Statistics

 array:21 [
  "pii" => "X2013251411051070"
  "issn" => "20132514"
  "doi" => "10.3265/Nefrologia.pre2010.Oct.10644"
  "estado" => "S300"
  "fechaPublicacion" => "2011-01-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2011;31:121-3"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 8505
    "formatos" => array:3 [
      "EPUB" => 327
      "HTML" => 7472
      "PDF" => 706
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699511051073"
      "issn" => "02116995"
      "doi" => "10.3265/Nefrologia.pre2010.Oct.10644"
      "estado" => "S300"
      "fechaPublicacion" => "2011-01-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2011;31:121-3"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 19812
        "formatos" => array:3 [
          "EPUB" => 333
          "HTML" => 18583
          "PDF" => 896
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "titulo" => "Insuficiencia renal aguda por depósito de cristales de oxalato e hiperoxaluria de origen entérico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "121"
            "paginaFinal" => "123"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Acute renal failure due to oxalate crystal deposition and enteric hyperoxaluria"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:8 [
            "identificador" => "fig1"
            "etiqueta" => "Fig. 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "copyright" => "Elsevier España"
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "10644_108_9035_es_10644_f1.jpg"
                "Alto" => 445
                "Ancho" => 600
                "Tamanyo" => 274004
              ]
            ]
            "descripcion" => array:1 [
              "es" => "Biopsia renal."
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A. Sentís, L.F. Quintana, E. Massó, N.S. Peréz, A. Botey Puig, J.M. Campistol Plana"
            "autores" => array:7 [
              0 => null
              1 => array:2 [
                "Iniciales" => "A."
                "apellidos" => "Sentís"
              ]
              2 => array:2 [
                "Iniciales" => "L.F."
                "apellidos" => "Quintana"
              ]
              3 => array:2 [
                "Iniciales" => "E."
                "apellidos" => "Massó"
              ]
              4 => array:2 [
                "Iniciales" => "N.S."
                "apellidos" => "Peréz"
              ]
              5 => array:2 [
                "Iniciales" => "A."
                "apellidos" => "Botey Puig"
              ]
              6 => array:2 [
                "Iniciales" => "J.M."
                "apellidos" => "Campistol Plana"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251411051070"
          "doi" => "10.3265/Nefrologia.pre2010.Oct.10644"
          "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/X2013251411051070?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699511051073?idApp=UINPBA000064"
      "url" => "/02116995/0000003100000001/v0_201502091419/X0211699511051073/v0_201502091420/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251411051062"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Sep.10636"
    "estado" => "S300"
    "fechaPublicacion" => "2011-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2011;31:123-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5231
      "formatos" => array:3 [
        "EPUB" => 348
        "HTML" => 4264
        "PDF" => 619
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Foetal hyper-echogenic colon as an early sign of cystinuria"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "123"
          "paginaFinal" => "124"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hiperecogenicidad prenatal del colon como signo precoz de cistinuria"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "10636_108_13130_en_10636_f1.jpg"
              "Alto" => 605
              "Ancho" => 818
              "Tamanyo" => 56412
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Hyperechogenic intestine with sound density similar to foetal bone"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A. COBO COSTA, M.I. LUIS YANES, A.I. PADILLA PÉREZ, M. ÁLVAREZ DE LA ROSA, V.M. GARCÍA NIETO, J.M. TROYANO LUQUE"
          "autores" => array:7 [
            0 => null
            1 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "COBO COSTA"
            ]
            2 => array:2 [
              "Iniciales" => "M.I."
              "apellidos" => "LUIS YANES"
            ]
            3 => array:2 [
              "Iniciales" => "A.I."
              "apellidos" => "PADILLA PÉREZ"
            ]
            4 => array:2 [
              "Iniciales" => "M."
              "apellidos" => "ÁLVAREZ DE LA ROSA"
            ]
            5 => array:2 [
              "Iniciales" => "V.M."
              "apellidos" => "GARCÍA NIETO"
            ]
            6 => array:2 [
              "Iniciales" => "J.M."
