array:25 [
  "pii" => "S2013251417300457"
  "issn" => "20132514"
  "doi" => "10.1016/j.nefroe.2017.02.003"
  "estado" => "S300"
  "fechaPublicacion" => "2017-03-01"
  "aid" => "267"
  "copyright" => "Sociedad Española de Nefrología"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Nefrologia (English Version). 2017;37:214-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2399
    "formatos" => array:3 [
      "EPUB" => 326
      "HTML" => 1603
      "PDF" => 470
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0211699516301473"
      "issn" => "02116995"
      "doi" => "10.1016/j.nefro.2016.09.012"
      "estado" => "S300"
      "fechaPublicacion" => "2017-03-01"
      "aid" => "267"
      "copyright" => "Sociedad Española de Nefrología"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Nefrologia. 2017;37:214-5"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4263
        "formatos" => array:3 [
          "EPUB" => 525
          "HTML" => 2887
          "PDF" => 851
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
        "titulo" => "Segmental tuberous sclerosis in a patient with chronic kidney disease"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "214"
            "paginaFinal" => "215"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Esclerosis tuberosa segmentaria en un paciente con enfermedad renal cr&#243;nica"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Fig&#46; 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 623
                "Ancho" => 3000
                "Tamanyo" => 319916
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Alper Alp, Sarenur Esener, Didar G&#252;rsoy"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Alper"
                "apellidos" => "Alp"
              ]
              1 => array:2 [
                "nombre" => "Sarenur"
                "apellidos" => "Esener"
              ]
              2 => array:2 [
                "nombre" => "Didar"
                "apellidos" => "G&#252;rsoy"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2013251417300457"
          "doi" => "10.1016/j.nefroe.2017.02.003"
          "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/S2013251417300457?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699516301473?idApp=UINPBA000064"
      "url" => "/02116995/0000003700000002/v1_201704211146/S0211699516301473/v1_201704211146/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2013251417300780"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.04.006"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "268"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:216-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2838
      "formatos" => array:3 [
        "EPUB" => 364
        "HTML" => 1973
        "PDF" => 501
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Renal failure related to fibrates administration &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>46&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "216"
          "paginaFinal" => "217"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Insuficiencia renal asociada al uso de fibratos &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>46&#41;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carmen R&#46; Cobelo Casas, Beatriz Mill&#225;n D&#237;az, Lourdes Gonz&#225;lez Tabar&#233;s, Nerea G&#243;mez Larrambe, Lu&#237;sa Cabezas Gonz&#225;lez, Mar&#237;a Lu&#237;sa Garc&#237;a Merino, Jes&#250;s Calvi&#241;o Varela"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Carmen R&#46;"
              "apellidos" => "Cobelo Casas"
            ]
            1 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Mill&#225;n D&#237;az"
            ]
            2 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Gonz&#225;lez Tabar&#233;s"
            ]
            3 => array:2 [
              "nombre" => "Nerea"
              "apellidos" => "G&#243;mez Larrambe"
            ]
            4 => array:2 [
              "nombre" => "Lu&#237;sa"
              "apellidos" => "Cabezas Gonz&#225;lez"
            ]
            5 => array:2 [
              "nombre" => "Mar&#237;a Lu&#237;sa"
              "apellidos" => "Garc&#237;a Merino"
            ]
            6 => array:2 [
              "nombre" => "Jes&#250;s"
              "apellidos" => "Calvi&#241;o Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0211699516301485"
        "doi" => "10.1016/j.nefro.2016.09.013"
        "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/S0211699516301485?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300780?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300780/v1_201705250045/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2013251417300676"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.03.002"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "253"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:213-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3313
      "formatos" => array:3 [
        "EPUB" => 364
        "HTML" => 2382
        "PDF" => 567
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "<span class="elsevierStyleItalic">Enterococcus gallinarum</span> and Chilaiditi syndrome in peritoneal dialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "213"
          "paginaFinal" => "214"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "<span class="elsevierStyleItalic">Enterococcus gallinarum</span> y s&#237;ndrome de Chilaiditi en di&#225;lisis peritoneal"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1125
              "Ancho" => 1649
              "Tamanyo" => 142609
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracic X-ray with Chilaiditi syndrome&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cristina P&#233;rez Mel&#243;n, Beatriz Ferreiro &#193;lvarez, Elena Iglesias Lamas, Mar&#237;a Jes&#250;s Camba Caride, Mar&#237;a Paz Borrajo Prol, Enrique Novoa Fern&#225;ndez"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "P&#233;rez Mel&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Ferreiro &#193;lvarez"
            ]
            2 => array:2 [
              "nombre" => "Elena"
