array:24 [
  "pii" => "S2173574316300570"
  "issn" => "21735743"
  "doi" => "10.1016/j.reumae.2015.10.009"
  "estado" => "S300"
  "fechaPublicacion" => "2016-09-01"
  "aid" => "833"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología"
  "copyrightAnyo" => "2015"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Reumatol Clin. 2016;12:282-4"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1102
    "formatos" => array:3 [
      "EPUB" => 50
      "HTML" => 708
      "PDF" => 344
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S1699258X1500159X"
      "issn" => "1699258X"
      "doi" => "10.1016/j.reuma.2015.10.002"
      "estado" => "S300"
      "fechaPublicacion" => "2016-09-01"
      "aid" => "833"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Reumatol Clin. 2016;12:282-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4233
        "formatos" => array:3 [
          "EPUB" => 185
          "HTML" => 3089
          "PDF" => 959
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CASO CL&#205;NICO</span>"
        "titulo" => "Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "282"
            "paginaFinal" => "284"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Polyarthritis and membranoproliferative glomerulonephritis as paraneoplastic manifestation of Hodgkin&#39;s lymphoma&#58; A case report and literature review"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "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" => 1050
                "Ancho" => 1700
                "Tamanyo" => 400212
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">a&#41; Ganglio linf&#225;tico con distorsi&#243;n de la arquitectura a expensas de una proliferaci&#243;n de c&#233;lulas grandes de tipo Reed Sternberg &#40;flecha&#41;&#44; con presencia de linfocitos&#44; eosin&#243;filos y c&#233;lulas plasm&#225;ticas &#40;HE&#41;&#46; b&#41; Con tinci&#243;n de inmunohistoqu&#237;mica&#44; se observa positividad CD15 de membrana y paranuclear en las c&#233;lulas neopl&#225;sicas&#46; c&#41; M&#233;dula &#243;sea a bajo aumento&#44; donde es posible observar un marcado aumento de la celularidad de los espacios medulares&#44; cercano al 100&#37; &#40;HE&#41;&#46; d&#41; M&#233;dula &#243;sea con marcado aumento de la trama reticular &#40;tinci&#243;n de reticulina&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Daniel Erlij, Beatriz Calder&#243;n, Angela Rivera, Cristi&#225;n Mella, Ximena Valladares, Emilio Roessler, Mar&#237;a Teresa Rivera, Gonzalo M&#233;ndez"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Daniel"
                "apellidos" => "Erlij"
              ]
              1 => array:2 [
                "nombre" => "Beatriz"
                "apellidos" => "Calder&#243;n"
              ]
              2 => array:2 [
                "nombre" => "Angela"
                "apellidos" => "Rivera"
              ]
              3 => array:2 [
                "nombre" => "Cristi&#225;n"
                "apellidos" => "Mella"
              ]
              4 => array:2 [
                "nombre" => "Ximena"
                "apellidos" => "Valladares"
              ]
              5 => array:2 [
                "nombre" => "Emilio"
                "apellidos" => "Roessler"
              ]
              6 => array:2 [
                "nombre" => "Mar&#237;a Teresa"
                "apellidos" => "Rivera"
              ]
              7 => array:2 [
                "nombre" => "Gonzalo"
                "apellidos" => "M&#233;ndez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173574316300570"
          "doi" => "10.1016/j.reumae.2015.10.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300570?idApp=UINPBA00004M"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X1500159X?idApp=UINPBA00004M"
      "url" => "/1699258X/0000001200000005/v1_201608210048/S1699258X1500159X/v1_201608210048/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173574316300569"
    "issn" => "21735743"
    "doi" => "10.1016/j.reumae.2015.10.008"
    "estado" => "S300"
    "fechaPublicacion" => "2016-09-01"
    "aid" => "832"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Reumatol Clin. 2016;12:285-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1118
      "formatos" => array:3 [
        "EPUB" => 61
        "HTML" => 723
        "PDF" => 334
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Cardiac Transplant in Young Female Patient Diagnosed With Diffuse Systemic Sclerosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "287"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Trasplante card&#237;aco en una paciente joven con diagn&#243;stico de esclerosis sist&#233;mica difusa"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Guillermo Bennasar, Leandro Carlevaris, Anastasia Secco, Felix Romanini, Marta Mamani"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Bennasar"
            ]
            1 => array:2 [
              "nombre" => "Leandro"
              "apellidos" => "Carlevaris"
            ]
            2 => array:2 [
              "nombre" => "Anastasia"
              "apellidos" => "Secco"
            ]
            3 => array:2 [
              "nombre" => "Felix"
              "apellidos" => "Romanini"
            ]
            4 => array:2 [
              "nombre" => "Marta"
              "apellidos" => "Mamani"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1699258X15001588"
        "doi" => "10.1016/j.reuma.2015.10.001"
        "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/S1699258X15001588?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300569?idApp=UINPBA00004M"
    "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300569/v3_201704020032/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173574316300661"
    "issn" => "21735743"
    "doi" => "10.1016/j.reumae.2016.01.002"
    "estado" => "S300"
    "fechaPublicacion" => "2016-09-01"
    "aid" => "878"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "ssu"
    "cita" => "Reumatol Clin. 2016;12:274-81"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1988
      "formatos" => array:3 [
        "EPUB" => 57
        "HTML" => 1518
        "PDF" => 413
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>"
      "titulo" => "Systemic Lupus Erythematosus&#58; Is It One Disease&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "274"
          "paginaFinal" => "281"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lupus eritematoso sist&#233;mico&#58; &#191;es una sola enfermedad&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1656
              "Ancho" => 2334
              "Tamanyo" => 215682
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Different genetic defects produce different lupus-like diseases&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Francisco Rivas-Larrauri, Marco Antonio Yamazaki-Nakashimada"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Rivas-Larrauri"
            ]
            1 => array:2 [
              "nombre" => "Marco Antonio"
              "apellidos" => "Yamazaki-Nakashimada"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1699258X16000103"
        "doi" => "10.1016/j.reuma.2016.01.005"
        "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/S1699258X16000103?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300661?idApp=UINPBA00004M"
    "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300661/v3_201704020032/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
    "titulo" => "Polyarthritis and Membranoproliferative Glomerulonephritis as Paraneoplastic Manifestation of Hodgkin&#39;s Lymphoma&#58; A Case Report and Literature Review"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "282"
