array:23 [
  "pii" => "S1578219008702932"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(08)70293-2"
  "estado" => "S300"
  "fechaPublicacion" => "2008-08-01"
  "aid" => "70293"
  "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2008;99:477-80"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2517
    "formatos" => array:3 [
      "EPUB" => 35
      "HTML" => 1472
      "PDF" => 1010
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219008702944"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70294-4"
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "aid" => "70294"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:481-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2515
      "formatos" => array:3 [
        "EPUB" => 34
        "HTML" => 1528
        "PDF" => 953
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Exacerbation of Skin Lesions During Fever in a Patient With Chronic Infantile Neurologic Cutaneous Articular Syndrome"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "481"
          "paginaFinal" => "484"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome Cinca&#58; Presentaci&#243;n de un Caso Con Exacerbaci&#243;n Febril de Sus Lesiones Cut&#225;neas"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S&#46; Abo&#237;n-Gonz&#225;lez, I&#46; Aldanondo-Fern&#225;ndez de la Mora, C&#46;R&#46; Garc&#237;a-Acebes, R&#46; Carrillo-Gij&#243;n, A&#46; Harto-Casta&#241;o, P&#46; Ja&#233;n-Olasolo"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Abo&#237;n-Gonz&#225;lez"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Aldanondo-Fern&#225;ndez de la Mora"
            ]
            2 => array:2 [
              "nombre" => "C&#46;R&#46;"
              "apellidos" => "Garc&#237;a-Acebes"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Carrillo-Gij&#243;n"
            ]
            4 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Harto-Casta&#241;o"
            ]
            5 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Ja&#233;n-Olasolo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702944?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702944/v1_201304241435/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219008702920"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70292-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "aid" => "70292"
    "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;99:474-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3292
      "formatos" => array:3 [
        "EPUB" => 33
        "HTML" => 1403
        "PDF" => 1856
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Rhabdomyomatous Mesenchymal Hamartoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "474"
          "paginaFinal" => "476"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hamartoma Mesenquimal Rabdomiomatoso"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;A&#46; D&#237;az-P&#233;rez, C&#46;A&#46; Garc&#237;a-Ram&#237;rez, J&#46;A&#46; Garc&#237;a-Vera, M&#46;A&#46; Melo-Uribe, C&#46;J&#46; Uribe"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "D&#237;az-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "C&#46;A&#46;"
              "apellidos" => "Garc&#237;a-Ram&#237;rez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Garc&#237;a-Vera"
            ]
            3 => array:2 [
              "nombre" => "M&#46;A&#46;"
              "apellidos" => "Melo-Uribe"
            ]
            4 => array:2 [
              "nombre" => "C&#46;J&#46;"
              "apellidos" => "Uribe"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702920?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702920/v1_201304241435/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
    "titulo" => "Pyoderma Gangrenosum Following Cesarean Delivery"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "477"
        "paginaFinal" => "480"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "C&#46; Sanz-Mu&#241;oz, C&#46; Mart&#237;nez-Mor&#225;n, A&#46; Miranda-Romero"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "C&#46;"
            "apellidos" => "Sanz-Mu&#241;oz"
            "email" => array:1 [
              0 => "carolsanzm&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "C&#46;"
            "apellidos" => "Mart&#237;nez-Mor&#225;n"
          ]
          2 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Miranda-Romero"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; C&#47; Corpus Christi n&#46;&#176; 9&#44; 2&#46;&#176; B&#44; 47005 Valladolid&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Pioderma Gangrenoso Despu&#233;s del Parto por Ces&#225;rea"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2007-12-12"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec84239"
          "palabras" => array:3 [
            0 => "pyoderma gangrenosum"
            1 => "cesarean section"
            2 => "pregnancy"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84240"
          "palabras" => array:3 [
            0 => "pioderma gangrenoso"
            1 => "parto por ces&#225;rea"
