array:21 [
  "pii" => "X2013251408033284"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2008-02-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia (English Version). 2008;28:113-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4427
    "formatos" => array:3 [
      "EPUB" => 405
      "HTML" => 3378
      "PDF" => 644
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699508033287"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2008-02-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2008;28:113-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 36813
        "formatos" => array:3 [
          "EPUB" => 289
          "HTML" => 35309
          "PDF" => 1215
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "titulo" => "Glomerulonefritis aguda post-estreptocócica en paciente añoso"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "113"
            "paginaFinal" => "114"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Acute post-estreptoccocal glomerulonephritis in the elderly"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig1"
            "etiqueta" => "Fig. 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "copyright" => "Elsevier España"
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "10016127_figura1.jpg"
                "Alto" => 384
                "Ancho" => 512
                "Tamanyo" => 17213
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Rosa Pérez Morales, J. Pérez Martínez, F. Llamas Fuentes, E. Andrés Mompean"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Rosa"
                "apellidos" => "Pérez Morales"
              ]
              1 => array:2 [
                "Iniciales" => "J."
                "apellidos" => "Pérez Martínez"
              ]
              2 => array:2 [
                "Iniciales" => "F."
                "apellidos" => "Llamas Fuentes"
              ]
              3 => array:2 [
                "Iniciales" => "E."
                "apellidos" => "Andrés Mompean"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251408033284"
          "doi" => " "
          "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/X2013251408033284?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508033287?idApp=UINPBA000064"
      "url" => "/02116995/0000002800000001/v0_201502091349/X0211699508033287/v0_201502091350/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251408033276"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-02-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2008;28:114-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3519
      "formatos" => array:3 [
        "EPUB" => 289
        "HTML" => 2656
        "PDF" => 574
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "Hemoperitoneum and endocarditis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "114"
          "paginaFinal" => "115"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hemoperitoneo y endocarditis"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Aránzazu Sastre López, V. Mascarós Ferrer, V. Íñigo Vanrell, J. M. Gascó Company"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Aránzazu"
              "apellidos" => "Sastre López"
            ]
            1 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Mascarós Ferrer"
            ]
            2 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Íñigo Vanrell"
            ]
            3 => array:2 [
              "Iniciales" => "J. M."
              "apellidos" => "Gascó Company"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508033279"
        "doi" => " "
        "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/X0211699508033279?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033276?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033276/v0_201502091617/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251408033292"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-02-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia (English Version). 2008;28:112-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3718
      "formatos" => array:3 [
        "EPUB" => 270
        "HTML" => 2854
        "PDF" => 594
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Acute renal failure due to carnitine palmitoyl transferase deficiency"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "112"
          "paginaFinal" => "113"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Fracaso renal agudo secundario a rabdomiólisis por déficit de carnitin palmitoil transferasa"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carmen Bernis, Y. Hernández Hernández, A. Pérez de José, J. A. Sánchez Tomero"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Carmen"
              "apellidos" => "Bernis"
            ]
            1 => array:2 [
              "Iniciales" => "Y."
              "apellidos" => "Hernández Hernández"
            ]
            2 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "Pérez de José"
            ]
            3 => array:2 [
              "Iniciales" => "J. A."
              "apellidos" => "Sánchez Tomero"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508033295"
        "doi" => " "
        "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/X0211699508033295?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033292?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033292/v0_201502091617/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Acute post-estreptoccocal glomerulonephritis in the elderly"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "113"
        "paginaFinal" => "114"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Rosa Pérez Morales, J. Pérez Martínez, F. Llamas Fuentes, E. Andrés Mompean"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Rosa"
            "apellidos" => "Pérez Morales"
            "email" => array:1 [
              0 => "rosa5ve@hotmail.com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "J."
            "apellidos" => "P&#233;rez Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "F."
            "apellidos" => "Llamas Fuentes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "E."
