array:23 [
  "pii" => "S1578219008702142"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(08)70214-2"
  "estado" => "S300"
  "fechaPublicacion" => "2008-03-01"
  "aid" => "70214"
  "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2008;99:138-44"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3460
    "formatos" => array:3 [
      "EPUB" => 35
      "HTML" => 1702
      "PDF" => 1723
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219008702154"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70215-4"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70215"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:145-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3008
      "formatos" => array:3 [
        "EPUB" => 33
        "HTML" => 1494
        "PDF" => 1481
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Perifollicular Xanthomatosis as a Key Histological Finding in Fox-Fordyce Disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "145"
          "paginaFinal" => "148"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Xantomatosis Perifolicular&#58; Hallazgo Histol&#243;gico Clave en la Enfermedad de Fox-Fordyce"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Mataix, J&#46;F&#46; Silvestre, M&#46; Niveiro, A&#46; Lucas, M&#46; P&#233;rez-Crespo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Mataix"
            ]
            1 => array:2 [
              "nombre" => "J&#46;F&#46;"
              "apellidos" => "Silvestre"
            ]
            2 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Niveiro"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Lucas"
            ]
            4 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "P&#233;rez-Crespo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702154?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702154/v1_201304241426/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219008702130"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70213-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70213"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:134-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3738
      "formatos" => array:3 [
        "EPUB" => 35
        "HTML" => 1925
        "PDF" => 1778
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Keratoderma Palmoplantaris Varians &#40;Striata et Areata&#41;&#46; A Form of Chronic Idiopathic Acrokeratosis Described by Degos"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "134"
          "paginaFinal" => "137"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Queratodermia Palmoplantar Varians &#40;<span class="elsevierStyleItalic">Striata Et Areata</span>&#41; Tipo Acroqueratosis Esencial Cr&#243;nica de Degos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Padial, V&#46; Morales, J&#46;C&#46; Armario-Hita, J&#46;L&#46; Ingunza, J&#46;M&#46; Fern&#225;ndez-Vozmediano"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Padial"
            ]
            1 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Morales"
            ]
            2 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "apellidos" => "Armario-Hita"
            ]
            3 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ingunza"
            ]
            4 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Fern&#225;ndez-Vozmediano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702130?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702130/v1_201304241426/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
    "titulo" => "Waldenstr&#246;m Macroglobulinemia Associated With Cutaneous Lesions and Type I Cryoglobulinemia"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "138"
        "paginaFinal" => "144"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46; del Olmo, A&#46; Espa&#241;a, M&#46;A&#46; Idoate, C&#46; Panizo"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "del Olmo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          1 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Espa&#241;a"
            "email" => array:1 [
              0 => "aespana&#64;unav&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Idoate"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Panizo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff3"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Departamento de Dermatolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Anatom&#237;a Patol&#243;gica&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
          2 => array:3 [
            "entidad" => "Departamento de Hematolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff3"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Departamento de Dermatolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44; Facultat de Medicina&#44; Universidad de Navarra&#44; Apartado 4209 31080 Pamplona&#44; Navarra&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Macroglobulinemia de Waldenstr&#246;m Asociada a Lesiones Cut&#225;neas y Crioglobulinemia Tipo IA"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2007-04-03"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec84117"
          "palabras" => array:2 [
            0 => "Waldenstr&#246;m macroglobulinemia"
            1 => "IgM antibodies"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84118"
          "palabras" => array:2 [
            0 => "macroglobulinemia de Waldenstr&#246;m"
            1 => "anticuerpos IgM"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Waldenstr&#246;m macroglobulinemia is a blood dyscrasia characterized by monoclonal proliferation of B cells in the bone marrow&#44; lymph nodes&#44; and spleen&#46; Patients with this disease show elevated serum levels and tissue deposition of monoclonal immunoglobulin &#40;Ig&#41; M produced by these aberrant cells&#46; We present the case of a patient with Waldenstr&#246;m macroglobulinemia who suffered cutaneous lesions resulting from deposition of &#35;k light chains of IgM and clinical manifestations secondary to associated type I cryoglobulinemia&#46; We discuss the different pathological cutaneous processes caused by IgM in Waldenstr&#246;m macroglobulinemia&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La macroglobulinemia de Waldenstr&#246;m &#40;MW&#41; es una discrasia sangu&#237;nea caracterizada por la proliferaci&#243;n monoclonal de c&#233;lulas linfoplasmocitarias en la m&#233;dula &#243;sea&#44; ganglios linf&#225;ticos y bazo&#46; Estos pacientes tienen niveles elevados en suero y dep&#243;sito en tejidos de la inmunoglobulina &#40;Ig&#41; M&#44; de tipo monoclonal&#44; producida por estas c&#233;lulas aberrantes&#46; Presentamos el caso de un paciente afecto de MW&#44; con lesiones cut&#225;neas debidas al dep&#243;sito de cadenas ligeras Kappa de IgM y con manifestaciones cl&#237;nicas secundarias a la crioglobulinemia tipo I que el paciente ten&#237;a asociada&#46; Discutimos los distintos proceso patol&#243;gicos cut&#225;neos provocados por la IgM en la MW&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;F&#46; Deuel"
