array:23 [
  "pii" => "S1699258X17302711"
  "issn" => "1699258X"
  "doi" => "10.1016/j.reuma.2017.10.012"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1148"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología"
  "copyrightAnyo" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Reumatol Clin. 2019;15:e140-e141"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 540
    "formatos" => array:3 [
      "EPUB" => 27
      "HTML" => 234
      "PDF" => 279
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1699258X17302425"
    "issn" => "1699258X"
    "doi" => "10.1016/j.reuma.2017.09.004"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1131"
    "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Reumatol Clin. 2019;15:e142-e143"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 632
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 282
        "PDF" => 307
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>"
      "titulo" => "&#91;<span class="elsevierStyleSup">18</span>F&#93; FDG PET&#47;CT may be a useful adjunct in diagnosis of eosinophilic fasciitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e142"
          "paginaFinal" => "e143"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#91;<span class="elsevierStyleSup">18</span>F&#93; FDG PET&#47;CT puede ser un complemento &#250;til en el diagn&#243;stico de fasciitis eosinof&#237;lica"
        ]
      ]
      "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" => 3275
              "Ancho" => 2500
              "Tamanyo" => 403891
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">FDG-PET&#47;CT revealed a diffuse and symmetrical FDG uptake in the fasciae of the lower limbs&#44; clearly illustrating the anatomical involvement of the disease&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Javier Narv&#225;ez, Pablo Juarez, Isabel Morales Ivorra, Laura Rodriguez Bel, Jesus Rodriguez Moreno, Montserrat Romera"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Narv&#225;ez"
            ]
            1 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Juarez"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Morales Ivorra"
            ]
            3 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Rodriguez Bel"
            ]
            4 => array:2 [
              "nombre" => "Jesus"
              "apellidos" => "Rodriguez Moreno"
            ]
            5 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Romera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17302425?idApp=UINPBA00004M"
    "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17302425/v1_201911200727/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1699258X17303005"
    "issn" => "1699258X"
    "doi" => "10.1016/j.reuma.2017.11.012"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1163"
    "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" => "sco"
    "cita" => "Reumatol Clin. 2019;15:e138-e139"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1490
      "formatos" => array:3 [
        "EPUB" => 53
        "HTML" => 1000
        "PDF" => 437
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Reumatolog&#237;a Cl&#237;nica en im&#225;genes</span>"
      "titulo" => "Hipocratismo digital&#58; paciente con osteoartropat&#237;a hipertr&#243;fica y presencia de acro-oste&#243;lisis"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e138"
          "paginaFinal" => "e139"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Digital clubbing&#58; A patient with hypertrophic osteoarthropathy and the presence of acro-osteolysis"
        ]
      ]
      "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" => 2000
              "Tamanyo" => 149230
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#41; Radiograf&#237;a anteroposterior de ambas manos&#46; Aumento de partes blandas a nivel de falanges distales&#46; Marcados cambios destructivos con acro-oste&#243;lisis en todas las falanges distales &#40;flechas&#41;&#44; con formaci&#243;n de superficies planas en quinta falange bilateral&#44; proliferaci&#243;n &#243;sea a nivel de radio izquierdo y m&#225;s discreta en base de varias falanges distales &#40;puntas de flecha&#41;&#46; B&#41; Radiograf&#237;a oblicua del pie derecho&#46; Reabsorci&#243;n de falanges distales de todos los dedos con formaci&#243;n de superficies planas &#40;flechas&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ismael Calero-Paniagua, Lu&#237;s Miguel Prieto-Ga&#241;&#225;n, Dami&#225;n Mora-Pe&#241;a, Francisco Ram&#243;n Egea-Aldana"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ismael"
              "apellidos" => "Calero-Paniagua"
            ]
            1 => array:2 [
              "nombre" => "Lu&#237;s Miguel"
              "apellidos" => "Prieto-Ga&#241;&#225;n"
            ]
            2 => array:2 [
              "nombre" => "Dami&#225;n"
              "apellidos" => "Mora-Pe&#241;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco Ram&#243;n"
              "apellidos" => "Egea-Aldana"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173574319300206"
        "doi" => "10.1016/j.reumae.2019.02.002"
        "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/S2173574319300206?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17303005?idApp=UINPBA00004M"
    "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17303005/v1_201911200727/es/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>"
    "titulo" => "Mixed crystal arthropathy of the wrist&#58; The contribution of imaging in the diagnostic approach"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "e140"
        "paginaFinal" => "e141"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nikita Khmelinskii, Joaquim Polido-Pereira"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "Nikita"