              "apellidos" => "Iglesias Lamas"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a Jes&#250;s"
              "apellidos" => "Camba Caride"
            ]
            4 => array:2 [
              "nombre" => "Mar&#237;a Paz"
              "apellidos" => "Borrajo Prol"
            ]
            5 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Novoa Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0211699516301187"
        "doi" => "10.1016/j.nefro.2016.09.001"
        "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/S0211699516301187?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300676?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300676/v1_201705250045/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Segmental tuberous sclerosis in a patient with chronic kidney disease"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "214"
        "paginaFinal" => "215"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Alper Alp, Sarenur Esener, Didar G&#252;rsoy"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Alper"
            "apellidos" => "Alp"
            "email" => array:1 [
              0 => "alperalp20&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Sarenur"
            "apellidos" => "Esener"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Didar"
            "apellidos" => "G&#252;rsoy"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Tepecik Education and Research Hospital&#44; Nephrology&#44; &#304;zmir&#44; Turkey"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Van Education and Research Hospital&#44; Dermatology&#44; Van&#44; Turkey"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Van Education and Research Hospital&#44; Pathology&#44; Van&#44; Turkey"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Esclerosis tuberosa segmentaria en un paciente con enfermedad renal cr&#243;nica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 623
            "Ancho" => 3000
            "Tamanyo" => 319916
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">33-year-old woman presented with fatigue and renal failure&#46; On physical examination&#44; the patient had multiple non-traumatic periungual fibromas in both hands and feet &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#46; Shagreen patch was seen in the right lumbosacral region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#46; On admission biochemical tests revealed&#59; urea&#58; 132<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; creatinine&#58;4&#46;7<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; potassium&#58; 4&#46;7<span class="elsevierStyleHsp" style=""></span>mmol&#47;L&#44; GFR 12<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#47;1&#46;73<span class="elsevierStyleHsp" style=""></span>m<span class="elsevierStyleSup">2</span> &#40;MDRD&#41;&#44; pH 7&#46;32&#44; HCO<span class="elsevierStyleInf">3</span>&#58; 18&#46;4&#46; Renal ultrasonography revealed bilateral renal cysts &#40;17 and 5<span class="elsevierStyleHsp" style=""></span>mm at right kidney&#44; 6 and 10<span class="elsevierStyleHsp" style=""></span>mm at left kidney&#41; with normal size and parenchymal thickness&#46; Histopathology of the Shagreen patch revealed dense collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>c&#41;&#46; Due to these skin lesions and renal cysts the patient was diagnosed as TS &#40;two major<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1 minor components&#41;&#46; She denied any seizures in her past medical history&#46; Renal biopsy was suggested but she did not accept the procedure yet and medical treatment was given&#46; During the outpatient follow up creatinine level progressed up to 10<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#46; Due to low GFR and uremic symptoms hemodialysis was started and arteriovenous fistula was created&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">TS complex is a multisystem&#44; rare and genetic disorder of autosomal dominant inheritance which can involve different organs&#46; It is caused by damage to the TSC1 &#40;9q34&#41; or TSC2 &#40;16p13&#41; genes coding respectively for hamartin and tuberin&#46; Skin involvement is the commonest presentation of the disease&#46; Recognizing specific dermatologic lesions&#44; especially hypomelanotic macules &#40;&#62;3&#41;&#44; Shagreen patch&#44; forehead plaque&#44; non-traumatic periungual fibromas&#44; adenoma sebaceum&#44; facial angiofibromas should remind the physicians TS&#46; Renal involvement has the leading importance for mortality and morbidity&#46; Kidneys are involved in almost 50&#8211;80&#37; of the patients&#46; The most frequent renal lesions in TS are angiomyolipomas and renal cysts&#46; Bilateral and multiple characteristics of angiomyolipomas are primary radiological clues for suspicion and diagnosis&#46; However in some rare cases these patients may present without frank renal lesions&#46; These patients with renal involvement may also present with end stage renal disease in adult ages&#46; TS is accepted as a glomerulocystic disease&#46; They may occur in every part of the nephron&#46; Renal cystic disease can also be microcystic&#44; undetectable by imaging studies&#46; The limited or obscure manifestations of TS with renal failure can be detected in nephrology practice&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflict of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">This case was accepted as a poster presentation at Proceeding Book for ASN Kidney Week 2015&#44; San Diego&#44; USA&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 623
            "Ancho" => 3000
            "Tamanyo" => 319916
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300457/v1_201705250045/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003700000002/v1_201705250045/S2013251417300457/v1_201705250045/en/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300457?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
Segmental tuberous sclerosis in a patient with chronic kidney disease
Esclerosis tuberosa segmentaria en un paciente con enfermedad renal crónica
Alper Alpa,
Corresponding author
alperalp20@hotmail.com

Corresponding author.