                            1 => "P&#46; Davis"
                            2 => "L&#46;V&#46; Avioli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1983"
                        "volumen" => "143"
                        "paginaInicial" => "2946"
                        "paginaFinal" => "2951"
                        "itemHostRev" => array:3 [
                          "pii" => "S1474442209702996"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous manifestations as initial presentation of Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Abdallah-Lotf"
                            1 => "C&#46; Bourgeois-Droin"
                            2 => "V&#46; Perronne"
                            3 => "N&#46; Fouchard"
                            4 => "S&#46; Michael"
                            5 => "E&#46; Launay-Russ"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:8 [
                        "tituloSerie" => "Eur J Dermatol"
                        "fecha" => "2003"
                        "volumen" => "13"
                        "numero" => "1"
                        "paginaInicial" => "90"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12609792"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673608610752"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Dimopoulos"
                            1 => "R&#46; Alexanian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Blood"
                        "fecha" => "1994"
                        "volumen" => "83"
                        "paginaInicial" => "1452"
                        "paginaFinal" => "1459"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8123836"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Monoclonal gammopathies and associated skin disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;S&#46; Daoud"
                            1 => "J&#46;A&#46; Lust"
                            2 => "R&#46;A&#46; Kyle"
                            3 => "M&#46;R&#46; Pittelkow"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "paginaInicial" => "507"
                        "paginaFinal" => "535"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10188670"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Specific cutaneous manifestations of Waldenstr&#246;m&#39;s macroglobulinemia&#58; a report of two cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Mascaro"
                            1 => "E&#46; Monserrat"
                            2 => "T&#46; Estrach"
                            3 => "E&#46; Feliu"
                            4 => "J&#46; Ferrando"
                            5 => "T&#46; Castel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1982"
                        "volumen" => "106"
                        "paginaInicial" => "217"
                        "paginaFinal" => "222"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6800395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;W&#46; Hanke"
                            1 => "W&#46;D&#46; Steck"
                            2 => "W&#46;F&#46; Bergfeld"
                            3 => "R&#46; Valenzuela"
                            4 => "J&#46;K&#46; Weick"
                            5 => "J&#46;R&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1980"
                        "volumen" => "116"
                        "paginaInicial" => "575"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6769394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia&#58; report of a case and overview of the spectrum of cutaneous disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;F&#46; Libow"
                            1 => "J&#46;P&#46; Mawhinney"
                            2 => "G&#46;T&#46; Bassinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2001"
                        "volumen" => "45"
                        "numero" => "Suppl 6"
                        "paginaInicial" => "S202"
                        "paginaFinal" => "S206"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11712059"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Chan"
                            1 => "E&#46; Calonje"
                            2 => "J&#46; Whittaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2003"
                        "volumen" => "28"
                        "paginaInicial" => "491"
                        "paginaFinal" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12950334"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Beitrag zur makroglobulin&#228;mie Waldenst&#246;m mit kutaner tumormanifestation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46; Baudach"
                            1 => "K&#46; Schulz"
                            2 => "E&#46; Moldenhauer"
                            3 => "K&#46; Tessmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Zschr Inn Med"
                        "fecha" => "1970"
                        "volumen" => "25"
                        "paginaInicial" => "604"
                        "paginaFinal" => "608"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous manifestations of Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1989"
                        "volumen" => "121"
                        "paginaInicial" => "55"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin lesions in Waldenstr&#246;m&#39;s macroglobulinemia&#58; characterization of the cellular infiltrate"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Bergrouth"
                            1 => "S&#46; Reitamo"
                            2 => "Y&#46;T&#46; Konttinen"
                            3 => "O&#46; Wegelius"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Med Scan"
                        "fecha" => "1981"
                        "volumen" => "209"
                        "paginaInicial" => "129"
                        "paginaFinal" => "131"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia&#58; a report of a case successfully treated with radiotherapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46;F&#46; Orengo"
                            1 => "A&#46;H&#46; Kettler"
                            2 => "S&#46; Bruce"
                            3 => "M&#46;L&#46; Levy"
                            4 => "T&#46; Rosen"
                            5 => "J&#46; Tschen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1987"
                        "volumen" => "60"
                        "paginaInicial" => "1341"
