array:24 [
  "pii" => "S0365059620300702"
  "issn" => "03650596"
  "doi" => "10.1016/j.abd.2019.07.009"
  "estado" => "S300"
  "fechaPublicacion" => "2020-05-01"
  "aid" => "159"
  "copyright" => "Sociedade Brasileira de Dermatologia"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by/4.0/"
  "subdocumento" => "sco"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "pt" => array:19 [
      "pii" => "S2666275220301405"
      "issn" => "26662752"
      "doi" => "10.1016/j.abdp.2019.07.009"
      "estado" => "S300"
      "fechaPublicacion" => "2020-05-01"
      "aid" => "159"
      "copyright" => "Sociedade Brasileira de Dermatologia"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by/4.0/"
      "subdocumento" => "sco"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "pt" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta &#8211; Caso cl&#237;nico</span>"
        "titulo" => "Criptococose cut&#226;nea e pulmonar"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "395"
            "paginaFinal" => "397"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1032
                "Ancho" => 2226
                "Tamanyo" => 546123
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopatologia&#46; Criptococos corados em PAS e em Alcian blue&#44; respectivamente&#44; com aumento de 400&#215;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Deborah Lucena Markman, Pamella Paola Bezerra de Oliveira, Daniela Mayumi Takano, Idalina In&#234;s Fonseca Nogueira Cambuim"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Deborah Lucena"
                "apellidos" => "Markman"
              ]
              1 => array:2 [
                "nombre" => "Pamella Paola Bezerra de"
                "apellidos" => "Oliveira"
              ]
              2 => array:2 [
                "nombre" => "Daniela Mayumi"
                "apellidos" => "Takano"
              ]
              3 => array:2 [
                "nombre" => "Idalina In&#234;s Fonseca Nogueira"
                "apellidos" => "Cambuim"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0365059620300702"
          "doi" => "10.1016/j.abd.2019.07.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300702?idApp=UINPBA00008Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301405?idApp=UINPBA00008Z"
      "url" => "/26662752/0000009500000003/v1_202006250813/S2666275220301405/v1_202006250813/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0365059620300866"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2019.07.013"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "175"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "sco"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
      "titulo" => "Terra firma-forme dermatosis&#58; an underdiagnosed condition"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "397"
          "paginaFinal" => "399"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 602
              "Ancho" => 855
              "Tamanyo" => 53874
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Area without lesions after rubbing the skin with gauze embedded in 70&#37; alcohol&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Bruna Anjos Badar&#243;, Lucia Martins Diniz, Paulo Sergio Emerich Nogueira"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Bruna Anjos"
              "apellidos" => "Badar&#243;"
            ]
            1 => array:2 [
              "nombre" => "Lucia Martins"
              "apellidos" => "Diniz"
            ]
            2 => array:2 [
              "nombre" => "Paulo Sergio Emerich"
              "apellidos" => "Nogueira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S2666275220301570"
        "doi" => "10.1016/j.abdp.2019.07.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301570?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300866?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300866/v4_202007210853/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0365059620300787"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2019.06.014"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "167"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "sco"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
      "titulo" => "Pediatric chondrodermatitis nodularis chronica helicis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "393"
          "paginaFinal" => "395"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1162
              "Ancho" => 905
              "Tamanyo" => 125234
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Four skin-colored nodules on the right antihelix with a pearl necklace arrangementt&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Li-Wen Zhang, Lin Li, Cong-Hui Li, Wen-Ju Wang"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Li-Wen"
              "apellidos" => "Zhang"
            ]
            1 => array:2 [
              "nombre" => "Lin"
              "apellidos" => "Li"
            ]
            2 => array:2 [
              "nombre" => "Cong-Hui"
              "apellidos" => "Li"
            ]
            3 => array:2 [
              "nombre" => "Wen-Ju"
              "apellidos" => "Wang"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S266627522030148X"
        "doi" => "10.1016/j.abdp.2019.06.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S266627522030148X?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300787?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300787/v4_202007210853/en/main.assets"
  ]
  "en" => array:17 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
    "titulo" => "Cutaneous and pulmonary cryptococcosis"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "395"
        "paginaFinal" => "397"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Deborah Lucena Markman, Pamella Paola Bezerra de Oliveira, Daniela Mayumi Takano, Idalina In&#234;s Fonseca Nogueira Cambuim"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Deborah Lucena"
            "apellidos" => "Markman"
            "email" => array:1 [