            "apellidos" => "Andr&#233;s Mompean"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Complejo Hospitalario Universitario de Albacete, Albacete, Albacete, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Glomerulonefritis aguda post-estreptoc&#243;cica en paciente a&#241;oso"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">To the editor&#58;</p><p class="elsevierStylePara">Post-streptococcal glomerulonephritis &#40;PSGN&#41; is the prototype of acute glomerulonephritis&#46; It is heralded by a group A b-hemolytic streptococcus infection&#46;<span class="elsevierStyleSup">1&#44;8</span> The evolution is benign in children&#44; and poorer with older age<span class="elsevierStyleSup">2</span> and in case of renal acute failure&#46;<span class="elsevierStyleSup">5</span> Approximately in 95&#37; of the cases renal function is recovers in within 3-4 weeks&#46; The evolution in the elderly is less predictable&#46;<span class="elsevierStyleSup">1&#44;4&#44;5</span> Irreversible renal failure occurs in less than 1&#37; of children and in a higher percentage of adults&#46;<span class="elsevierStyleSup">6&#44;7&#44;9</span> The treatment consists of antihypertensive drugs&#44; diuretics and antibiotics&#44; and sometimes hemodialysis may be required&#46;<span class="elsevierStyleSup">1&#44;3&#44;8</span> Immunosuppressive therapy is indicated in case of glomerulonephritis with crescent formation&#46;<span class="elsevierStyleSup">5</span> Steroids appear to be efficacious in adults with PSGN and nephrotic syndrome&#46;<span class="elsevierStyleSup">3</span></p><p class="elsevierStylePara">We present a 78 years old male who was admitted because of cardiac failure of 48 hours and oligo-anuria&#44; together with renal function worsening in the last week&#46; The blood analysis revealed Cr 4&#46;2 mg&#47;dL &#40;former Cr was 1&#46;4 mg&#47;dL&#41;&#44; microhematuria and proteinuria of 500 mg&#47;dL&#46; Two weeks ago he had acute pharingotonsillitis and gout&#44; and treatment with NSAIDS and colchicine was prescribed&#46; He had a history of high blood pressure&#44; coronary heart disease and prostatic hyperplasia&#46; On physical exam he was eupneic&#44; had no fever and appeared in good health status&#46; Blood pressure was high&#44; basal crackles were heard in lungs and pitting edemas were evident in both legs&#46; Laboratory findings disclosed glomerular filtration worsening&#44; hyperuricemia&#44; hypoalbuminemia&#44; and mild anemia and leukocytosis&#46; ESR&#44; rheumatoid factor and ASLO values were elevated&#46; The level of C3 was decreased and other immunological parameters were normal&#46; Lipid levels and proteinogram were normal&#46; The Bence Jones selective proteinuria was negative as well as the urine culture&#46; Abdominal ultrasound showed normal looking kidneys&#44; and the echocardiography was also unremarkable&#46; The X-ray film showed pulmonary vascular redistribution&#46; The analysis of pharyngeal exudate disclosed beta-hemolytic Streptococcus&#46;</p><p class="elsevierStylePara">We initiated treatment with furosemide and antihypertensive drugs and negative balances were achieved&#46; ACE inhibitors and NSAIDS were discontinued&#46; The clinical evolution was favorable&#44; blood pressure was controlled&#44; but renal function did not change&#46; When we received the results of the immunological study we suspect a diagnosis of PSGN and initiated treatment with oral amoxycillina clavulanate for 2 weeks&#46; Renal function further worsened and a renal biopsy was performed on the 20th day of in-hospital stay&#46;</p><p class="elsevierStylePara">The pathological study revealed diffuse proliferative mesangial and capillary glomerulonephritis &#40;11&#37; glomerular sclerosis&#44; 22&#37; epithelial crescents&#44; diffuse increase of mesangial and endothelial cellularity&#44; and chronic inflammatory infiltrate in the interstitium&#46; Immunofluorescence showed basal membrane and mesangial granular depositions of C3&#44; IgG&#44; IgA&#44; C4&#44; C1q&#46; &#40;fig&#46; 1&#41;</p><p class="elsevierStylePara">Prednisone &#40;1 mg&#47;kg&#47;day&#41; was initiated&#44; penicillin G sodium was intravenously administered during fourteen days and hemodialysis was required&#46; When the patient was discharged he had lost 6 kg of weight&#44; pharyngeal swab exam was negative&#44; C3 