        "paginaFinal" => "284"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Daniel Erlij, Beatriz Calder&#243;n, Angela Rivera, Cristi&#225;n Mella, Ximena Valladares, Emilio Roessler, Mar&#237;a Teresa Rivera, Gonzalo M&#233;ndez"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Daniel"
            "apellidos" => "Erlij"
            "email" => array:1 [
              0 => "danerlij&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Beatriz"
            "apellidos" => "Calder&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Angela"
            "apellidos" => "Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Cristi&#225;n"
            "apellidos" => "Mella"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Ximena"
            "apellidos" => "Valladares"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Emilio"
            "apellidos" => "Roessler"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Mar&#237;a Teresa"
            "apellidos" => "Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Gonzalo"
            "apellidos" => "M&#233;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">g</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:7 [
          0 => array:3 [
            "entidad" => "Secci&#243;n de Reumotalog&#237;a&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Secci&#243;n de Hematolog&#237;a&#44; Hospital del Salvador&#44; Santiago&#44; Chile"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Secci&#243;n de Nefrolog&#237;a&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital del Salvador&#44; Santiago&#44; Chile"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Pontificia Universidad Cat&#243;lica de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "g"
            "identificador" => "aff0035"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1050
            "Ancho" => 1700
            "Tamanyo" => 434382
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; A lymph node with a distortion of the architecture caused by a proliferation of large Reed Sternberg-like cells &#40;arrow&#41;&#44; with the presence of lymphocytes&#44; eosinophils and plasma cells &#40;hematoxylin&#8211;eosin &#91;HE&#93;&#41;&#46; &#40;b&#41; Immunohistochemical staining showing membrane and paranuclear CD15-positivity in the neoplastic cells&#46; &#40;c&#41; Bone marrow at a low magnification showing a marked increase in the cellularity of the medullary spaces&#44; nearly 100&#37; &#40;HE&#41;&#46; &#40;d&#41; Bone marrow showing a marked increase in the reticular network &#40;reticulin stain&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">A paraneoplastic syndrome is characterized by its development prior to or concomitantly with a neoplasm&#44; by the absence of tumor invasion as the cause and by its positive response to anticancer therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> It can affect up to 10&#37; of cancer patients&#44; preceding the diagnosis of cancer by no more than 2 years&#44; and can coexist with solid or hematologic neoplasms&#44; with heterogeneous clinical pictures including endocrine&#44; rheumatic&#44; nephrological and hematological diseases&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">2&#44;3</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case Report</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 46-year-old man presented with a 3-month history of daily fever reaching 38&#46;5<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; associated with profuse sweating&#44; predominantly at night&#44; and weight loss of 5<span class="elsevierStyleHsp" style=""></span>kg&#46; He also complained of symmetric polyarthritis in his hands &#40;metacarpophalangeal and proximal interphalangeal joints&#41;&#44; wrists and right ankle&#44; together with 2 painless&#44; rubbery&#44; mobile lymph nodes measuring 2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm&#44; 1 axillary and the other inguinal&#46; He had normocytic&#44; normochromic anemia with a hemoglobin level of 9<span class="elsevierStyleHsp" style=""></span>g&#47;dL&#44; 2700<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> leukocytes &#40;1210<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> neutrophils and 697<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> lymphocytes&#41;&#44; 173&#44;000<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> platelets&#44; erythrocyte sedimentation rate 110<span class="elsevierStyleHsp" style=""></span>mm&#47;h&#44; creatinine level of 1&#46;85<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; and urinalysis revealed abundant erythrocytes and proteinuria&#46; Tests for antinuclear antibodies &#40;ANA&#41;&#44; anti-neutrophil cytoplasmic antibodies&#44; anti-citrullinated peptide antibodies and rheumatoid factor &#40;RF&#41; were negative&#59; cryoglobulins were weakly positive&#44; complement C3 was normal and C4 was 1&#46;3<span class="elsevierStyleHsp" style=""></span>mg&#47;dL &#40;normal&#58; 10&#8211;40&#41;&#46; Serologic tests for human immunodeficiency virus and hepatitis B and C were negative&#46; His creatinine level rose to 3&#46;36<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; and he received three 500-mg doses of methylprednisolone for the treatment of glomerulonephritis with acute renal failure&#46; This was followed by 60<span class="elsevierStyleHsp" style=""></span>mg&#47;day of prednisone&#44; and his fever and polyarthritis remitted&#44; and his creatinine level decreased to 0&#46;77<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46; Computed tomography revealed supraclavicular and mediastinal lymph nodes measuring 2&#46;5<span class="elsevierStyleHsp" style=""></span>cm and mild splenomegaly&#46; With this situation of renal failure and glomerulonephritis of unknown etiology&#44; after the third dose of methylprednisolone&#44; renal biopsy was performed&#46; One week later&#44; the axillary lymph node was biopsied&#46; The first revealed glomerulonephritis with deposition of immune complexes and complement factors &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#44; with an acute diffuse proliferative pattern and membranoproliferative changes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#46; In addition&#44; the ultrastructural study showed glomerular electron dense deposits with substructural organization &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>d&#41;&#46; Two weeks later&#44; while the patient was still receiving steroid therapy&#44; his fever&#44; renal failure and progressive pancytopenia reappeared&#46; Methylprednisolone was again administered but&#44; this time&#44; without response&#46; Finally&#44; the lymph node biopsy revealed the presence of mixed cellularity classical Hodgkin&#39;s lymphoma &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>a&#41;&#44; with bone marrow infiltration &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>c&#41;&#46; Chemotherapy was begun with doxorubicin&#44; bleomycin&#44; vinblastine and dacarbazine&#46; One month later&#44; the patient&#39;s renal function was completely normal and&#44; after 6 months of follow-up&#44; he is in complete remission&#44; with a normal blood cell count and a creatinine level of 1&#46;12<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">Paraneoplastic syndromes have been reported in up to 23&#37; of the patients hospitalized for rheumatic syndromes&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> Thus&#44; any patient over the age of 50 years with polyarthritis&#44; especially seronegative polyarthritis&#44; should undergo studies for occult cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Paraneoplastic arthritis is associated with symmetric or asymmetric polyarticular or oligoarticular involvement&#46; The pathogenesis has been attributed to the presence of