array:23 [
  "pii" => "S2173574310700125"
  "issn" => "21735743"
  "doi" => "10.1016/S2173-5743(10)70012-5"
  "estado" => "S300"
  "fechaPublicacion" => "2010-01-01"
  "aid" => "70012"
  "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Reumatol Clin. 2010;6:58-62"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 3287
    "formatos" => array:3 [
      "EPUB" => 61
      "HTML" => 1500
      "PDF" => 1726
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173574310700137"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(10)70013-7"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70013"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Reumatol Clin. 2010;6:63-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1993
      "formatos" => array:3 [
        "EPUB" => 51
        "HTML" => 1376
        "PDF" => 566
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Recommendations for the management of influenza A (H1N1) in rheumatic patients with immunosuppression"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "63"
          "paginaFinal" => "68"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Recomendaciones de manejo de la gripe A (H1N1) en pacientes reumáticos con inmunosupresión"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Rosario García de Vicuña, Belén Padilla, Luis Carreño, Santiago Muñoz Fernández, Emilio Martín Mola, Juan Gómez-Reino, Víctor Martínez Taboada, Antonio López Sanromán, Javier Pérez Gisbert, Federico Díaz González, Joaquín Hinojosa del Val, Emilio Bouza, Loreto Carmona"
          "autores" => array:13 [
            0 => array:2 [
              "nombre" => "Rosario"
              "apellidos" => "García de Vicuña"
            ]
            1 => array:2 [
              "nombre" => "Belén"
              "apellidos" => "Padilla"
            ]
            2 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Carreño"
            ]
            3 => array:2 [
              "nombre" => "Santiago"
              "apellidos" => "Muñoz Fernández"
            ]
            4 => array:2 [
              "nombre" => "Emilio"
              "apellidos" => "Martín Mola"
            ]
            5 => array:2 [
              "nombre" => "Juan"
              "apellidos" => "Gómez-Reino"
            ]
            6 => array:2 [
              "nombre" => "Víctor"
              "apellidos" => "Martínez Taboada"
            ]
            7 => array:2 [
              "nombre" => "Antonio"
              "apellidos" => "López Sanromán"
            ]
            8 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Pérez Gisbert"
            ]
            9 => array:2 [
              "nombre" => "Federico"
              "apellidos" => "Díaz González"
            ]
            10 => array:2 [
              "nombre" => "Joaquín"
              "apellidos" => "Hinojosa del Val"
            ]
            11 => array:2 [
              "nombre" => "Emilio"
              "apellidos" => "Bouza"
            ]
            12 => array:2 [
              "nombre" => "Loreto"
              "apellidos" => "Carmona"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574310700137?idApp=UINPBA00004M"
    "url" => "/21735743/0000000600000001/v1_201305061603/S2173574310700137/v1_201305061603/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173574310700113"
    "issn" => "21735743"
    "doi" => "10.1016/S2173-5743(10)70011-3"
    "estado" => "S300"
    "fechaPublicacion" => "2010-01-01"
    "aid" => "70011"
    "copyright" => "Sociedad Española de Reumatología and Colegio Mexicano de Reumatología"
    "documento" => "simple-article"
    "crossmark" => 0
    "subdocumento" => "cor"
    "cita" => "Reumatol Clin. 2010;6:56-7"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 2083
      "formatos" => array:3 [
        "EPUB" => 48
        "HTML" => 1355
        "PDF" => 680
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Response to rituximab in a patient with Wegener's granulomatosis refractory to conventional therapies"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "56"
          "paginaFinal" => "57"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Respuesta a rituximab en un paciente con granulomatosis de Wegener refractaria a terapia convencional"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Inmaculada Macías Fernández"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Inmaculada"
              "apellidos" => "Macías Fernández"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574310700113?idApp=UINPBA00004M"
    "url" => "/21735743/0000000600000001/v1_201305061603/S2173574310700113/v1_201305061603/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Young woman with relapsing arthritis"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "58"
        "paginaFinal" => "62"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "José A. Gómez-Puerta, Emma García-Melchor"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "José A."