            2 => "embarazo"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 30-year-old woman who&#44; 5 days after giving birth to her first child by cesarean section&#44; presented with dehiscence of one end of the surgical wound and a lesion on her leg that developed into a well-defined ulcer&#59; both lesions were very painful&#46; The patient was initially diagnosed with a skin infection and later with superficial pyoderma gangrenosum&#46; The lesions were treated with topical corticosteroids and a good response was observed&#46; No evidence was found of underlying disease&#46; Isolated cases of pyoderma gangrenosum associated with pregnancy or cesarean delivery have been reported in the literature&#46; The etiology of pyoderma gangrenosum is currently unknown&#44; but some theories suggest an immunologic mechanism&#46; Gestation is known to generate a state of immune tolerance that could play a role in the development of the disease and future studies may help to clarify the significance of this association&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una mujer de 30 a&#241;os&#44; prim&#237;para&#44; que 5 d&#237;as despu&#233;s del parto por ces&#225;rea presenta dehiscencia de uno de los extremos de la herida quir&#250;rgica y una lesi&#243;n en la pierna&#44; que evolucion&#243; a una &#250;lcera bien constituida&#44; ambas lesiones muy dolorosas&#46; Fue diagnosticada inicialmente de infecci&#243;n cut&#225;nea y posteriormente de pioderma gangrenoso superficial&#59; se trataron las lesiones con corticoides t&#243;picos con buena respuesta al tratamiento&#46; Tras el estudio de la paciente no se encontr&#243; patolog&#237;a subyacente&#46; La asociaci&#243;n del pioderma gangrenoso con el embarazo o parto por ces&#225;rea se encuentra en la literatura como casos individuales&#46; En la actualidad no se conoce la etiolog&#237;a del pioderma gangrenoso&#44; aunque algunas teor&#237;as apuntan a un trastorno de la funci&#243;n inmunol&#243;gica&#46; Se sabe que la gestaci&#243;n determina un estado de inmunotolerancia que podr&#237;a tener alg&#250;n papel en el desarrollo del pioderma gangrenoso&#59; futuras investigaciones podr&#225;n aclarar la relevancia de esta asociaci&#243;n&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:15 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating caesarian section"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;C&#46; Harland"
                            1 => "W&#46; Jaffe"
                            2 => "C&#46;A&#46; Holden"
                            3 => "L&#46;D&#46; Ross"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Obstet Gynaecol"
                        "fecha" => "1993"
                        "volumen" => "13"
                        "paginaInicial" => "115"
                        "paginaFinal" => "116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating caesarian section"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46; Stone"
                            1 => "C&#46; Harland"
                            2 => "L&#46; Ross"
                            3 => "C&#46; Holden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "1996"
                        "volumen" => "21"
                        "paginaInicial" => "468"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9167357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum after caesarian section&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Banga"
                            1 => "N&#46; Schuitemaker"
                            2 => "P&#46; Meijer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Reprod Health"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "1"
                        "paginaFinal" => "5"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in a kindred"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;W&#46; Shands"
                            1 => "F&#46;P&#46; Flowers"
                            2 => "H&#46;M&#46; Hill"
                            3 => "O&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1987"
                        "volumen" => "16"
                        "paginaInicial" => "931"
                        "paginaFinal" => "934"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3584575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;A&#46; Karim"
                            1 => "N&#46; Ahmed"
                            2 => "T&#46;A&#46; Salman"
                            3 => "N&#46;M&#46; Craven"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1080/01443610600759186"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Obstet Gynaecol"
                        "fecha" => "2006"
                        "volumen" => "26"
                        "paginaInicial" => "463"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16846880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum following caesarean delivery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "U&#46;A&#46; Steadman"
                            1 => "T&#46;E&#46; Brennan"
                            2 => "L&#46;A&#46; Daman"
                            3 => "S&#46;L&#46; Curry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Obstet Gynecol"
                        "fecha" => "1998"
                        "volumen" => "91"
                        "paginaInicial" => "834"
                        "paginaFinal" => "836"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9572181"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum after caesarean delivery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;C&#46; R&#246;nnau"
                            1 => "S&#46; Schmiedeberg"
                            2 => "P&#46; Bielfeld"
                            3 => "T&#46; Ruzicka"
                            4 => "H&#46;C&#46; Schuppe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Obstet Gynecol"
                        "fecha" => "2000"
                        "volumen" => "183"
                        "paginaInicial" => "502"