circulating immune complexes and the cross-reaction between tumor antigens and the synovial membrane&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> It can be associated with solid and hematologic tumors&#44; and with the presence of ANA and RF in up to 50&#37; of the cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1&#44;2</span></a> Up to 90&#37; of the patients have been reported to respond to steroid therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The prevalence of paraneoplastic glomerulopathies &#40;PG&#41; is variable&#44; the membranoproliferative pattern being one of the most common forms&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> However&#44; a study involving 1700 patients with Hodgkin&#39;s lymphoma reported that the most frequently detected PG was that in which the changes were minimal&#44; with an incidence of 0&#46;4&#37;&#59; the frequency of the remainder was negligible&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In conclusion&#44; this case of polyarthritis and glomerulonephritis is interesting in that it is an uncommon paraneoplastic manifestation of Hodgkin&#39;s lymphoma which&#44; to the best of our knowledge&#44; has not been reported previously&#46; The existing publications refer to non-Hodgkin lymphomas and&#44; if renal and joint manifestations are added to the search&#44; the literature is considerably reduced&#44; yielding only 1 case of arthritis associated with nephrotic syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> The excellent initial response to treatment with methylprednisolone is particularly noteworthy&#46; In any case&#44; the reappearance of said manifestations&#44; even with high-dose steroids and&#44; ultimately&#44; the complete control of these signs with chemotherapy&#44; underscores the essence of a paraneoplastic syndrome&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethical Disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of Interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres823656"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec820317"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres823657"
          "titulo" => "Resumen"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec820316"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case Report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion"
        ]
        7 => array:3 [
          "identificador" => "sec0020"
          "titulo" => "Ethical Disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        8 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conflicts of Interest"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-08-11"
    "fechaAceptado" => "2015-10-17"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec820317"
          "palabras" => array:4 [
            0 => "Paraneoplastic syndrome"
            1 => "Polyarthritis"
            2 => "Membranoproliferative glomerulonephritis"
            3 => "Hodgkin lymphoma"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec820316"
          "palabras" => array:4 [
            0 => "S&#237;ndrome paraneopl&#225;sico"
            1 => "Poliartritis"
            2 => "Glomerulonefritis membranoproliferativa"
            3 => "Linfoma de Hodgkin"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Paraneoplastic syndromes can be presented in multiple ways&#44; which include endocrinological&#44; hematologic&#44; rheumatologic and nephrologic manifestations&#46; While most of the publications described solid tumors as responsible for these manifestations&#44; hematologic neoplasms are important cause to consider as part of the differential diagnosis&#46; We report the case of a 46 year-old man with seronegative symmetric polyarthritis of large and small joints associated with membranoproliferative glomerulonephritis with deposits of immune complexes and acute impairment of renal function&#44; as part of a paraneoplastic syndrome secondary of a classical Hodgkin lymphoma with bone marrow invasion&#44; which reversed completely with chemotherapy treatment&#46;</p></span>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los s&#237;ndromes paraneopl&#225;sicos pueden presentarse de m&#250;ltiples maneras&#44; dentro de las cuales destacan las manifestaciones endocrinol&#243;gicas&#44; reumatol&#243;gicas&#44; hematol&#243;gicas y nefrol&#243;gicas&#46; Si bien la mayor&#237;a de las publicaciones describen los tumores s&#243;lidos como responsables de dichos cuadros&#44; las neoplasias hematol&#243;gicas son causa importante a considerar como parte del diagn&#243;stico diferencial&#46; Se presenta el caso de un var&#243;n de 46 a&#241;os con un cuadro de poliartritis sim&#233;trica seronegativa de grandes y peque&#241;as articulaciones&#44; asociado a glomerulonefritis membranoproliferativa con dep&#243;sitos de inmunocomplejos y deterioro agudo de la funci&#243;n renal&#44; como parte de un s&#237;ndrome paraneopl&#225;sico secundario a un linfoma de Hodgkin cl&#225;sico con invasi&#243;n medular&#44; el cual revirti&#243; completamente con el tratamiento de quimioterapia&#46;</p></span>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Erlij D&#44; Calder&#243;n B&#44; Rivera A&#44; Mella C&#44; Valladares X&#44; Roessler E&#44; et al&#46; Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura&#46; Reumatol Clin&#46; 2016&#59;12&#58;282&#8211;284&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1225
            "Ancho" => 1700
            "Tamanyo" => 460722
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Glomerulus of distorted architecture due to the marked mesangial and endocapillary hypercellularity with mononuclear and polymorphonuclear cells&#44; characteristic of an acute diffuse proliferative pattern&#46; There are images suggestive of subendothelial immune complexes &#40;arrow&#41; &#40;PAS staining&#44; 400&#215;&#41;&#46; &#40;b&#41; Direct immunofluorescence of a glomerulus with thick and thin granular deposits of IgG&#44; both mesangial and in certain capillary loops &#40;stained with fluoresceinated anti-IgG antibody&#59; 400&#215;&#41;&#46; &#40;c&#41; Transmission electron microscopy showing a glomerulus with a distorted architecture and 2 adjacent capillary loops with marked intracapillary hypercellularity&#46; The image shows focal dense subepithelial deposits &#40;arrowheads&#41;&#46; There is focal reduplication of basement membranes that characterize an incipient membranoproliferative lesion &#40;arrows&#41; &#40;osmium tetroxide&#8211;uranyl citrate&#44; 6000&#215;&#41;&#46; &#40;d&#41; Transmission electron microscopy showing a segment of a capillary loop&#44; in which we see segmental and confluent dense subepithelial deposits that have substructures organized in microtubules measuring 40&#8211;50<span class="elsevierStyleHsp" style=""></span>nm in diameter &#40;osmium tetroxide&#8211;uranyl citrate&#44; 16&#44;000&#215;&#41;&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1050
            "Ancho" => 1700
            "Tamanyo" => 434382
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; A lymph node with a distortion of the architecture caused by a proliferation of large Reed Sternberg-like cells &#40;arrow&#41;&#44; with the presence of lymphocytes&#44; eosinophils and plasma cells &#40;hematoxylin&#8211;eosin &#91;HE&#93;&#41;&#46; &#40;b&#41; Immunohistochemical staining showing membrane and paranuclear CD15-positivity in the neoplastic cells&#46; &#40;c&#41; Bone marrow at a low magnification showing a marked increase in the cellularity of the medullary spaces&#44; nearly 100&#37; &#40;HE&#41;&#46; &#40;d&#41; Bone marrow showing a marked increase in the reticular network &#40;reticulin stain&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Migratory polyarthritis as a paraneoplastic syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Zupancic"
