | 0 | 4 |
| 2019 July | 2 | 0 | 2 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 4 | 0 | 4 |
| 2019 January | 3 | 0 | 3 |
| 2018 December | 1 | 0 | 1 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 26 | 14 | 40 |
| 2018 March | 27 | 17 | 44 |
| 2018 February | 16 | 5 | 21 |
| 2018 January | 12 | 8 | 20 |
| 2017 December | 17 | 7 | 24 |
| 2017 November | 15 | 8 | 23 |
| 2017 October | 8 | 9 | 17 |
| 2017 September | 15 | 6 | 21 |
| 2017 August | 4 | 14 | 18 |
| 2017 July | 9 | 10 | 19 |
| 2017 June | 32 | 35 | 67 |
| 2017 May | 28 | 20 | 48 |
| 2017 April | 17 | 11 | 28 |
| 2017 March | 18 | 19 | 37 |
| 2017 February | 8 | 7 | 15 |
| 2017 January | 10 | 10 | 20 |
| 2016 December | 36 | 19 | 55 |
| 2016 November | 17 | 6 | 23 |
| 2016 October | 26 | 12 | 38 |
| 2016 September | 31 | 10 | 41 |
| 2016 August | 24 | 8 | 32 |
| 2016 July | 12 | 5 | 17 |
| 2016 April | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 1 | 0 | 1 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 1 | 0 | 1 |
| 2015 July | 19 | 7 | 26 |
| 2015 June | 18 | 7 | 25 |
| 2015 May | 29 | 17 | 46 |
| 2015 April | 30 | 19 | 49 |
| 2015 March | 15 | 12 | 27 |
| 2015 February | 16 | 7 | 23 |
| 2015 January | 12 | 18 | 30 |
| 2014 December | 22 | 15 | 37 |
| 2014 November | 16 | 19 | 35 |
| 2014 October | 14 | 18 | 32 |
| 2014 September | 13 | 15 | 28 |
| 2014 August | 23 | 19 | 42 |
| 2014 July | 21 | 22 | 43 |
| 2014 June | 31 | 28 | 59 |
| 2014 May | 24 | 19 | 43 |
| 2014 April | 36 | 12 | 48 |
| 2014 March | 39 | 23 | 62 |
| 2014 February | 35 | 18 | 53 |
| 2014 January | 27 | 16 | 43 |
| 2013 December | 18 | 6 | 24 |
| 2013 November | 30 | 18 | 48 |
| 2013 October | 28 | 10 | 38 |
| 2013 September | 27 | 8 | 35 |
| 2013 August | 26 | 20 | 46 |
| 2013 July | 26 | 13 | 39 |
| 2013 June | 27 | 15 | 42 |
| 2013 May | 17 | 17 | 34 |
| 2013 April | 17 | 17 | 34 |
| 2013 March | 41 | 16 | 57 |
| 2013 February | 16 | 13 | 29 |
| 2013 January | 12 | 17 | 29 |
| 2012 December | 10 | 13 | 23 |
| 2012 November | 5 | 22 | 27 |
| 2012 October | 6 | 4 | 10 |
| 2012 September | 3 | 2 | 5 |
| 2012 June | 2 | 0 | 2 |
| 2012 May | 1 | 0 | 1 |
| 2012 April | 3 | 0 | 3 |
| 2012 March | 5 | 0 | 5 |
| 2012 February | 1 | 0 | 1 |
| 2012 January | 4 | 0 | 4 |
| 2011 December | 2 | 0 | 2 |
| 2011 November | 6 | 0 | 6 |
| 2011 October | 2 | 0 | 2 |
| 2011 June | 3 | 0 | 3 |
| 2011 May | 1 | 0 | 1 |
| 2011 April | 1 | 0 | 1 |
| 2011 March | 6 | 0 | 6 |
| 2011 February | 2 | 0 | 2 |
| 2011 January | 3 | 0 | 3 |
| 2010 December | 4 | 0 | 4 |
| 2010 November | 2 | 0 | 2 |
| 2010 October | 4 | 0 | 4 |
| 2010 September | 6 | 0 | 6 |
| 2010 August | 2 | 0 | 2 |
| 2010 July | 2 | 0 | 2 |
| 2010 June | 1 | 0 | 1 |
| 2010 May | 9 | 0 | 9 |
| 2010 April | 5 | 0 | 5 |
| 2010 March | 4 | 0 | 4 |
| 2010 February | 4 | 0 | 4 |
| 2010 January | 4 | 0 | 4 |
| 2009 December | 10 | 0 | 10 |
| 2009 November | 13 | 0 | 13 |
| 2009 October | 17 | 0 | 17 |
| 2009 September | 15 | 0 | 15 |
| 2009 August | 22 | 0 | 22 |
Show all