                        "paginaFinal" => "1345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3113711"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Macular skin lesion and monoclonal lymphoplasmacytoid infiltrates&#58; occurrence in primary Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46; Mozzanica"
                            1 => "A&#46;F&#46; Finzi"
                            2 => "G&#46; Faccetti"
                            3 => "M&#46;L&#46; Villa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1984"
                        "volumen" => "120"
                        "paginaInicial" => "778"
                        "paginaFinal" => "781"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6426407"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Immunchemische untersuchung der paraproteinbildung im hauttumor"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;G&#46; Meiers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-0028-1110829"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dtsch Med Wochenschr"
                        "fecha" => "1968"
                        "volumen" => "93"
                        "paginaInicial" => "1795"
                        "paginaFinal" => "1800"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4175143"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinaemia in transformation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Appenzeller"
                            1 => "C&#46;P&#46; Leith"
                            2 => "K&#46; Foucar"
                            3 => "A&#46;A&#46; Scott"
                            4 => "C&#46;F&#46; Bigler"
                            5 => "C&#46;T&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "1999"
                        "volumen" => "21"
                        "paginaInicial" => "151"
                        "paginaFinal" => "155"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10218675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acquired immunobullous disease&#58; A cutaneous manifestation of IgM macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;J&#46; Whitataker"
                            1 => "B&#46;S&#46; Bhogal"
                            2 => "M&#46;M&#46; Black"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1998"
                        "volumen" => "135"
                        "paginaInicial" => "283"
                        "paginaFinal" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8881675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bullous pemphigoid due to a 19S monoclonal paraprotein in a patient with Waldenstr&#246;m&#39;s &#40;abstract&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;D&#46; Wuepper"
                            1 => "D&#46;J&#46; Key"
                            2 => "P&#46;J&#46; Kane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Res"
                        "fecha" => "1978"
                        "volumen" => "26"
                        "paginaInicial" => "579A"
                        "itemHostRev" => array:3 [
                          "pii" => "S1474442209701395"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bullous dermatosis associated with dysglobulinemia &#40;two cases&#41;&#58; relationships with epidermolysis bullosa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Gompel"
                            1 => "O&#46; Bletry"
                            2 => "Y&#46; de Prost"
                            3 => "J&#46; Wechsler"
                            4 => "B&#46; Wechsler"
                            5 => "P&#46; Lebon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Biomed Pharmacother"
                        "fecha" => "1982"
                        "volumen" => "36"
                        "paginaInicial" => "199"
                        "paginaFinal" => "203"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6762227"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of acquired autoimmune bullous disease associated with IgM macroglobulinaemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Morita"
                            1 => "K&#46; Horiuchi"
                            2 => "S&#46; Yamamoto"
                            3 => "T&#46; Hashimoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "1999"
                        "volumen" => "26"
                        "paginaInicial" => "671"
                        "paginaFinal" => "676"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10554434"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Examination of cutaneous macroglobulinosis by immunoelectron microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Lipsker"
                            1 => "B&#46; Cribier"
                            2 => "N&#46; Boehm"
                            3 => "E&#46; Heid"
                            4 => "E&#46; Grosshans"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1996"
                        "volumen" => "135"
                        "paginaInicial" => "287"
                        "paginaFinal" => "291"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8881676"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Macroglobulinemia cutis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;E&#46; Tichenor"
                            1 => "J&#46;M&#46; Rau"
                            2 => "F&#46;A&#46; Mantz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1978"
                        "volumen" => "114"
                        "paginaInicial" => "280"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/415666"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1552526007006176"
                          "estado" => "S300"
                          "issn" => "15525260"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; Hanke"
                            1 => "W&#46;D&#46; Steck"
                            2 => "W&#46;F&#46; Bergfeld"
                            3 => "R&#46; Valenzuela"
                            4 => "J&#46;K&#46; Weick"
                            5 => "J&#46;R&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1980"
                        "volumen" => "116"
                        "paginaInicial" => "575"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6769394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis&#58; a case report with unique ultrastructural findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Lowe"
                            1 => "J&#46;E&#46; Fitzpatrick"
                            2 => "J&#46;C&#46; Huff"
                            3 => "P&#46;F&#46; Stanley"
                            4 => "L&#46;E&#46; Golitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1992"
                        "volumen" => "128"