                            1 => "A&#46; Annamalai"
                            2 => "J&#46; Brenneman"
                            3 => "S&#46; Ranatunga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Gen Inter Med"
                        "fecha" => "2008"
                        "volumen" => "23"
                        "paginaInicial" => "2136"
                        "paginaFinal" => "2139"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Characteristics and survival of 26 patients with paraneoplastic arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Morel"
                            1 => "V&#46; Deschamps"
                            2 => "E&#46; Toussirot"
                            3 => "E&#46; Pertuiset"
                            4 => "C&#46; Sordet"
                            5 => "P&#46; Kieffer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2007.070086"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2008"
                        "volumen" => "67"
                        "paginaInicial" => "244"
                        "paginaFinal" => "247"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17604284"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109713023747"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rheumatic manifestations of occult cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Naschitz"
                            1 => "D&#46; Yeshurun"
                            2 => "I&#46; Rosner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1995"
                        "volumen" => "75"
                        "paginaInicial" => "2954"
                        "paginaFinal" => "2958"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7773947"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rheumatologic manifestations of cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;S&#46; Caldwell"
                            1 => "R&#46;M&#46; McCallum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Clin North Am"
                        "fecha" => "1986"
                        "volumen" => "70"
                        "paginaInicial" => "385"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2936936"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neoplastic and paraneoplastic synovitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Marengo"
                            1 => "M&#46; Su&#225;rez-Almazor"
                            2 => "H&#46; Lu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rdc.2011.09.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rheum Dis Clin North Am"
                        "fecha" => "2011"
                        "volumen" => "37"
                        "paginaInicial" => "551"
                        "paginaFinal" => "572"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22075197"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Membranoproliferative glomerulonephritis secondary to monoclonal gammopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Sethi"
                            1 => "L&#46; Zand"
                            2 => "N&#46; Leung"
                            3 => "R&#46;J&#46; Smith"
                            4 => "D&#46; Jevremonic"
                            5 => "S&#46;S&#46; Herrmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2215/CJN.06760909"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin J Am Soc Nephrol"
                        "fecha" => "2010"
                        "volumen" => "5"
                        "paginaInicial" => "770"
                        "paginaFinal" => "782"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20185597"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paraneoplastic glomerular diseases and malignancies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Bacchetta"
                            1 => "L&#46; Juillard"
                            2 => "P&#46; Cochat"
                            3 => "J&#46;P&#46; Droz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.critrevonc.2008.08.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Rev Oncol Hematol"
                        "fecha" => "2009"
                        "volumen" => "70"
                        "paginaInicial" => "39"
                        "paginaFinal" => "58"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18790651"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paraneoplastic nephrotic syndrome and inflammatory arthritis at diagnosis in Hodgkin lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;B&#46; Aruch"
                            1 => "M&#46;P&#46; Mims"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clml.2012.09.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Lymphoma Myeloma Leuk"
                        "fecha" => "2013"
                        "volumen" => "13"
                        "paginaInicial" => "77"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23103086"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300570/v3_201704020032/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "43296"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case report"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000001200000005/v3_201704020032/S2173574316300570/v3_201704020032/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300570?idApp=UINPBA00004M"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case Report
Polyarthritis and Membranoproliferative Glomerulonephritis as Paraneoplastic Manifestation of Hodgkin's Lymphoma: A Case Report and Literature Review
Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneoplásicas de linfoma de Hodgkin: presentación de un caso y revisión de literatura
Daniel Erlija,
Corresponding author
danerlij@gmail.com

Corresponding author.
, Beatriz Calderónb, Angela Riveraa, Cristián Mellac, Ximena Valladaresd, Emilio Roesslere, María Teresa Riveraf, Gonzalo Méndezg
a Sección de Reumotalogía, Hospital del Salvador, Universidad de Chile, Santiago, Chile
b Servicio de Medicina, Hospital del Salvador, Universidad de Chile, Santiago, Chile
c Servicio de Medicina Interna, Hospital del Salvador, Universidad de Chile, Santiago, Chile
d Sección de Hematología, Hospital del Salvador, Santiago, Chile
e Sección de Nefrología, Hospital del Salvador, Universidad de Chile, Santiago, Chile
f Servicio de Anatomía Patológica, Hospital del Salvador, Santiago, Chile
g Servicio de Anatomía Patológica, Pontificia Universidad Católica de Chile, Santiago, Chile
Read
5480
Times
was read the article
2376
Total PDF
3104
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173574316300570"
  "issn" => "21735743"
  "doi" => "10.1016/j.reumae.2015.10.009"
  "estado" => "S300"
  "fechaPublicacion" => "2016-09-01"
  "aid" => "833"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
  "copyrightAnyo" => "2015"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Reumatol Clin. 2016;12:282-4"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1102
    "formatos" => array:3 [
      "EPUB" => 50
      "HTML" => 708
      "PDF" => 344
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S1699258X1500159X"
      "issn" => "1699258X"
      "doi" => "10.1016/j.reuma.2015.10.002"
      "estado" => "S300"
      "fechaPublicacion" => "2016-09-01"
      "aid" => "833"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Reumatol Clin. 2016;12:282-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4233
        "formatos" => array:3 [
          "EPUB" => 185
          "HTML" => 3089
          "PDF" => 959
        ]
      ]
      "es" => array:13 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CASO CL&#205;NICO</span>"
