Caso Clínico/Case Report
Não fosse no pé o calcanhar de Aquiles – A propósito de um caso clínico
Shouldn't the Achilles' Heel be on the foot – Regarding a clinical case
Raquel Cavaco
, Célia Machado**, J. Gorjão Clara***
,****
Corresponding author
raquelcavacopt@yahoo.com
Correspondência / Correspondence to: Raquel Avelãs Nunes Silvestre Cavaco, Rua de Arroteias Lote 1 A 9, 1685 – 058 Caneças, TM: 969410552
Correspondência / Correspondence to: Raquel Avelãs Nunes Silvestre Cavaco, Rua de Arroteias Lote 1 A 9, 1685 – 058 Caneças, TM: 969410552
* Interna do Internato Complementar de Medicina Interna, Serviço de Medicina Interna II do Hospital de Pulido Valente
** Assistente Graduada de Medicina Interna, Serviço de Medicina Interna II do Hospital de Pulido Valente
*** Director do Serviço de Medicina Interna II, Serviço de Medicina Interna II do Hospital de Pulido Valente
Read
5804
Timeswas read the article
2726
Total PDF
3078
Total HTML
Share statistics
array:24 [ "pii" => "S0873215915302920" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30292-0" "estado" => "S350" "fechaPublicacion" => "2008-11-01" "aid" => "10" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "copyrightAnyo" => "2008" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Pneumol. 2008;14:869-74" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2635 "formatos" => array:3 [ "EPUB" => 252 "HTML" => 1510 "PDF" => 873 ] ] "itemSiguiente" => array:19 [ "pii" => "S0873215915302932" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30293-2" "estado" => "S350" "fechaPublicacion" => "2008-11-01" "aid" => "11" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Pneumol. 2008;14:875-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2561 "formatos" => array:3 [ "EPUB" => 243 "HTML" => 1555 "PDF" => 763 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Case Report</span>" "titulo" => "Metástases nas leptomeninges da espinal medula num doente com carcinoma de céculas escamosas do pulmão" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "875" "paginaFinal" => "879" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spinal leptomeningeal metastasis in a patient with squamous cell lung cancer" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Banu Alicioglu, Mert Saynak" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Banu" "apellidos" => "Alicioglu" ] 1 => array:2 [ "nombre" => "Mert" "apellidos" => "Saynak" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302932?idApp=UINPBA00004E" "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302932/v1_201509151433/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0873215915302919" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30291-9" "estado" => "S350" "fechaPublicacion" => "2008-11-01" "aid" => "9" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Rev Port Pneumol. 2008;14:857-68" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3930 "formatos" => array:3 [ "EPUB" => 250 "HTML" => 2812 "PDF" => 868 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Case Report</span>" "titulo" => "Linfoma intravascular do pulmão: A propósito de um caso clínico com boa resposta à terapêutica" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "857" "paginaFinal" => "868" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intravascular pulmonary lymphoma with good response to treatment. A case report" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Felizardo, A.C. Mendes, A. Fernandes, P. Campos, V. Magalhães, I. Correia, A. Pignatelli, C. Ferreira, R. Sotto-Mayor, A Bugalho de Almeida" "autores" => array:10 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Felizardo" ] 1 => array:2 [ "nombre" => "A.C." "apellidos" => "Mendes" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Fernandes" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Campos" ] 4 => array:2 [ "nombre" => "V." "apellidos" => "Magalhães" ] 5 => array:2 [ "nombre" => "I." "apellidos" => "Correia" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Pignatelli" ] 7 => array:2 [ "nombre" => "C." "apellidos" => "Ferreira" ] 8 => array:2 [ "nombre" => "R." "apellidos" => "Sotto-Mayor" ] 9 => array:2 [ "nombre" => "A Bugalho" "apellidos" => "de Almeida" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302919?idApp=UINPBA00004E" "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302919/v1_201509151433/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Case Report</span>" "titulo" => "Não fosse no pé o calcanhar de Aquiles – A propósito de um caso clínico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "869" "paginaFinal" => "874" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Raquel Cavaco, Célia Machado, J. Gorjão Clara" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Raquel" "apellidos" => "Cavaco" "email" => array:1 [ 0 => "raquelcavacopt@yahoo.