              0 => "deborahlmarkman@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Pamella Paola Bezerra de"
            "apellidos" => "Oliveira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Daniela Mayumi"
            "apellidos" => "Takano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Idalina In&#234;s Fonseca Nogueira"
            "apellidos" => "Cambuim"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Dermatology&#44; Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Department of Pathology&#44; Universidade Federal de Pernambuco&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Mycology Laboratory&#44; Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1032
            "Ancho" => 2226
            "Tamanyo" => 546123
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathology&#46; PAS &#40;left&#41; and Alcian blue &#40;right&#41; staining of cryptococci&#44; &#215;400&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Cryptococcus neoformans</span> is the etiological agent of cryptococcosis&#44; an infectious disease that affects humans&#44; domestic and wild animals&#46; This pathogen is often found in pigeon excreta&#44; possessing innumerable environmental sources&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The diagnosis can be performed by analysis of cerebrospinal fluid &#40;CSF&#41;&#44; urine sediment&#44; bronchoalveolar lavage fluid&#44; wound exudates&#44; floating node aspirate and suspected lesions biopsies&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Treatment of cryptococcosis in immunocompetent and immunocompromised humans&#44; consists of amphotericin B in combination with 5-flucitosin in disseminated infections&#59; or with fluconazole or itraconazole&#44; as an alternative for the treatment of cutaneous infections&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">A 36-year-old female patient presented an ulcerated plaque with hematic crust and erythematous infiltrated edges topped with pustules&#44; measuring approximately 3<span class="elsevierStyleHsp" style=""></span>cm length in the posterior region of the left ear &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The patient related the lesion appeared 4 months before the appointment&#44; accompanied by systemic symptoms such as intermittent fever&#44; productive cough&#44; and weight loss of approximately 5<span class="elsevierStyleHsp" style=""></span>kg in 15 days&#46; Chest X-ray showed evidence of hypotransparency in the middle segment of the right lung lobe&#46; Patient was insulin-dependent diabetic and had a history of kidney transplant performed three years ago and in use of azathioprine and prednisone&#46; After dermatological evaluation&#44; it was decided to perform lesional skin scrapings and mycological culture of the lesion&#39;s secretion and the sputum&#44; as well as an incisional biopsy&#44; with the removal of two fragments for mycological and histopathological study&#46; Slides of direct secretion and sputum were prepared with addition of India ink upon which capsulated yeasts were observed&#46; In the mycological culture of all the samples&#44; there was a development of colonies of white to cream color of mucous aspect typical of <span class="elsevierStyleItalic">Cryptococcus</span> spp&#46; The species identification and antifungal susceptibility were performed in the Vitek 2-Compact&#46; The isolate was also identified by sequencing the D1&#47;D2 domain of the rDNA using the primers NL1 and NL4 being identified as <span class="elsevierStyleItalic">Cryptococcus neoformans</span> &#40;San Felice&#41; Vuill &#40;1901&#41;&#46; Histopathology revealed numerous yeast fungal structures&#44; best visualized by PAS staining &#40;periodic acid-Schiff&#41;&#44; with mucopolysaccharides capsules that stand out for Alcian Blue staining&#44; with scarce inflammatory infiltrate in between &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The patient was hospitalized and treated with amphotericin B associated with fluconazole&#46; After significant clinical improvement&#44; the patient was discharged on the use of fluconazol daily until complete resolution of the cutaneous condition &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">According to literature&#44; this mycosis is commonly diagnosed in patients with cellular immunosuppression&#44; such as HIV positive&#44; being the most frequent systemic mycosis in this group of patients and the third cause of opportunistic Central Nervous System &#40;CNS&#41; disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#44;4</span></a> In renal transplant patients&#44; cryptococcosis occurs in 0&#46;8&#8211;5&#37; of them&#44; depending on the type and intensity of immunosuppression&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Infection is usually observed in the late postoperative period&#44; about four months after the introduction of immunosuppressive drugs&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Drug resistance&#44; when using fluconazole&#44; is likely to occur during prolonged suppressive treatments as in cases of <span class="elsevierStyleItalic">C&#46; neoformans</span> meningitis&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> For the treatment of renal transplant patients using immunosuppressive drugs&#44; drug interactions and side effects should be especially considered&#44; particularly the intrinsic nephrotoxicity of amphotericin B&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> There is still no consensus regarding dose adjustment&#44; time and duration of treatment&#44; as well as the need of maintenance therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">This report presents the medical history of a patient with cutaneous and pulmonary alterations&#44; which allowed the diagnosis of cryptococcosis and the appropriate treatment for it&#46; Through this report we could highlight the importance of the differential diagnosis of infectious conditions in renal transplant