                        "paginaInicial" => "377"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1550371"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia-induced bullous dermatosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;Y&#46; West"
                            1 => "J&#46;E&#46; Fitzpatrick"
                            2 => "K&#46;M&#46; David-Bajar"
                            3 => "S&#46;D&#46; Bennion"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1998"
                        "volumen" => "134"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1131"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9762027"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia with an IgM-k antiepidermal membrane zone antibody"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;W&#46; Cobb"
                            1 => "N&#46; Domloge-Hultsch"
                            2 => "J&#46;N&#46; Frame"
                            3 => "K&#46;B&#46; Yancey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1992"
                        "volumen" => "128"
                        "paginaInicial" => "372"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1550370"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Schnitzler&#39;s syndrome&#58; report a case with progression to Waldenstrom&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Welsh"
                            1 => "B&#46; Tate"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "paginaInicial" => "201"
                        "paginaFinal" => "203"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10570556"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urticarial dermatosis associated with Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;M&#46; Pujol"
                            1 => "M&#46;A&#46; Barnadas"
                            2 => "S&#46; Brunet"
                            3 => "J&#46;M&#46; de Moragas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1989"
                        "volumen" => "20"
                        "paginaInicial" => "855"
                        "paginaFinal" => "857"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2497159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Beitrag zur makroglobulin&#228;mie Waldenstr&#246;m mit kutaner tumormanifestation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46; Baudach"
                            1 => "K&#46; Schulz"
                            2 => "E&#46; Moldenhauer"
                            3 => "K&#46; Tessmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Zschr Inn Med"
                        "fecha" => "1970"
                        "volumen" => "25"
                        "paginaInicial" => "604"
                        "paginaFinal" => "608"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Xanthoma disseminatum and Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Goodenberger"
                            1 => "W&#46;W&#46; Piette"
                            2 => "D&#46;E&#46; Macfarlane"
                            3 => "Z&#46;B&#46; Argenyi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1990"
                        "volumen" => "23"
                        "paginaInicial" => "1015"
                        "paginaFinal" => "1018"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2121806"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "PNP with Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46;K&#46; Perera"
                            1 => "S&#46; Devereux"
                            2 => "G&#46; Mufti"
                            3 => "J&#46; Salisbury"
                            4 => "D&#46; Creamer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2230.2004.01599.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2005"
                        "volumen" => "30"
                        "paginaInicial" => "27"
                        "paginaFinal" => "29"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15663497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702142/v1_201304241426/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6183"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000009900000002/v1_201304241426/S1578219008702142/v1_201304241426/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702142?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Case reports
Waldenström Macroglobulinemia Associated With Cutaneous Lesions and Type I Cryoglobulinemia
Macroglobulinemia de Waldenström Asociada a Lesiones Cutáneas y Crioglobulinemia Tipo IA
J. del Olmoa, A. Españaa,
Autor para correspondencia
aespana@unav.es

Correspondence: Departamento de Dermatología, Clínica Universitaria de Navarra, Facultat de Medicina, Universidad de Navarra, Apartado 4209 31080 Pamplona, Navarra, Spain.
, M.A. Idoateb, C. Panizoc
a Departamento de Dermatología, Clínica Universitaria de Navarra,Facultad de Medicina, Universidad de Navarra, Pamplona, Navarra, Spain
b Departamento de Anatomía Patológica, Clínica Universitaria de Navarra,Facultad de Medicina, Universidad de Navarra, Pamplona, Navarra, Spain
c Departamento de Hematología, Clínica Universitaria de Navarra,Facultad de Medicina, Universidad de Navarra, Pamplona, Navarra, Spain
Leído
7499
Veces
se ha leído el artículo
3872
Total PDF
3627
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S1578219008702142"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(08)70214-2"
  "estado" => "S300"
  "fechaPublicacion" => "2008-03-01"
  "aid" => "70214"
  "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2008;99:138-44"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3460
    "formatos" => array:3 [
      "EPUB" => 35
      "HTML" => 1702
      "PDF" => 1723
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219008702154"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70215-4"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70215"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:145-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3008
      "formatos" => array:3 [
        "EPUB" => 33
        "HTML" => 1494
        "PDF" => 1481
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Perifollicular Xanthomatosis as a Key Histological Finding in Fox-Fordyce Disease"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "145"
          "paginaFinal" => "148"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Xantomatosis Perifolicular&#58; Hallazgo Histol&#243;gico Clave en la Enfermedad de Fox-Fordyce"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Mataix, J&#46;F&#46; Silvestre, M&#46; Niveiro, A&#46; Lucas, M&#46; P&#233;rez-Crespo"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Mataix"
            ]
            1 => array:2 [
              "nombre" => "J&#46;F&#46;"
              "apellidos" => "Silvestre"
            ]