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "****" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Célia" "apellidos" => "Machado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "**" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Gorjão Clara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "***" "identificador" => "af0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Interna do Internato Complementar de Medicina Interna, Serviço de Medicina Interna II do Hospital de Pulido Valente" "etiqueta" => "*" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Graduada de Medicina Interna, Serviço de Medicina Interna II do Hospital de Pulido Valente" "etiqueta" => "**" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Director do Serviço de Medicina Interna II, Serviço de Medicina Interna II do Hospital de Pulido Valente" "etiqueta" => "***" "identificador" => "af0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "****" "correspondencia" => "<span class="elsevierStyleBold">Correspondência / <span class="elsevierStyleItalic">Correspondence to:</span></span> Raquel Avelãs Nunes Silvestre Cavaco, Rua de Arroteias Lote 1 A 9, 1685 – 058 Caneças, TM: 969410552" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Shouldn't the Achilles' Heel be on the foot – Regarding a clinical case" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-07-24" "fechaAceptado" => "2008-07-26" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570073" "palabras" => array:7 [ 0 => "Macroglobulinemia de Waldenstrom" 1 => "hematooncológico" 2 => "hiperviscosidade" 3 => "electroforese de proteínas séricas" 4 => "imunosserologia" 5 => "infiltração medular" 6 => "critérios diagnósticos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570072" "palabras" => array:7 [ 0 => "Waldenstrom’s macroglobulinemia" 1 => "hemato-oncology" 2 => "hyperviscosity" 3 => "protein electrophoresis" 4 => "immune serology" 5 => "medullar infiltration" 6 => "diagnostic criteria’s" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A suspeição está na base de uma investigação clínica completa, sendo de extrema importância a revisão dos casos clínicos nos quais não consigamos estabelecer um diagnóstico definitivo. Desta revisão surgem hipóteses diagnósticas que contemplam doenças raras, como a macroglobulinemia de Waldenstrom, doença linfoproliferativa de células tipo B, caracterizada por infiltração medular e produção de IgM monoclonal. Em 1% destas gamapatias são diagnosticadas formas biclonais. Apresentamos o caso clínico de um doente com 74 anos, internado em Outubro/04 por colecistite aguda, tendo os exames pré-operatórios revelado derrame pleural bilateral. Durante o internamento foi feita minuciosa investigação etiológica, que foi contudo inconclusiva. Em Maio/05 foi internado, tendo sido submetido a talcagem pleural direita e a investigação clínica, também esta inconclusiva. Em Julho/05 foi reinternado num serviço de medicina interna, por anasarca e dor nos pés. Fez-se nova investigação e o diagnóstico final foi de macroglobulinemia de Waldenstrom.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (6): 869-874</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Clinical suspicion is the bedrock of a thorough clinical work-up, and a review of the clinical files with no definitive diagnosis is a must. Such a review can uncover rare diagnoses, such as Waldenstrom's macroglobulinaemia, a proliferative B-cell disease characterised by medular infiltration and monoclonocal IgM production. 1% of these are biclonal. We present a case of a 74 year old patient diagnosed in October 2004 with acute cholecystitis. Surgical evaluation revealed bilateral pleural effusion with an inconclusive aetiology. Patient underwent a right pleurodesis in May 2005 and the aetiology remained inconclusive. The third evaluation, in July 2005, led to a final diagnosis of Waldenstrom's macroglobulinaemia.