                        "paginaFinal" => "504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10942497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum associated with anticardiolipin antibodies in a pregnant patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;M&#46; Freedman"
                            1 => "R&#46;G&#46; Phelps"
                            2 => "M&#46; Lebwohl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "1997"
                        "volumen" => "36"
                        "paginaInicial" => "205"
                        "paginaFinal" => "207"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9159005"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Aytekin"
                            1 => "N&#46; Tarlan"
                            2 => "N&#46; Kalkanli"
                            3 => "M&#46; Yaldiz"
                            4 => "G&#46; Unlu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
                        "fecha" => "2002"
                        "volumen" => "16"
                        "paginaInicial" => "546"
                        "paginaFinal" => "548"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12428867"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcome of pregnancy in a patient with relapsing polychondritis and pyoderma gangrenosum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46;D&#46; Tsanadis"
                            1 => "S&#46;T&#46; Chouliara"
                            2 => "P&#46;V&#46; Voulgari"
                            3 => "G&#46;V&#46; Makrydimas"
                            4 => "A&#46;A&#46; Drosos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s100670200132"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Rheumatol"
                        "fecha" => "2002"
                        "volumen" => "21"
                        "paginaInicial" => "538"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12447644"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acquired ichthyosis and pyoderma gangrenosum in a patient with systemic lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Roger"
                            1 => "J&#46;C&#46; Aldigier"
                            2 => "P&#46; Peyronnet"
                            3 => "J&#46;M&#46; Bonnetblanc"
                            4 => "C&#46; Leroux-Robert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "1993"
                        "volumen" => "18"
                        "paginaInicial" => "268"
                        "paginaFinal" => "270"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8348724"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum as a precursor of myeloid leukemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46; Maier"
                            1 => "E&#46; Diem"
                            2 => "A&#46; Gotschim"
                            3 => "B&#46; Ortel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hautarzt"
                        "fecha" => "1995"
                        "volumen" => "46"
                        "paginaInicial" => "647"
                        "paginaFinal" => "650"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7591771"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pregnancy&#58; a possible etiology of pyoderma gangrenosum&#46; A case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Sergent"
                            1 => "P&#46; Joly"
                            2 => "A&#46; Gravier"
                            3 => "E&#46; Verspyck"
                            4 => "L&#46; Marpeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Gynecol Obstet Biol Reprod"
                        "fecha" => "2002"
                        "volumen" => "31"
                        "paginaInicial" => "506"
                        "paginaFinal" => "511"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum with pathergic phenomenon in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Sassolas"
                            1 => "Y&#46; Le Ru"
                            2 => "P&#46; Platin"
                            3 => "G&#46; Lair"
                            4 => "P&#46;F&#46; Dupre"
                            5 => "G&#46; Cochard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2000"
                        "volumen" => "142"
                        "paginaInicial" => "827"
                        "paginaFinal" => "828"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10792250"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating ulcerative colitis&#58; successful treatment with methylprednisolone pulse therapy and cyclosporine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Futami"
                            1 => "M&#46; Kodaira"
                            2 => "T&#46; Furuta"
                            3 => "H&#46; Hanai"
                            4 => "E&#46; Kaneko"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Gastroenterol"
                        "fecha" => "1998"
                        "volumen" => "33"
                        "paginaInicial" => "408"
                        "paginaFinal" => "411"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9658322"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/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/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702932?idApp=UINPBA000044"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Case reports
Pyoderma Gangrenosum Following Cesarean Delivery
Pioderma Gangrenoso Después del Parto por Cesárea
C. Sanz-Muñoz
Autor para correspondencia
carolsanzm@hotmail.com

Correspondence: C/ Corpus Christi n.° 9, 2.° B, 47005 Valladolid, Spain.