            "apellidos" => "Gómez-Puerta"
            "email" => array:2 [
              0 => "jagomez@clinic.ub.es"
              1 => "josealfredogomez@yahoo.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Emma"
            "apellidos" => "Garc&#237;a-Melchor"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Unidad de Artritis&#44; Servicio de Reumatolog&#237;a&#44; Hospital Cl&#237;nic&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Reumatolog&#237;a&#44; Hospital Universitari Germans Trias i Pujol&#44; Badalona&#44; Barcelona&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Mujer joven con artritis intermitente"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-02-09"
    "fechaAceptado" => "2009-03-04"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec112343"
          "palabras" => array:4 [
            0 => "Relapsing arthritis"
            1 => "Intermittent hydrarthrosis"
            2 => "Periodic fever syndromes"
            3 => "MEFV"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec112344"
          "palabras" => array:4 [
            0 => "Artritis intermitente"
            1 => "Hidrartrosis intermitente"
            2 => "S&#237;ndromes de fiebre peri&#243;dica"
            3 => "MEFV"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A 28-years old lady complains of self-limited episodes of relapsing knee arthritis of 48&#8211;72<span class="elsevierStyleHsp" style=""></span>h of duration every 2 weeks&#46; Immunological profile was all negative&#46; At the same time&#44; radiological images did not reveal any abnormality&#46; She underwent to knee arthroscopy&#44; however&#44; a definite diagnosis was not reached&#46; We discuss the differential diagnosis of relapsing arthritis&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mujer de 28 a&#241;os con episodios autolimitados de artritis intermitente de rodilla de 48 a 72<span class="elsevierStyleHsp" style=""></span>h de duraci&#243;n&#44; los cuales se repet&#237;an cada 2 semanas de forma peri&#243;dica&#46; El estudio inmunol&#243;gico fue negativo&#44; as&#237; como el estudio radiol&#243;gico&#46; Posteriormente se realiz&#243; artroscopia de rodilla sin llegar a un diagn&#243;stico definitivo&#46; Se discuten&#44; a continuaci&#243;n&#44; las diferentes causas de reumatismos intermitentes&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">The present case was presented and discussed at the Session of the Sociedad Catalana de Reumatolog&#237;a&#44; on 1 February 2008&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "S&#237;ndromes intermitentes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "X&#46; Tena Mars&#224;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Manual SER de las enfermedades reum&#225;ticas"
                        "paginaInicial" => "93"
                        "paginaFinal" => "94"
                        "edicion" => "4st ed&#46;"
                        "serieFecha" => "2004"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Palindromic rheumatism and other relapsing arthritis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Sanmarti"
                            1 => "J&#46;D&#46; Ca&#241;ete"
                            2 => "G&#46; Salvador"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.berh.2004.05.005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Best Pract Res Clin Rheumatol"
                        "fecha" => "2004"
                        "volumen" => "18"
                        "paginaInicial" => "647"
                        "paginaFinal" => "661"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15454124"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Artropat&#237;as asociadas a enfermedades inflamatorias del intestino"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; G&#243;mez-Puerta"
                            1 => "R&#46; Sanmarti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Tratado Hispanoamericano de Reumatolog&#237;a"
                        "paginaInicial" => "599"
                        "paginaFinal" => "605"
                        "serieFecha" => "2006"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Artritis reactiva&#46; S&#237;ndrome de Reiter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;B&#46; Povedano G&#243;mez"
                            1 => "A&#46; Garc&#237;a L&#243;pez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:5 [
                        "edicion" => "3rd ed&#46;"
                        "titulo" => "Manual&#44; S&#46;E&#46;R&#46; de las enfermedades reum&#225;ticas"
                        "fecha" => "2000"
                        "editorial" => "Editorial Panamericana"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Musculoeskeletal manifestations in hyperlipidaemia&#58; a controlled study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Klemp"
                            1 => "A&#46;M&#46; Halland"
                            2 => "F&#46;L&#46; Majoos"
                            3 => "K&#46; Steyn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "1993"
                        "volumen" => "52"
                        "paginaInicial" => "44"
                        "paginaFinal" => "48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8427513"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Borreliosis de Lyme"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;C&#46; Steere"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Harrison Principios de medicina interna"
                        "paginaInicial" => "1107"
                        "paginaFinal" => "1111"
                        "edicion" => "16st ed&#46;"
                        "serieFecha" => "2005"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lyme arthritis&#58; Pathogenesis&#44; clinical presentation&#44; and management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Y&#46;A&#46; Puius"