, Sarenur Esenerb, Didar Gürsoyc
a Tepecik Education and Research Hospital, Nephrology, İzmir, Turkey
b Van Education and Research Hospital, Dermatology, Van, Turkey
c Van Education and Research Hospital, Pathology, Van, Turkey
Read
6387
Times
was read the article
2173
Total PDF
4214
Total HTML
Share statistics
 array:25 [
  "pii" => "S2013251417300457"
  "issn" => "20132514"
  "doi" => "10.1016/j.nefroe.2017.02.003"
  "estado" => "S300"
  "fechaPublicacion" => "2017-03-01"
  "aid" => "267"
  "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:214-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2399
    "formatos" => array:3 [
      "EPUB" => 326
      "HTML" => 1603
      "PDF" => 470
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:20 [
      "pii" => "S0211699516301473"
      "issn" => "02116995"
      "doi" => "10.1016/j.nefro.2016.09.012"
      "estado" => "S300"
      "fechaPublicacion" => "2017-03-01"
      "aid" => "267"
      "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
      "documento" => "simple-article"
      "crossmark" => 0
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Nefrologia. 2017;37:214-5"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 4263
        "formatos" => array:3 [
          "EPUB" => 525
          "HTML" => 2887
          "PDF" => 851
        ]
      ]
      "en" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
        "titulo" => "Segmental tuberous sclerosis in a patient with chronic kidney disease"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "214"
            "paginaFinal" => "215"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Esclerosis tuberosa segmentaria en un paciente con enfermedad renal cr&#243;nica"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0005"
            "etiqueta" => "Fig&#46; 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 623
                "Ancho" => 3000
                "Tamanyo" => 319916
              ]
            ]
            "descripcion" => array:1 [
              "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Alper Alp, Sarenur Esener, Didar G&#252;rsoy"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "Alper"
                "apellidos" => "Alp"
              ]
              1 => array:2 [
                "nombre" => "Sarenur"
                "apellidos" => "Esener"
              ]
              2 => array:2 [
                "nombre" => "Didar"
                "apellidos" => "G&#252;rsoy"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2013251417300457"
          "doi" => "10.1016/j.nefroe.2017.02.003"
          "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/S2013251417300457?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699516301473?idApp=UINPBA000064"
      "url" => "/02116995/0000003700000002/v1_201704211146/S0211699516301473/v1_201704211146/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S2013251417300780"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.04.006"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "268"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:216-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2838
      "formatos" => array:3 [
        "EPUB" => 364
        "HTML" => 1973
        "PDF" => 501
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Renal failure related to fibrates administration &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>46&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "216"
          "paginaFinal" => "217"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Insuficiencia renal asociada al uso de fibratos &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>46&#41;"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carmen R&#46; Cobelo Casas, Beatriz Mill&#225;n D&#237;az, Lourdes Gonz&#225;lez Tabar&#233;s, Nerea G&#243;mez Larrambe, Lu&#237;sa Cabezas Gonz&#225;lez, Mar&#237;a Lu&#237;sa Garc&#237;a Merino, Jes&#250;s Calvi&#241;o Varela"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Carmen R&#46;"
              "apellidos" => "Cobelo Casas"
            ]
            1 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Mill&#225;n D&#237;az"
            ]
            2 => array:2 [
              "nombre" => "Lourdes"
              "apellidos" => "Gonz&#225;lez Tabar&#233;s"
            ]
            3 => array:2 [
              "nombre" => "Nerea"
              "apellidos" => "G&#243;mez Larrambe"
            ]
            4 => array:2 [
              "nombre" => "Lu&#237;sa"
              "apellidos" => "Cabezas Gonz&#225;lez"
            ]
            5 => array:2 [
              "nombre" => "Mar&#237;a Lu&#237;sa"
              "apellidos" => "Garc&#237;a Merino"
            ]
            6 => array:2 [
              "nombre" => "Jes&#250;s"
              "apellidos" => "Calvi&#241;o Varela"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0211699516301485"
        "doi" => "10.1016/j.nefro.2016.09.013"
        "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/S0211699516301485?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300780?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300780/v1_201705250045/en/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S2013251417300676"