            2 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Niveiro"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Lucas"
            ]
            4 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "P&#233;rez-Crespo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702154?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702154/v1_201304241426/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219008702130"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70213-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70213"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:134-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3738
      "formatos" => array:3 [
        "EPUB" => 35
        "HTML" => 1925
        "PDF" => 1778
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Keratoderma Palmoplantaris Varians &#40;Striata et Areata&#41;&#46; A Form of Chronic Idiopathic Acrokeratosis Described by Degos"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "134"
          "paginaFinal" => "137"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Queratodermia Palmoplantar Varians &#40;<span class="elsevierStyleItalic">Striata Et Areata</span>&#41; Tipo Acroqueratosis Esencial Cr&#243;nica de Degos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Padial, V&#46; Morales, J&#46;C&#46; Armario-Hita, J&#46;L&#46; Ingunza, J&#46;M&#46; Fern&#225;ndez-Vozmediano"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Padial"
            ]
            1 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Morales"
            ]
            2 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "apellidos" => "Armario-Hita"
            ]
            3 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ingunza"
            ]
            4 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Fern&#225;ndez-Vozmediano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702130?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702130/v1_201304241426/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
    "titulo" => "Waldenstr&#246;m Macroglobulinemia Associated With Cutaneous Lesions and Type I Cryoglobulinemia"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "138"
        "paginaFinal" => "144"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46; del Olmo, A&#46; Espa&#241;a, M&#46;A&#46; Idoate, C&#46; Panizo"
        "autores" => array:4 [
          0 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "del Olmo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          1 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Espa&#241;a"
            "email" => array:1 [
              0 => "aespana&#64;unav&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M&#46;A&#46;"
            "apellidos" => "Idoate"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Panizo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff3"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Departamento de Dermatolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Departamento de Anatom&#237;a Patol&#243;gica&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
          2 => array:3 [
            "entidad" => "Departamento de Hematolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44;Facultad de Medicina&#44; Universidad de Navarra&#44; Pamplona&#44; Navarra&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">c</span>"
            "identificador" => "aff3"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Departamento de Dermatolog&#237;a&#44; Cl&#237;nica Universitaria de Navarra&#44; Facultat de Medicina&#44; Universidad de Navarra&#44; Apartado 4209 31080 Pamplona&#44; Navarra&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Macroglobulinemia de Waldenstr&#246;m Asociada a Lesiones Cut&#225;neas y Crioglobulinemia Tipo IA"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2007-04-03"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec84117"
          "palabras" => array:2 [
            0 => "Waldenstr&#246;m macroglobulinemia"
            1 => "IgM antibodies"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84118"
          "palabras" => array:2 [
            0 => "macroglobulinemia de Waldenstr&#246;m"
            1 => "anticuerpos IgM"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Waldenstr&#246;m macroglobulinemia is a blood dyscrasia characterized by monoclonal proliferation of B cells in the bone marrow&#44; lymph nodes&#44; and spleen&#46; Patients with this disease show elevated serum levels and tissue deposition of monoclonal immunoglobulin &#40;Ig&#41; M produced by these aberrant cells&#46; We present the case of a patient with Waldenstr&#246;m macroglobulinemia who suffered cutaneous lesions resulting from deposition of &#35;k light chains of IgM and clinical manifestations secondary to associated type I cryoglobulinemia&#46; We discuss the different pathological cutaneous processes caused by IgM in Waldenstr&#246;m macroglobulinemia&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La macroglobulinemia de Waldenstr&#246;m &#40;MW&#41; es una discrasia sangu&#237;nea caracterizada por la proliferaci&#243;n monoclonal de c&#233;lulas linfoplasmocitarias en la m&#233;dula &#243;sea&#44; ganglios linf&#225;ticos y bazo&#46; Estos pacientes tienen niveles elevados en suero y dep&#243;sito en tejidos de la inmunoglobulina &#40;Ig&#41; M&#44; de tipo monoclonal&#44; producida por estas c&#233;lulas aberrantes&#46; Presentamos el caso de un paciente afecto de MW&#44; con lesiones cut&#225;neas debidas al dep&#243;sito de cadenas ligeras Kappa de IgM y con manifestaciones cl&#237;nicas secundarias a la crioglobulinemia tipo I que el paciente ten&#237;a asociada&#46; Discutimos los distintos proceso patol&#243;gicos cut&#225;neos provocados por la IgM en la MW&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;F&#46; Deuel"
                            1 => "P&#46; Davis"
                            2 => "L&#46;V&#46; Avioli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Intern Med"
                        "fecha" => "1983"
                        "volumen" => "143"
                        "paginaInicial" => "2946"
                        "paginaFinal" => "2951"
                        "itemHostRev" => array:3 [
                          "pii" => "S1474442209702996"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous manifestations as initial presentation of Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Abdallah-Lotf"
                            1 => "C&#46; Bourgeois-Droin"
                            2 => "V&#46; Perronne"
                            3 => "N&#46; Fouchard"
                            4 => "S&#46; Michael"
                            5 => "E&#46; Launay-Russ"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:8 [
                        "tituloSerie" => "Eur J Dermatol"
