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                      "doi" => "10.1111/j.1365-2133.2008.08732.x"
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                      "titulo" => "&#40;Chair of Guideline Group&#41;&#46; British Association of Dermatologists&#8217; guidelines for biologics interventions for psoriasis 2009"
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                      "doi" => "10.1111/j.1365-2133.2009.09505.x"
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                  "referenciaCompleta" => "National electronic Library for Medicines&#46; Usketinumab&#46; &#40;Consultado 17&#47;07&#47;2011&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.nelm.nhs.uk/en/NeLM-Area/Evidence/Drug-Specific-Reviews/ustekinumab/">http&#58;&#47;&#47;www&#46;nelm&#46;nhs&#46;uk&#47;en&#47;NeLM-Area&#47;Evidence&#47;Drug-Specific-Reviews&#47;ustekinumab&#47;</a>&#46;"
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                    0 => array:2 [
                      "titulo" => "The effect of weight on the efficacy of biologic therapy in patients with psoriasis"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Clark"
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                      "doi" => "10.1016/j.jaad.2007.11.011"
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                        "tituloSerie" => "J Am Acad Dermatol"
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                      "titulo" => "Impact of weight on the efficacy and safety of ustekinumab in patients with moderate to severe psoriasis&#58; rationale for dosing recommendations"
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                          "etal" => true
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                            4 => "S&#46; Li"
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                      "doi" => "10.1016/j.jaad.2009.11.012"
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                        "fecha" => "2010"
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                    0 => array:2 [
                      "titulo" => "PHOENIX 1 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 76-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 1&#41;"
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                      "titulo" => "PHOENIX 2 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 52-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 2&#41;"
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Manejo práctico de ustekinumab en la psoriasis moderada-grave
Practical management of ustekinumab in moderate-severe psoriasis
J. Notario
Autor para correspondencia
jnotario@bellvitgehospital.cat

Autor para correspondencia.
, X. Bordas
Servicio de Dermatología. Hospital Universitari de Bellvitge. L’Hospitalet de Llobregat. Barcelona. España
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            "entidad" => "Servicio de Dermatolog&#237;a&#46; Hospital Universitari de Bellvitge&#46; L&#8217;Hospitalet de Llobregat&#46; Barcelona&#46; Espa&#241;a"
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      "en" => array:1 [
        "titulo" => "Practical management of ustekinumab in moderate-severe psoriasis"
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            1 => "Ustekinumab"
            2 => "F&#225;rmacos biol&#243;gicos"
            3 => "Tratamiento combinado"
            4 => "Tr&#225;nsito tratamientos"
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        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Ustekinumab &#40;UST&#41; es hasta la fecha el &#250;ltimo f&#225;rmaco biol&#243;gico aprobado para el tratamiento de la psoriasis&#46; En su manejo pr&#225;ctico nos son &#250;tiles tanto los trabajos con UST como la experiencia previa acumulada con otros agentes&#46; Los estudios previos al tratamiento&#44; as&#237; como su monitorizaci&#243;n y seguimiento presentan semejanzas entre los diferentes f&#225;rmacos biol&#243;gicos&#46; En otros aspectos como el tratamiento combinado o el tr&#225;nsito entre tratamientos&#44; la todav&#237;a corta experiencia con UST nos obliga a tomar decisiones seg&#250;n la pr&#225;ctica seguida con otros agentes biol&#243;gicos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este art&#237;culo es repasar algunos aspectos relacionados con el manejo pr&#225;ctico de UST incidiendo en caracter&#237;sticas diferenciales del f&#225;rmaco e intentar aprovechar el conocimiento de que disponemos con otras terapias biol&#243;gicas para optimizar su uso&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Ustekinumab is the latest biologic agent to be approved for the treatment of psoriasis&#46; Experience is therefore limited&#44; but data from studies of ustekinumab can be complemented by experience with other biologic agents&#46; While the guidelines for pretreatment screening and follow-up practices are similar in all of the biologic therapies&#44; no standardized information on combination therapy or treatment switches is yet available for ustekinumab&#44; and dermatologists thus have to base their decisions on experience with other biologic agents&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This chapter discusses several aspects related to the use of ustekinumab in clinical practice&#46; We focus on the distinguishing characteristics of this drug and discuss how our knowledge and experience with other biologic agents can be used to help optimize the use of ustekinumab&#46;</p>"
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              "identificador" => "bib1"
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                0 => array:1 [
                  "referenciaCompleta" => "Ficha t&#233;cnica de ustekinumab&#46; &#40;Consultado 16&#47;07&#47;2011&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.ema.europa.eu/docs/es_ES/document_library/EPAR_-_Product_Information/human/000958/WC500058513.pdf">http&#58;&#47;&#47;www&#46;ema&#46;europa&#46;eu&#47;docs&#47;es&#95;ES&#47;document&#95;library&#47;EPAR&#95;-&#95;Product&#95;Information&#47;human&#47;000958&#47;WC500058513&#46;pdf</a>&#46;"