, C. Martínez-Morán, A. Miranda-Romero
Servicio de Dermatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
Leído
6259
Veces
se ha leído el artículo
2824
Total PDF
3435
Total HTML
Compartir estadísticas
 array:23 [
  "pii" => "S1578219008702932"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(08)70293-2"
  "estado" => "S300"
  "fechaPublicacion" => "2008-08-01"
  "aid" => "70293"
  "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;99:477-80"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2517
    "formatos" => array:3 [
      "EPUB" => 35
      "HTML" => 1472
      "PDF" => 1010
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219008702944"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70294-4"
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "aid" => "70294"
    "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;99:481-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2515
      "formatos" => array:3 [
        "EPUB" => 34
        "HTML" => 1528
        "PDF" => 953
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Exacerbation of Skin Lesions During Fever in a Patient With Chronic Infantile Neurologic Cutaneous Articular Syndrome"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "481"
          "paginaFinal" => "484"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "S&#237;ndrome Cinca&#58; Presentaci&#243;n de un Caso Con Exacerbaci&#243;n Febril de Sus Lesiones Cut&#225;neas"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S&#46; Abo&#237;n-Gonz&#225;lez, I&#46; Aldanondo-Fern&#225;ndez de la Mora, C&#46;R&#46; Garc&#237;a-Acebes, R&#46; Carrillo-Gij&#243;n, A&#46; Harto-Casta&#241;o, P&#46; Ja&#233;n-Olasolo"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Abo&#237;n-Gonz&#225;lez"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Aldanondo-Fern&#225;ndez de la Mora"
            ]
            2 => array:2 [
              "nombre" => "C&#46;R&#46;"
              "apellidos" => "Garc&#237;a-Acebes"
            ]
            3 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Carrillo-Gij&#243;n"
            ]
            4 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Harto-Casta&#241;o"
            ]
            5 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Ja&#233;n-Olasolo"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702944?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702944/v1_201304241435/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219008702920"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70292-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-08-01"
    "aid" => "70292"
    "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;99:474-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3292
      "formatos" => array:3 [
        "EPUB" => 33
        "HTML" => 1403
        "PDF" => 1856
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Rhabdomyomatous Mesenchymal Hamartoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "474"
          "paginaFinal" => "476"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hamartoma Mesenquimal Rabdomiomatoso"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;A&#46; D&#237;az-P&#233;rez, C&#46;A&#46; Garc&#237;a-Ram&#237;rez, J&#46;A&#46; Garc&#237;a-Vera, M&#46;A&#46; Melo-Uribe, C&#46;J&#46; Uribe"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "D&#237;az-P&#233;rez"
            ]
            1 => array:2 [
              "nombre" => "C&#46;A&#46;"
              "apellidos" => "Garc&#237;a-Ram&#237;rez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Garc&#237;a-Vera"
            ]
            3 => array:2 [
              "nombre" => "M&#46;A&#46;"
              "apellidos" => "Melo-Uribe"
            ]
            4 => array:2 [
              "nombre" => "C&#46;J&#46;"
              "apellidos" => "Uribe"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702920?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702920/v1_201304241435/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
    "titulo" => "Pyoderma Gangrenosum Following Cesarean Delivery"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "477"
        "paginaFinal" => "480"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "C&#46; Sanz-Mu&#241;oz, C&#46; Mart&#237;nez-Mor&#225;n, A&#46; Miranda-Romero"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "C&#46;"
            "apellidos" => "Sanz-Mu&#241;oz"
            "email" => array:1 [
              0 => "carolsanzm&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "C&#46;"
            "apellidos" => "Mart&#237;nez-Mor&#225;n"
          ]
          2 => array:2 [
            "nombre" => "A&#46;"
            "apellidos" => "Miranda-Romero"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Cl&#237;nico Universitario de Valladolid&#44; Valladolid&#44; Spain"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; C&#47; Corpus Christi n&#46;&#176; 9&#44; 2&#46;&#176; B&#44; 47005 Valladolid&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Pioderma Gangrenoso Despu&#233;s del Parto por Ces&#225;rea"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2007-12-12"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec84239"
