array:24 [
  "pii" => "S0873215915301689"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30168-9"
  "estado" => "S350"
  "fechaPublicacion" => "2009-07-01"
  "aid" => "12"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2009"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2009;15:721-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3021
    "formatos" => array:3 [
      "EPUB" => 234
      "HTML" => 1889
      "PDF" => 898
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915301690"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30169-0"
    "estado" => "S350"
    "fechaPublicacion" => "2009-07-01"
    "aid" => "13"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2009;15:729-32"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2316
      "formatos" => array:3 [
        "EPUB" => 239
        "HTML" => 1472
        "PDF" => 605
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
      "titulo" => "Bronquiolite constritiva ocupacional &#40;&#63;&#41; em doente com exame f&#237;sico&#44; radiol&#243;gico e funcional normal"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "729"
          "paginaFinal" => "732"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Occupational &#40;&#63;&#41; constrictive bronchiolitis with normal physical&#44; functional and image findings"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Sandra Figueiredo, Ant&#243;nio Morais, Adriana Magalh&#227;es, Concei&#231;&#227;o Souto Moura, Jo&#227;o Almeida, Isabel Gomes"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Sandra"
              "apellidos" => "Figueiredo"
            ]
            1 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Morais"
            ]
            2 => array:2 [
              "nombre" => "Adriana"
              "apellidos" => "Magalh&#227;es"
            ]
            3 => array:2 [
              "nombre" => "Concei&#231;&#227;o Souto"
              "apellidos" => "Moura"
            ]
            4 => array:2 [
              "nombre" => "Jo&#227;o"
              "apellidos" => "Almeida"
            ]
            5 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Gomes"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301690?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301690/v1_201509151451/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915301677"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30167-7"
    "estado" => "S350"
    "fechaPublicacion" => "2009-07-01"
    "aid" => "11"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2009;15:713-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2666
      "formatos" => array:3 [
        "EPUB" => 226
        "HTML" => 1650
        "PDF" => 790
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
      "titulo" => "Derrame pleural recidivante e polipose g&#225;strica &#8211; Caso cl&#237;nico"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "713"
          "paginaFinal" => "720"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Relapsing pleural effusion and gastric polyposis &#8211; A case report"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "E&#46; Fragoso, I&#46; Correia, P&#46; Campos, M&#46;J&#46; Palhano, R&#46; Sotto-Mayor, A&#46; Bugalho de Almeida"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "E&#46;"
              "apellidos" => "Fragoso"
            ]
            1 => array:2 [
              "nombre" => "I&#46;"
              "apellidos" => "Correia"
            ]
            2 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "Campos"
            ]
            3 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Palhano"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Sotto-Mayor"
            ]
            5 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Bugalho de Almeida"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301677?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301677/v1_201509151451/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico&#47;Case Report</span>"
    "titulo" => "Serosite tuberculosa em portadora de l&#250;pus eritematoso sist&#233;mico &#8211; Relato de caso e revis&#227;o de literatura"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "721"
        "paginaFinal" => "727"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Jo&#227;o Cl&#225;udio Barroso Pereira"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Jo&#227;o Cl&#225;udio Barroso"
            "apellidos" => "Pereira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "M&#233;dico Tisiologista do Servi&#231;o de Atendimento Especializado da SMS-Belford Roxo&#44; M&#233;dico do CRA-DIP do Hospital Municipal Nelson de S&#193; Earp e do Programa de Controle da Tuberculose da SMS-Petr&#243;polis &#8211; Rio de Janeiro Brasil"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Tuberculous serositis in patient with systemic lupus erythematosus &#8211; Case report and literature review"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-06-12"
    "fechaAceptado" => "2009-02-18"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chaves"
          "identificador" => "xpalclavsec570227"
          "palabras" => array:3 [
            0 => "Serosite"
            1 => "l&#250;pus eritematoso sist&#233;mico"
            2 => "tuberculose extrapulmonar"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570226"
          "palabras" => array:3 [
            0 => "Serositis"
            1 => "systemic lupus erythematosus"