    "issn" => "20132514"
    "doi" => "10.1016/j.nefroe.2017.03.002"
    "estado" => "S300"
    "fechaPublicacion" => "2017-03-01"
    "aid" => "253"
    "copyright" => "Sociedad Espa&#241;ola de Nefrolog&#237;a"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Nefrologia &#40;English Version&#41;. 2017;37:213-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3313
      "formatos" => array:3 [
        "EPUB" => 364
        "HTML" => 2382
        "PDF" => 567
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "<span class="elsevierStyleItalic">Enterococcus gallinarum</span> and Chilaiditi syndrome in peritoneal dialysis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "213"
          "paginaFinal" => "214"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "<span class="elsevierStyleItalic">Enterococcus gallinarum</span> y s&#237;ndrome de Chilaiditi en di&#225;lisis peritoneal"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Fig&#46; 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1125
              "Ancho" => 1649
              "Tamanyo" => 142609
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Thoracic X-ray with Chilaiditi syndrome&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Cristina P&#233;rez Mel&#243;n, Beatriz Ferreiro &#193;lvarez, Elena Iglesias Lamas, Mar&#237;a Jes&#250;s Camba Caride, Mar&#237;a Paz Borrajo Prol, Enrique Novoa Fern&#225;ndez"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "P&#233;rez Mel&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Beatriz"
              "apellidos" => "Ferreiro &#193;lvarez"
            ]
            2 => array:2 [
              "nombre" => "Elena"
              "apellidos" => "Iglesias Lamas"
            ]
            3 => array:2 [
              "nombre" => "Mar&#237;a Jes&#250;s"
              "apellidos" => "Camba Caride"
            ]
            4 => array:2 [
              "nombre" => "Mar&#237;a Paz"
              "apellidos" => "Borrajo Prol"
            ]
            5 => array:2 [
              "nombre" => "Enrique"
              "apellidos" => "Novoa Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0211699516301187"
        "doi" => "10.1016/j.nefro.2016.09.001"
        "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/S0211699516301187?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300676?idApp=UINPBA000064"
    "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300676/v1_201705250045/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Segmental tuberous sclerosis in a patient with chronic kidney disease"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "214"
        "paginaFinal" => "215"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Alper Alp, Sarenur Esener, Didar G&#252;rsoy"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "Alper"
            "apellidos" => "Alp"
            "email" => array:1 [
              0 => "alperalp20&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Sarenur"
            "apellidos" => "Esener"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Didar"
            "apellidos" => "G&#252;rsoy"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Tepecik Education and Research Hospital&#44; Nephrology&#44; &#304;zmir&#44; Turkey"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Van Education and Research Hospital&#44; Dermatology&#44; Van&#44; Turkey"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Van Education and Research Hospital&#44; Pathology&#44; Van&#44; Turkey"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Esclerosis tuberosa segmentaria en un paciente con enfermedad renal cr&#243;nica"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 623
            "Ancho" => 3000
            "Tamanyo" => 319916
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">33-year-old woman presented with fatigue and renal failure&#46; On physical examination&#44; the patient had multiple non-traumatic periungual fibromas in both hands and feet &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41;&#46; Shagreen patch was seen in the right lumbosacral region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#46; On admission biochemical tests revealed&#59; urea&#58; 132<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; creatinine&#58;4&#46;7<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#44; potassium&#58; 4&#46;7<span class="elsevierStyleHsp" style=""></span>mmol&#47;L&#44; GFR 12<span class="elsevierStyleHsp" style=""></span>ml&#47;min&#47;1&#46;73<span class="elsevierStyleHsp" style=""></span>m<span class="elsevierStyleSup">2</span> &#40;MDRD&#41;&#44; pH 7&#46;32&#44; HCO<span class="elsevierStyleInf">3</span>&#58; 18&#46;4&#46; Renal ultrasonography revealed bilateral renal cysts &#40;17 and 5<span class="elsevierStyleHsp" style=""></span>mm at right kidney&#44; 6 and 10<span class="elsevierStyleHsp" style=""></span>mm at left kidney&#41; with normal size and parenchymal thickness&#46; Histopathology of the Shagreen patch revealed dense collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>c&#41;&#46; Due to these skin lesions and renal cysts the patient was diagnosed as TS &#40;two