              "apellidos" => "TROYANO LUQUE"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699511051065"
        "doi" => "10.3265/Nefrologia.pre2010.Sep.10636"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699511051065?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411051062?idApp=UINPBA000064"
    "url" => "/20132514/0000003100000001/v0_201502091643/X2013251411051062/v0_201502091644/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251411051089"
    "issn" => "20132514"
    "doi" => "10.3265/Nefrologia.pre2010.Oct.10653"
    "estado" => "S300"
    "fechaPublicacion" => "2011-01-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2011;31:120-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4820
      "formatos" => array:3 [
        "EPUB" => 312
        "HTML" => 3936
        "PDF" => 572
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Methanol poisoning. Evolution of blood levels with high-flux haemodialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "120"
          "paginaFinal" => "121"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Intoxicación por metanol. Evolución de niveles sanguíneos con hemodiálisis de alto flujo"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig1"
          "etiqueta" => "Fig. 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "copyright" => "Elsevier España"
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "10653_108_13128_en_10653_f31.jpg"
              "Alto" => 803
              "Ancho" => 781
              "Tamanyo" => 51962
            ]
          ]
          "descripcion" => array:1 [
            "en" => "Evolution of blood methanol levels during the haemodialysis sessions"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J.I. MINGUELA, M.J. LANZAGORTA, A. HERNANDO, J. AUDICANA"
          "autores" => array:5 [
            0 => null
            1 => array:2 [
              "Iniciales" => "J.I."
              "apellidos" => "MINGUELA"
            ]
            2 => array:2 [
              "Iniciales" => "M.J."
              "apellidos" => "LANZAGORTA"
            ]
            3 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "HERNANDO"
            ]
            4 => array:2 [
              "Iniciales" => "J."
              "apellidos" => "AUDICANA"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699511051081"
        "doi" => "10.3265/Nefrologia.pre2010.Oct.10653"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699511051081?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411051089?idApp=UINPBA000064"
    "url" => "/20132514/0000003100000001/v0_201502091643/X2013251411051089/v0_201502091644/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Acute renal failure due to oxalate crystal deposition and enteric hyperoxaluria"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "121"
        "paginaFinal" => "123"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "A. Sentís, L.F. Quintana, E. Massó, N.S. Peréz, A. Botey Puig, J.M. Campistol Plana"
        "autores" => array:7 [
          0 => null
          1 => array:3 [
            "Iniciales" => "A."
            "apellidos" => "Sentís"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          2 => array:4 [
            "Iniciales" => "L.F."
            "apellidos" => "Quintana"
            "email" => array:1 [
              0 => "lfquinta&#64;clinic&#46;ub&#46;es"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "E."
            "apellidos" => "Mass&#243;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          4 => array:3 [
            "Iniciales" => "N.S."
            "apellidos" => "Per&#233;z"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          5 => array:3 [
            "Iniciales" => "A."
            "apellidos" => "Botey Puig"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
          6 => array:3 [
            "Iniciales" => "J.M."
            "apellidos" => "Campistol Plana"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "affb"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología y Trasplante Renal, Hospital Clínic i Provincial, Barcelona,   "
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "affb"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Insuficiencia renal aguda por dep&#243;sito de cristales de oxalato e hiperoxaluria de origen ent&#233;rico"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "10644_108_13129_en_10644_f1.jpg"
            "Alto" => 1362
            "Ancho" => 1723
            "Tamanyo" => 236115
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Renal biopsy&#46; 1A&#41; Diffuse interstitial fibrosis with focal tubular atrophy and interstitial foci of inflammatory infiltrate&#59; 1B&#41; Glomerulus with fibrous thickening of the capsule&#59; 1C&#41; Expansion and mesangial sclerosis&#59; 1D&#41; Tubules with lumen occupied by b"
        ]
