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array:24 [ "pii" => "S2173511515001190" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.06.003" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1069" "copyright" => "Sociedade Portuguesa de Pneumologia" "copyrightAnyo" => "2015" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2015;21:284-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1532 "formatos" => array:3 [ "EPUB" => 213 "HTML" => 787 "PDF" => 532 ] ] "itemSiguiente" => array:19 [ "pii" => "S2173511515000974" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.05.002" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1065" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2015;21:285-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1796 "formatos" => array:3 [ "EPUB" => 209 "HTML" => 1013 "PDF" => 574 ] ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Misconceptions in the assessment of cough peak flow measurements for extubation or decanulation protocols" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "285" "paginaFinal" => "286" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Chiou, J.R. Bach, M.R. Gonçalves, L. Vudayagiri" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Chiou" ] 1 => array:2 [ "nombre" => "J.R." "apellidos" => "Bach" ] 2 => array:2 [ "nombre" => "M.R." "apellidos" => "Gonçalves" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Vudayagiri" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511515000974?idApp=UINPBA00004E" "url" => "/21735115/0000002100000005/v3_201605090007/S2173511515000974/v3_201605090007/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173511515000986" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.05.003" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1066" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Rev Port Pneumol. 2015;21:282-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1579 "formatos" => array:3 [ "EPUB" => 185 "HTML" => 907 "PDF" => 487 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Late onset congenital cystic adenomatous malformation associated with intra-lobar pulmonary sequestration" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "282" "paginaFinal" => "284" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2363 "Ancho" => 1795 "Tamanyo" => 751690 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) The first chest CT performed, showing a heterogeneous posteromedial consolidation in the left lower lobe comprising multiple cysts. (B) The second chest CT showing posteromedial hepatization of the left lower field, compatible with superimposed infection. (C) CT angiography showing the anomalous artery arising from the thoracic aorta. (D) CT angiography images showing the venous drainage (arrow) to the pulmonary veins. (E–F) 3D CT reconstructions showing the anomalous artery.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Silva, J. Vale, A. Reis" "autores" => array:3 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Silva" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Vale" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Reis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511515000986?idApp=UINPBA00004E" "url" => "/21735115/0000002100000005/v3_201605090007/S2173511515000986/v3_201605090007/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Yellow bronchoscopy: A severe case of tracheal and bronchial Jaundice" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "284" "paginaFinal" => "285" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Gonçalves, C. Ribeiro, A. Oliveira" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Gonçalves" "email" => array:1 [ 0 => "ana_f_goncalves@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Ribeiro" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Oliveira" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pulmonology Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1504 "Ancho" => 1500 "Tamanyo" => 195845 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0010" class="elsevierStylePara elsevierViewall">Jaundice, which can be caused by a very wide variety of conditions, results from the increased levels of bilirubin in the blood. Due to the affinity of bilirubin to elastin, jaundice is best detected by examining the skin and sclera, but can also be found in others elastin-rich tissues such as skin, sclera, intima of the vessel wall and ligaments.</p><p id="par0015" class="elsevierStylePara elsevierViewall">We present the case of a 68-year-old nonsmoker male who was referred to the emergency department for evaluation of 1-week history of jaundice, light-colored stools, dark urine, anorexia and weight loss. Blood work showed an elevated direct bilirubin 9.34<span class="elsevierStyleHsp" style=""></span>mg/dL (normal, 0–1<span class="elsevierStyleHsp" style=""></span>mg/dL) and he was diagnosed with a carcinoma of the pancreas head.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Bronchoscopy was performed during a pulmonary nodule investigation and revealed a nodule on the left side of the epiglottis and severe vocal cords and bronchial tree jaundice (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Bronchoscopy is not a frequently performed exam in patients with such high levels of bilirubin in the blood. In the present case bronchoscopy was performed due to the nodule location, making it difficult to access through transthoracic lung biopsy and due to the need for pulmonary metastasis exclusion in order to get a correct staging.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The high amount of elastin present in the airways makes it possible to observe a fine yellow coloration characteristic of jaundice in the bronchial tree, as observed in these endoscopic images of rare beauty and iconographic interest.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1504 "Ancho" => 1500 "Tamanyo" => 195845 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Epiglottis; (B) Vocal cords; (C) Carina; (D) Truncus intermedius.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000002100000005/v3_201605090007/S2173511515001190/v3_201605090007/en/main.assets" "Apartado" => array:4 [ "identificador" => "20584" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000002100000005/v3_201605090007/S2173511515001190/v3_201605090007/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511515001190?idApp=UINPBA00004E" ]
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