          "palabras" => array:3 [
            0 => "pyoderma gangrenosum"
            1 => "cesarean section"
            2 => "pregnancy"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84240"
          "palabras" => array:3 [
            0 => "pioderma gangrenoso"
            1 => "parto por ces&#225;rea"
            2 => "embarazo"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We describe the case of a 30-year-old woman who&#44; 5 days after giving birth to her first child by cesarean section&#44; presented with dehiscence of one end of the surgical wound and a lesion on her leg that developed into a well-defined ulcer&#59; both lesions were very painful&#46; The patient was initially diagnosed with a skin infection and later with superficial pyoderma gangrenosum&#46; The lesions were treated with topical corticosteroids and a good response was observed&#46; No evidence was found of underlying disease&#46; Isolated cases of pyoderma gangrenosum associated with pregnancy or cesarean delivery have been reported in the literature&#46; The etiology of pyoderma gangrenosum is currently unknown&#44; but some theories suggest an immunologic mechanism&#46; Gestation is known to generate a state of immune tolerance that could play a role in the development of the disease and future studies may help to clarify the significance of this association&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una mujer de 30 a&#241;os&#44; prim&#237;para&#44; que 5 d&#237;as despu&#233;s del parto por ces&#225;rea presenta dehiscencia de uno de los extremos de la herida quir&#250;rgica y una lesi&#243;n en la pierna&#44; que evolucion&#243; a una &#250;lcera bien constituida&#44; ambas lesiones muy dolorosas&#46; Fue diagnosticada inicialmente de infecci&#243;n cut&#225;nea y posteriormente de pioderma gangrenoso superficial&#59; se trataron las lesiones con corticoides t&#243;picos con buena respuesta al tratamiento&#46; Tras el estudio de la paciente no se encontr&#243; patolog&#237;a subyacente&#46; La asociaci&#243;n del pioderma gangrenoso con el embarazo o parto por ces&#225;rea se encuentra en la literatura como casos individuales&#46; En la actualidad no se conoce la etiolog&#237;a del pioderma gangrenoso&#44; aunque algunas teor&#237;as apuntan a un trastorno de la funci&#243;n inmunol&#243;gica&#46; Se sabe que la gestaci&#243;n determina un estado de inmunotolerancia que podr&#237;a tener alg&#250;n papel en el desarrollo del pioderma gangrenoso&#59; futuras investigaciones podr&#225;n aclarar la relevancia de esta asociaci&#243;n&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:15 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating caesarian section"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;C&#46; Harland"
                            1 => "W&#46; Jaffe"
                            2 => "C&#46;A&#46; Holden"
                            3 => "L&#46;D&#46; Ross"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Obstet Gynaecol"
                        "fecha" => "1993"
                        "volumen" => "13"
                        "paginaInicial" => "115"
                        "paginaFinal" => "116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating caesarian section"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46; Stone"
                            1 => "C&#46; Harland"
                            2 => "L&#46; Ross"
                            3 => "C&#46; Holden"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "1996"
                        "volumen" => "21"
                        "paginaInicial" => "468"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9167357"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum after caesarian section&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Banga"
                            1 => "N&#46; Schuitemaker"
                            2 => "P&#46; Meijer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Reprod Health"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "1"
                        "paginaFinal" => "5"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in a kindred"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;W&#46; Shands"
                            1 => "F&#46;P&#46; Flowers"
                            2 => "H&#46;M&#46; Hill"
                            3 => "O&#46; Smith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1987"
                        "volumen" => "16"
                        "paginaInicial" => "931"
                        "paginaFinal" => "934"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3584575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;A&#46; Karim"
                            1 => "N&#46; Ahmed"
                            2 => "T&#46;A&#46; Salman"
                            3 => "N&#46;M&#46; Craven"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1080/01443610600759186"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Obstet Gynaecol"