            2 => "extra-pulmonary tuberculosis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Trata-se de um relato de caso de uma doente jovem que preencheu crit&#233;rios para diagn&#243;stico de LES&#44; segundo a Associa&#231;&#227;o Americana de Reumatologia&#46; A doente apresentava febre&#44; anemia&#44; artrite&#44; cilindr&#250;ria&#44; positividade para c&#233;lulas LE e presen&#231;a de anticorpos antinuclear&#46; Ela evoluiu com derrame pleural bilateral e derrame peric&#225;rdico que ambos&#44; inicialmente&#44; foram atribu&#237;dos ao l&#250;pus&#46; Visto que manteve febre baixa&#44; sudorese&#44; emagrecimento e persist&#234;ncia da serosite&#44; foi submetida a toracocentese que revelou pleurite cr&#243;nica granulomatosa&#44; diagnosticando tuberculose&#46; Uma pericardiocentese foi realizada&#46; Ap&#243;s in&#237;cio da terapia com f&#225;rmacos antituberculosos&#44; houve regress&#227;o do quadro de serosite&#46; S&#227;o discutidos alguns conceitos relacionados com ambas as doen&#231;as&#44; como os sintomas&#44; os diagn&#243;sticos e as situa&#231;&#245;es pertinentes tanto ao l&#250;pus como &#224; tuberculose&#46; &#201; ressaltada a necessidade de um diagn&#243;stico e tratamento da tuberculose doen&#231;a nos portadores de l&#250;pus&#44; o mais precoce poss&#237;vel&#44; principalmente em &#225;reas end&#233;micas para a tuberculose&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 721-727</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">It is a case report of young female that had diagnostic criteria of Systemic Lupus Erithematosus in activity&#44; according American Rheumatology Association&#46; The patient had fever&#44; anemia&#44; arthritis&#44; cellular casts&#44; positive LE cells&#44; positive antinuclear antibody&#46; She has evolved to bilateral pleural effusion and pericardic effusion that both have been initially attributed to lupus&#46; Due to she has also maintained low fever&#44; sudoresis&#44; loss of weight and a persistent serositis&#44; a thoracocenthesis with pleural biopsy has been done and the result of it has revealed granulomatous chronic pleuritis&#44; diagnosticing pleural tuberculosis&#46; A pericardiocenthesis has also been done&#46; After six months of anti-tuberculosis therapy&#44; there was a regression of radiologic imaging&#46; Some concepts referring to tuberculosis and systemic lupus erythematosus are discussed&#44; including symptons&#44; diagnosis and specific situations&#46; It is emphasized the necessity of early diagnosis and appropriate management of tuberculosis disease in lupic patients&#44; in areas where tuberculosis is endemic&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 721-727</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:18 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pesquisa de hemoglobinopatias e talassemias em doentes portadores de l&#250;pus eritematoso sist&#233;mico"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "F&#46;S&#46; Castro"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Libro" => array:1 [
                          "fecha" => "2005"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tuberculosis in patients with systemic lupus erythematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "P&#46;H&#46; Feng"
                              1 => "T&#46;H&#46; Tan"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Annals of the Rheumatic Diseases"
                          "fecha" => "1982"
                          "volumen" => "41"
                          "paginaInicial" => "11"
                          "paginaFinal" => "14"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7065724"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tuberculosis in patients with systemic lupus erythematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "C&#46; Balakrishnan"
                              1 => "G&#46; Mangat"
                              2 => "G&#46; Mittal"
                              3 => "V&#46;R&#46; Joshi"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Journal of the Association of Physians of India"
                          "fecha" => "1988"
                          "volumen" => "46"
                          "numero" => "8"
                          "paginaInicial" => "682"
                          "paginaFinal" => "683"
                          "itemHostRev" => array:3 [
                            "pii" => "S0190962211008097"
                            "estado" => "S300"
                            "issn" => "01909622"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The 1982 revised criteria for the classification of systemic lupus erythematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "A&#46; Tan Cohen"
                              1 => "J&#46; Fries"
                              2 => "A&#46; Masi"
                              3 => "D&#46; Mcshane"
                              4 => "N&#46; Rothfield"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Arthritis and Rheumatism"
                          "fecha" => "1982"
                          "volumen" => "25"
                          "paginaInicial" => "1271"
                          "paginaFinal" => "1277"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7138600"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Updating the American College of Rheumatology revised criteria for classification of lupus erythematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "M&#46;C&#46; Hochberg"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1002/1529-0131(199709)40:9&lt;1725::AID-ART29&gt;3.0.CO;2-Y"
                        "Revista" => array:6 [
                          "tituloSerie" => "Letter&#46; Arthritis and Rheumatism"
                          "fecha" => "1997"
                          "volumen" => "40"
                          "paginaInicial" => "1725"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9324033"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0190962210008170"