        "titulo" => "Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "tieneResumen" => array:2 [
          0 => "es"
          1 => "en"
        ]
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "282"
            "paginaFinal" => "284"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Polyarthritis and membranoproliferative glomerulonephritis as paraneoplastic manifestation of Hodgkin&#39;s lymphoma&#58; A case report and literature review"
          ]
        ]
        "contieneResumen" => array:2 [
          "es" => true
          "en" => true
        ]
        "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" => 1050
                "Ancho" => 1700
                "Tamanyo" => 400212
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">a&#41; Ganglio linf&#225;tico con distorsi&#243;n de la arquitectura a expensas de una proliferaci&#243;n de c&#233;lulas grandes de tipo Reed Sternberg &#40;flecha&#41;&#44; con presencia de linfocitos&#44; eosin&#243;filos y c&#233;lulas plasm&#225;ticas &#40;HE&#41;&#46; b&#41; Con tinci&#243;n de inmunohistoqu&#237;mica&#44; se observa positividad CD15 de membrana y paranuclear en las c&#233;lulas neopl&#225;sicas&#46; c&#41; M&#233;dula &#243;sea a bajo aumento&#44; donde es posible observar un marcado aumento de la celularidad de los espacios medulares&#44; cercano al 100&#37; &#40;HE&#41;&#46; d&#41; M&#233;dula &#243;sea con marcado aumento de la trama reticular &#40;tinci&#243;n de reticulina&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Daniel Erlij, Beatriz Calder&#243;n, Angela Rivera, Cristi&#225;n Mella, Ximena Valladares, Emilio Roessler, Mar&#237;a Teresa Rivera, Gonzalo M&#233;ndez"
            "autores" => array:8 [
              0 => array:2 [
                "nombre" => "Daniel"
                "apellidos" => "Erlij"
              ]
              1 => array:2 [
                "nombre" => "Beatriz"
                "apellidos" => "Calder&#243;n"
              ]
              2 => array:2 [
                "nombre" => "Angela"
                "apellidos" => "Rivera"
              ]
              3 => array:2 [
                "nombre" => "Cristi&#225;n"
                "apellidos" => "Mella"
              ]
              4 => array:2 [
                "nombre" => "Ximena"
                "apellidos" => "Valladares"
              ]
              5 => array:2 [
                "nombre" => "Emilio"
                "apellidos" => "Roessler"
              ]
              6 => array:2 [
                "nombre" => "Mar&#237;a Teresa"
                "apellidos" => "Rivera"
              ]
              7 => array:2 [
                "nombre" => "Gonzalo"
                "apellidos" => "M&#233;ndez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173574316300570"
          "doi" => "10.1016/j.reumae.2015.10.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300570?idApp=UINPBA00004M"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X1500159X?idApp=UINPBA00004M"
      "url" => "/1699258X/0000001200000005/v1_201608210048/S1699258X1500159X/v1_201608210048/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173574316300569"
    "issn" => "21735743"
    "doi" => "10.1016/j.reumae.2015.10.008"
    "estado" => "S300"
    "fechaPublicacion" => "2016-09-01"
    "aid" => "832"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Reumatol Clin. 2016;12:285-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1118
      "formatos" => array:3 [
        "EPUB" => 61
        "HTML" => 723
        "PDF" => 334
      ]
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
      "titulo" => "Cardiac Transplant in Young Female Patient Diagnosed With Diffuse Systemic Sclerosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "285"
          "paginaFinal" => "287"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Trasplante card&#237;aco en una paciente joven con diagn&#243;stico de esclerosis sist&#233;mica difusa"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Guillermo Bennasar, Leandro Carlevaris, Anastasia Secco, Felix Romanini, Marta Mamani"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "Guillermo"
              "apellidos" => "Bennasar"
            ]
            1 => array:2 [
              "nombre" => "Leandro"
              "apellidos" => "Carlevaris"
            ]
            2 => array:2 [
              "nombre" => "Anastasia"
              "apellidos" => "Secco"
            ]
            3 => array:2 [
              "nombre" => "Felix"
              "apellidos" => "Romanini"
            ]
            4 => array:2 [
              "nombre" => "Marta"
              "apellidos" => "Mamani"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1699258X15001588"
        "doi" => "10.1016/j.reuma.2015.10.001"
        "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/S1699258X15001588?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300569?idApp=UINPBA00004M"
    "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300569/v3_201704020032/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173574316300661"
    "issn" => "21735743"
    "doi" => "10.1016/j.reumae.2016.01.002"
    "estado" => "S300"
    "fechaPublicacion" => "2016-09-01"
    "aid" => "878"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Reumatolog&#237;a y Colegio Mexicano de Reumatolog&#237;a"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "ssu"
    "cita" => "Reumatol Clin. 2016;12:274-81"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1988
      "formatos" => array:3 [
        "EPUB" => 57
        "HTML" => 1518
        "PDF" => 413
      ]
    ]
    "en" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>"
      "titulo" => "Systemic Lupus Erythematosus&#58; Is It One Disease&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "274"
          "paginaFinal" => "281"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lupus eritematoso sist&#233;mico&#58; &#191;es una sola enfermedad&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1656
              "Ancho" => 2334
              "Tamanyo" => 215682
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Different genetic defects produce different lupus-like diseases&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Francisco Rivas-Larrauri, Marco Antonio Yamazaki-Nakashimada"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Francisco"
              "apellidos" => "Rivas-Larrauri"
            ]
            1 => array:2 [
              "nombre" => "Marco Antonio"
              "apellidos" => "Yamazaki-Nakashimada"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S1699258X16000103"
        "doi" => "10.1016/j.reuma.2016.01.005"
        "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/S1699258X16000103?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300661?idApp=UINPBA00004M"
    "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300661/v3_201704020032/en/main.assets"
  ]
  "en" => array:20 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>"
    "titulo" => "Polyarthritis and Membranoproliferative Glomerulonephritis as Paraneoplastic Manifestation of Hodgkin&#39;s Lymphoma&#58; A Case Report and Literature Review"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "282"
        "paginaFinal" => "284"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Daniel Erlij, Beatriz Calder&#243;n, Angela Rivera, Cristi&#225;n Mella, Ximena Valladares, Emilio Roessler, Mar&#237;a Teresa Rivera, Gonzalo M&#233;ndez"
        "autores" => array:8 [
          0 => array:4 [
            "nombre" => "Daniel"
            "apellidos" => "Erlij"
            "email" => array:1 [
              0 => "danerlij&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Beatriz"
            "apellidos" => "Calder&#243;n"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Angela"