                        "fecha" => "2006"
                        "volumen" => "26"
                        "paginaInicial" => "463"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16846880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum following caesarean delivery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "U&#46;A&#46; Steadman"
                            1 => "T&#46;E&#46; Brennan"
                            2 => "L&#46;A&#46; Daman"
                            3 => "S&#46;L&#46; Curry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Obstet Gynecol"
                        "fecha" => "1998"
                        "volumen" => "91"
                        "paginaInicial" => "834"
                        "paginaFinal" => "836"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9572181"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum after caesarean delivery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46;C&#46; R&#246;nnau"
                            1 => "S&#46; Schmiedeberg"
                            2 => "P&#46; Bielfeld"
                            3 => "T&#46; Ruzicka"
                            4 => "H&#46;C&#46; Schuppe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Obstet Gynecol"
                        "fecha" => "2000"
                        "volumen" => "183"
                        "paginaInicial" => "502"
                        "paginaFinal" => "504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10942497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum associated with anticardiolipin antibodies in a pregnant patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;M&#46; Freedman"
                            1 => "R&#46;G&#46; Phelps"
                            2 => "M&#46; Lebwohl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "1997"
                        "volumen" => "36"
                        "paginaInicial" => "205"
                        "paginaFinal" => "207"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9159005"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Aytekin"
                            1 => "N&#46; Tarlan"
                            2 => "N&#46; Kalkanli"
                            3 => "M&#46; Yaldiz"
                            4 => "G&#46; Unlu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Eur Acad Dermatol Venereol"
                        "fecha" => "2002"
                        "volumen" => "16"
                        "paginaInicial" => "546"
                        "paginaFinal" => "548"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12428867"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcome of pregnancy in a patient with relapsing polychondritis and pyoderma gangrenosum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46;D&#46; Tsanadis"
                            1 => "S&#46;T&#46; Chouliara"
                            2 => "P&#46;V&#46; Voulgari"
                            3 => "G&#46;V&#46; Makrydimas"
                            4 => "A&#46;A&#46; Drosos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s100670200132"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Rheumatol"
                        "fecha" => "2002"
                        "volumen" => "21"
                        "paginaInicial" => "538"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12447644"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acquired ichthyosis and pyoderma gangrenosum in a patient with systemic lupus erythematosus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Roger"
                            1 => "J&#46;C&#46; Aldigier"
                            2 => "P&#46; Peyronnet"
                            3 => "J&#46;M&#46; Bonnetblanc"
                            4 => "C&#46; Leroux-Robert"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Exp Dermatol"
                        "fecha" => "1993"
                        "volumen" => "18"
                        "paginaInicial" => "268"
                        "paginaFinal" => "270"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8348724"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum as a precursor of myeloid leukemia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46; Maier"
                            1 => "E&#46; Diem"
                            2 => "A&#46; Gotschim"
                            3 => "B&#46; Ortel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Hautarzt"
                        "fecha" => "1995"
                        "volumen" => "46"
                        "paginaInicial" => "647"
                        "paginaFinal" => "650"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7591771"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pregnancy&#58; a possible etiology of pyoderma gangrenosum&#46; A case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Sergent"
                            1 => "P&#46; Joly"