fraction had increased and renal function had improved &#40;Cr 3&#46;1 mg&#47;dL&#41;&#46; Steroid treatment was maintained for 17 months and the blood pressure was controlled with 4 drugs&#46; The complement value was normal after two months and the ASLO levels were normal after 6 months&#46; The patient has currently normal blood pressure&#44; good health status and his renal function is stable &#40;Cr&#46; 1&#46;8 mg&#47;dL&#41;&#46;</p><p class="elsevierStylePara">There are few reported cases of PSGN in the elderly&#44; perhaps because the incidence of the disease is very low in this age&#46; For this reason the evolution is not uniformly described&#44; although it is generally accepted that renal biopsy should be performed early&#44; as the clinical picture can be mistaken with other conditions and also because the outcome can be poor&#46; It is indicated to initiate immunosuppressive therapy either with prednisone or with other agents&#46; The decision of the agent and the duration of the therapy should be individualized&#46; </p>"
    "pdfFichero" => "P-E-S-A10016-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Rodríguez-Iturbe, B. Glomerulonefritis endocapilar aguda. En: Hernando L, Aljama P, Arias M (Ed): Nefrología Clínica 2.ª Edición. Editorial Médica Panamericana. pp. 308-314, Madrid-España, 2004."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lavjay Butani. Prolonged hypocomplementaemia after post-streptococcal glomerulonephritis. Nephrol Dial Transplant 16: 869, 2001. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11274296" 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" => "Raff A, Hebert T, Pullman J, Coco M. Crescentic post. streptococcal glomerulonephritis with nephritic syndrome in the adult: is aggressive therapy warranted? Clin Nephrol May; 63 (5): 375-80, 2005."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Hsu YH, Yang AH, Chen TW, Huang TP. Focal segmental glomerulosclerosis after poststreptococcal glomerulonephritis in the elderly: a case report. Zhonghua Yi Xue Za Zhi (Taipei) May; 61 (5): 301-5, 1998."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Vijayakumar M. Acute and crescentic glomerulonephritis. Indian J Pediatr Dec; 69 (12): 1071-5, 2002."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Baldwing DS. Poststreptococcal glomerulonephritis. Am J Med 1077; 62: 1 <a href="http://www.ncbi.nlm.nih.gov/pubmed/19958882" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Pinto SW, Sesso R, Vasoncelos E y cols. Follow-up of patients with epidemic poststreptococcal glomerulonephritis. Am J Kidney Dis 38: 249, 2001. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11479149" 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" => "Couser WG. Glomerulonephritis. The Lancet May (9163): 509-515, 1999."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Melby PC, Musick WD, Luger AM, Khanna R. Poststreptococcal glomerulonephritis in the elderly. Report of a case and review of the literature. Am J Nephrol 7 (3): 235-40, 1987."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033284/v0_201502091617/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/20132514/0000002800000001/v0_201502091616/X2013251408033284/v0_201502091617/en/P-E-S-A10016-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033284?idApp=UINPBA000064"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Acute post-estreptoccocal glomerulonephritis in the elderly
Glomerulonefritis aguda post-estreptocócica en paciente añoso
Rosa Pérez Moralesa, J.. Pérez Martíneza, F.. Llamas Fuentesa, E.. Andrés Mompeana
a Servicio de Nefrología, Complejo Hospitalario Universitario de Albacete, Albacete, Albacete, España,
Read
10217
Times
was read the article
2792
Total PDF
7425
Total HTML
Share statistics
 array:21 [
  "pii" => "X2013251408033284"
  "issn" => "20132514"
  "doi" => " "
  "estado" => "S300"
  "fechaPublicacion" => "2008-02-01"
  "documento" => "article"
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Nefrologia &#40;English Version&#41;. 2008;28:113-4"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4427
    "formatos" => array:3 [
      "EPUB" => 405
      "HTML" => 3378
      "PDF" => 644
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:17 [
      "pii" => "X0211699508033287"
      "issn" => "02116995"
      "doi" => " "
      "estado" => "S300"