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008; XIV (6): 869-874</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Derrame pleural recidivante com mroglobulinemia – caso clínico com revisão da literatu" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. Moura e Sá" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Rev Port Pneumol" "fecha" => "2004" "volumen" => "X" "numero" => "2" "paginaInicial" => "165" "paginaFinal" => "171" "itemHostRev" => array:3 [ "pii" => "S0213005X10700380" "estado" => "S300" "issn" => "0213005X" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Differential diagnosis of Waldentrom’s macroglobulinemia and other B-cell disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "G.A. Pangalis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Clin Lymphoma" "fecha" => "2005" "volumen" => "5" "numero" => "4" "paginaInicial" => "235" "paginaFinal" => "240" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15794855" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Waldentrom´s macroglobulinemia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "N. Singhal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Assoc Physicians India" "fecha" => "2004" "volumen" => "52" "paginaInicial" => "981" "paginaFinal" => "985" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15884458" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patterns of clinical presentation, treatment, and outcome in patients with Waldenstrom’s macroglobulinemia: a two-case institution study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "M. Bjorkholm" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1053/sonc.2003.50054" "Revista" => array:7 [ "tituloSerie" => "Semin Oncol" "fecha" => "2003" "volumen" => "30" "numero" => "2" "paginaInicial" => "226" "paginaFinal" => "230" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12720141" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary infiltrate, pleural effusion and IgM macroglobulinaemia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "F. Reichenberger" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2003-812443" "Revista" => array:7 [ "tituloSerie" => "Pneumologie" "fecha" => "2004" "volumen" => "58" "numero" => "1" "paginaInicial" => "33" "paginaFinal" => "35" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14732898" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Peripheral neuropathies in Waldenstrom’s macroglobulinemia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "T. Levine" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/jnnp.2005.071175" "Revista" => array:6 [ "tituloSerie" => "J Neurol Neurosurg Psychiatry" "fecha" => "2006" "volumen" => "77" "paginaInicial" => "224" "paginaFinal" => "228" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16421127" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neurologic complications of plasma disorders" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Drappatz" 1 => "T. Batchelor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Clin Lymphoma" "fecha" => "2004" "volumen" => "5" "numero" => "3" "paginaInicial" => "163" "paginaFinal" => "171" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15636691" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nervous system lymphoid infiltration in Waldenstrom macroglobulinemia. A case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "S. Massengo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Neurooncol" "fecha" => "2003" "volumen" => "62" "numero" => "3" "paginaInicial" => "353" "paginaFinal" => "358" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12777090" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Autoimmunity in Waldenstrom’s macroglobulinaemia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "V. Jonsson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3109/10428199909050962" "Revista" => array:7 [ "tituloSerie" => "Leuk Lymphoma" "fecha" => "1999" "volumen" => "34" "numero" => "3–4" "paginaInicial" => "373" "paginaFinal" => "379" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10439374" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnosis and management of Waldenstrom’s macroglobulinemia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "M.A. Dimopoulos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1200/JCO.2005.03.144" "Revista" => array:7 [ "tituloSerie" => "J Clin Oncol" "fecha" => "2005" "volumen" => "23" "numero" => "7" "paginaInicial" => "1564" "paginaFinal" => "1577" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15735132" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Biclonal IgA and IgM gammopathy in lymphocytic lymphoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "S. Weinstein" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Clin