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                  "referenciaCompleta" => "Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.accessdata.fda.gov/drugsatfda_docs/label/2009/125261lbl.pdf">http&#58;&#47;&#47;www&#46;accessdata&#46;fda&#46;gov&#47;drugsatfda&#95;docs&#47;label&#47;2009&#47;125261lbl&#46;pdf</a>&#46;"
                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efficacy and tolerability of biologic and nonbiologic systemic treatments for moderate-to-severe psoriasis&#58; meta-analysis of randomized controlled trials"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Schmitt"
                            1 => "Z&#46; Zhang"
                            2 => "G&#46; Wozel"
                            3 => "M&#46; Meurer"
                            4 => "W&#46; Kirch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2008.08732.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2008"
                        "volumen" => "159"
                        "paginaInicial" => "513"
                        "paginaFinal" => "526"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18627372"
                            "web" => "Medline"
                          ]
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              ]
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              "identificador" => "bib4"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Comentarios a las directrices europeas y brit&#225;nicas sobre el tratamiento de la psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Puig"
                            1 => "E&#46; Daud&#233;n"
                            2 => "J&#46;M&#46; Carrascosa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2010"
                        "volumen" => "101"
                        "paginaInicial" => "285"
                        "paginaFinal" => "290"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20487683"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib5"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Grupo Espa&#241;ol de Psoriasis de la Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a&#46; Documento de consenso sobre la evaluaci&#243;n y el tratamiento de la psoriasis moderada&#47;grave del Grupo Espa&#241;ol de Psoriasis de la Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a"
                      "autores" => array:1 [
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Puig"
                            1 => "X&#46; Bordas"
                            2 => "J&#46;M&#46; Carrascosa"
                            3 => "E&#46; Daud&#233;n"
                            4 => "C&#46; Ferr&#225;ndiz"
                            5 => "J&#46;M&#46; Hernanz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
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                        "volumen" => "100"
                        "paginaInicial" => "277"
                        "paginaFinal" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19463230"
                            "web" => "Medline"
                          ]
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                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#40;Chair of Guideline Group&#41;&#46; British Association of Dermatologists&#8217; guidelines for biologics interventions for psoriasis 2009"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;H&#46; Smith"
                            1 => "A&#46;V&#46; Anstey"
                            2 => "J&#46;N&#46; Barker"
                            3 => "A&#46;D&#46; Burden"
                            4 => "R&#46;J&#46; Chalmers"
                            5 => "D&#46;A&#46; Chandler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2009.09505.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2009"
                        "volumen" => "161"
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                        "paginaFinal" => "1019"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19857207"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "National electronic Library for Medicines&#46; Usketinumab&#46; &#40;Consultado 17&#47;07&#47;2011&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.nelm.nhs.uk/en/NeLM-Area/Evidence/Drug-Specific-Reviews/ustekinumab/">http&#58;&#47;&#47;www&#46;nelm&#46;nhs&#46;uk&#47;en&#47;NeLM-Area&#47;Evidence&#47;Drug-Specific-Reviews&#47;ustekinumab&#47;</a>&#46;"
                ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The effect of weight on the efficacy of biologic therapy in patients with psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Clark"
                            1 => "M&#46; Lebwohl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2007.11.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2008"
                        "volumen" => "58"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18083274"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
            ]
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              "identificador" => "bib9"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of weight on the efficacy and safety of ustekinumab in patients with moderate to severe psoriasis&#58; rationale for dosing recommendations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Lebwohl"
                            1 => "N&#46; Yeilding"
                            2 => "P&#46; Szapary"
                            3 => "Y&#46; Wang"
                            4 => "S&#46; Li"
                            5 => "Y&#46; Zhu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2009.11.012"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2010"
                        "volumen" => "63"
                        "paginaInicial" => "571"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20599293"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "PHOENIX 1 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 76-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 1&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;L&#46; Leonardi"
                            1 => "A&#46;B&#46; Kimball"
                            2 => "K&#46;A&#46; Papp"