            "apellidos" => "Khmelinskii"
            "email" => array:1 [
              0 => "nkhmelinskii@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Joaquim"
            "apellidos" => "Polido-Pereira"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Rheumatology Department&#44; Hospital de Santa Maria&#44; Centro Hospitalar Lisboa Norte&#44; Lisbon Academic Medical Centre&#44; Lisbon&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Artropat&#237;a cristalina mixta de la mu&#241;eca&#58; la contribuci&#243;n de la imagen en el enfoque diagn&#243;stico"
      ]
    ]
    "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" => 2258
            "Ancho" => 1500
            "Tamanyo" => 596639
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Radiography images of the wrists&#46; &#40;A&#41; Anteroposterior projection&#44; with radio-carpal joint space narrowing and subchondral sclerosis of the radium of the right wrist&#46; &#40;B&#41; Detail of the right wrist&#44; with linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;arrows&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year-old man with a history of binge drinking and childhood right wrist fracture presented with acute pain&#44; oedema and functional impotence of the right wrist&#46; On physical examination&#44; erythema and oedema of the distal forearm and wrist&#44; and pain elicited by wrist pronation&#47;supination were noted&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Ultrasound examination revealed distal radio-ulnar synovitis&#44; a hyperechoic band within the distal cubital cartilage&#44; and several hyperechoic spots of the triangular fibrocartilage complex &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; compatible with calcium pyrophosphate dihydrate &#40;CPP&#41; crystal deposition &#40;CPPD&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Plain radiography showed radio-carpal joint space narrowing&#44; subchondral sclerosis of the joint margins&#44; and linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Ultrasound-guided joint aspiration was performed&#46; Polarized microscopy of the synovial fluid showed numerous monosodium urate monohydrate &#40;MU&#41; and rare CPP crystals&#46; The patient&#39;s uric acid level was 9&#46;1<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46; No other metabolic abnormalities were noted&#46; Treatment with colchicine ensured rapid symptom relief and urate-lowering therapy with allopurinol was started four weeks later&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Up to 2&#46;5&#37; of patients with crystal induced arthritis may have coexistent CPP and MU crystals&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> The identification of characteristic birefringent crystals remains essential for the diagnosis of CPPD or gout&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2&#44;3</span></a> Ultrasonography is a valuable tool for performing guided intra or periarticular diagnostic and therapeutic injections&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> Likewise&#44; growing evidence on its utility in identifying crystal deposits has led to the incorporation of ultrasound findings in CPPD and gout classification criteria&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2&#44;3</span></a> In gout&#44; the deposits appear as an irregular hyperechoic enhancement over the surface of the hyaline cartilage &#8211; the double-contour sign&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> In CPPD&#44; the hyperechoic deposits are of variable shape and typically localized within the fibrocartilage or hyaline cartilage &#40;parallel to the surface of the cartilage&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> Moreover&#44; ultrasonography showed higher sensitivity than radiography and similar accuracy to synovial fluid analysis for detecting CPPD&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">6&#44;7</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-10-29"
    "fechaAceptado" => "2017-10-31"
    "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" => 2747
            "Ancho" => 1500
            "Tamanyo" => 269950
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ultrasound images of the right wrist&#46; &#40;A&#41; Longitudinal view of the distal ulna&#44; with grey-scale grade 2 synovitis of the distal radio-ulnar joint &#40;asterisk&#41;&#46; &#40;B&#41; Transverse view of the distal radio-ulnar joint&#44; with an intrahyaline hyperechoic band parallel to the surface of the distal ulnar cartilage &#40;arrows&#41;&#46; &#40;C&#41; Several hyperechoic spots with a &#8220;punctate pattern&#8221; of the triangular fibrocartilage complex &#40;arrow heads&#41;&#46; L &#8211; lunate&#59; R &#8211; radium&#59; U &#8211; ulna&#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" => 2258
            "Ancho" => 1500
            "Tamanyo" => 596639
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Radiography images of the wrists&#46; &#40;A&#41; Anteroposterior projection&#44; with radio-carpal joint space narrowing and subchondral sclerosis of the radium of the right wrist&#46; &#40;B&#41; Detail of the right wrist&#44; with linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;arrows&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:7 [
            0 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Synovial fluid findings and demographic analysis of patient with coexistent intra-articular monosodium urate and calcium pyrophosphate crystals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;L&#46; Heselden"
                            1 => "A&#46;J&#46; Freemon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/RHU.0000000000000321"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Rheumatol"