                        "fecha" => "2003"
                        "volumen" => "13"
                        "numero" => "1"
                        "paginaInicial" => "90"
                        "paginaFinal" => "92"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12609792"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673608610752"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;A&#46; Dimopoulos"
                            1 => "R&#46; Alexanian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Blood"
                        "fecha" => "1994"
                        "volumen" => "83"
                        "paginaInicial" => "1452"
                        "paginaFinal" => "1459"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8123836"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Monoclonal gammopathies and associated skin disorders"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;S&#46; Daoud"
                            1 => "J&#46;A&#46; Lust"
                            2 => "R&#46;A&#46; Kyle"
                            3 => "M&#46;R&#46; Pittelkow"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "paginaInicial" => "507"
                        "paginaFinal" => "535"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10188670"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Specific cutaneous manifestations of Waldenstr&#246;m&#39;s macroglobulinemia&#58; a report of two cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46;M&#46; Mascaro"
                            1 => "E&#46; Monserrat"
                            2 => "T&#46; Estrach"
                            3 => "E&#46; Feliu"
                            4 => "J&#46; Ferrando"
                            5 => "T&#46; Castel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1982"
                        "volumen" => "106"
                        "paginaInicial" => "217"
                        "paginaFinal" => "222"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6800395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46;W&#46; Hanke"
                            1 => "W&#46;D&#46; Steck"
                            2 => "W&#46;F&#46; Bergfeld"
                            3 => "R&#46; Valenzuela"
                            4 => "J&#46;K&#46; Weick"
                            5 => "J&#46;R&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1980"
                        "volumen" => "116"
                        "paginaInicial" => "575"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6769394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia&#58; report of a case and overview of the spectrum of cutaneous disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46;F&#46; Libow"
                            1 => "J&#46;P&#46; Mawhinney"
                            2 => "G&#46;T&#46; Bassinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2001"
                        "volumen" => "45"
                        "numero" => "Suppl 6"
                        "paginaInicial" => "S202"
                        "paginaFinal" => "S206"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11712059"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "I&#46; Chan"
                            1 => "E&#46; Calonje"
                            2 => "J&#46; Whittaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2003"
                        "volumen" => "28"
                        "paginaInicial" => "491"
                        "paginaFinal" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12950334"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Beitrag zur makroglobulin&#228;mie Waldenst&#246;m mit kutaner tumormanifestation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46; Baudach"
                            1 => "K&#46; Schulz"
                            2 => "E&#46; Moldenhauer"
                            3 => "K&#46; Tessmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Zschr Inn Med"
                        "fecha" => "1970"
                        "volumen" => "25"
                        "paginaInicial" => "604"
                        "paginaFinal" => "608"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous manifestations of Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "T&#46; Green"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1989"
                        "volumen" => "121"
                        "paginaInicial" => "55"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin lesions in Waldenstr&#246;m&#39;s macroglobulinemia&#58; characterization of the cellular infiltrate"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "V&#46; Bergrouth"
                            1 => "S&#46; Reitamo"
                            2 => "Y&#46;T&#46; Konttinen"
                            3 => "O&#46; Wegelius"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Med Scan"
                        "fecha" => "1981"
                        "volumen" => "209"
                        "paginaInicial" => "129"
                        "paginaFinal" => "131"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinemia&#58; a report of a case successfully treated with radiotherapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46;F&#46; Orengo"
                            1 => "A&#46;H&#46; Kettler"
                            2 => "S&#46; Bruce"
                            3 => "M&#46;L&#46; Levy"
                            4 => "T&#46; Rosen"
                            5 => "J&#46; Tschen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1987"
                        "volumen" => "60"
                        "paginaInicial" => "1341"
                        "paginaFinal" => "1345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3113711"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Macular skin lesion and monoclonal lymphoplasmacytoid infiltrates&#58; occurrence in primary Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46; Mozzanica"
                            1 => "A&#46;F&#46; Finzi"
                            2 => "G&#46; Faccetti"
                            3 => "M&#46;L&#46; Villa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1984"
                        "volumen" => "120"
                        "paginaInicial" => "778"
                        "paginaFinal" => "781"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6426407"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Immunchemische untersuchung der paraproteinbildung im hauttumor"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "H&#46;G&#46; Meiers"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-0028-1110829"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dtsch Med Wochenschr"
                        "fecha" => "1968"
