was read the article
array:24 [ "pii" => "S2173574320301167" "issn" => "21735743" "doi" => "10.1016/j.reumae.2018.08.013" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1272" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2020;16:506-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S1699258X18301906" "issn" => "1699258X" "doi" => "10.1016/j.reuma.2018.08.010" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1272" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2020;16:506-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 20 "formatos" => array:2 [ "HTML" => 14 "PDF" => 6 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Reumatología Clínica en imágenes</span>" "titulo" => "Gota tofácea en una mujer" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "506" "paginaFinal" => "507" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tophaceous Gout in a Woman" ] ] "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" => 597 "Ancho" => 900 "Tamanyo" => 53453 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Radiografía de manos: aumento de partes blandas y erosiones.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "María José Pérez Galán, Celia García Jiménez" "autores" => array:2 [ 0 => array:2 [ "nombre" => "María José" "apellidos" => "Pérez Galán" ] 1 => array:2 [ "nombre" => "Celia" "apellidos" => "García Jiménez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173574320301167" "doi" => "10.1016/j.reumae.2018.08.013" "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/S2173574320301167?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X18301906?idApp=UINPBA00004M" "url" => "/1699258X/0000001600000006/v1_202010290752/S1699258X18301906/v1_202010290752/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S217357431930187X" "issn" => "21735743" "doi" => "10.1016/j.reumae.2018.11.017" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1309" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Reumatol Clin. 2020;16:508-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Anemia and eosinophilia secondary to <span class="elsevierStyleItalic">Strongyloides</span> in a patient treated with anti-TNF-alpha" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "508" "paginaFinal" => "509" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Anemia y eosinofilia secundaria a Strongyloides en un paciente tratado con anti-TNF alfa" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Águeda Prior-Español, Silvia Roure, Lourdes Mateo, Melania Martínez-Morillo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Águeda" "apellidos" => "Prior-Español" ] 1 => array:2 [ "nombre" => "Silvia" "apellidos" => "Roure" ] 2 => array:2 [ "nombre" => "Lourdes" "apellidos" => "Mateo" ] 3 => array:2 [ "nombre" => "Melania" "apellidos" => "Martínez-Morillo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X18302638" "doi" => "10.1016/j.reuma.2018.11.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X18302638?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357431930187X?idApp=UINPBA00004M" "url" => "/21735743/0000001600000006/v1_202011251719/S217357431930187X/v1_202011251719/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173574320301179" "issn" => "21735743" "doi" => "10.1016/j.reumae.2018.08.014" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "1275" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología" "documento" => "article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Reumatol Clin. 2020;16:502-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "Coexistence of systemic lupus erythematosus and myasthenia gravis: an unusual case of polyautoimmunity" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "502" "paginaFinal" => "505" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Coexistencia de lupus eritematoso sistémico y miastenia gravis. Una expresión infrecuente de poliautoinmunidad" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1205 "Ancho" => 905 "Tamanyo" => 120606 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Palpebral ptosis in the initial evaluation of the patient and herpes lesions.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carolina García-Alfonso, Santiago Bernal-Macías, Yulieth García-Pardo, Sonia Patricia Millán, María-Claudia Díaz" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Carolina" "apellidos" => "García-Alfonso" ] 1 => array:2 [ "nombre" => "Santiago" "apellidos" => "Bernal-Macías" ] 2 => array:2 [ "nombre" => "Yulieth" "apellidos" => "García-Pardo" ] 3 => array:2 [ "nombre" => "Sonia" "apellidos" => "Patricia Millán" ] 4 => array:2 [ "nombre" => "María-Claudia" "apellidos" => "Díaz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X18301931" "doi" => "10.1016/j.reuma.2018.08.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X18301931?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574320301179?idApp=UINPBA00004M" "url" => "/21735743/0000001600000006/v1_202011251719/S2173574320301179/v1_202011251719/en/main.assets" ] "en" => array:17 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Tophaceous gout in a woman" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "506" "paginaFinal" => "507" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María José Pérez Galán, Celia García Jiménez" "autores" => array:2 [ 0 => array:4 [ "nombre" => "María José" "apellidos" => "Pérez Galán" "email" => array:1 [ 0 => "mjpg77@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Celia" "apellidos" => "García Jiménez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Reumatología, Complejo Hospitalario de Jaén, Jaén, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Gota tofácea en una mujer" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 927 "Ancho" => 905 "Tamanyo" => 84527 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">X-ray image of feet: erosion in the first metatarsophalangeal joints.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Clinical case</span><p id="par0005" class="elsevierStylePara elsevierViewall">A 76 year-old woman, with a history of anaemia and hyperuricemia treated with ferrous sulphate and 100 mg allopurinol per day. She states that she has consumed half a litre of alcohol-free beer per day for 15 years. She states that she has no history of arterial hypertension, no chronic disease and that she does not consume diuretics.