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">To the Editor&#44; </span></p><p class="elsevierStylePara">Acute renal failure associated with intratubular crystal precipitation is a common cause of renal injury which may occur in the context of a wide variety of clinical situations&#46; The most common are those associated with uric acid nephropathy and with intravenous acyclovir&#44; sulphonamides&#44; methotrexate&#44; and indinavir treatment&#46; Most patients affected by this type of renal disease have a variety of predisposing risk factors&#44; notable among which are effective intravascular volume depletion and previous chronic renal failure&#46;<span class="elsevierStyleSup">1</span></p><p class="elsevierStylePara">Ingestion of ethylene glycol and&#44; exceptionally&#44; the administration of ascorbic acid at high doses can cause hypercalcaemia and acute renal failure due to deposition of oxalate crystals&#46;<span class="elsevierStyleSup">2</span> However&#44; enteric hyperoxaluria is another potential cause of kidney stones and interstitial nephritis in patients with short bowel syndrome or other causes of fat malabsorption in patients without colectomy&#46;<span class="elsevierStyleSup">3&#44;4</span></p><p class="elsevierStylePara">&#160;</p><p class="elsevierStylePara">We report the case of a 59-year old patient who underwent surgery for a Bismuth type IIIB hilar cholangiocarcinoma in September 2009&#46; There were a number of complications after the intervention&#58; ischaemic necrosis of the right hepatic lobe anterior segments&#44; a biliary fistula and abscesses in the surgical site&#46; The patient was therefore eventually discharged wearing a drain in the surgical site&#46; In January 2010&#44; the patient was admitted due to acute renal failure with serum creatinine of 9&#46;6mg&#47;dl&#44; vomiting and increased cardiac output due to drainage&#46; Urine sodium was 34meq&#47;l&#46; Additional tests also highlighted the presence of a proteinuria of 0&#46;6g&#47;24h and urine sediment with 10 red cells per field without leukocyturia&#46; The patient had a beta-2-microglobulin level of 548&#46;72&#956;g&#47;g and NAG of 9U&#47;l in the urine&#46; The renal function continued to deteriorate despite volume replacement and a renal biopsy was performed to investigate the origin of the acute renal failure&#46;</p><p class="elsevierStylePara">The renal biopsy showed varying degrees of shrinkage with fibrous thickening of the capsule in some glomeruli&#46; Diffuse fibrosis was observed in the interstitial area&#44; with focal tubular atrophy affecting approximately 25&#37; of the parenchyma&#46; Predominantly lymphoplasmacytic inflammatory infiltrate was detected in various areas&#44; with occasional presence of eosinophils&#46; Some tubules had necrotic cylinders in the lumen&#46; The lumen of many tubules was occupied by birefringent crystals consistent with oxalate &#40;Figure 1&#41;&#46;</p><p class="elsevierStylePara">The oxalate in urine was 47&#46;70mg&#47;24h &#40;up to 40mg&#47;24h with normal renal function&#41;&#46; After hydration&#44; correction of acidosis&#44; treatment with calcium carbonate and low oxalate diet&#44; the patient presented a successful evolution&#44; with a progressive decline in serum creatinine to 2mg&#47;dl prior to discharge&#46;</p><p class="elsevierStylePara">Under normal conditions&#44; the daily load of endogenous and exogenous oxalate is completely excreted by the kidneys&#46; When renal function is altered&#44; renal and extrarenal deposits of oxalate begin to appear&#44; which is known as systemic oxalosis&#46; When there is a high oxalate load&#44; hyperoxaluria is produced&#44; increasing the risk of nephrolithiasis and nephrocalcinosis&#46; In addition&#44; acute renal failure may be triggered in patient with a precipitating factor&#44; such as dehydration and&#47;or metabolic acidosis&#46;</p><p class="elsevierStylePara">Hyperoxaluria is defined as the presence of urinary oxalate values greater than 40mg&#47;day&#46; It is frequently observed in patients with fat malabsorption due to digestive hyperabsorption of oxalate&#44; unlike primary hyperoxaluria due to enzyme deficiencies associated with a hyperproduction of oxalate in the liver&#46;<span class="elsevierStyleSup">5</span></p><p class="elsevierStylePara">The patient in question presented an enteric hyperoxaluria in relation to malabsorption of fats&#46; The main mechanism involved is the binding of calcium in the intestine by fatty acids&#44; which decreases the calcium oxalate in the digestive tract and increases the ionised oxalic acid absorbed in the intestine&#46; These patients may benefit from conservative treatment based on reducing oxalate and fat in the diet&#44; the administration of calcium carbonate as an oxalate binder&#44; and an increased intake of fluids and administration of bases&#44; such as sodium citrate&#44; in order to increase urinary calcium oxalate solubility&#46; Likewise&#44; it has yet to be confirmed if recolonisation with <span class="elsevierStyleItalic">Oxalobacter formigenes</span> also reduces urinary oxalate excretion&#46;<span class="elsevierStyleSup">6</span></p><p class="elsevierStylePara">In conclusion&#44; calcium oxalate deposition associated with enteric hyperoxaluria is a rare cause of acute renal failure in the native and transplanted kidney&#46;<span class="elsevierStyleSup">5&#44;7&#44;8</span> Patients with fat malabsorption are at high risk and should be identified and treated early to prevent loss of kidney function&#46; If parenchymal acute renal failure is seen in a patient with fat malabsorption&#44; urinary oxalate excretion should be measured&#44; deterioration of the acid-base balance reversed and early hydration provided&#46;</p><p class="elsevierStylePara"><a href="grande&#47;10644&#95;108&#95;13129&#95;en&#95;10644&#95;f1&#46;jpg" class="elsevierStyleCrossRefs"><img src="10644_108_13129_en_10644_f1.jpg" alt="Renal biopsy&#46; 1A&#41; Diffuse interstitial fibrosis with focal tubular atrophy and interstitial foci of inflammatory infiltrate&#59; 1B&#41; Glomerulus with fibrous thickening of the capsule&#59; 1C&#41; Expansion and mesangial sclerosis&#59; 1D&#41; Tubules with lumen occupied by b"></img></a></p><p class="elsevierStylePara">Figure 1&#46; Renal biopsy&#46; 1A&#41; Diffuse interstitial fibrosis with focal tubular atrophy and interstitial foci of inflammatory infiltrate&#59; 1B&#41; Glomerulus with fibrous thickening of the capsule&#59; 1C&#41; Expansion and mesangial sclerosis&#59; 1D&#41; Tubules with lumen occupied by b</p>"