            "apellidos" => "Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Cristi&#225;n"
            "apellidos" => "Mella"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Ximena"
            "apellidos" => "Valladares"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Emilio"
            "apellidos" => "Roessler"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Mar&#237;a Teresa"
            "apellidos" => "Rivera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "Gonzalo"
            "apellidos" => "M&#233;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">g</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:7 [
          0 => array:3 [
            "entidad" => "Secci&#243;n de Reumotalog&#237;a&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Secci&#243;n de Hematolog&#237;a&#44; Hospital del Salvador&#44; Santiago&#44; Chile"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Secci&#243;n de Nefrolog&#237;a&#44; Hospital del Salvador&#44; Universidad de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital del Salvador&#44; Santiago&#44; Chile"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Pontificia Universidad Cat&#243;lica de Chile&#44; Santiago&#44; Chile"
            "etiqueta" => "g"
            "identificador" => "aff0035"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1050
            "Ancho" => 1700
            "Tamanyo" => 434382
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; A lymph node with a distortion of the architecture caused by a proliferation of large Reed Sternberg-like cells &#40;arrow&#41;&#44; with the presence of lymphocytes&#44; eosinophils and plasma cells &#40;hematoxylin&#8211;eosin &#91;HE&#93;&#41;&#46; &#40;b&#41; Immunohistochemical staining showing membrane and paranuclear CD15-positivity in the neoplastic cells&#46; &#40;c&#41; Bone marrow at a low magnification showing a marked increase in the cellularity of the medullary spaces&#44; nearly 100&#37; &#40;HE&#41;&#46; &#40;d&#41; Bone marrow showing a marked increase in the reticular network &#40;reticulin stain&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">A paraneoplastic syndrome is characterized by its development prior to or concomitantly with a neoplasm&#44; by the absence of tumor invasion as the cause and by its positive response to anticancer therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> It can affect up to 10&#37; of cancer patients&#44; preceding the diagnosis of cancer by no more than 2 years&#44; and can coexist with solid or hematologic neoplasms&#44; with heterogeneous clinical pictures including endocrine&#44; rheumatic&#44; nephrological and hematological diseases&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">2&#44;3</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Case Report</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 46-year-old man presented with a 3-month history of daily fever reaching 38&#46;5<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; associated with profuse sweating&#44; predominantly at night&#44; and weight loss of 5<span class="elsevierStyleHsp" style=""></span>kg&#46; He also complained of symmetric polyarthritis in his hands &#40;metacarpophalangeal and proximal interphalangeal joints&#41;&#44; wrists and right ankle&#44; together with 2 painless&#44; rubbery&#44; mobile lymph nodes measuring 2<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>2<span class="elsevierStyleHsp" style=""></span>cm&#44; 1 axillary and the other inguinal&#46; He had normocytic&#44; normochromic anemia with a hemoglobin level of 9<span class="elsevierStyleHsp" style=""></span>g&#47;dL&#44; 2700<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> leukocytes &#40;1210<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> neutrophils and 697<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> lymphocytes&#41;&#44; 173&#44;000<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleSup">3</span> platelets&#44; erythrocyte sedimentation rate 110<span class="elsevierStyleHsp" style=""></span>mm&#47;h&#44; creatinine level of 1&#46;85<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; and urinalysis revealed abundant erythrocytes and proteinuria&#46; Tests for antinuclear antibodies &#40;ANA&#41;&#44; anti-neutrophil cytoplasmic antibodies&#44; anti-citrullinated peptide antibodies and rheumatoid factor &#40;RF&#41; were negative&#59; cryoglobulins were weakly positive&#44; complement C3 was normal and C4 was 1&#46;3<span class="elsevierStyleHsp" style=""></span>mg&#47;dL &#40;normal&#58; 10&#8211;40&#41;&#46; Serologic tests for human immunodeficiency virus and hepatitis B and C were negative&#46; His creatinine level rose to 3&#46;36<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#44; and he received three 500-mg doses of methylprednisolone for the treatment of glomerulonephritis with acute renal failure&#46; This was followed by 60<span class="elsevierStyleHsp" style=""></span>mg&#47;day of prednisone&#44; and his fever and polyarthritis remitted&#44; and his creatinine level decreased to 0&#46;77<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46; Computed tomography revealed supraclavicular and mediastinal lymph nodes measuring 2&#46;5<span class="elsevierStyleHsp" style=""></span>cm and mild splenomegaly&#46; With this situation of renal failure and glomerulonephritis of unknown etiology&#44; after the third dose of methylprednisolone&#44; renal biopsy was performed&#46; One week later&#44; the axillary lymph node was biopsied&#46; The first revealed glomerulonephritis with deposition of immune complexes and complement factors &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#44; with an acute diffuse proliferative pattern and membranoproliferative changes &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#46; In addition&#44; the ultrastructural study showed glomerular electron dense deposits with substructural organization &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>d&#41;&#46; Two weeks later&#44; while the patient was still receiving steroid therapy&#44; his fever&#44; renal failure and progressive pancytopenia reappeared&#46; Methylprednisolone was again administered but&#44; this time&#44; without response&#46; Finally&#44; the lymph node biopsy revealed the presence of mixed cellularity classical Hodgkin&#39;s lymphoma &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>a&#41;&#44; with bone marrow infiltration &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>c&#41;&#46; Chemotherapy was begun with doxorubicin&#44; bleomycin&#44; vinblastine and dacarbazine&#46; One month later&#44; the patient&#39;s renal function was completely normal and&#44; after 6 months of follow-up&#44; he is in complete remission&#44; with a normal blood cell count and a creatinine level of 1&#46;12<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">Paraneoplastic syndromes have been reported in up to 23&#37; of the patients hospitalized for rheumatic syndromes&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">3</span></a> Thus&#44; any patient over the age of 50 years with polyarthritis&#44; especially seronegative polyarthritis&#44; should undergo studies for occult cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Paraneoplastic arthritis is associated with symmetric or asymmetric polyarticular or oligoarticular involvement&#46; The pathogenesis has been attributed to the presence of circulating immune complexes and the cross-reaction between tumor antigens and the synovial membrane&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> It can be associated with solid and hematologic tumors&#44; and with the presence of ANA and RF in up to 50&#37; of the cases&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1&#44;2</span></a> Up