                        "fecha" => "2016"
                        "volumen" => "22"
                        "paginaInicial" => "68"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26906297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "European League Against Rheumatism recommendations for calcium pyrophosphate deposition&#46; Part I&#58; Terminology and diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; Zhang"
                            1 => "M&#46; Doherty"
                            2 => "T&#46; Bardin"
                            3 => "V&#46; Barskova"
                            4 => "P&#46;-A&#46; Guerne"
                            5 => "T&#46;L&#46; Jansen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2010.139105"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2011"
                        "volumen" => "70"
                        "paginaInicial" => "563"
                        "paginaFinal" => "570"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21216817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "2015 Gout classification criteria&#58; an American College of Rheumatology&#47;European League Against Rheumatism collaborative initiative"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Neogi"
                            1 => "T&#46;L&#46; Jansen"
                            2 => "N&#46; Dalbeth"
                            3 => "J&#46; Fransen"
                            4 => "H&#46;R&#46; Schumacher"
                            5 => "D&#46; Berendsen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/annrheumdis-2015-208237"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2015"
                        "volumen" => "74"
                        "paginaInicial" => "1789"
                        "paginaFinal" => "1798"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26359487"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ultrasound-guided procedures&#58; techniques and usefulness in controlling inflammation and disease progression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Koski"
                            1 => "H&#46;B&#46; Hammer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/rheumatology/kes331"
                      "Revista" => array:5 [
                        "tituloSerie" => "Rheumatology &#40;Oxford&#41;"
                        "fecha" => "2012"
                        "volumen" => "51"
                        "paginaInicial" => "vii31"
                        "paginaFinal" => "vii35"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ultrasound in the diagnosis of calcium pyrophosphate dihydrate deposition disease&#46; A systematic literature review and a meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Filippou"
                            1 => "A&#46; Adinolfi"
                            2 => "A&#46; Iagnocco"
                            3 => "E&#46; Filippucci"
                            4 => "M&#46;A&#46; Cimmino"
                            5 => "I&#46; Bertoldi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.joca.2016.01.136"
                      "Revista" => array:6 [
                        "tituloSerie" => "Osteoarthr Cartil"
                        "fecha" => "2016"
                        "volumen" => "24"
                        "paginaInicial" => "973"
                        "paginaFinal" => "981"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26826301"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of ultrasonography and radiography of the wrist for diagnosis of calcium pyrophosphate deposition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Forien"
                            1 => "A&#46; Combier"
                            2 => "A&#46; Gardette"
                            3 => "E&#46; Palazzo"
                            4 => "P&#46; Dieud&#233;"
                            5 => "S&#46; Ottaviani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jbspin.2017.09.006"
                      "Revista" => array:2 [
                        "tituloSerie" => "Jt Bone Spine"
                        "fecha" => "2017"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic accuracy of ultrasound&#44; conventional radiography and synovial fluid analysis in the diagnosis of calcium pyrophosphate dihydrate crystal deposition disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Filippou"
                            1 => "A&#46; Adinolfi"
                            2 => "M&#46;A&#46; Cimmino"
                            3 => "C&#46;A&#46; Scir&#232;"
                            4 => "S&#46; Carta"
                            5 => "S&#46; Lorenzini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Rheumatol"
                        "fecha" => "2016"
                        "volumen" => "34"
                        "paginaInicial" => "254"
                        "paginaFinal" => "260"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26886247"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17302711/v1_201911200727/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "42683"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Reumatolog&#237;a cl&#237;nica en im&#225;genes"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/1699258X/0000001500000006/v1_201911200727/S1699258X17302711/v1_201911200727/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17302711?idApp=UINPBA00004M"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Images in Clinical Rheumatology
Mixed crystal arthropathy of the wrist: The contribution of imaging in the diagnostic approach
Artropatía cristalina mixta de la muñeca: la contribución de la imagen en el enfoque diagnóstico
Nikita Khmelinskii
Autor para correspondencia
nkhmelinskii@gmail.com

Corresponding author.