    "pdfFichero" => "P1-E515-S2802-A10644-EN.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:4 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec441452"
          "palabras" => array:1 [
            0 => "Interstitial nephritis"
          ]
        ]
        1 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec441454"
          "palabras" => array:1 [
            0 => "Acute renal failure"
          ]
        ]
        2 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec441456"
          "palabras" => array:1 [
            0 => "Oxalate crystals"
          ]
        ]
        3 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec441458"
          "palabras" => array:1 [
            0 => "Enteric hyperoxaluria"
          ]
        ]
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "fig1"
        "etiqueta" => "Fig. 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "copyright" => "Elsevier Espa&#241;a"
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "10644_108_13129_en_10644_f1.jpg"
            "Alto" => 1362
            "Ancho" => 1723
            "Tamanyo" => 236115
          ]
        ]
        "descripcion" => array:1 [
          "en" => "Renal biopsy&#46; 1A&#41; Diffuse interstitial fibrosis with focal tubular atrophy and interstitial foci of inflammatory infiltrate&#59; 1B&#41; Glomerulus with fibrous thickening of the capsule&#59; 1C&#41; Expansion and mesangial sclerosis&#59; 1D&#41; Tubules with lumen occupied by b"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:8 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Perazella MA. Crystal-induced acute renal failure. Am J Med 1999;106(4):459-65. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10225250" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S0168827811005095"
                          "estado" => "S300"
                          "issn" => "01688278"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "2.\u{A0} Swartz RD, Wesley JR, Somermeyer MG, Lau K. Hyperoxaluria and renal insufficiency due to ascorbic acid administration during total parenteral nutrition.Ann Intern Med 1984;100:530. <a href="http://www.ncbi.nlm.nih.gov/pubmed/6422817" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Wharton R, D'Agati V, Magun AM, Whitlock R, Kunis CL, Appel GB. Acute deterioration of renal function associated with enteric hyperoxaluria. Clin Nephrol 1990;34(3):116-21. <a href="http://www.ncbi.nlm.nih.gov/pubmed/2225562" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Mandell I, Krauss E, Millan JC. Oxalate-induced acute renal failure in Crohn's disease. Am J Med 1980;69(4):628-32. <a href="http://www.ncbi.nlm.nih.gov/pubmed/7424952" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lefaucheur C, Hill GS, Amrein C, Haymann JP, Jacquot C, Glotz D, et al.\u{A0}Acute oxalate nephropathy: A new etiology for acute renal failure following nonrenal solid organ transplantation. Am J Transplant 2006;6(10):2516-21. Epub 2006 Aug 1. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16889602" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Marengo SR, Romani AM. Oxalate in renal stone disease: the terminal metabolite that just won't go away. Nat Clin Pract Nephrol 2008;4(7):368-77. Epub 2008 Jun 3. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18523430" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:1 [
                        "itemHostRev" => array:3 [
                          "pii" => "S0168827808005035"
                          "estado" => "S300"
                          "issn" => "01688278"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Rankin AC, Walsh SB, Summers SA, Owen MP, Mansell MA. Acute oxalate nephropathy causing late renal transplant dysfunction due to enteric hyperoxaluria. Am J Transplant 2008;8(8):1755-8. Epub 2008 Jun 28. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18557738" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Cuvelier C, Goffin E, Cosyns JP, Wauthier M, De Strihou CY. Enteric hyperoxaluria: a hidden cause of early renal graft failure in two successive transplants: spontaneous late graft recovery. Am J Kidney Dis 2002;40(1):e3. <a href="http://www.ncbi.nlm.nih.gov/pubmed/12087589" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003100000001/v0_201502091643/X2013251411051070/v0_201502091644/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35437"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor - Brief Case Reports"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003100000001/v0_201502091643/X2013251411051070/v0_201502091644/en/P1-E515-S2802-A10644-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251411051070?idApp=UINPBA000064"
]