                            1 => "R&#46;A&#46; Kalish"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.idc.2007.12.014"
                      "Revista" => array:6 [
                        "tituloSerie" => "Infect Dis Clin North Am"
                        "fecha" => "2008"
                        "volumen" => "22"
                        "paginaInicial" => "289"
                        "paginaFinal" => "300"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18452802"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sarcoidosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;C&#46; Iannuzzi"
                            1 => "B&#46;A&#46; Rybicki"
                            2 => "A&#46;S&#46; Teirstein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMra071714"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2007"
                        "volumen" => "357"
                        "paginaInicial" => "2153"
                        "paginaFinal" => "2165"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18032765"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sarcoidosis and the rheumatologist"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;D&#46; Torralba"
                            1 => "F&#46;P&#46; Quismorio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Rheumatol"
                        "fecha" => "2009"
                        "volumen" => "21"
                        "paginaInicial" => "62"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19093325"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "L&#246;fgren&#39;s syndrome revisited&#58; A study of 186 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Ma&#241;&#225;"
                            1 => "C&#46; G&#243;mez-Vaquero"
                            2 => "A&#46; Montero"
                            3 => "A&#46; Salazar"
                            4 => "J&#46; Marcoval"
                            5 => "J&#46; Valverde"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Med"
                        "fecha" => "1999"
                        "volumen" => "107"
                        "paginaInicial" => "240"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10492317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Beh&#231;et&#39;s syndrome&#58; pathogenesis&#44; clinical manifestations and treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46; Yazici"
                            1 => "I&#46; Fresko"
                            2 => "R&#46; Tun&#231;"
                            3 => "M&#46; Melikoglu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:2 [
                        "titulo" => "Vasculitis"
                        "serieFecha" => "2002"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Policondritis recidivante"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;C&#46; Piette"
                            1 => "P&#46; Vinceneux"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:3 [
                        "titulo" => "Kelley Tratado de reumatolog&#237;a"
                        "edicion" => "7st ed&#46;"
                        "serieFecha" => "2005"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Whipple&#39;s disease&#46; Analysis of 6 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Reyes"
                            1 => "P&#46; Peris"
                            2 => "F&#46; Feu"
                            3 => "A&#46; Mart&#237;nez-Ferrer"
                            4 => "A&#46; Quera"
                            5 => "N&#46; Gua&#241;abens"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2008"
                        "volumen" => "130"
                        "paginaInicial" => "219"
                        "paginaFinal" => "222"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#191;Qu&#233; es lo que debo saber sobre los s&#237;ndromes autoinflamatorios&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Modesto"
                            1 => "J&#46;I&#46; Ar&#243;stegui"
                            2 => "J&#46; Yag&#252;e"
                            3 => "C&#46; Arnal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semin Fun Esp Reumatol"
                        "fecha" => "2007"
                        "volumen" => "8"
                        "paginaInicial" => "34"
                        "paginaFinal" => "44"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Enfermedades autoinflamatorias sist&#233;micas hereditarias&#46; S&#237;ndromes hereditarios de fiebre peri&#243;dica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;I&#46; Ar&#243;stegui"
                            1 => "J&#46; Yag&#252;e"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2007"
                        "volumen" => "129"
                        "paginaInicial" => "267"
                        "paginaFinal" => "277"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Enfermedades autoinflamatorias sist&#233;micas hereditarias&#46; Parte II&#58; s&#237;ndromes peri&#243;dicos asociados a criopirina&#44; granulomatosis sist&#233;micas pedi&#225;tricas y s&#237;ndrome PAPA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;I&#46; Ar&#243;stegui"
                            1 => "J&#46; Yag&#252;e"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2008"
                        "volumen" => "130"
                        "paginaInicial" => "429"
                        "paginaFinal" => "438"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intermittent hydrarthrosis&#59; two cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;E&#46; Reeves"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Calif Med"
                        "fecha" => "1949"
                        "volumen" => "71"
                        "paginaInicial" => "359"
                        "paginaFinal" => "361"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15390577"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intermittent hydrarthrosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "S&#46; Mattingly"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Br Med J"