, Joaquim Polido-Pereira
Rheumatology Department, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisbon Academic Medical Centre, Lisbon, Portugal
Leído
5571
Veces
se ha leído el artículo
2175
Total PDF
3396
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S1699258X17302711"
  "issn" => "1699258X"
  "doi" => "10.1016/j.reuma.2017.10.012"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1148"
  "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" => "2017"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Reumatol Clin. 2019;15:e140-e141"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 540
    "formatos" => array:3 [
      "EPUB" => 27
      "HTML" => 234
      "PDF" => 279
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1699258X17302425"
    "issn" => "1699258X"
    "doi" => "10.1016/j.reuma.2017.09.004"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1131"
    "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" => "sco"
    "cita" => "Reumatol Clin. 2019;15:e142-e143"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 632
      "formatos" => array:3 [
        "EPUB" => 43
        "HTML" => 282
        "PDF" => 307
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>"
      "titulo" => "&#91;<span class="elsevierStyleSup">18</span>F&#93; FDG PET&#47;CT may be a useful adjunct in diagnosis of eosinophilic fasciitis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e142"
          "paginaFinal" => "e143"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#91;<span class="elsevierStyleSup">18</span>F&#93; FDG PET&#47;CT puede ser un complemento &#250;til en el diagn&#243;stico de fasciitis eosinof&#237;lica"
        ]
      ]
      "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" => 3275
              "Ancho" => 2500
              "Tamanyo" => 403891
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">FDG-PET&#47;CT revealed a diffuse and symmetrical FDG uptake in the fasciae of the lower limbs&#44; clearly illustrating the anatomical involvement of the disease&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Javier Narv&#225;ez, Pablo Juarez, Isabel Morales Ivorra, Laura Rodriguez Bel, Jesus Rodriguez Moreno, Montserrat Romera"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Javier"
              "apellidos" => "Narv&#225;ez"
            ]
            1 => array:2 [
              "nombre" => "Pablo"
              "apellidos" => "Juarez"
            ]
            2 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Morales Ivorra"
            ]
            3 => array:2 [
              "nombre" => "Laura"
              "apellidos" => "Rodriguez Bel"
            ]
            4 => array:2 [
              "nombre" => "Jesus"
              "apellidos" => "Rodriguez Moreno"
            ]
            5 => array:2 [
              "nombre" => "Montserrat"
              "apellidos" => "Romera"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17302425?idApp=UINPBA00004M"
    "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17302425/v1_201911200727/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1699258X17303005"
    "issn" => "1699258X"
    "doi" => "10.1016/j.reuma.2017.11.012"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1163"
    "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" => "sco"
    "cita" => "Reumatol Clin. 2019;15:e138-e139"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1490
      "formatos" => array:3 [
        "EPUB" => 53
        "HTML" => 1000
        "PDF" => 437
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Reumatolog&#237;a Cl&#237;nica en im&#225;genes</span>"
      "titulo" => "Hipocratismo digital&#58; paciente con osteoartropat&#237;a hipertr&#243;fica y presencia de acro-oste&#243;lisis"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "e138"
          "paginaFinal" => "e139"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Digital clubbing&#58; A patient with hypertrophic osteoarthropathy and the presence of acro-osteolysis"
        ]
      ]
      "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" => 2000
              "Tamanyo" => 149230
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A&#41; Radiograf&#237;a anteroposterior de ambas manos&#46; Aumento de partes blandas a nivel de falanges distales&#46; Marcados cambios destructivos con acro-oste&#243;lisis en todas las falanges distales &#40;flechas&#41;&#44; con formaci&#243;n de superficies planas en quinta falange bilateral&#44; proliferaci&#243;n &#243;sea a nivel de radio izquierdo y m&#225;s discreta en base de varias falanges distales &#40;puntas de flecha&#41;&#46; B&#41; Radiograf&#237;a oblicua del pie derecho&#46; Reabsorci&#243;n de falanges distales de todos los dedos con formaci&#243;n de superficies planas &#40;flechas&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ismael Calero-Paniagua, Lu&#237;s Miguel Prieto-Ga&#241;&#225;n, Dami&#225;n Mora-Pe&#241;a, Francisco Ram&#243;n Egea-Aldana"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ismael"
