Púrpura fulminante posvaricelosa
Postvaricella purpura fulminans
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Alcalá Minagorre, A. Fernández Bernal, A. Sánchez Bautista, C. Loeda Ozores" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P.J." "apellidos" => "Alcalá Minagorre" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Bernal" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Sánchez Bautista" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Loeda Ozores" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403304783307?idApp=UINPBA00005H" "url" => "/16954033/0000006000000006/v1_201307051840/S1695403304783307/v1_201307051840/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Púrpura fulminante posvaricelosa" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "585" "paginaFinal" => "588" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L. Alsina Manrique de Lara, S. Zambudio Sert, A. Pizá Oliveras, T. Toll Costa, J.J. García García, C. Luaces Cubells" "autores" => array:6 [ 0 => array:4 [ "nombre" => "L." "apellidos" => "Alsina Manrique de Lara" "email" => array:1 [ 0 => "cluaces@hsjdbcn.org" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Zambudio Sert" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Pizá Oliveras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "T." "apellidos" => "Toll Costa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "J.J." "apellidos" => "García García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "C." "apellidos" => "Luaces Cubells" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Urgencias. Servicios de Pediatría Universitat de Barcelona. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Hematología. Unidad Integrada Hospital Sant Joan de Déu-Clínic Universitat de Barcelona. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "P.° Sant Joan de Déu, 2. 08950 Esplugues de Llobregat. Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Postvaricella purpura fulminans" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-01-01" "fechaAceptado" => "2004-03-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec187538" "palabras" => array:4 [ 0 => "Púrpurafulminans" 1 => "Varicela" 2 => "Proteína S" 3 => "Anticuerpos antiproteína S" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec187537" "palabras" => array:4 [ 0 => "Purpurafulminans" 1 => "Varicella" 2 => "Protein S" 3 => "Antiprotein S antibodies" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La púrpura fulminante es una complicación rara de la varicela que se caracteriza por la aparición progresiva de lesiones purpúricas o equimóticas dolorosas asociado a una alteración analítica propia de una coagulopatía de consumo. La activación de la coagulación es debida a un descenso marcado y prolongado de la proteína S, que probablemente es secundario a la formación de anticuerpos antiproteína S. El mecanismo responsable de la síntesis de estos autoanticuerpos es desconocido. Se presentan 3 casos de púrpura fulminante posvaricelosa y se revisan las características clinicoanalíticas y las recomendaciones diagnosticoterapéuticas actuales de esta entidad</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Purpura fulminans (PF) is an infrequent complication of varicella characterized by the progressive development of purpuric or painful ecchymotic lesions associated with biochemical alternations typical of consumption coagulopathy. Activation of coagulation is due to a marked and prolonged decrease in protein S, which is probably secondary to the formation of antiprotein S antibodies. The mechanism responsible for the synthesis of these autoantibodies is unknown. We present three cases of postvaricella PF and review the clinical and biochemical characteristics of this entity, as well as current diagnostic and therapeutic recommendations</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "y Grupo Varicela Gipuzkoa. Hospitalizaciones por complicaciones de la varicela en niños menores de 15 años" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "E.G. Pérez-Yarza" 1 => "L. Arranz" 2 => "J. Alustiza" 3 => "B. Azkunaga" 4 => "J. Uriz" 5 => "A. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 0 | 1 | 1 |
| 2024 October | 42 | 82 | 124 |
| 2024 September | 46 | 73 | 119 |
| 2024 August | 53 | 116 | 169 |
| 2024 July | 33 | 116 | 149 |