patients&#46;</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Financial support</span><p id="par0060" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contributions</span><p id="par0040" class="elsevierStylePara elsevierViewall">Deborah Lucena Markman&#58; approval of the final version of the manuscript&#59; elaboration and writing of the manuscript&#59; effective participation in research orientation&#59; critical review of the literature&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Pamella Paola Bezerra de Oliveira&#58; elaboration and writing of the manuscript&#59; critical review of the literature&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Daniela Mayumi Takano&#58; approval of the final version of the manuscript&#59; effective participation in research orientation&#59; critical review of the manuscript&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Idalina In&#234;s Fonseca Nogueira Cambuim&#58; approval of the final version of the manuscript&#59; effective participation in research orientation&#59; critical review of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Financial support"
        ]
        1 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Authors&#8217; contributions"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflicts of interest"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-05-27"
    "fechaAceptado" => "2019-07-04"
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article&#58; Markman DL&#44; Oliveira PPB&#44; Takano DM&#44; Cambuim IIFM&#46; Cutaneous and pulmonary cryptococcosis&#46; An Bras Dermatol&#46; 2020&#59;95&#58;394&#8211;6&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Department of Dermatology of Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2099
            "Ancho" => 1583
            "Tamanyo" => 299684
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cutaneous lesion in the posterior region of the left ear&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1032
            "Ancho" => 2226
            "Tamanyo" => 546123
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathology&#46; PAS &#40;left&#41; and Alcian blue &#40;right&#41; staining of cryptococci&#44; &#215;400&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 2233
            "Ancho" => 1417
            "Tamanyo" => 179026
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Post-treatment cutaneous lesion&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose-uma revis&#227;o bibliogr&#225;fica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;P&#46;A&#46;F&#46; Queiroz"
                            1 => "F&#46;D&#46;N&#46; Sousa"
                            2 => "R&#46;A&#46; Lage"
                            3 => "M&#46;A&#46; Izael"
                            4 => "A&#46;G&#46; Santos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Vet Bras"
                        "fecha" => "2008"
                        "volumen" => "2"
                        "paginaInicial" => "32"
                        "paginaFinal" => "38"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatologia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;D&#46; Azulay"
                            1 => "D&#46;R&#46; Azulay"
                            2 => "L&#46;A&#46; Abulafia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "6th ed&#46;"
                        "fecha" => "2013"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose cut&#226;nea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;C&#46; Bivanco"
                            1 => "C&#46;D&#46;S&#46; Machado"
                            2 => "E&#46;L&#46; Martins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arq Med ABC"
                        "fecha" => "2006"
                        "volumen" => "31"
                        "paginaInicial" => "102"
                        "paginaFinal" => "109"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose associada &#224; AIDS&#46; A import&#226;ncia do cultivo da urina no seu diagn&#243;stico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V&#46;L&#46; Pinto Junior"
                            1 => "M&#46;C&#46;G&#46; Galhardo"
                            2 => "M&#46; Laz&#233;ra"
                            3 => "B&#46; Wanke"
                            4 => "R&#46;S&#46; Reis"
                            5 => "M&#46; Perez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s0037-86822006000200020"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Soc Bras Med Trop"
                        "fecha" => "2006"
                        "volumen" => "39"
                        "paginaInicial" => "230"
                        "paginaFinal" => "232"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16699657"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paniculite criptoc&#243;cica em transplantado renal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;M&#46; Trope"
                            1 => "A&#46;L&#46;C&#46; Fernandes"
                            2 => "M&#46;H&#46;J&#46;P&#46; Maceira"
                            3 => "M&#46;G&#46;C&#46; Barreiros"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Bras Dermatol"
                        "fecha" => "2008"
                        "volumen" => "83"
                        "paginaInicial" => "233"
                        "paginaFinal" => "236"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300702/v4_202007210853/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "82769"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Letter"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000003/v4_202007210853/S0365059620300702/v4_202007210853/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300702?idApp=UINPBA00008Z"
]
Compartilhar
Informação da revista

Estatísticas

Siga este link para acessar o texto completo do artigo

Case Letter
Cutaneous and pulmonary cryptococcosis
Deborah Lucena Markmana,
Autor para correspondência
deborahlmarkman@gmail.com

Corresponding author.