                        "fecha" => "1957"
                        "volumen" => "32"
                        "paginaInicial" => "139"
                        "paginaFinal" => "143"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Periodic benign synovitis&#58; Idiopathic intermittent hydrarthrosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;D&#46; Weiner"
                            1 => "R&#46;K&#46; Ghormley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bone Joint Surg Am"
                        "fecha" => "1956"
                        "volumen" => "38"
                        "paginaInicial" => "1039"
                        "paginaFinal" => "1055"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13367081"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intermittent and periodic arthritic symptoms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;E&#46; Ehrlich"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "titulo" => "Arthritis and related conditions"
                        "paginaInicial" => "663"
                        "paginaFinal" => "680"
                        "edicion" => "9st ed&#46;"
                        "serieFecha" => "1979"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Succesful therapy with low-dose colchicine in intermittent hydrarthrosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46; Queiro-Silva"
                            1 => "T&#46; Tintur&#233;-Eguren"
                            2 => "I&#46; L&#243;pez-Lagunas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rheumatology"
                        "fecha" => "2003"
                        "volumen" => "42"
                        "paginaInicial" => "391"
                        "paginaFinal" => "392"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12595650"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Association of intermittent hydrarthrosis with MEFV gene mutations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;D&#46; Ca&#241;ete"
                            1 => "J&#46;I&#46; Ar&#243;stegui"
                            2 => "R&#46; Queir&#243;"
                            3 => "R&#46; Sanmart&#237;"
                            4 => "J&#46; Ballina"
                            5 => "X&#46; Bosch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/art.21923"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arthritis Rheum"
                        "fecha" => "2006"
                        "volumen" => "54"
                        "paginaInicial" => "2334"
                        "paginaFinal" => "2335"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16802374"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intermittent rheumatism&#46; Palindromic rheumatism&#46; Intermittent hydrarthrosis&#46; Allergic rheumatism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Rotes-Querol"
                            1 => "E&#46; Lience"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Esp Reumatol"
                        "fecha" => "1959"
                        "volumen" => "8"
                        "paginaInicial" => "8"
                        "paginaFinal" => "37"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Arthritis as the sole episodic manifestation of familial Mediterranean fever"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Lidar"
                            1 => "R&#46; Kedem"
                            2 => "D&#46; Levartovsky"
                            3 => "P&#46; Langevitz"
                            4 => "A&#46; Livneh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Rheumatol"
                        "fecha" => "2005"
                        "volumen" => "32"
                        "paginaInicial" => "859"
                        "paginaFinal" => "862"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15868622"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Developments in the scientific and clinical understanding of autoinflammatory disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46;E&#46; Lundberg"
                            1 => "C&#46; Grundtman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/ar2579"
                      "Revista" => array:5 [
                        "tituloSerie" => "Arthritis Res Ther"
                        "fecha" => "2009"
                        "volumen" => "11"
                        "paginaInicial" => "212"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19232070"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An unexpectedly high frequency of MEFV mutations in patients with anti-citrullinated protein antibody-negative palindromic rheumatism"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;D&#46; Ca&#241;ete"
                            1 => "J&#46;I&#46; Arostegui"
                            2 => "R&#46; Queir&#243;"
                            3 => "J&#46; Gratac&#243;s"
                            4 => "M&#46;V&#46; Hern&#225;ndez"
                            5 => "M&#46; Larrosa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/art.22755"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arthritis Rheum"
                        "fecha" => "2007"
                        "volumen" => "56"
                        "paginaInicial" => "2784"
                        "paginaFinal" => "2788"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17665427"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735743/0000000600000001/v1_201305061603/S2173574310700125/v1_201305061603/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "8421"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Clinicopathologic conference"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000600000001/v1_201305061603/S2173574310700125/v1_201305061603/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574310700125?idApp=UINPBA00004M"
]
Share
Journal Information
Vol. 6. Issue 1.
