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"nombre" => "Joana" "apellidos" => "Sobrinho Simões" ] 6 => array:2 [ "nombre" => "Hercília" "apellidos" => "Guimarães" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511508702999?idApp=UINPBA00004E" "url" => "/21735115/0000001400000005/v1_201305151459/S2173511508702999/v1_201305151459/en/main.assets" ] "pt" => array:14 [ "idiomaDefecto" => true "titulo" => "Pneumotórax espontâneo – A pista para outro diagnóstico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "699" "paginaFinal" => "704" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Susana Rocha, Luísa Pereira, Celeste Barreto, Doutor Gomes-Pedro" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Susana" "apellidos" => "Rocha" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Luísa" "apellidos" => "Pereira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Celeste" "apellidos" => "Barreto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Doutor" "apellidos" => "Gomes-Pedro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interna do Internato Complementar de Pediatria" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar Graduada de Pediatria" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Chefe de Serviço de Pediatria" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Unidade de Pneumologia Pediátrica, Serviço de Pediatria do Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa" "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "aff0020" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous pneumothorax – a clue to another diagnosis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-04-01" "fechaAceptado" => "2008-05-12" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159762" "palabras" => array:4 [ 0 => "Pneumotórax espontâneo" 1 => "síndroma de Marfan" 2 => "diagnóstico" 3 => "terapêutica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159761" "palabras" => array:4 [ 0 => "Spontaneous pneumothorax" 1 => "Marfan syndrome" 2 => "diagnosis" 3 => "management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A síndroma de Marfan é uma doença do tecido conjuntivo de transmissão autossómica dominante, com manifestações esqueléticas, oculares e cardiovasculares típicas. Com menor frequência, verifica-se envolvimento pulmonar, nomeadamente pneumotórax espontâneo. Este é habitualmente recorrente, surgindo em 4–11% dos casos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descreve-se um adolescente de 14 anos, sem diagnóstico anterior de doença, internado por pneumotórax espontâneo unilateral, com fenótipo de síndroma de Marfan. A investigação subsequente conduziu ao diagnóstico de prolapso da válvula mitral e dilatação da raiz da aorta. Houve resolução do pneumotórax através de drenagem activa e excluíram-se, por tomografia computorizada, lesões bolhosas subpleurais. O doente foi reinternado, dois meses depois, por novo pneumotórax espontâneo, com idêntica localização, procedendo-se a ressecção cirúrgica de bolha enfisematosa então identificada e pleurodese. Dois anos depois encontra-se assintomático.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Realça-se a importância do diagnóstico precoce e acompanhamento multidisciplinar destes doentes. A monitorização da progressão da doença e a prevenção de complicações graves, nomeadamente cardiovasculares, são imprescindíveis.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Marfan syndrome is an autosomal dominant illness of the connective tissue, with typical skeletal, ocular and cardiovascular manifestations. Less frequently, pulmonary involvement occurs, namely spontaneous pneumothorax, which generally is recurrent and occurs in 4–11% of cases.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors describe a 14-year-old boy, previously healthy, admitted with a unilateral spontaneous pneumothorax, and clinical phenotype of Marfan syndrome. The subsequent investigation led to the diagnosis of mitral valve prolapse and dilatation of the root of aorta. Pneumothorax resolved through active drainage and a computerised tomography scan excluded subpleural blebs. The patient was readmitted two months later with a new spontaneous pneumothorax, with an identical localization. Surgical resection of a newly identified enfisematous bleb and pleurodesis were performed. Two years later he is asymptomatic.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We highlight the importance of an early diagnosis of and a multidisciplinary approach to these patients. Monitoring illness progression and prevention of serious complications, namely cardiovascular, are essential.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Persistent spontaneous pneumothorax in an adolescent with Marfan's Syndrome and Pulmonary Bullous Dysplasia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Rigante" 1 => "G. Segni" 2 => "A. 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Original language: Portuguese
Year/Month | Html | Total | |
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2024 November | 10 | 5 | 15 |
2024 October | 44 | 41 | 85 |
2024 September | 37 | 26 | 63 |
2024 August | 39 | 36 | 75 |
2024 July | 31 | 42 | 73 |
2024 June | 25 | 28 | 53 |
2024 May | 28 | 31 | 59 |
2024 April | 22 | 30 | 52 |
2024 March | 24 | 23 | 47 |
2024 February | 25 | 21 | 46 |
2024 January | 19 | 28 | 47 |
2023 December | 12 | 33 | 45 |
2023 November | 14 | 23 | 37 |
2023 October | 18 | 27 | 45 |
2023 September | 17 | 28 | 45 |
2023 August | 15 | 22 | 37 |
2023 July | 22 | 28 | 50 |
2023 June | 17 | 12 | 29 |
2023 May | 18 | 21 | 39 |
2023 April | 13 | 12 | 25 |