Case report
Burkitt's lymphoma presenting as an intermittent limp
Cojera como forma de debut de un linfoma Burkitt
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"PDF" => 1376 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Popliteal cyst simulating a Baker's cyst in a patient with Rheumatoid Arthritis: a case presentation" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "138" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aneurisma poplíteo que simula quiste de Baker en un paciente con artritis reumatoide: a propósito de un caso" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Concepción Chalmeta Verdejo, Juan José Alegre Sancho, José Andrés Román Ivorra, José Ivorra Cortes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Concepción" "apellidos" => "Chalmeta Verdejo" ] 1 => array:2 [ "nombre" => "Juan José" "apellidos" => "Alegre Sancho" ] 2 => array:2 [ "nombre" => "José Andrés" "apellidos" => "Román Ivorra" ] 3 => array:2 [ "nombre" => "José" "apellidos" => "Ivorra Cortes" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311700260?idApp=UINPBA00004M" "url" => "/21735743/0000000700000002/v1_201305061619/S2173574311700260/v1_201305061619/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Burkitt's lymphoma presenting as an intermittent limp" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "139" "paginaFinal" => "140" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rocío Casado Picón, Jaime de Inocencio Arocena, Marta Barrios López, José Luis Vivanco Martínez" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Rocío" "apellidos" => "Casado Picón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Jaime de" "apellidos" => "Inocencio Arocena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Marta" "apellidos" => "Barrios López" "email" => array:1 [ 0 => "mbarrioslopez@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 3 => array:3 [ "nombre" => "José Luis" "apellidos" => "Vivanco Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Oncología Pediátrica, Hospital Universitario Doce de Octubre, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Reumatología Pediátrica, Hospital Universitario Doce de Octubre, Madrid, 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" => "Cojera como forma de debut de un linfoma Burkitt" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-07" "fechaAceptado" => "2010-07-07" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112694" "palabras" => array:8 [ 0 => "Neoplasms" 1 => "Musculoskeletal" 2 => "System" 3 => "AND" 4 => "Pain" 5 => "Burkitt" 6 => "Lymphoma Limp" 7 => "Pediatrics" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112695" "palabras" => array:6 [ 0 => "Neoplasia" 1 => "Dolor" 2 => "musculoesquelético" 3 => "Cojera" 4 => "Burkitt" 5 => "Pediatría" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Musculoskeletal pain is a frequent complaint in pediatrics usually related to benign conditions. However, it may also represent the initial symptom of serious diseases such as infections, malignancies or orthopedic emergencies.</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">We present the case of a child diagnosed with Burkitt's lymphoma whose initial presentation was a limp.</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">This is, to the best of our knowledge, the first case reported in the literature with this type of debut.</p><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">This case illustrates the importance of including neoplasms in the differential diagnosis of atypical musculoskeletal pain, since early diagnosis can significantly improve their prognosis.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los dolores musculoesqueléticos son un motivo de consulta frecuente en Pediatría. En la mayoría de las ocasiones se trata de síntomas inespecíficos sin relación con enfermedades gaves, aunque pueden representar el síntoma inicial de procesos que requieran una atención inmediata como son infecciones, neoplasias o urgencias ortopédicas.</p><p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Presentamos un niño diagnosticado de linfoma Burkitt cuyo único síntoma de presentación fue una cojera. Se trata del primer caso descrito en la literatura con este debut.</p><p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Este caso clínico ilustra la importancia de incluir en el diagnóstico diferencial del dolor musculoesquelético de evolución atípica a las neoplasias, dado que un diagnóstico precoz puede mejorar significativamente su pronóstico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "De Inocencio J, Dorronsoro Martín I, Merino Munoz R, Sastre Urguellés A, García- Miguel García-Rosado P, García-Consuegra Molina J. Manifestaciones reumáticas como forma de comienzo de enfermedad maligna. Arch Dis Child. 2004; 89:431-4 [accessed 2010 Mar 18]. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of the acutely limping child" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.I. Leet" 1 => "D.L. Skaggs" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Fam Physician" "fecha" => "2000" "volumen" => "61" "paginaInicial" => "1011" "paginaFinal" => "1018" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10706154" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The limping child: a systematic approach to diagnosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.R. Sawyer" 1 => "M. Kapoor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Fam Physician" "fecha" => "2009" "volumen" => "79" "paginaInicial" => "215" "paginaFinal" => "224" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19202969" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Falcini F, Giani T, Lippi A, Resti M, Simonini G. Recurrent limp in a young boy. Ann Rheum Dis. 2005; 64:500 [accessed 2010 Mar 18]. Available from: <a class="elsevierStyleInterRef" href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755380/pdf/v064p00500.pdf">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1755380/pdf/v064p00500.pdf</a>." ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Houghton KM. Review for the generalist: evaluation of pediatric hip pain. 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