Pages 58-62 (January - February 2010)
Share
Share
Download PDF
More article options
Vol. 6. Issue 1.
Pages 58-62 (January - February 2010)
Full text access
Young woman with relapsing arthritis
Mujer joven con artritis intermitente
Visits
6389
José A. Gómez-Puertaa,
Corresponding author
, Emma García-Melchorb
a Unidad de Artritis, Servicio de Reumatología, Hospital Clínic, Barcelona, Spain
b Servicio de Reumatología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
This item has received
Article information
Abstract

A 28-years old lady complains of self-limited episodes of relapsing knee arthritis of 48–72h of duration every 2 weeks. Immunological profile was all negative. At the same time, radiological images did not reveal any abnormality. She underwent to knee arthroscopy, however, a definite diagnosis was not reached. We discuss the differential diagnosis of relapsing arthritis.

Keywords:
Relapsing arthritis
Intermittent hydrarthrosis
Periodic fever syndromes
MEFV
Resumen

Mujer de 28 años con episodios autolimitados de artritis intermitente de rodilla de 48 a 72h de duración, los cuales se repetían cada 2 semanas de forma periódica. El estudio inmunológico fue negativo, así como el estudio radiológico. Posteriormente se realizó artroscopia de rodilla sin llegar a un diagnóstico definitivo. Se discuten, a continuación, las diferentes causas de reumatismos intermitentes.

Palabras clave:
Artritis intermitente
Hidrartrosis intermitente
Síndromes de fiebre periódica
MEFV
Full text is only aviable in PDF
References
[1.]
X. Tena Marsà.
Síndromes intermitentes.
Manual SER de las enfermedades reumáticas, 4st ed., pp. 93-94
[2.]
R. Sanmarti, J.D. Cañete, G. Salvador.
Palindromic rheumatism and other relapsing arthritis.
Best Pract Res Clin Rheumatol, 18 (2004), pp. 647-661
[3.]
J.A. Gómez-Puerta, R. Sanmarti.
Artropatías asociadas a enfermedades inflamatorias del intestino.
Tratado Hispanoamericano de Reumatología, pp. 599-605
[4.]
J.B. Povedano Gómez, A. García López.
Artritis reactiva. Síndrome de Reiter.
Manual, S.E.R. de las enfermedades reumáticas, 3rd ed., Editorial Panamericana, (2000),
[5.]
P. Klemp, A.M. Halland, F.L. Majoos, K. Steyn.
Musculoeskeletal manifestations in hyperlipidaemia: a controlled study.
Ann Rheum Dis, 52 (1993), pp. 44-48
[6.]
A.C. Steere.
Borreliosis de Lyme.
Harrison Principios de medicina interna, 16st ed., pp. 1107-1111
[7.]
Y.A. Puius, R.A. Kalish.
Lyme arthritis: Pathogenesis, clinical presentation, and management.
Infect Dis Clin North Am, 22 (2008), pp. 289-300
[8.]
M.C. Iannuzzi, B.A. Rybicki, A.S. Teirstein.
Sarcoidosis.
N Engl J Med, 357 (2007), pp. 2153-2165
[9.]
K.D. Torralba, F.P. Quismorio.
Sarcoidosis and the rheumatologist.
Curr Opin Rheumatol, 21 (2009), pp. 62-70
[10.]