Chem" "fecha" => "1984" "volumen" => "30" "numero" => "10" "paginaInicial" => "1710" "paginaFinal" => "1712" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6434203" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Molecular analysis in a patient with Waldentrom's macroglobulinemia reveals a rare case of biclonality" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:1 [ 0 => "R. Schultz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1158/1078-0432.CCR-06-2788" "Revista" => array:7 [ "tituloSerie" => "Clin Cancer Res" "fecha" => "2007" "volumen" => "13" "numero" => "7" "paginaInicial" => "2005" "paginaFinal" => "2013" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17404080" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001400000006/v1_201509151433/S0873215915302920/v1_201509151433/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9580" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Casos clínicos" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001400000006/v1_201509151433/S0873215915302920/v1_201509151433/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915302920?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
The statistics are updated each day
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 5 | 9 |
| 2024 October | 30 | 49 | 79 |
| 2024 September | 35 | 50 | 85 |
| 2024 August | 44 | 51 | 95 |
| 2024 July | 43 | 43 | 86 |
| 2024 June | 18 | 38 | 56 |
| 2024 May | 28 | 43 | 71 |
| 2024 April | 35 | 42 | 77 |
| 2024 March | 24 | 33 | 57 |
| 2024 February | 30 | 23 | 53 |
| 2024 January | 22 | 27 | 49 |
| 2023 December | 29 | 31 | 60 |
| 2023 November | 26 | 28 | 54 |
| 2023 October | 15 | 36 | 51 |
| 2023 September | 24 | 28 | 52 |
| 2023 August | 30 | 28 | 58 |
| 2023 July | 19 | 36 | 55 |
| 2023 June | 18 | 14 | 32 |
| 2023 May | 25 | 32 | 57 |
| 2023 April | 23 | 19 | 42 |
| 2023 March | 20 | 23 | 43 |
| 2023 February | 14 | 26 | 40 |
| 2023 January | 20 | 31 | 51 |
| 2022 December | 25 | 26 | 51 |
| 2022 November | 29 | 30 | 59 |
| 2022 October | 30 | 27 | 57 |
| 2022 September | 21 | 51 | 72 |
| 2022 August | 30 | 45 | 75 |
| 2022 July | 31 | 41 | 72 |
| 2022 June | 19 | 45 | 64 |
| 2022 May | 30 | 47 | 77 |
| 2022 April | 25 | 40 | 65 |
| 2022 March | 11 | 43 | 54 |
| 2022 February | 17 | 27 | 44 |
| 2022 January | 32 | 40 | 72 |
| 2021 December | 14 | 33 | 47 |
| 2021 November | 32 | 32 | 64 |
| 2021 October | 24 | 46 | 70 |
| 2021 September | 18 | 32 | 50 |
| 2021 August | 24 | 29 | 53 |
| 2021 July | 19 | 24 | 43 |
| 2021 June | 15 | 23 | 38 |
| 2021 May | 16 | 46 | 62 |
| 2021 April | 28 | 53 | 81 |
| 2021 March | 33 | 31 | 64 |
| 2021 February | 52 | 16 | 68 |
| 2021 January | 26 | 20 | 46 |
| 2020 December | 21 | 19 | 40 |
| 2020 November | 31 | 24 | 55 |
| 2020 October | 28 | 39 | 67 |
| 2020 September | 48 | 43 | 91 |
| 2020 August | 38 | 26 | 64 |
| 2020 July | 47 | 27 | 74 |
| 2020 June | 41 | 27 | 68 |
| 2020 May | 34 | 19 | 53 |
| 2020 April | 50 | 18 | 68 |
| 2020 March | 44 | 18 | 62 |
| 2020 February | 28 | 37 | 65 |
| 2020 January | 39 | 18 | 57 |
| 2019 December | 32 | 35 | 67 |
| 2019 November | 43 | 22 | 65 |
| 2019 October | 34 | 26 | 60 |
| 2019 September | 34 | 25 | 59 |
| 2019 August | 66 | 23 | 89 |
| 2019 July | 53 | 25 | 78 |
| 2019 June | 62 | 22 | 84 |
| 2019 May | 65 | 28 | 93 |
| 2019 April | 58 | 28 | 86 |
| 2019 March | 72 | 20 | 92 |
| 2019 February | 52 | 12 | 64 |
| 2019 January | 97 | 20 | 117 |
| 2018 December | 25 | 10 | 35 |
| 2018 November | 2 | 3 | 5 |
| 2018 October | 9 | 5 | 14 |
| 2018 September | 12 | 7 | 19 |
| 2018 August | 50 | 23 | 73 |
| 2018 July | 36 | 27 | 63 |
| 2018 June | 50 | 20 | 70 |
| 2018 May | 61 | 22 | 83 |
| 2018 April | 73 | 32 | 105 |
| 2018 March | 35 | 35 | 70 |
| 2018 February | 39 | 18 | 57 |
| 2018 January | 38 | 11 | 49 |
| 2017 December | 26 | 20 | 46 |
| 2017 November | 27 | 15 | 42 |
| 2017 October | 34 | 14 | 48 |
| 2017 September | 30 | 14 | 44 |
| 2017 August | 28 | 15 | 43 |
| 2017 July | 22 | 6 | 28 |
| 2017 June | 34 | 17 | 51 |
| 2017 May | 39 | 14 | 53 |
| 2017 April | 7 | 10 | 17 |
| 2017 March | 14 | 100 | 114 |
| 2017 February | 19 | 14 | 33 |
| 2017 January | 9 | 5 | 14 |
| 2016 December | 11 | 5 | 16 |
| 2016 November | 9 | 3 | 12 |
| 2016 October | 11 | 10 | 21 |
| 2016 September | 1 | 10 | 11 |
| 2016 August | 3 | 1 | 4 |
| 2016 July | 3 | 6 | 9 |
| 2016 May | 2 | 5 | 7 |
| 2016 April | 1 | 17 | 18 |
| 2016 March | 2 | 8 | 10 |
| 2016 February | 5 | 5 | 10 |
| 2016 January | 7 | 7 | 14 |
| 2015 December | 5 | 2 | 7 |
| 2015 November | 3 | 3 | 6 |
| 2015 October | 2 | 3 | 5 |
Show all