, Pamella Paola Bezerra de Oliveiraa, Daniela Mayumi Takanob, Idalina Inês Fonseca Nogueira Cambuimc
a Department of Dermatology, Hospital Otávio de Freitas, Recife, PE, Brazil
b Department of Pathology, Universidade Federal de Pernambuco, Recife, PE, Brazil
c Mycology Laboratory, Hospital Otávio de Freitas, Recife, PE, Brazil
Lido
6109
Vezes
que se leu este artigo
3088
Total PDF
3021
Total HTML
Compartilhar estatísticas
 array:24 [
  "pii" => "S0365059620300702"
  "issn" => "03650596"
  "doi" => "10.1016/j.abd.2019.07.009"
  "estado" => "S300"
  "fechaPublicacion" => "2020-05-01"
  "aid" => "159"
  "copyright" => "Sociedade Brasileira de Dermatologia"
  "copyrightAnyo" => "2020"
  "documento" => "article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by/4.0/"
  "subdocumento" => "sco"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "pt" => array:19 [
      "pii" => "S2666275220301405"
      "issn" => "26662752"
      "doi" => "10.1016/j.abdp.2019.07.009"
      "estado" => "S300"
      "fechaPublicacion" => "2020-05-01"
      "aid" => "159"
      "copyright" => "Sociedade Brasileira de Dermatologia"
      "documento" => "article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by/4.0/"
      "subdocumento" => "sco"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "pt" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Carta &#8211; Caso cl&#237;nico</span>"
        "titulo" => "Criptococose cut&#226;nea e pulmonar"
        "tienePdf" => "pt"
        "tieneTextoCompleto" => "pt"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "395"
            "paginaFinal" => "397"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "pt" => true
        ]
        "contienePdf" => array:1 [
          "pt" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 1032
                "Ancho" => 2226
                "Tamanyo" => 546123
              ]
            ]
            "descripcion" => array:1 [
              "pt" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopatologia&#46; Criptococos corados em PAS e em Alcian blue&#44; respectivamente&#44; com aumento de 400&#215;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Deborah Lucena Markman, Pamella Paola Bezerra de Oliveira, Daniela Mayumi Takano, Idalina In&#234;s Fonseca Nogueira Cambuim"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Deborah Lucena"
                "apellidos" => "Markman"
              ]
              1 => array:2 [
                "nombre" => "Pamella Paola Bezerra de"
                "apellidos" => "Oliveira"
              ]
              2 => array:2 [
                "nombre" => "Daniela Mayumi"
                "apellidos" => "Takano"
              ]
              3 => array:2 [
                "nombre" => "Idalina In&#234;s Fonseca Nogueira"
                "apellidos" => "Cambuim"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "pt"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0365059620300702"
          "doi" => "10.1016/j.abd.2019.07.009"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300702?idApp=UINPBA00008Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301405?idApp=UINPBA00008Z"
      "url" => "/26662752/0000009500000003/v1_202006250813/S2666275220301405/v1_202006250813/pt/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0365059620300866"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2019.07.013"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "175"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "sco"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
      "titulo" => "Terra firma-forme dermatosis&#58; an underdiagnosed condition"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "397"
          "paginaFinal" => "399"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 602
              "Ancho" => 855
              "Tamanyo" => 53874
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Area without lesions after rubbing the skin with gauze embedded in 70&#37; alcohol&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Bruna Anjos Badar&#243;, Lucia Martins Diniz, Paulo Sergio Emerich Nogueira"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Bruna Anjos"
              "apellidos" => "Badar&#243;"
            ]
            1 => array:2 [
              "nombre" => "Lucia Martins"
              "apellidos" => "Diniz"
            ]
            2 => array:2 [
              "nombre" => "Paulo Sergio Emerich"
              "apellidos" => "Nogueira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S2666275220301570"
        "doi" => "10.1016/j.abdp.2019.07.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2666275220301570?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300866?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300866/v4_202007210853/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0365059620300787"
    "issn" => "03650596"
    "doi" => "10.1016/j.abd.2019.06.014"
    "estado" => "S300"
    "fechaPublicacion" => "2020-05-01"
    "aid" => "167"
    "copyright" => "Sociedade Brasileira de Dermatologia"
    "documento" => "article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by/4.0/"
    "subdocumento" => "sco"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