                            2 => "A&#46; Gravier"
                            3 => "E&#46; Verspyck"
                            4 => "L&#46; Marpeau"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Gynecol Obstet Biol Reprod"
                        "fecha" => "2002"
                        "volumen" => "31"
                        "paginaInicial" => "506"
                        "paginaFinal" => "511"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum with pathergic phenomenon in pregnancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "B&#46; Sassolas"
                            1 => "Y&#46; Le Ru"
                            2 => "P&#46; Platin"
                            3 => "G&#46; Lair"
                            4 => "P&#46;F&#46; Dupre"
                            5 => "G&#46; Cochard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2000"
                        "volumen" => "142"
                        "paginaInicial" => "827"
                        "paginaFinal" => "828"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10792250"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pyoderma gangrenosum complicating ulcerative colitis&#58; successful treatment with methylprednisolone pulse therapy and cyclosporine"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Futami"
                            1 => "M&#46; Kodaira"
                            2 => "T&#46; Furuta"
                            3 => "H&#46; Hanai"
                            4 => "E&#46; Kaneko"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Gastroenterol"
                        "fecha" => "1998"
                        "volumen" => "33"
                        "paginaInicial" => "408"
                        "paginaFinal" => "411"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9658322"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/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/15782190/0000009900000006/v1_201304241435/S1578219008702932/v1_201304241435/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702932?idApp=UINPBA000044"
]
Información del artículo
ISSN: 15782190
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 2 14 16
2024 Octubre 56 65 121
2024 Septiembre 78 32 110
2024 Agosto 89 67 156
2024 Julio 49 39 88
2024 Junio 57 31 88
2024 Mayo 54 35 89
2024 Abril 45 23 68
2024 Marzo 56 56 112
2024 Febrero 51 41 92
2024 Enero 44 47 91
2023 Diciembre 37 36 73
2023 Noviembre 47 41 88
2023 Octubre 41 48 89
2023 Septiembre 40 47 87
2023 Agosto 17 20 37
2023 Julio 27 48 75
2023 Junio 36 34 70
2023 Mayo 38 36 74
2023 Abril 17 16 33
2023 Marzo 23 22 45
2023 Febrero 17 24 41
2023 Enero 20 28 48
2022 Diciembre 23 31 54
2022 Noviembre 23 37 60
2022 Octubre 15 20 35
2022 Septiembre 16 45 61
2022 Agosto 14 41 55
2022 Julio 12 20 32
2022 Junio 15 39 54
2022 Mayo 21 38 59
2022 Abril 26 63 89
2022 Marzo 36 49 85
2022 Febrero 16 22 38
2022 Enero 23 32 55
2021 Diciembre 28 34 62
2021 Noviembre 27 37 64
2021 Octubre 19 40 59
2021 Septiembre 23 35 58
2021 Agosto 16 19 35
2021 Julio 16 39 55
2021 Junio 18 24 42
2021 Mayo 23 26 49
2021 Abril 52 61 113
2021 Marzo 67 30 97
2021 Febrero 69 21 90
2021 Enero 42 17 59
2020 Diciembre 29 12 41
2020 Noviembre 19 12 31
2020 Octubre 29 12 41
2020 Septiembre 42 6 48
2020 Agosto 70 17 87
2020 Julio 36 7 43
2020 Junio 22 20 42
2020 Mayo 35 18 53
2020 Abril 37 18 55
2020 Marzo 56 21 77
2020 Febrero 7 2 9
2020 Enero 0 4 4
2019 Diciembre 0 9 9
2019 Noviembre 0 7 7
2019 Octubre 0 5 5
2019 Septiembre 0 3 3
2019 Agosto 0 2 2
2019 Julio 0 19 19
2019 Junio 0 5 5
2019 Mayo 2 54 56
2019 Abril 0 7 7
2019 Marzo 0 5 5
2019 Febrero 0 7 7
2018 Diciembre 0 1 1
2018 Noviembre 0 1 1
2018 Octubre 0 2 2
2018 Junio 0 3 3
2018 Mayo 0 4 4
2018 Febrero 14 4 18
2018 Enero 13 8 21
2017 Diciembre 22 8 30
2017 Noviembre 20 7 27
2017 Octubre 9 4 13
2017 Septiembre 15 5 20
2017 Agosto 10 7 17
2017 Julio 11 5 16
2017 Junio 16 14 30
2017 Mayo 16 22 38
2017 Abril 17 12 29
2017 Marzo 12 36 48
2017 Febrero 10 12 22
2017 Enero 11 14 25
2016 Diciembre 20 10 30
2016 Noviembre 29 21 50
2016 Octubre 28 12 40
2016 Septiembre 29 18 47
2016 Agosto 21 8 29
2016 Julio 27 10 37
2016 Junio 12 12 24
2016 Mayo 11 5 16
2016 Abril 9 5 14
2016 Marzo 8 0 8
2016 Febrero 5 2 7
2016 Enero 6 1 7
2015 Diciembre 9 2 11
2015 Noviembre 9 1 10
2015 Octubre 6 4 10
2015 Septiembre 6 5 11
2015 Agosto 17 4 21
2015 Julio 35 9 44
2015 Junio 28 11 39
2015 Mayo 72 21 93
2015 Abril 31 20 51
2015 Marzo 34 16 50
2015 Febrero 36 12 48
2015 Enero 16 11 27
2014 Diciembre 38 9 47
2014 Noviembre 24 11 35
2014 Octubre 42 24 66
2014 Septiembre 28 14 42
2014 Agosto 32 14 46
2014 Julio 43 18 61
2014 Junio 45 12 57
2014 Mayo 50 14 64
2014 Abril 40 10 50
2014 Marzo 34 16 50
2014 Febrero 41 20 61
2014 Enero 36 20 56
2013 Diciembre 42 13 55
2013 Noviembre 25 19 44
2013 Octubre 32 18 50
2013 Septiembre 24 33 57
2013 Agosto 28 44 72
2013 Julio 31 41 72
2013 Junio 17 27 44
2013 Mayo 21 28 49
2013 Abril 32 32 64
2013 Marzo 28 30 58
2013 Febrero 23 19 42
2013 Enero 14 7 21
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?