                        "volumen" => "93"
                        "paginaInicial" => "1795"
                        "paginaFinal" => "1800"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4175143"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous Waldenstr&#246;m&#39;s macroglobulinaemia in transformation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Appenzeller"
                            1 => "C&#46;P&#46; Leith"
                            2 => "K&#46; Foucar"
                            3 => "A&#46;A&#46; Scott"
                            4 => "C&#46;F&#46; Bigler"
                            5 => "C&#46;T&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Dermatopathol"
                        "fecha" => "1999"
                        "volumen" => "21"
                        "paginaInicial" => "151"
                        "paginaFinal" => "155"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10218675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acquired immunobullous disease&#58; A cutaneous manifestation of IgM macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;J&#46; Whitataker"
                            1 => "B&#46;S&#46; Bhogal"
                            2 => "M&#46;M&#46; Black"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1998"
                        "volumen" => "135"
                        "paginaInicial" => "283"
                        "paginaFinal" => "286"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8881675"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bullous pemphigoid due to a 19S monoclonal paraprotein in a patient with Waldenstr&#246;m&#39;s &#40;abstract&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "K&#46;D&#46; Wuepper"
                            1 => "D&#46;J&#46; Key"
                            2 => "P&#46;J&#46; Kane"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Res"
                        "fecha" => "1978"
                        "volumen" => "26"
                        "paginaInicial" => "579A"
                        "itemHostRev" => array:3 [
                          "pii" => "S1474442209701395"
                          "estado" => "S300"
                          "issn" => "14744422"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bullous dermatosis associated with dysglobulinemia &#40;two cases&#41;&#58; relationships with epidermolysis bullosa"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Gompel"
                            1 => "O&#46; Bletry"
                            2 => "Y&#46; de Prost"
                            3 => "J&#46; Wechsler"
                            4 => "B&#46; Wechsler"
                            5 => "P&#46; Lebon"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Biomed Pharmacother"
                        "fecha" => "1982"
                        "volumen" => "36"
                        "paginaInicial" => "199"
                        "paginaFinal" => "203"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6762227"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A case of acquired autoimmune bullous disease associated with IgM macroglobulinaemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Morita"
                            1 => "K&#46; Horiuchi"
                            2 => "S&#46; Yamamoto"
                            3 => "T&#46; Hashimoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Dermatol"
                        "fecha" => "1999"
                        "volumen" => "26"
                        "paginaInicial" => "671"
                        "paginaFinal" => "676"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10554434"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Examination of cutaneous macroglobulinosis by immunoelectron microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Lipsker"
                            1 => "B&#46; Cribier"
                            2 => "N&#46; Boehm"
                            3 => "E&#46; Heid"
                            4 => "E&#46; Grosshans"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "1996"
                        "volumen" => "135"
                        "paginaInicial" => "287"
                        "paginaFinal" => "291"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8881676"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Macroglobulinemia cutis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;E&#46; Tichenor"
                            1 => "J&#46;M&#46; Rau"
                            2 => "F&#46;A&#46; Mantz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1978"
                        "volumen" => "114"
                        "paginaInicial" => "280"
                        "paginaFinal" => "281"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/415666"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1552526007006176"
                          "estado" => "S300"
                          "issn" => "15525260"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; Hanke"
                            1 => "W&#46;D&#46; Steck"
                            2 => "W&#46;F&#46; Bergfeld"
                            3 => "R&#46; Valenzuela"
                            4 => "J&#46;K&#46; Weick"
                            5 => "J&#46;R&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1980"
                        "volumen" => "116"
                        "paginaInicial" => "575"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6769394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cutaneous macroglobulinosis&#58; a case report with unique ultrastructural findings"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "L&#46; Lowe"
                            1 => "J&#46;E&#46; Fitzpatrick"
                            2 => "J&#46;C&#46; Huff"
                            3 => "P&#46;F&#46; Stanley"
                            4 => "L&#46;E&#46; Golitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1992"
                        "volumen" => "128"
                        "paginaInicial" => "377"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1550371"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia-induced bullous dermatosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;Y&#46; West"
                            1 => "J&#46;E&#46; Fitzpatrick"
                            2 => "K&#46;M&#46; David-Bajar"
                            3 => "S&#46;D&#46; Bennion"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1998"
                        "volumen" => "134"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1131"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9762027"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Waldenstr&#246;m&#39;s macroglobulinemia with an IgM-k antiepidermal membrane zone antibody"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;W&#46; Cobb"