              "apellidos" => "Calero-Paniagua"
            ]
            1 => array:2 [
              "nombre" => "Lu&#237;s Miguel"
              "apellidos" => "Prieto-Ga&#241;&#225;n"
            ]
            2 => array:2 [
              "nombre" => "Dami&#225;n"
              "apellidos" => "Mora-Pe&#241;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco Ram&#243;n"
              "apellidos" => "Egea-Aldana"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173574319300206"
        "doi" => "10.1016/j.reumae.2019.02.002"
        "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/S2173574319300206?idApp=UINPBA00004M"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17303005?idApp=UINPBA00004M"
    "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17303005/v1_201911200727/es/main.assets"
  ]
  "en" => array:16 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>"
    "titulo" => "Mixed crystal arthropathy of the wrist&#58; The contribution of imaging in the diagnostic approach"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "e140"
        "paginaFinal" => "e141"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Nikita Khmelinskii, Joaquim Polido-Pereira"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "Nikita"
            "apellidos" => "Khmelinskii"
            "email" => array:1 [
              0 => "nkhmelinskii@gmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "Joaquim"
            "apellidos" => "Polido-Pereira"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Rheumatology Department&#44; Hospital de Santa Maria&#44; Centro Hospitalar Lisboa Norte&#44; Lisbon Academic Medical Centre&#44; Lisbon&#44; Portugal"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Artropat&#237;a cristalina mixta de la mu&#241;eca&#58; la contribuci&#243;n de la imagen en el enfoque diagn&#243;stico"
      ]
    ]
    "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" => 2258
            "Ancho" => 1500
            "Tamanyo" => 596639
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Radiography images of the wrists&#46; &#40;A&#41; Anteroposterior projection&#44; with radio-carpal joint space narrowing and subchondral sclerosis of the radium of the right wrist&#46; &#40;B&#41; Detail of the right wrist&#44; with linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;arrows&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 40-year-old man with a history of binge drinking and childhood right wrist fracture presented with acute pain&#44; oedema and functional impotence of the right wrist&#46; On physical examination&#44; erythema and oedema of the distal forearm and wrist&#44; and pain elicited by wrist pronation&#47;supination were noted&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Ultrasound examination revealed distal radio-ulnar synovitis&#44; a hyperechoic band within the distal cubital cartilage&#44; and several hyperechoic spots of the triangular fibrocartilage complex &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; compatible with calcium pyrophosphate dihydrate &#40;CPP&#41; crystal deposition &#40;CPPD&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Plain radiography showed radio-carpal joint space narrowing&#44; subchondral sclerosis of the joint margins&#44; and linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Ultrasound-guided joint aspiration was performed&#46; Polarized microscopy of the synovial fluid showed numerous monosodium urate monohydrate &#40;MU&#41; and rare CPP crystals&#46; The patient&#39;s uric acid level was 9&#46;1<span class="elsevierStyleHsp" style=""></span>mg&#47;dL&#46; No other metabolic abnormalities were noted&#46; Treatment with colchicine ensured rapid symptom relief and urate-lowering therapy with allopurinol was started four weeks later&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Up to 2&#46;5&#37; of patients with crystal induced arthritis may have coexistent CPP and MU crystals&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> The identification of characteristic birefringent crystals remains essential for the diagnosis of CPPD or gout&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2&#44;3</span></a> Ultrasonography is a valuable tool for performing guided intra or periarticular diagnostic and therapeutic injections&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> Likewise&#44; growing evidence on its utility in identifying crystal deposits has led to the incorporation of ultrasound findings in CPPD and gout classification criteria&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2&#44;3</span></a> In gout&#44; the deposits appear as an irregular hyperechoic enhancement over the surface of the hyaline cartilage &#8211; the double-contour sign&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">3</span></a> In CPPD&#44; the hyperechoic deposits are of variable shape and typically localized within the fibrocartilage or hyaline cartilage &#40;parallel to the surface of the cartilage&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> Moreover&#44; ultrasonography showed higher sensitivity than radiography and similar accuracy to synovial fluid analysis for detecting CPPD&#46;<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">6&#44;7</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare they have no conflicts of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:2 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