                            "estado" => "S300"
                            "issn" => "01909622"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Costalad LTL <span class="elsevierStyleItalic">et</span> cols&#46; Consenso brasileiro para o diagn&#243;stico do l&#250;pus eritematoso sist&#233;mico &#40;LES&#41;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "E&#46;I&#46; Sato"
                              1 => "E&#46;D&#46; Bonf&#225;"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Rev Bras Reumatol"
                          "fecha" => "2002"
                          "volumen" => "42"
                          "numero" => "6"
                          "paginaInicial" => "362"
                          "paginaFinal" => "370"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Crit&#232;res de classification&#58; mode d&#96;emploi pour l&#234; diagnostic de lupus syst&#233;mique"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "O&#46; Meyer"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Revue du Rheumatism"
                          "fecha" => "2005"
                          "volumen" => "72"
                          "paginaInicial" => "142"
                          "paginaFinal" => "149"
                          "itemHostRev" => array:3 [
                            "pii" => "S0022202X15361170"
                            "estado" => "S300"
                            "issn" => "0022202X"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Risk factors and clinical features for tuberculosis among patients with systemic lupus erythematosus in Hong Kong"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "L&#46;S&#46; Tam"
                              1 => "E&#46;K&#46; Li"
                              2 => "S&#46;M&#46; Wong"
                              3 => "C&#46;C&#46; Szeto"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Scand J Rheumatol"
                          "fecha" => "2002"
                          "volumen" => "31"
                          "paginaInicial" => "296"
                          "paginaFinal" => "300"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12455821"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Diaz&#8211; Jouanen E&#46; <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> infection with systemic rheumatic diseases&#46; A case series"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "B&#46; Hern&#225;ndez-Cruz"
                              1 => "J&#46; Sifuentes-Osornio"
                              2 => "S&#46; Ponce-de-Le&#243;n Rosales"
                              3 => "A&#46; Ponce-de-Le&#243;n Gardu&#241;o"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Clin Exper Rheumatol"
                          "fecha" => "1999"
                          "volumen" => "17"
                          "paginaInicial" => "289"
                          "paginaFinal" => "296"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The incidence and clinical characteristics of <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span> infection among systemic lupus erythematosus and rheumatoid arthritis patients in Korea"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:8 [
                              0 => "J&#46;E&#46; Yun"
                              1 => "S&#46;W&#46; Lee"
                              2 => "T&#46;H&#46; Kim"
                              3 => "J&#46;B&#46; Jun"
                              4 => "S&#46; Jung"
                              5 => "S&#46;C&#46; Bae"
                              6 => "T&#46;Y&#46; Kim"
                              7 => "D&#46;H&#46; Yoo"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Clin Exper Rheumatol"
                          "fecha" => "2002"
                          "volumen" => "20"
                          "numero" => "2"
                          "paginaInicial" => "127"
                          "paginaFinal" => "132"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tuberculosis among filipino patients with systemic lupus erithematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "S&#46;T&#46; Victorio-Navarra"
                              1 => "E&#46;E&#46; Dy"
                              2 => "C&#46;G&#46; Arroyo"
                              3 => "T&#46;P&#46; Torralba"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Seminars in Arthritis and Rheumatism"
                          "fecha" => "1996"
                          "volumen" => "26"
                          "numero" => "3"
                          "paginaInicial" => "628"
                          "paginaFinal" => "634"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8989807"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Associa&#231;&#227;o entre l&#250;pus eritematoso sist&#233;mico e tuberculose &#8211; Revis&#227;o cr&#237;tica"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "J&#46;C&#46;B&#46; Pereira"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Rev Port Pneumol"
                          "fecha" => "2008"
                          "volumen" => "14"
                          "numero" => "6"
                          "paginaInicial" => "843"
                          "paginaFinal" => "855"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19023498"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tuberculose&#58; Do ambulat&#243;rio &#224; enfermaria"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "A&#46;L&#46; Kritisk"
                              1 => "M&#46;B&#46; Conde"
                              2 => "G&#46;R&#46;M&#46; Souza"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Terceira edi&#231;&#227;o"
                          "fecha" => "2005"