                            3 => "N&#46; Yeilding"
                            4 => "C&#46; Guzzo"
                            5 => "Y&#46; Wang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(08)60725-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "2008"
                        "volumen" => "371"
                        "paginaInicial" => "1665"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18486739"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
            ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "PHOENIX 2 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 52-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 2&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;A&#46; Papp"
                            1 => "R&#46;G&#46; Langley"
                            2 => "M&#46; Lebwohl"
                            3 => "G&#46;G&#46; Krueger"
                            4 => "P&#46; Szapary"
                            5 => "N&#46; Yeilding"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(08)60726-6"
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                        "tituloSerie" => "Lancet"
                        "fecha" => "2008"
                        "volumen" => "371"
                        "paginaInicial" => "1675"
                        "paginaFinal" => "1684"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18486740"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
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                0 => array:1 [
                  "referenciaCompleta" => "Leonardi C&#44; Sofen H&#44; Yeilding N&#44; Li S&#44; Menter A&#46; Maintenance of Long-term Efficacy of ustekinumab Through Year 3 for Patients with Moderate-to-severe Psoriasis&#46; Poster &#40;P589&#41; presented at&#58; 19th Congress of the European Academy of Dermatology and Venereology&#46; Gotemburgo&#44; 6&#8211;10 Oct 2010&#46;"
                ]
              ]
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              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
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                0 => array:2 [
                  "contribucion" => array:1 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;M&#46; Carrascosa"
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                      ]
                    ]
                  ]
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                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2008"
                        "volumen" => "99"
                        "numero" => "Suppl 1"
                        "paginaInicial" => "37"
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                          ]
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                      ]
                    ]
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                ]
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            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
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                  "referenciaCompleta" => "Paul C&#44; Puig L&#44; Luger T&#44; Lambert J&#44; Chimenti S&#44; Girolomoni G&#44; et al&#46; Ustekinumab is well-tolerated &#38; effective in patients with psoriasis inadequately responsive to methotrexate&#58; Week 12 results from the TRANSIT study&#46; Aceptado como p&#243;ster&#46; XX Congreso AEDV&#46; Lisboa&#44; Oct 2011&#46;"
                ]
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            ]
            14 => array:3 [
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Observational case series on a group of patients with severe psoriasis who failed to respond to antitumour necrosis factor alpha biologics and switched to ustekinumab"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;M&#46; Downs"
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                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
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                        "fecha" => "2010"
                        "volumen" => "163"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20456344"
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                          ]
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Infliximab treatment for psoriasis in 120 patients on therapy for a minimum of one year&#58; a review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "Q&#46;U&#46; Kamili"
                            1 => "A&#46; Miner"
                            2 => "A&#46; Hapa"
                            3 => "A&#46; Menter"
                          ]
                        ]
                      ]
                    ]
                  ]
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                    0 => array:1 [
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                        "tituloSerie" => "J Drugs Dermatol"
                        "fecha" => "2011"
                        "volumen" => "10"
                        "paginaInicial" => "539"
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                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21533302"
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                          ]
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                  ]
                ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Etanercept combined with methotrexate for high-need psoriasis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;J&#46; Driessen"
                            1 => "P&#46;C&#46; Van de Kerkhof"
                            2 => "E&#46;M&#46; De Jong"
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                        ]
                      ]
                    ]
                  ]
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                ]
              ]
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            17 => array:3 [
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Información del artículo
ISSN: 00017310
Idioma original: Español
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