major<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>1 minor components&#41;&#46; She denied any seizures in her past medical history&#46; Renal biopsy was suggested but she did not accept the procedure yet and medical treatment was given&#46; During the outpatient follow up creatinine level progressed up to 10<span class="elsevierStyleHsp" style=""></span>mg&#47;dl&#46; Due to low GFR and uremic symptoms hemodialysis was started and arteriovenous fistula was created&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">TS complex is a multisystem&#44; rare and genetic disorder of autosomal dominant inheritance which can involve different organs&#46; It is caused by damage to the TSC1 &#40;9q34&#41; or TSC2 &#40;16p13&#41; genes coding respectively for hamartin and tuberin&#46; Skin involvement is the commonest presentation of the disease&#46; Recognizing specific dermatologic lesions&#44; especially hypomelanotic macules &#40;&#62;3&#41;&#44; Shagreen patch&#44; forehead plaque&#44; non-traumatic periungual fibromas&#44; adenoma sebaceum&#44; facial angiofibromas should remind the physicians TS&#46; Renal involvement has the leading importance for mortality and morbidity&#46; Kidneys are involved in almost 50&#8211;80&#37; of the patients&#46; The most frequent renal lesions in TS are angiomyolipomas and renal cysts&#46; Bilateral and multiple characteristics of angiomyolipomas are primary radiological clues for suspicion and diagnosis&#46; However in some rare cases these patients may present without frank renal lesions&#46; These patients with renal involvement may also present with end stage renal disease in adult ages&#46; TS is accepted as a glomerulocystic disease&#46; They may occur in every part of the nephron&#46; Renal cystic disease can also be microcystic&#44; undetectable by imaging studies&#46; The limited or obscure manifestations of TS with renal failure can be detected in nephrology practice&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:1 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflict of interest"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">This case was accepted as a poster presentation at Proceeding Book for ASN Kidney Week 2015&#44; San Diego&#44; USA&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Fig&#46; 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 623
            "Ancho" => 3000
            "Tamanyo" => 319916
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Ungual fibroma&#46; &#40;B&#41; Shagreen patch&#46; &#40;C&#41; Shagreen patch&#46; Biopsy specimen&#59; collagen bundles in the dermis arranged in a haphazard manner &#40;HEX40&#41;&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000003700000002/v1_201705250045/S2013251417300457/v1_201705250045/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "35436"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letters to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003700000002/v1_201705250045/S2013251417300457/v1_201705250045/en/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417300457?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 5 8 13
2024 October 37 40 77
2024 September 67 24 91
2024 August 59 64 123
2024 July 58 21 79
2024 June 49 37 86
2024 May 38 31 69
2024 April 68 34 102
2024 March 50 23 73
2024 February 41 34 75
2024 January 35 33 68
2023 December 37 21 58
2023 November 36 27 63
2023 October 68 30 98
2023 September 50 32 82
2023 August 52 33 85
2023 July 63 25 88
2023 June 69 25 94
2023 May 71 29 100
2023 April 66 12 78
2023 March 68 20 88
2023 February 64 26 90
2023 January 35 16 51
2022 December 36 25 61
2022 November 40 28 68
2022 October 52 25 77
2022 September 42 24 66
2022 August 60 51 111
2022 July 40 45 85
2022 June 40 34 74
2022 May 55 18 73
2022 April 51 47 98
2022 March 67 50 117
2022 February 61 41 102
2022 January 34 34 68
2021 December 47 44 91
2021 November 39 34 73
2021 October 49 38 87
2021 September 38 33 71
2021 August 49 32 81
2021 July 52 40 92
2021 June 34 26 60
2021 May 32 43 75
2021 April 72 96 168
2021 March 66 35 101
2021 February 61 41 102
2021 January 35 15 50
2020 December 43 16 59
2020 November 28 16 44
2020 October 18 23 41
2020 September 26 18 44
2020 August 29 9 38
2020 July 29 11 40
2020 June 24 15 39
2020 May 23 15 38
2020 April 20 16 36
2020 March 22 12 34
2020 February 25 17 42
2020 January 35 21 56
2019 December 23 21 44
2019 November 33 12 45
2019 October 17 15 32
2019 September 14 16 30
2019 August 13 11 24
2019 July 22 22 44
2019 June 27 12 39
2019 May 22 13 35
2019 April 55 37 92
2019 March 29 18 47
2019 February 30 16 46
2019 January 26 20 46
2018 December 104 39 143
2018 November 144 15 159
2018 October 112 17 129
2018 September 64 16 80
2018 August 46 13 59
2018 July 45 10 55
2018 June 60 20 80
2018 May 58 10 68
2018 April 80 12 92
2018 March 75 7 82
2018 February 75 5 80
2018 January 63 7 70
2017 December 65 3 68
2017 November 41 12 53
2017 October 27 6 33
2017 September 46 6 52
2017 August 56 6 62
2017 July 24 5 29
2017 June 38 12 50
2017 May 20 6 26
Show all

Follow this link to access the full text of the article

Idiomas
Nefrología (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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