</p><p id="par0010" class="elsevierStylePara elsevierViewall">She visited our surgery due to arthralgia in the hands and feet with a crisis of pain and functional impotency in multiple joints that has evolved over more than 15 years. Physical examination found major tophaceous deposits in the hands and feet, most strikingly in the right hand (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), with incapacity of grasping, above all in the right hand.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Analysis detected 7.7 mg/dl uricaemia, while the rest of basic biochemistry was normal. The haemogram, acute phase reagents, rheumatoid factor and anti-citrulline antibodies were normal or negative.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Bone X-ray imaging showed an important increase in the soft parts, with trapping and erosion in the metacarpophalangeal, proximal and distal interphalangeal joints of both hands (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), as well as erosion on the first metatarsal joints and luxation of the 5th left metatarsal joint (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Diagnosis</span><p id="par0025" class="elsevierStylePara elsevierViewall">Tophaceous gout.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Evol ution</span><p id="par0030" class="elsevierStylePara elsevierViewall">Treatment with hygienic and dietary methods was prescribed, with colchicine and an increased dose of allopurinol to maintain uricaemia below 5 mg/dl.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Discussion</span><p id="par0035" class="elsevierStylePara elsevierViewall">Gout arthropathy is more common in men<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> than it is in women, although it is the most frequent inflammatory disease of the joints in post-menopausal women. The first manifestation of the disease is typically acute arthritis.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Tophi are sodium urate monohydrate deposits surrounded by a granulomatous inflammatory reaction. They are a pathognomic characteristic of gout and can be detected by physical examination and/or imaging techniques.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">We present the case of a woman with tophaceous arthropathy. We recall the importance of maintaining suitable levels of uricaemia, as this disease is potentially disabling. We underline that although it occurs more frequently in men, it is the most common inflammatory arthropathy in post-menopausal women.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflict of interests</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Clinical case" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Diagnosis" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Evol ution" ] 3 => array:2 [ "identificador" => "sec0020" "titulo" => "Discussion" ] 4 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of interests" ] 5 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-05-27" "fechaAceptado" => "2018-08-02" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pérez Galán MJ, García Jiménez C. Gota tofácea en una mujer. Reumatol Clin. 2020;16:506–507.</p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 680 "Ancho" => 905 "Tamanyo" => 61701 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tophaceous deposits in the hands.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 602 "Ancho" => 905 "Tamanyo" => 53310 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">X-ray image of hands: increased soft parts and erosion.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 927 "Ancho" => 905 "Tamanyo" => 84527 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">X-ray image of feet: erosion in the first metatarsophalangeal joints.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology of gout in women: Fifty-two-year followup of a prospective cohort" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "V. Bhole" 1 => "Rahman M.M. de VM" 2 => "E. Krishnan" 3 => "H. Choi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/art.27338" "Revista" => array:6 [ "tituloSerie" => "Arthritis Rheum" "fecha" => "2010" "volumen" => "62" "paginaInicial" => "1069" "paginaFinal" => "1076" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20131266" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical practice" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "T. Neogi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Gout N Engl J Med" "fecha" => "2011" "volumen" => "364" "paginaInicial" => "443" "paginaFinal" => "452" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Tophi, mainly in articular, periarticular, bursal, bone, auricular, and cutaneous tissues are a pathognomonic feature of gout, and are detectable by physical exam, and/or by imaging approaches and pathology examination." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000001600000006/v1_202011251719/S2173574320301167/v1_202011251719/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000001600000006/v1_202011251719/S2173574320301167/v1_202011251719/en/main.pdf?idApp=UINPBA00004M&text.app=https://www.reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574320301167?idApp=UINPBA00004M" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 October | 15 | 9 | 24 |
2024 September | 42 | 20 | 62 |
2024 August | 63 | 42 | 105 |
2024 July | 62 | 37 | 99 |
2024 June | 72 | 35 | 107 |
2024 May | 63 | 21 | 84 |
2024 April | 51 | 32 | 83 |
2024 March | 69 | 33 | 102 |
2024 February | 68 | 35 | 103 |
2024 January | 79 | 17 | 96 |
2023 December | 111 | 15 | 126 |
2023 November | 118 | 28 | 146 |
2023 October | 117 | 23 | 140 |
2023 September | 116 | 43 | 159 |
2023 August | 95 | 13 | 108 |
2023 July | 78 | 24 | 102 |
2023 June | 92 | 19 | 111 |
2023 May | 87 | 26 | 113 |
2023 April | 97 | 11 | 108 |
2023 March | 156 | 37 | 193 |
2023 February | 102 | 39 | 141 |
2023 January | 77 | 19 | 96 |
2022 December | 77 | 42 | 119 |
2022 November | 57 | 40 | 97 |
2022 October | 80 | 40 | 120 |
2022 September | 56 | 41 | 97 |
2022 August | 30 | 42 | 72 |
2022 July | 54 | 52 | 106 |
2022 June | 52 | 39 | 91 |
2022 May | 57 | 49 | 106 |
2022 April | 36 | 46 | 82 |
2022 March | 53 | 57 | 110 |
2022 February | 45 | 35 | 80 |
2022 January | 76 | 39 | 115 |
2021 December | 31 | 46 | 77 |
2021 November | 37 | 50 | 87 |
2021 October | 44 | 61 | 105 |
2021 September | 25 | 43 | 68 |
2021 August | 16 | 31 | 47 |
2021 July | 32 | 19 | 51 |
2021 June | 17 | 33 | 50 |
2021 May | 27 | 35 | 62 |