      "titulo" => "Pediatric chondrodermatitis nodularis chronica helicis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "393"
          "paginaFinal" => "395"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1162
              "Ancho" => 905
              "Tamanyo" => 125234
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Four skin-colored nodules on the right antihelix with a pearl necklace arrangementt&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Li-Wen Zhang, Lin Li, Cong-Hui Li, Wen-Ju Wang"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Li-Wen"
              "apellidos" => "Zhang"
            ]
            1 => array:2 [
              "nombre" => "Lin"
              "apellidos" => "Li"
            ]
            2 => array:2 [
              "nombre" => "Cong-Hui"
              "apellidos" => "Li"
            ]
            3 => array:2 [
              "nombre" => "Wen-Ju"
              "apellidos" => "Wang"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "pt" => array:9 [
        "pii" => "S266627522030148X"
        "doi" => "10.1016/j.abdp.2019.06.014"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "pt"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S266627522030148X?idApp=UINPBA00008Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300787?idApp=UINPBA00008Z"
    "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300787/v4_202007210853/en/main.assets"
  ]
  "en" => array:17 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Letter</span>"
    "titulo" => "Cutaneous and pulmonary cryptococcosis"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "395"
        "paginaFinal" => "397"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Deborah Lucena Markman, Pamella Paola Bezerra de Oliveira, Daniela Mayumi Takano, Idalina In&#234;s Fonseca Nogueira Cambuim"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Deborah Lucena"
            "apellidos" => "Markman"
            "email" => array:1 [
              0 => "deborahlmarkman@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Pamella Paola Bezerra de"
            "apellidos" => "Oliveira"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Daniela Mayumi"
            "apellidos" => "Takano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Idalina In&#234;s Fonseca Nogueira"
            "apellidos" => "Cambuim"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Dermatology&#44; Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Department of Pathology&#44; Universidade Federal de Pernambuco&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Mycology Laboratory&#44; Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1032
            "Ancho" => 2226
            "Tamanyo" => 546123
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathology&#46; PAS &#40;left&#41; and Alcian blue &#40;right&#41; staining of cryptococci&#44; &#215;400&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Cryptococcus neoformans</span> is the etiological agent of cryptococcosis&#44; an infectious disease that affects humans&#44; domestic and wild animals&#46; This pathogen is often found in pigeon excreta&#44; possessing innumerable environmental sources&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The diagnosis can be performed by analysis of cerebrospinal fluid &#40;CSF&#41;&#44; urine sediment&#44; bronchoalveolar lavage fluid&#44; wound exudates&#44; floating node aspirate and suspected lesions biopsies&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Treatment of cryptococcosis in immunocompetent and immunocompromised humans&#44; consists of amphotericin B in combination with 5-flucitosin in disseminated infections&#59; or with fluconazole or itraconazole&#44; as an alternative for the treatment of cutaneous infections&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">A 36-year-old female patient presented an ulcerated plaque with hematic crust and erythematous infiltrated edges topped with pustules&#44; measuring approximately 3<span class="elsevierStyleHsp" style=""></span>cm length in the posterior region of the left ear &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The patient related the lesion appeared 4 months before the appointment&#44; accompanied by systemic symptoms such as intermittent fever&#44; productive cough&#44; and weight loss of approximately 5<span class="elsevierStyleHsp" style=""></span>kg in 15 days&#46; Chest X-ray showed evidence of hypotransparency in the middle segment of the right lung lobe&#46; Patient was insulin-dependent diabetic and had a history of kidney transplant performed three years ago and in use of azathioprine and prednisone&#46; After dermatological evaluation&#44; it was decided to perform lesional skin scrapings and mycological culture of the lesion&#39;s secretion and the sputum&#44; as well as an incisional biopsy&#44; with the removal of two fragments for mycological and histopathological study&#46; Slides of direct secretion and sputum were prepared with addition of India ink upon which capsulated yeasts were observed&#46; In the mycological culture of all the samples&#44; there was a development of colonies of white to cream color of mucous aspect typical of <span class="elsevierStyleItalic">Cryptococcus</span> spp&#46; The species identification and antifungal susceptibility