to 90&#37; of the patients have been reported to respond to steroid therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The prevalence of paraneoplastic glomerulopathies &#40;PG&#41; is variable&#44; the membranoproliferative pattern being one of the most common forms&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> However&#44; a study involving 1700 patients with Hodgkin&#39;s lymphoma reported that the most frequently detected PG was that in which the changes were minimal&#44; with an incidence of 0&#46;4&#37;&#59; the frequency of the remainder was negligible&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">In conclusion&#44; this case of polyarthritis and glomerulonephritis is interesting in that it is an uncommon paraneoplastic manifestation of Hodgkin&#39;s lymphoma which&#44; to the best of our knowledge&#44; has not been reported previously&#46; The existing publications refer to non-Hodgkin lymphomas and&#44; if renal and joint manifestations are added to the search&#44; the literature is considerably reduced&#44; yielding only 1 case of arthritis associated with nephrotic syndrome&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> The excellent initial response to treatment with methylprednisolone is particularly noteworthy&#46; In any case&#44; the reappearance of said manifestations&#44; even with high-dose steroids and&#44; ultimately&#44; the complete control of these signs with chemotherapy&#44; underscores the essence of a paraneoplastic syndrome&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Ethical Disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of Interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:10 [
        0 => array:3 [
          "identificador" => "xres823656"
          "titulo" => "Abstract"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0005"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec820317"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres823657"
          "titulo" => "Resumen"
          "secciones" => array:1 [
            0 => array:1 [
              "identificador" => "abst0010"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec820316"
          "titulo" => "Palabras clave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case Report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion"
        ]
        7 => array:3 [
          "identificador" => "sec0020"
          "titulo" => "Ethical Disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        8 => array:2 [
          "identificador" => "sec0040"
          "titulo" => "Conflicts of Interest"
        ]
        9 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2015-08-11"
    "fechaAceptado" => "2015-10-17"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec820317"
          "palabras" => array:4 [
            0 => "Paraneoplastic syndrome"
            1 => "Polyarthritis"
            2 => "Membranoproliferative glomerulonephritis"
            3 => "Hodgkin lymphoma"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec820316"
          "palabras" => array:4 [
            0 => "S&#237;ndrome paraneopl&#225;sico"
            1 => "Poliartritis"
            2 => "Glomerulonefritis membranoproliferativa"
            3 => "Linfoma de Hodgkin"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Paraneoplastic syndromes can be presented in multiple ways&#44; which include endocrinological&#44; hematologic&#44; rheumatologic and nephrologic manifestations&#46; While most of the publications described solid tumors as responsible for these manifestations&#44; hematologic neoplasms are important cause to consider as part of the differential diagnosis&#46; We report the case of a 46 year-old man with seronegative symmetric polyarthritis of large and small joints associated with membranoproliferative glomerulonephritis with deposits of immune complexes and acute impairment of renal function&#44; as part of a paraneoplastic syndrome secondary of a classical Hodgkin lymphoma with bone marrow invasion&#44; which reversed completely with chemotherapy treatment&#46;</p></span>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los s&#237;ndromes paraneopl&#225;sicos pueden presentarse de m&#250;ltiples maneras&#44; dentro de las cuales destacan las manifestaciones endocrinol&#243;gicas&#44; reumatol&#243;gicas&#44; hematol&#243;gicas y nefrol&#243;gicas&#46; Si bien la mayor&#237;a de las publicaciones describen los tumores s&#243;lidos como responsables de dichos cuadros&#44; las neoplasias hematol&#243;gicas son causa importante a considerar como parte del diagn&#243;stico diferencial&#46; Se presenta el caso de un var&#243;n de 46 a&#241;os con un cuadro de poliartritis sim&#233;trica seronegativa de grandes y peque&#241;as articulaciones&#44; asociado a glomerulonefritis membranoproliferativa con dep&#243;sitos de inmunocomplejos y deterioro agudo de la funci&#243;n renal&#44; como parte de un s&#237;ndrome paraneopl&#225;sico secundario a un linfoma de Hodgkin cl&#225;sico con invasi&#243;n medular&#44; el cual revirti&#243; completamente con el tratamiento de quimioterapia&#46;</p></span>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Erlij D&#44; Calder&#243;n B&#44; Rivera A&#44; Mella C&#44; Valladares X&#44; Roessler E&#44; et al&#46; Poliartritis y glomerulonefritis membranoproliferativa como manifestaciones paraneopl&#225;sicas de linfoma de Hodgkin&#58; presentaci&#243;n de un caso y revisi&#243;n de literatura&#46; Reumatol Clin&#46; 2016&#59;12&#58;282&#8211;284&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1225
            "Ancho" => 1700
            "Tamanyo" => 460722
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Glomerulus of distorted architecture due to the marked mesangial and endocapillary hypercellularity with mononuclear and polymorphonuclear cells&#44; characteristic of an acute diffuse proliferative pattern&#46; There are images suggestive of subendothelial immune complexes &#40;arrow&#41; &#40;PAS staining&#44; 400&#215;&#41;&#46; &#40;b&#41; Direct immunofluorescence of a glomerulus with thick and thin granular deposits of IgG&#44; both mesangial and in certain capillary loops &#40;stained with fluoresceinated anti-IgG antibody&#59; 400&#215;&#41;&#46; &#40;c&#41; Transmission electron microscopy showing a glomerulus with a distorted architecture and 2 adjacent capillary loops with marked intracapillary hypercellularity&#46; The image shows focal dense subepithelial deposits &#40;arrowheads&#41;&#46; There is focal reduplication of basement membranes that characterize an incipient membranoproliferative lesion &#40;arrows&#41; &#40;osmium tetroxide&#8211;uranyl citrate&#44; 6000&#215;&#41;&#46; &#40;d&#41; Transmission electron microscopy showing a segment of a capillary loop&#44; in which we see segmental and confluent dense subepithelial deposits that have substructures organized in microtubules measuring 40&#8211;50<span class="elsevierStyleHsp" style=""></span>nm in diameter &#40;osmium tetroxide&#8211;uranyl citrate&#44; 16&#44;000&#215;&#41;&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Fig&#46; 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1050
            "Ancho" => 1700
            "Tamanyo" => 434382
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; A lymph node with a distortion of the architecture caused by a proliferation of large Reed Sternberg-like cells &#40;arrow&#41;&#44; with the presence of lymphocytes&#44; eosinophils and plasma cells &#40;hematoxylin&#8211;eosin &#91;HE&#93;&#41;&#46; &#40;b&#41; Immunohistochemical staining showing membrane and paranuclear CD15-positivity in the neoplastic cells&#46; &#40;c&#41; Bone marrow at a low magnification showing a marked increase in the cellularity of the medullary spaces&#44; nearly 100&#37; &#40;HE&#41;&#46; &#40;d&#41; Bone marrow showing a marked increase in the reticular network &#40;reticulin stain&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Migratory polyarthritis as a paraneoplastic syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Zupancic"