                            1 => "N&#46; Domloge-Hultsch"
                            2 => "J&#46;N&#46; Frame"
                            3 => "K&#46;B&#46; Yancey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "1992"
                        "volumen" => "128"
                        "paginaInicial" => "372"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1550370"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Schnitzler&#39;s syndrome&#58; report a case with progression to Waldenstrom&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "B&#46; Welsh"
                            1 => "B&#46; Tate"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "paginaInicial" => "201"
                        "paginaFinal" => "203"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10570556"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urticarial dermatosis associated with Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;M&#46; Pujol"
                            1 => "M&#46;A&#46; Barnadas"
                            2 => "S&#46; Brunet"
                            3 => "J&#46;M&#46; de Moragas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1989"
                        "volumen" => "20"
                        "paginaInicial" => "855"
                        "paginaFinal" => "857"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2497159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Beitrag zur makroglobulin&#228;mie Waldenstr&#246;m mit kutaner tumormanifestation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46; Baudach"
                            1 => "K&#46; Schulz"
                            2 => "E&#46; Moldenhauer"
                            3 => "K&#46; Tessmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Zschr Inn Med"
                        "fecha" => "1970"
                        "volumen" => "25"
                        "paginaInicial" => "604"
                        "paginaFinal" => "608"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Xanthoma disseminatum and Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46; Goodenberger"
                            1 => "W&#46;W&#46; Piette"
                            2 => "D&#46;E&#46; Macfarlane"
                            3 => "Z&#46;B&#46; Argenyi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1990"
                        "volumen" => "23"
                        "paginaInicial" => "1015"
                        "paginaFinal" => "1018"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2121806"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "PNP with Waldenstr&#246;m&#39;s macroglobulinemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46;K&#46; Perera"
                            1 => "S&#46; Devereux"
                            2 => "G&#46; Mufti"
                            3 => "J&#46; Salisbury"
                            4 => "D&#46; Creamer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2230.2004.01599.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "2005"
                        "volumen" => "30"
                        "paginaInicial" => "27"
                        "paginaFinal" => "29"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15663497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702142/v1_201304241426/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6183"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000009900000002/v1_201304241426/S1578219008702142/v1_201304241426/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702142?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 10 18 28
2024 Octubre 82 49 131
2024 Septiembre 83 43 126
2024 Agosto 93 70 163
2024 Julio 57 78 135
2024 Junio 67 96 163
2024 Mayo 61 43 104
2024 Abril 67 49 116
2024 Marzo 61 43 104
2024 Febrero 50 63 113
2024 Enero 40 75 115
2023 Diciembre 43 44 87
2023 Noviembre 42 43 85
2023 Octubre 42 26 68
2023 Septiembre 33 29 62
2023 Agosto 28 38 66
2023 Julio 22 77 99
2023 Junio 36 31 67
2023 Mayo 35 29 64
2023 Abril 20 24 44
2023 Marzo 22 21 43
2023 Febrero 15 36 51
2023 Enero 28 28 56
2022 Diciembre 29 40 69
2022 Noviembre 17 33 50
2022 Octubre 11 16 27
2022 Septiembre 15 33 48
2022 Agosto 12 40 52
2022 Julio 10 27 37
2022 Junio 15 36 51
2022 Mayo 28 42 70
2022 Abril 36 57 93
2022 Marzo 33 59 92
2022 Febrero 28 34 62
2022 Enero 30 39 69
2021 Diciembre 15 36 51
2021 Noviembre 28 44 72
2021 Octubre 26 51 77
2021 Septiembre 23 39 62
2021 Agosto 30 26 56
2021 Julio 32 43 75
2021 Junio 22 31 53
2021 Mayo 29 29 58
2021 Abril 48 59 107
2021 Marzo 68 20 88
2021 Febrero 71 33 104
2021 Enero 34 29 63
2020 Diciembre 18 17 35
2020 Noviembre 20 18 38
2020 Octubre 25 14 39
2020 Septiembre 23 20 43
2020 Agosto 21 27 48
2020 Julio 28 9 37
2020 Junio 19 28 47
2020 Mayo 13 20 33
2020 Abril 14 19 33
2020 Marzo 14 21 35
2020 Febrero 3 13 16
2020 Enero 0 14 14
2019 Diciembre 0 18 18
2019 Noviembre 0 4 4
2019 Octubre 0 9 9
2019 Septiembre 0 9 9
2019 Agosto 0 5 5
2019 Julio 0 23 23
2019 Junio 0 20 20
2019 Mayo 0 137 137
2019 Abril 0 56 56
2019 Marzo 0 8 8
2019 Febrero 0 11 11
2019 Enero 0 5 5
2018 Noviembre 0 2 2
2018 Septiembre 0 5 5
2018 Agosto 0 9 9
2018 Julio 0 4 4
2018 Junio 0 1 1
2018 Mayo 0 11 11
2018 Abril 0 10 10
2018 Marzo 0 8 8
2018 Febrero 21 19 40
2018 Enero 28 21 49
2017 Diciembre 25 21 46
2017 Noviembre 14 24 38
2017 Octubre 17 34 51
2017 Septiembre 24 23 47
2017 Agosto 34 17 51
2017 Julio 22 22 44
2017 Junio 38 68 106
2017 Mayo 28 22 50
2017 Abril 30 22 52
2017 Marzo 34 53 87
2017 Febrero 18 28 46
2017 Enero 18 30 48
2016 Diciembre 29 12 41
2016 Noviembre 15 23 38
2016 Octubre 28 29 57
2016 Septiembre 28 18 46
2016 Agosto 37 12 49
2016 Julio 36 16 52
2016 Junio 7 9 16
2016 Mayo 4 18 22
2016 Abril 8 9 17
2016 Marzo 3 11 14
2016 Febrero 6 4 10
2016 Enero 10 11 21
2015 Diciembre 6 7 13
2015 Noviembre 13 1 14
2015 Octubre 4 4 8
2015 Septiembre 8 2 10
2015 Agosto 11 7 18
2015 Julio 22 15 37
2015 Junio 34 12 46
2015 Mayo 85 25 110
2015 Abril 51 17 68
2015 Marzo 52 24 76
2015 Febrero 18 20 38
2015 Enero 29 15 44
2014 Diciembre 35 26 61
2014 Noviembre 33 20 53
2014 Octubre 27 20 47
2014 Septiembre 28 22 50
2014 Agosto 54 18 72
2014 Julio 38 24 62
2014 Junio 49 16 65
2014 Mayo 41 15 56
2014 Abril 32 13 45
2014 Marzo 42 22 64
2014 Febrero 38 26 64
2014 Enero 33 30 63
2013 Diciembre 22 20 42
2013 Noviembre 39 31 70
2013 Octubre 34 27 61
2013 Septiembre 29 26 55
2013 Agosto 30 36 66
2013 Julio 34 41 75
2013 Junio 34 37 71
2013 Mayo 38 52 90
2013 Abril 29 46 75
2013 Marzo 30 33 63
2013 Febrero 23 17 40
2013 Enero 15 5 20
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Actas Dermo-Sifiliográficas
es en

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

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