                          "volumen" => "11"
                          "paginaInicial" => "107"
                          "paginaFinal" => "143"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              13 => array:3 [
                "identificador" => "bb0070"
                "etiqueta" => "14&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Lupus &#233;ryth&#233;mateux diss&#233;min&#233;&#58; nouvelle approuches physiopathologiques&#44; noveaux traitments&#63;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:1 [
                              0 => "E&#46; Haddad"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1016/j.arcped.2004.03.071"
                        "Revista" => array:6 [
                          "tituloSerie" => "Archives de P&#233;diatrie"
                          "fecha" => "2004"
                          "volumen" => "11"
                          "paginaInicial" => "512"
                          "paginaFinal" => "514"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15158814"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              14 => array:3 [
                "identificador" => "bb0075"
                "etiqueta" => "15&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Tuberculosis in systemic lupus erythematosus in an endemic area and the role of isoniazid prophylaxis during corticosteroid therapy"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "M&#46;M&#46; Yin"
                              1 => "L&#46; Yi"
                              2 => "C&#46;T&#46; Mao"
                              3 => "W&#46;W&#46; Sing"
                              4 => "L&#46;C&#46; Sing"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "J Rheumatol"
                          "fecha" => "2005"
                          "volumen" => "32"
                          "numero" => "4"
                          "paginaInicial" => "609"
                          "paginaFinal" => "615"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15801014"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              15 => array:3 [
                "identificador" => "bb0080"
                "etiqueta" => "16&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Pulmonary tuberculosis in patients with systemic lupus erythematosus"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:6 [
                              0 => "H&#46;Y&#46; Kim"
                              1 => "J&#46;G&#46; Im"
                              2 => "J&#46;M&#46; Goo"
                              3 => "J&#46;K&#46; Lee"
                              4 => "J&#46;W&#46; Song"
                              5 => "S&#46;K&#46; Kim"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.2214/ajr.173.6.10584813"
                        "Revista" => array:7 [
                          "tituloSerie" => "American Journal of Roentgenology"
                          "fecha" => "1999"
                          "volumen" => "173"
                          "numero" => "6"
                          "paginaInicial" => "1639"
                          "paginaFinal" => "1642"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10584813"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              16 => array:3 [
                "identificador" => "bb0085"
                "etiqueta" => "17&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Les heat shock proteins ou les &#8220;prote&#237;nes de stress&#8221;"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "B&#46; Granel"
                              1 => "L&#46; Swiader"
                              2 => "J&#46; Serratrice"
                              3 => "P&#46; Disdier"
                              4 => "P&#46;J&#46; Weiller"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:7 [
                          "tituloSerie" => "Rev M&#233;d Interne"
                          "fecha" => "2000"
                          "volumen" => "21"
                          "paginaInicial" => "421"
                          "paginaFinal" => "427"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10874761"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0300893212003855"
                            "estado" => "S300"
                            "issn" => "03008932"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              17 => array:3 [
                "identificador" => "bb0090"
                "etiqueta" => "18&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Toll-like receptors in innate immunity"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "K&#46; Takeda"
                              1 => "S&#46; Akira"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1093/intimm/dxh186"
                        "Revista" => array:8 [
                          "tituloSerie" => "International Immunology"
                          "fecha" => "2005"
                          "volumen" => "17"
                          "numero" => "1"
                          "paginaInicial" => "1"
                          "paginaFinal" => "14"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15585605"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S1885585713002934"
                            "estado" => "S300"
                            "issn" => "18855857"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301689/v1_201509151451/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "43360"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Casos Cl&#237;nicos&#47;Cases Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000004/v1_201509151451/S0873215915301689/v1_201509151451/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301689?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 15. Issue 4.