                            1 => "A&#46; Annamalai"
                            2 => "J&#46; Brenneman"
                            3 => "S&#46; Ranatunga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Gen Inter Med"
                        "fecha" => "2008"
                        "volumen" => "23"
                        "paginaInicial" => "2136"
                        "paginaFinal" => "2139"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Characteristics and survival of 26 patients with paraneoplastic arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Morel"
                            1 => "V&#46; Deschamps"
                            2 => "E&#46; Toussirot"
                            3 => "E&#46; Pertuiset"
                            4 => "C&#46; Sordet"
                            5 => "P&#46; Kieffer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2007.070086"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2008"
                        "volumen" => "67"
                        "paginaInicial" => "244"
                        "paginaFinal" => "247"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17604284"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0735109713023747"
                          "estado" => "S300"
                          "issn" => "07351097"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rheumatic manifestations of occult cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;E&#46; Naschitz"
                            1 => "D&#46; Yeshurun"
                            2 => "I&#46; Rosner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1995"
                        "volumen" => "75"
                        "paginaInicial" => "2954"
                        "paginaFinal" => "2958"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7773947"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Rheumatologic manifestations of cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;S&#46; Caldwell"
                            1 => "R&#46;M&#46; McCallum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Clin North Am"
                        "fecha" => "1986"
                        "volumen" => "70"
                        "paginaInicial" => "385"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2936936"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neoplastic and paraneoplastic synovitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Marengo"
                            1 => "M&#46; Su&#225;rez-Almazor"
                            2 => "H&#46; Lu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rdc.2011.09.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rheum Dis Clin North Am"
                        "fecha" => "2011"
                        "volumen" => "37"
                        "paginaInicial" => "551"
                        "paginaFinal" => "572"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22075197"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Membranoproliferative glomerulonephritis secondary to monoclonal gammopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Sethi"
                            1 => "L&#46; Zand"
                            2 => "N&#46; Leung"
                            3 => "R&#46;J&#46; Smith"
                            4 => "D&#46; Jevremonic"
                            5 => "S&#46;S&#46; Herrmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2215/CJN.06760909"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin J Am Soc Nephrol"
                        "fecha" => "2010"
                        "volumen" => "5"
                        "paginaInicial" => "770"
                        "paginaFinal" => "782"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20185597"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paraneoplastic glomerular diseases and malignancies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Bacchetta"
                            1 => "L&#46; Juillard"
                            2 => "P&#46; Cochat"
                            3 => "J&#46;P&#46; Droz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.critrevonc.2008.08.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Rev Oncol Hematol"
                        "fecha" => "2009"
                        "volumen" => "70"
                        "paginaInicial" => "39"
                        "paginaFinal" => "58"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18790651"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paraneoplastic nephrotic syndrome and inflammatory arthritis at diagnosis in Hodgkin lymphoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;B&#46; Aruch"
                            1 => "M&#46;P&#46; Mims"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clml.2012.09.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Lymphoma Myeloma Leuk"
                        "fecha" => "2013"
                        "volumen" => "13"
                        "paginaInicial" => "77"
                        "paginaFinal" => "79"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23103086"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000001200000005/v3_201704020032/S2173574316300570/v3_201704020032/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "43296"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case report"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000001200000005/v3_201704020032/S2173574316300570/v3_201704020032/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574316300570?idApp=UINPBA00004M"
]
Article information
ISSN: 21735743
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 7 14 21
2024 October 40 35 75
2024 September 39 12 51
2024 August 44 60 104
2024 July 47 27 74
2024 June 53 38 91
2024 May 60 43 103
2024 April 33 28 61
2024 March 42 35 77
2024 February 55 39 94
2024 January 30 20 50
2023 December 27 42 69
2023 November 34 29 63
2023 October 41 37 78
2023 September 60 39 99
2023 August 49 17 66
2023 July 40 31 71
2023 June 32 21 53
2023 May 44 29 73
2023 April 23 18 41
2023 March 51 37 88
2023 February 40 24 64
2023 January 40 18 58
2022 December 49 44 93
2022 November 46 36 82
2022 October 52 31 83
2022 September 30 27 57
2022 August 26 48 74
2022 July 41 42 83
2022 June 21 33 54
2022 May 34 35 69
2022 April 41 46 87
2022 March 49 59 108
2022 February 43 36 79
2022 January 32 41 73
2021 December 31 57 88
2021 November 42 45 87
2021 October 101 55 156
2021 September 62 43 105
2021 August 39 48 87
2021 July 46 37 83
2021 June 50 40 90
2021 May 56 59 115
2021 April 92 130 222
2021 March 85 43 128
2021 February 36 24 60
2021 January 41 35 76
2020 December 29 33 62
2020 November 48 39 87
2020 October 21 18 39
2020 September 46 33 79
2020 August 21 26 47
2020 July 23 34 57
2020 June 35 22 57
2020 May 31 17 48
2020 April 45 15 60
2020 March 20 8 28
2020 February 2 0 2
2018 May 3 0 3
2018 April 46 11 57
2018 March 45 9 54
2018 February 25 7 32
2018 January 17 10 27
2017 December 33 7 40
2017 November 28 13 41
2017 October 25 12 37
2017 September 24 14 38
2017 August 16 11 27
2017 July 25 17 42
2017 June 36 30 66
2017 May 43 12 55
2017 April 27 21 48
2017 March 20 9 29
2017 February 14 13 27
2017 January 15 11 26
2016 December 40 24 64
2016 November 46 27 73
2016 October 55 48 103
2016 September 91 24 115
2016 August 23 5 28
2016 July 10 9 19
Show all

Follow this link to access the full text of the article

Idiomas
Reumatología Clínica (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?