        1 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-10-29"
    "fechaAceptado" => "2017-10-31"
    "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" => 2747
            "Ancho" => 1500
            "Tamanyo" => 269950
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ultrasound images of the right wrist&#46; &#40;A&#41; Longitudinal view of the distal ulna&#44; with grey-scale grade 2 synovitis of the distal radio-ulnar joint &#40;asterisk&#41;&#46; &#40;B&#41; Transverse view of the distal radio-ulnar joint&#44; with an intrahyaline hyperechoic band parallel to the surface of the distal ulnar cartilage &#40;arrows&#41;&#46; &#40;C&#41; Several hyperechoic spots with a &#8220;punctate pattern&#8221; of the triangular fibrocartilage complex &#40;arrow heads&#41;&#46; L &#8211; lunate&#59; R &#8211; radium&#59; U &#8211; ulna&#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" => 2258
            "Ancho" => 1500
            "Tamanyo" => 596639
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Radiography images of the wrists&#46; &#40;A&#41; Anteroposterior projection&#44; with radio-carpal joint space narrowing and subchondral sclerosis of the radium of the right wrist&#46; &#40;B&#41; Detail of the right wrist&#44; with linear calcifications of the distal radio-ulnar and radio-carpal joints &#40;arrows&#41;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:7 [
            0 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Synovial fluid findings and demographic analysis of patient with coexistent intra-articular monosodium urate and calcium pyrophosphate crystals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;L&#46; Heselden"
                            1 => "A&#46;J&#46; Freemon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/RHU.0000000000000321"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Rheumatol"
                        "fecha" => "2016"
                        "volumen" => "22"
                        "paginaInicial" => "68"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26906297"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "European League Against Rheumatism recommendations for calcium pyrophosphate deposition&#46; Part I&#58; Terminology and diagnosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; Zhang"
                            1 => "M&#46; Doherty"
                            2 => "T&#46; Bardin"
                            3 => "V&#46; Barskova"
                            4 => "P&#46;-A&#46; Guerne"
                            5 => "T&#46;L&#46; Jansen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/ard.2010.139105"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2011"
                        "volumen" => "70"
                        "paginaInicial" => "563"
                        "paginaFinal" => "570"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21216817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "2015 Gout classification criteria&#58; an American College of Rheumatology&#47;European League Against Rheumatism collaborative initiative"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "T&#46; Neogi"
                            1 => "T&#46;L&#46; Jansen"
                            2 => "N&#46; Dalbeth"
                            3 => "J&#46; Fransen"
                            4 => "H&#46;R&#46; Schumacher"
                            5 => "D&#46; Berendsen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/annrheumdis-2015-208237"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Rheum Dis"
                        "fecha" => "2015"
                        "volumen" => "74"
                        "paginaInicial" => "1789"
                        "paginaFinal" => "1798"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26359487"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ultrasound-guided procedures&#58; techniques and usefulness in controlling inflammation and disease progression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Koski"
                            1 => "H&#46;B&#46; Hammer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/rheumatology/kes331"
                      "Revista" => array:5 [
                        "tituloSerie" => "Rheumatology &#40;Oxford&#41;"
                        "fecha" => "2012"
                        "volumen" => "51"