| 2024 June | 47 | 109 | 156 |
| 2024 May | 39 | 93 | 132 |
| 2024 April | 44 | 91 | 135 |
| 2024 March | 50 | 121 | 171 |
| 2024 February | 38 | 131 | 169 |
| 2024 January | 35 | 93 | 128 |
| 2023 December | 33 | 106 | 139 |
| 2023 November | 49 | 121 | 170 |
| 2023 October | 38 | 106 | 144 |
| 2023 September | 49 | 92 | 141 |
| 2023 August | 34 | 64 | 98 |
| 2023 July | 51 | 88 | 139 |
| 2023 June | 49 | 82 | 131 |
| 2023 May | 38 | 78 | 116 |
| 2023 April | 37 | 50 | 87 |
| 2023 March | 18 | 75 | 93 |
| 2023 February | 32 | 65 | 97 |
| 2023 January | 23 | 81 | 104 |
| 2022 December | 30 | 49 | 79 |
| 2022 November | 56 | 66 | 122 |
| 2022 October | 33 | 94 | 127 |
| 2022 September | 23 | 75 | 98 |
| 2022 August | 44 | 91 | 135 |
| 2022 July | 28 | 87 | 115 |
| 2022 June | 43 | 48 | 91 |
| 2022 May | 43 | 59 | 102 |
| 2022 April | 38 | 72 | 110 |
| 2022 March | 61 | 93 | 154 |
| 2022 February | 32 | 61 | 93 |
| 2022 January | 26 | 105 | 131 |
| 2021 December | 28 | 75 | 103 |
| 2021 November | 42 | 97 | 139 |
| 2021 October | 30 | 76 | 106 |
| 2021 September | 27 | 79 | 106 |
| 2021 August | 31 | 47 | 78 |
| 2021 July | 48 | 68 | 116 |
| 2021 June | 42 | 62 | 104 |
| 2021 May | 38 | 74 | 112 |
| 2021 April | 76 | 167 | 243 |
| 2021 March | 109 | 57 | 166 |
| 2021 February | 85 | 57 | 142 |
| 2021 January | 52 | 79 | 131 |
| 2020 December | 28 | 69 | 97 |
| 2020 November | 27 | 56 | 83 |
| 2020 October | 25 | 69 | 94 |
| 2020 September | 23 | 52 | 75 |
| 2020 August | 31 | 59 | 90 |
| 2020 July | 21 | 65 | 86 |
| 2020 June | 25 | 63 | 88 |
| 2020 May | 35 | 71 | 106 |
| 2020 April | 48 | 39 | 87 |
| 2020 March | 33 | 23 | 56 |
| 2020 February | 55 | 38 | 93 |
| 2020 January | 64 | 33 | 97 |
| 2019 December | 59 | 45 | 104 |
| 2019 November | 32 | 31 | 63 |
| 2019 October | 45 | 19 | 64 |
| 2019 September | 46 | 16 | 62 |
| 2019 August | 48 | 29 | 77 |
| 2019 July | 48 | 52 | 100 |
| 2019 June | 59 | 49 | 108 |
| 2019 May | 84 | 50 | 134 |
| 2019 April | 66 | 47 | 113 |
| 2019 March | 46 | 13 | 59 |
| 2019 February | 52 | 23 | 75 |
| 2019 January | 56 | 19 | 75 |
| 2018 December | 49 | 27 | 76 |
| 2018 November | 55 | 23 | 78 |
| 2018 October | 79 | 17 | 96 |
| 2018 September | 41 | 16 | 57 |
| 2018 August | 1 | 0 | 1 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 8 | 0 | 8 |
| 2018 April | 29 | 0 | 29 |
| 2018 March | 25 | 0 | 25 |
| 2018 February | 27 | 0 | 27 |
| 2018 January | 27 | 0 | 27 |
| 2017 December | 25 | 0 | 25 |
| 2017 November | 34 | 0 | 34 |
| 2017 October | 30 | 0 | 30 |
| 2017 September | 30 | 0 | 30 |
| 2017 August | 16 | 0 | 16 |
| 2017 July | 22 | 1 | 23 |
| 2017 June | 22 | 7 | 29 |
| 2017 May | 23 | 6 | 29 |
| 2017 April | 30 | 7 | 37 |
| 2017 March | 32 | 30 | 62 |
| 2017 February | 27 | 1 | 28 |
| 2017 January | 38 | 3 | 41 |
| 2016 December | 57 | 6 | 63 |
| 2016 November | 68 | 6 | 74 |
| 2016 October | 104 | 7 | 111 |
| 2016 September | 95 | 11 | 106 |
| 2016 August | 60 | 5 | 65 |
| 2016 July | 40 | 10 | 50 |
| 2016 March | 1 | 10 | 11 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 1 | 3 | 4 |
| 2015 September | 4 | 0 | 4 |
| 2015 August | 2 | 28 | 30 |
| 2015 July | 12 | 20 | 32 |
| 2015 June | 10 | 6 | 16 |
| 2015 May | 11 | 19 | 30 |
| 2015 April | 14 | 0 | 14 |
| 2015 March | 6 | 0 | 6 |
| 2015 February | 14 | 8 | 22 |
| 2015 January | 16 | 2 | 18 |
| 2014 December | 22 | 2 | 24 |
| 2014 November | 17 | 3 | 20 |
| 2014 October | 26 | 2 | 28 |
| 2014 September | 15 | 1 | 16 |
| 2014 August | 32 | 2 | 34 |
| 2014 July | 32 | 2 | 34 |
| 2014 June | 52 | 2 | 54 |
| 2014 May | 71 | 1 | 72 |
| 2014 April | 43 | 3 | 46 |
| 2014 March | 52 | 9 | 61 |
| 2014 February | 55 | 8 | 63 |
| 2014 January | 56 | 6 | 62 |
| 2013 December | 76 | 11 | 87 |
| 2013 November | 56 | 11 | 67 |
| 2013 October | 54 | 10 | 64 |
| 2013 September | 45 | 12 | 57 |
| 2013 August | 31 | 19 | 50 |
| 2013 July | 34 | 11 | 45 |
| 2013 June | 3 | 13 | 16 |
| 2013 May | 6 | 9 | 15 |
| 2013 April | 4 | 8 | 12 |
| 2013 March | 6 | 9 | 15 |
| 2013 February | 28 | 2 | 30 |
| 2013 January | 38 | 6 | 44 |
| 2012 December | 52 | 6 | 58 |
| 2012 November | 30 | 3 | 33 |
| 2012 October | 19 | 1 | 20 |
| 2012 September | 0 | 1 | 1 |
| 2012 August | 1 | 1 | 2 |
| 2004 May | 4145 | 0 | 4145 |
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