J. Mañá, C. Gómez-Vaquero, A. Montero, A. Salazar, J. Marcoval, J. Valverde, et al.
Löfgren's syndrome revisited: A study of 186 patients.
Am J Med, 107 (1999), pp. 240-254
[11.]
H. Yazici, I. Fresko, R. Tunç, M. Melikoglu.
Behçet's syndrome: pathogenesis, clinical manifestations and treatment.
Vasculitis,
[12.]
J.C. Piette, P. Vinceneux.
Policondritis recidivante.
Kelley Tratado de reumatología, 7st ed.,
[13.]
R. Reyes, P. Peris, F. Feu, A. Martínez-Ferrer, A. Quera, N. Guañabens.
Whipple's disease. Analysis of 6 cases.
Med Clin (Barc), 130 (2008), pp. 219-222
[14.]
C. Modesto, J.I. Aróstegui, J. Yagüe, C. Arnal.
¿Qué es lo que debo saber sobre los síndromes autoinflamatorios?.
Semin Fun Esp Reumatol, 8 (2007), pp. 34-44
[15.]
J.I. Aróstegui, J. Yagüe.
Enfermedades autoinflamatorias sistémicas hereditarias. Síndromes hereditarios de fiebre periódica.
Med Clin (Barc), 129 (2007), pp. 267-277
[16.]
J.I. Aróstegui, J. Yagüe.
Enfermedades autoinflamatorias sistémicas hereditarias. Parte II: síndromes periódicos asociados a criopirina, granulomatosis sistémicas pediátricas y síndrome PAPA.
Med Clin (Barc), 130 (2008), pp. 429-438
[17.]
J.E. Reeves.
Intermittent hydrarthrosis; two cases.
Calif Med, 71 (1949), pp. 359-361
[18.]
S. Mattingly.
Intermittent hydrarthrosis.
Br Med J, 32 (1957), pp. 139-143
[19.]
A.D. Weiner, R.K. Ghormley.
Periodic benign synovitis: Idiopathic intermittent hydrarthrosis.
J Bone Joint Surg Am, 38 (1956), pp. 1039-1055
[20.]
G.E. Ehrlich.
Intermittent and periodic arthritic symptoms.
Arthritis and related conditions, 9st ed., pp. 663-680
[21.]
R. Queiro-Silva, T. Tinturé-Eguren, I. López-Lagunas.
Succesful therapy with low-dose colchicine in intermittent hydrarthrosis.
Rheumatology, 42 (2003), pp. 391-392
[22.]
J.D. Cañete, J.I. Aróstegui, R. Queiró, R. Sanmartí, J. Ballina, X. Bosch, et al.
Association of intermittent hydrarthrosis with MEFV gene mutations.
Arthritis Rheum, 54 (2006), pp. 2334-2335
[23.]
J. Rotes-Querol, E. Lience.
Intermittent rheumatism. Palindromic rheumatism. Intermittent hydrarthrosis. Allergic rheumatism.
Rev Esp Reumatol, 8 (1959), pp. 8-37
[24.]
M. Lidar, R. Kedem, D. Levartovsky, P. Langevitz, A. Livneh.
Arthritis as the sole episodic manifestation of familial Mediterranean fever.
J Rheumatol, 32 (2005), pp. 859-862
[25.]
I.E. Lundberg, C. Grundtman.
Developments in the scientific and clinical understanding of autoinflammatory disorders.
Arthritis Res Ther, 11 (2009), pp. 212
[26.]
J.D. Cañete, J.I. Arostegui, R. Queiró, J. Gratacós, M.V. Hernández, M. Larrosa, et al.
An unexpectedly high frequency of MEFV mutations in patients with anti-citrullinated protein antibody-negative palindromic rheumatism.
Arthritis Rheum, 56 (2007), pp. 2784-2788

The present case was presented and discussed at the Session of the Sociedad Catalana de Reumatología, on 1 February 2008.

Copyright © 2010. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
Download PDF
Idiomas
Reumatología Clínica (English Edition)
Article options
Tools
es en

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

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