                        "paginaInicial" => "vii31"
                        "paginaFinal" => "vii35"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ultrasound in the diagnosis of calcium pyrophosphate dihydrate deposition disease&#46; A systematic literature review and a meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Filippou"
                            1 => "A&#46; Adinolfi"
                            2 => "A&#46; Iagnocco"
                            3 => "E&#46; Filippucci"
                            4 => "M&#46;A&#46; Cimmino"
                            5 => "I&#46; Bertoldi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.joca.2016.01.136"
                      "Revista" => array:6 [
                        "tituloSerie" => "Osteoarthr Cartil"
                        "fecha" => "2016"
                        "volumen" => "24"
                        "paginaInicial" => "973"
                        "paginaFinal" => "981"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26826301"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comparison of ultrasonography and radiography of the wrist for diagnosis of calcium pyrophosphate deposition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Forien"
                            1 => "A&#46; Combier"
                            2 => "A&#46; Gardette"
                            3 => "E&#46; Palazzo"
                            4 => "P&#46; Dieud&#233;"
                            5 => "S&#46; Ottaviani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jbspin.2017.09.006"
                      "Revista" => array:2 [
                        "tituloSerie" => "Jt Bone Spine"
                        "fecha" => "2017"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnostic accuracy of ultrasound&#44; conventional radiography and synovial fluid analysis in the diagnosis of calcium pyrophosphate dihydrate crystal deposition disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Filippou"
                            1 => "A&#46; Adinolfi"
                            2 => "M&#46;A&#46; Cimmino"
                            3 => "C&#46;A&#46; Scir&#232;"
                            4 => "S&#46; Carta"
                            5 => "S&#46; Lorenzini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Rheumatol"
                        "fecha" => "2016"
                        "volumen" => "34"
                        "paginaInicial" => "254"
                        "paginaFinal" => "260"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26886247"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/1699258X/0000001500000006/v1_201911200727/S1699258X17302711/v1_201911200727/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "42683"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Reumatolog&#237;a cl&#237;nica en im&#225;genes"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/1699258X/0000001500000006/v1_201911200727/S1699258X17302711/v1_201911200727/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X17302711?idApp=UINPBA00004M"
]
Información del artículo
ISSN: 1699258X
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 14 10 24
2024 Octubre 62 17 79
2024 Septiembre 42 9 51
2024 Agosto 68 36 104
2024 Julio 43 43 86
2024 Junio 60 43 103
2024 Mayo 83 14 97
2024 Abril 73 33 106
2024 Marzo 63 48 111
2024 Febrero 48 35 83
2024 Enero 37 20 57
2023 Diciembre 41 32 73
2023 Noviembre 57 26 83
2023 Octubre 54 31 85
2023 Septiembre 76 40 116
2023 Agosto 54 11 65
2023 Julio 57 33 90
2023 Junio 65 30 95
2023 Mayo 53 27 80
2023 Abril 49 14 63
2023 Marzo 61 37 98
2023 Febrero 71 28 99
2023 Enero 67 19 86
2022 Diciembre 82 44 126
2022 Noviembre 67 44 111
2022 Octubre 52 23 75
2022 Septiembre 59 48 107
2022 Agosto 41 53 94
2022 Julio 38 43 81
2022 Junio 43 39 82
2022 Mayo 38 42 80
2022 Abril 64 44 108
2022 Marzo 54 47 101
2022 Febrero 57 34 91
2022 Enero 76 48 124
2021 Diciembre 66 39 105
2021 Noviembre 79 52 131
2021 Octubre 100 45 145
2021 Septiembre 61 50 111
2021 Agosto 36 47 83
2021 Julio 48 47 95
2021 Junio 55 47 102
2021 Mayo 49 56 105
2021 Abril 72 57 129
2021 Marzo 69 36 105
2021 Febrero 48 28 76
2021 Enero 45 37 82
2020 Diciembre 29 31 60
2020 Noviembre 53 32 85
2020 Octubre 52 16 68
2020 Septiembre 87 37 124
2020 Agosto 80 23 103
2020 Julio 52 19 71
2020 Junio 40 16 56
2020 Mayo 69 34 103
2020 Marzo 3 2 5
2020 Febrero 0 1 1
2020 Enero 2 0 2
2019 Diciembre 2 2 4
2019 Junio 0 1 1
2019 Mayo 52 33 85
2019 Abril 34 23 57
2019 Marzo 26 21 47
2019 Febrero 34 11 45
2019 Enero 36 18 54
2018 Diciembre 48 47 95
2018 Noviembre 0 14 14
2018 Octubre 0 9 9
2018 Septiembre 0 5 5
2018 Agosto 0 8 8
2018 Julio 0 8 8
2018 Marzo 0 15 15
2018 Febrero 0 17 17
2018 Enero 0 12 12
2017 Diciembre 0 26 26
2017 Noviembre 0 8 8
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Reumatología Clínica
es en

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

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