Pages 721-727 (July - August 2009)
Share
Share
Download PDF
More article options
Vol. 15. Issue 4.
Pages 721-727 (July - August 2009)
Caso Clínico/Case Report
Open Access
Serosite tuberculosa em portadora de lúpus eritematoso sistémico – Relato de caso e revisão de literatura
Tuberculous serositis in patient with systemic lupus erythematosus – Case report and literature review
Visits
6833
João Cláudio Barroso Pereira1
1 Médico Tisiologista do Serviço de Atendimento Especializado da SMS-Belford Roxo, Médico do CRA-DIP do Hospital Municipal Nelson de SÁ Earp e do Programa de Controle da Tuberculose da SMS-Petrópolis – Rio de Janeiro Brasil
This item has received

Under a Creative Commons license
Article information
Resumo

Trata-se de um relato de caso de uma doente jovem que preencheu critérios para diagnóstico de LES, segundo a Associação Americana de Reumatologia. A doente apresentava febre, anemia, artrite, cilindrúria, positividade para células LE e presença de anticorpos antinuclear. Ela evoluiu com derrame pleural bilateral e derrame pericárdico que ambos, inicialmente, foram atribuídos ao lúpus. Visto que manteve febre baixa, sudorese, emagrecimento e persistência da serosite, foi submetida a toracocentese que revelou pleurite crónica granulomatosa, diagnosticando tuberculose. Uma pericardiocentese foi realizada. Após início da terapia com fármacos antituberculosos, houve regressão do quadro de serosite. São discutidos alguns conceitos relacionados com ambas as doenças, como os sintomas, os diagnósticos e as situações pertinentes tanto ao lúpus como à tuberculose. É ressaltada a necessidade de um diagnóstico e tratamento da tuberculose doença nos portadores de lúpus, o mais precoce possível, principalmente em áreas endémicas para a tuberculose.

Rev Port Pneumol 2009; XV (4): 721-727

Palavras-chaves:
Serosite
lúpus eritematoso sistémico
tuberculose extrapulmonar
Abstract

It is a case report of young female that had diagnostic criteria of Systemic Lupus Erithematosus in activity, according American Rheumatology Association. The patient had fever, anemia, arthritis, cellular casts, positive LE cells, positive antinuclear antibody. She has evolved to bilateral pleural effusion and pericardic effusion that both have been initially attributed to lupus. Due to she has also maintained low fever, sudoresis, loss of weight and a persistent serositis, a thoracocenthesis with pleural biopsy has been done and the result of it has revealed granulomatous chronic pleuritis, diagnosticing pleural tuberculosis. A pericardiocenthesis has also been done. After six months of anti-tuberculosis therapy, there was a regression of radiologic imaging. Some concepts referring to tuberculosis and systemic lupus erythematosus are discussed, including symptons, diagnosis and specific situations. It is emphasized the necessity of early diagnosis and appropriate management of tuberculosis disease in lupic patients, in areas where tuberculosis is endemic.

Rev Port Pneumol 2009; XV (4): 721-727

Key-words:
Serositis
systemic lupus erythematosus
extra-pulmonary tuberculosis
Full text is only aviable in PDF
Bibliografia
[1.]
F.S. Castro.
Pesquisa de hemoglobinopatias e talassemias em doentes portadores de lúpus eritematoso sistémico.
(2005),
[2.]
P.H. Feng, T.H. Tan.
Tuberculosis in patients with systemic lupus erythematosus.