were performed in the Vitek 2-Compact&#46; The isolate was also identified by sequencing the D1&#47;D2 domain of the rDNA using the primers NL1 and NL4 being identified as <span class="elsevierStyleItalic">Cryptococcus neoformans</span> &#40;San Felice&#41; Vuill &#40;1901&#41;&#46; Histopathology revealed numerous yeast fungal structures&#44; best visualized by PAS staining &#40;periodic acid-Schiff&#41;&#44; with mucopolysaccharides capsules that stand out for Alcian Blue staining&#44; with scarce inflammatory infiltrate in between &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; The patient was hospitalized and treated with amphotericin B associated with fluconazole&#46; After significant clinical improvement&#44; the patient was discharged on the use of fluconazol daily until complete resolution of the cutaneous condition &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">According to literature&#44; this mycosis is commonly diagnosed in patients with cellular immunosuppression&#44; such as HIV positive&#44; being the most frequent systemic mycosis in this group of patients and the third cause of opportunistic Central Nervous System &#40;CNS&#41; disease&#46;<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1&#44;4</span></a> In renal transplant patients&#44; cryptococcosis occurs in 0&#46;8&#8211;5&#37; of them&#44; depending on the type and intensity of immunosuppression&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> Infection is usually observed in the late postoperative period&#44; about four months after the introduction of immunosuppressive drugs&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Drug resistance&#44; when using fluconazole&#44; is likely to occur during prolonged suppressive treatments as in cases of <span class="elsevierStyleItalic">C&#46; neoformans</span> meningitis&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> For the treatment of renal transplant patients using immunosuppressive drugs&#44; drug interactions and side effects should be especially considered&#44; particularly the intrinsic nephrotoxicity of amphotericin B&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> There is still no consensus regarding dose adjustment&#44; time and duration of treatment&#44; as well as the need of maintenance therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">This report presents the medical history of a patient with cutaneous and pulmonary alterations&#44; which allowed the diagnosis of cryptococcosis and the appropriate treatment for it&#46; Through this report we could highlight the importance of the differential diagnosis of infectious conditions in renal transplant patients&#46;</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Financial support</span><p id="par0060" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Authors&#8217; contributions</span><p id="par0040" class="elsevierStylePara elsevierViewall">Deborah Lucena Markman&#58; approval of the final version of the manuscript&#59; elaboration and writing of the manuscript&#59; effective participation in research orientation&#59; critical review of the literature&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Pamella Paola Bezerra de Oliveira&#58; elaboration and writing of the manuscript&#59; critical review of the literature&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Daniela Mayumi Takano&#58; approval of the final version of the manuscript&#59; effective participation in research orientation&#59; critical review of the manuscript&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Idalina In&#234;s Fonseca Nogueira Cambuim&#58; approval of the final version of the manuscript&#59; effective participation in research orientation&#59; critical review of the manuscript&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0065" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Financial support"
        ]
        1 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Authors&#8217; contributions"
        ]
        2 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Conflicts of interest"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2018-05-27"
    "fechaAceptado" => "2019-07-04"
    "NotaPie" => array:2 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article&#58; Markman DL&#44; Oliveira PPB&#44; Takano DM&#44; Cambuim IIFM&#46; Cutaneous and pulmonary cryptococcosis&#46; An Bras Dermatol&#46; 2020&#59;95&#58;394&#8211;6&#46;</p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9734;&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Department of Dermatology of Hospital Ot&#225;vio de Freitas&#44; Recife&#44; PE&#44; Brazil&#46;</p>"
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 2099
            "Ancho" => 1583
            "Tamanyo" => 299684
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cutaneous lesion in the posterior region of the left ear&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 1032
            "Ancho" => 2226
            "Tamanyo" => 546123
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histopathology&#46; PAS &#40;left&#41; and Alcian blue &#40;right&#41; staining of cryptococci&#44; &#215;400&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 2233
            "Ancho" => 1417
            "Tamanyo" => 179026
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Post-treatment cutaneous lesion&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:5 [
            0 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose-uma revis&#227;o bibliogr&#225;fica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;P&#46;A&#46;F&#46; Queiroz"
                            1 => "F&#46;D&#46;N&#46; Sousa"
                            2 => "R&#46;A&#46; Lage"
                            3 => "M&#46;A&#46; Izael"
                            4 => "A&#46;G&#46; Santos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Acta Vet Bras"
                        "fecha" => "2008"
                        "volumen" => "2"
                        "paginaInicial" => "32"
                        "paginaFinal" => "38"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatologia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;D&#46; Azulay"
                            1 => "D&#46;R&#46; Azulay"
                            2 => "L&#46;A&#46; Abulafia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "edicion" => "6th ed&#46;"
                        "fecha" => "2013"
                        "editorial" => "Guanabara Koogan"
                        "editorialLocalizacion" => "Rio de Janeiro"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose cut&#226;nea"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46;C&#46; Bivanco"
                            1 => "C&#46;D&#46;S&#46; Machado"
                            2 => "E&#46;L&#46; Martins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arq Med ABC"
                        "fecha" => "2006"
                        "volumen" => "31"
                        "paginaInicial" => "102"
                        "paginaFinal" => "109"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Criptococose associada &#224; AIDS&#46; A import&#226;ncia do cultivo da urina no seu diagn&#243;stico"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "V&#46;L&#46; Pinto Junior"
                            1 => "M&#46;C&#46;G&#46; Galhardo"
                            2 => "M&#46; Laz&#233;ra"
                            3 => "B&#46; Wanke"
                            4 => "R&#46;S&#46; Reis"
                            5 => "M&#46; Perez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/s0037-86822006000200020"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Soc Bras Med Trop"
                        "fecha" => "2006"
                        "volumen" => "39"
                        "paginaInicial" => "230"
                        "paginaFinal" => "232"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16699657"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Paniculite criptoc&#243;cica em transplantado renal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;M&#46; Trope"
                            1 => "A&#46;L&#46;C&#46; Fernandes"
                            2 => "M&#46;H&#46;J&#46;P&#46; Maceira"
                            3 => "M&#46;G&#46;C&#46; Barreiros"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An Bras Dermatol"
                        "fecha" => "2008"
                        "volumen" => "83"
                        "paginaInicial" => "233"
                        "paginaFinal" => "236"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/03650596/0000009500000003/v4_202007210853/S0365059620300702/v4_202007210853/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "82769"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Letter"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000003/v4_202007210853/S0365059620300702/v4_202007210853/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300702?idApp=UINPBA00008Z"
]
Informação do artigo
ISSN: 03650596
Idioma original: Inglês
Dados atualizados diariamente
Ano/Mês Html Pdf Total
2024 Novembro 14 10 24
2024 Outubro 85 82 167
2024 Setembro 114 97 211
2024 Agosto 129 146 275
2024 Julho 125 127 252
2024 Junho 90 76 166
2024 Maio 94 65 159
2024 Abril 100 86 186
2024 Março 73 62 135
2024 Fevereiro 94 76 170
2024 Janeiro 100 47 147
2023 Dezembro 87 59 146
2023 Novembro 72 77 149
2023 Outubro 79 86 165
2023 Setembro 65 78 143
2023 Agosto 63 44 107
2023 Julho 50 32 82
2023 Junho 59 39 98
2023 Maio 54 24 78
2023 Abril 41 22 63
2023 Março 74 42 116
2023 Fevereiro 54 42 96
2023 Janeiro 35 39 74
2022 Dezembro 51 23 74
2022 Novembro 58 53 111
2022 Outubro 79 57 136
2022 Setembro 38 65 103
2022 Agosto 38 55 93
2022 Julho 42 51 93
2022 Junho 40 50 90
2022 Maio 35 48 83
2022 Abril 35 48 83
2022 Março 45 73 118
2022 Fevereiro 31 38 69
2022 Janeiro 39 82 121
2021 Dezembro 34 62 96
2021 Novembro 38 69 107
2021 Outubro 48 91 139
2021 Setembro 39 52 91
2021 Agosto 34 55 89
2021 Julho 34 47 81
2021 Junho 29 48 77
2021 Maio 42 90 132
2021 Abril 212 260 472
2021 Março 52 70 122
2021 Fevereiro 16 15 31
2021 Janeiro 15 19 34
2020 Dezembro 23 22 45
2020 Novembro 20 16 36
2020 Outubro 25 10 35
2020 Setembro 21 10 31
2020 Agosto 9 7 16
2020 Julho 14 12 26
2020 Junho 16 13 29
2020 Maio 18 15 33
2020 Abril 0 4 4
Mostrar tudo

Siga este link para acessar o texto completo do artigo

Idiomas
Anais Brasileiros de Dermatologia (Portuguese)
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.