Annals of the Rheumatic Diseases, 41 (1982), pp. 11-14
[3.]
C. Balakrishnan, G. Mangat, G. Mittal, V.R. Joshi.
Tuberculosis in patients with systemic lupus erythematosus.
Journal of the Association of Physians of India, 46 (1988), pp. 682-683
[4.]
A. Tan Cohen, J. Fries, A. Masi, D. Mcshane, N. Rothfield.
The 1982 revised criteria for the classification of systemic lupus erythematosus.
Arthritis and Rheumatism, 25 (1982), pp. 1271-1277
[5.]
M.C. Hochberg.
Updating the American College of Rheumatology revised criteria for classification of lupus erythematosus.
Letter. Arthritis and Rheumatism, 40 (1997), pp. 1725
[6.]
E.I. Sato, E.D. Bonfá.
Costalad LTL et cols. Consenso brasileiro para o diagnóstico do lúpus eritematoso sistémico (LES).
Rev Bras Reumatol, 42 (2002), pp. 362-370
[7.]
O. Meyer.
Critères de classification: mode d`emploi pour lê diagnostic de lupus systémique.
Revue du Rheumatism, 72 (2005), pp. 142-149
[8.]
L.S. Tam, E.K. Li, S.M. Wong, C.C. Szeto.
Risk factors and clinical features for tuberculosis among patients with systemic lupus erythematosus in Hong Kong.
Scand J Rheumatol, 31 (2002), pp. 296-300
[9.]
B. Hernández-Cruz, J. Sifuentes-Osornio, S. Ponce-de-León Rosales, A. Ponce-de-León Garduño.
Diaz– Jouanen E. Mycobacterium tuberculosis infection with systemic rheumatic diseases. A case series.
Clin Exper Rheumatol, 17 (1999), pp. 289-296
[10.]
J.E. Yun, S.W. Lee, T.H. Kim, J.B. Jun, S. Jung, S.C. Bae, T.Y. Kim, D.H. Yoo.
The incidence and clinical characteristics of Mycobacterium tuberculosis infection among systemic lupus erythematosus and rheumatoid arthritis patients in Korea.
Clin Exper Rheumatol, 20 (2002), pp. 127-132
[11.]
S.T. Victorio-Navarra, E.E. Dy, C.G. Arroyo, T.P. Torralba.
Tuberculosis among filipino patients with systemic lupus erithematosus.
Seminars in Arthritis and Rheumatism, 26 (1996), pp. 628-634
[12.]
J.C.B. Pereira.
Associação entre lúpus eritematoso sistémico e tuberculose – Revisão crítica.
Rev Port Pneumol, 14 (2008), pp. 843-855
[13.]
A.L. Kritisk, M.B. Conde, G.R.M. Souza.
Tuberculose: Do ambulatório à enfermaria.
Terceira edição, 11 (2005), pp. 107-143
[14.]
E. Haddad.
Lupus érythémateux disséminé: nouvelle approuches physiopathologiques, noveaux traitments?.
Archives de Pédiatrie, 11 (2004), pp. 512-514
[15.]
M.M. Yin, L. Yi, C.T. Mao, W.W. Sing, L.C. Sing.
Tuberculosis in systemic lupus erythematosus in an endemic area and the role of isoniazid prophylaxis during corticosteroid therapy.
J Rheumatol, 32 (2005), pp. 609-615
[16.]
H.Y. Kim, J.G. Im, J.M. Goo, J.K. Lee, J.W. Song, S.K. Kim.
Pulmonary tuberculosis in patients with systemic lupus erythematosus.
American Journal of Roentgenology, 173 (1999), pp. 1639-1642
[17.]
B. Granel, L. Swiader, J. Serratrice, P. Disdier, P.J. Weiller.
Les heat shock proteins ou les “proteínes de stress”.
Rev Méd Interne, 21 (2000), pp. 421-427
[18.]
K. Takeda, S. Akira.
Toll-like receptors in innate immunity.
International Immunology, 17 (2005), pp. 1-14
Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

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