      "fechaPublicacion" => "2008-02-01"
      "documento" => "article"
      "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
      "subdocumento" => "fla"
      "cita" => "Nefrologia. 2008;28:113-4"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 36813
        "formatos" => array:3 [
          "EPUB" => 289
          "HTML" => 35309
          "PDF" => 1215
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "titulo" => "Glomerulonefritis aguda post-estreptoc&#243;cica en paciente a&#241;oso"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "113"
            "paginaFinal" => "114"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Acute post-estreptoccocal glomerulonephritis in the elderly"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig1"
            "etiqueta" => "Fig. 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "copyright" => "Elsevier Espa&#241;a"
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "10016127_figura1.jpg"
                "Alto" => 384
                "Ancho" => 512
                "Tamanyo" => 17213
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Rosa P&#233;rez Morales, J. P&#233;rez Mart&#237;nez, F. Llamas Fuentes, E. Andr&#233;s Mompean"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Rosa"
                "apellidos" => "P&#233;rez Morales"
              ]
              1 => array:2 [
                "Iniciales" => "J."
                "apellidos" => "P&#233;rez Mart&#237;nez"
              ]
              2 => array:2 [
                "Iniciales" => "F."
                "apellidos" => "Llamas Fuentes"
              ]
              3 => array:2 [
                "Iniciales" => "E."
                "apellidos" => "Andr&#233;s Mompean"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "X2013251408033284"
          "doi" => " "
          "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/X2013251408033284?idApp=UINPBA000064"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699508033287?idApp=UINPBA000064"
      "url" => "/02116995/0000002800000001/v0_201502091349/X0211699508033287/v0_201502091350/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:17 [
    "pii" => "X2013251408033276"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-02-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2008;28:114-5"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3519
      "formatos" => array:3 [
        "EPUB" => 289
        "HTML" => 2656
        "PDF" => 574
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "titulo" => "Hemoperitoneum and endocarditis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "114"
          "paginaFinal" => "115"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Hemoperitoneo y endocarditis"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ar&#225;nzazu Sastre L&#243;pez, V. Mascar&#243;s Ferrer, V. &#205;&#241;igo Vanrell, J. M. Gasc&#243; Company"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Ar&#225;nzazu"
              "apellidos" => "Sastre L&#243;pez"
            ]
            1 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "Mascar&#243;s Ferrer"
            ]
            2 => array:2 [
              "Iniciales" => "V."
              "apellidos" => "&#205;&#241;igo Vanrell"
            ]
            3 => array:2 [
              "Iniciales" => "J. M."
              "apellidos" => "Gasc&#243; Company"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508033279"
        "doi" => " "
        "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/X0211699508033279?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033276?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033276/v0_201502091617/en/main.assets"
  ]
  "itemAnterior" => array:17 [
    "pii" => "X2013251408033292"
    "issn" => "20132514"
    "doi" => " "
    "estado" => "S300"
    "fechaPublicacion" => "2008-02-01"
    "documento" => "article"
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "fla"
    "cita" => "Nefrologia &#40;English Version&#41;. 2008;28:112-3"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3718
      "formatos" => array:3 [
        "EPUB" => 270
        "HTML" => 2854
        "PDF" => 594
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "titulo" => "Acute renal failure due to carnitine palmitoyl transferase deficiency"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "112"
          "paginaFinal" => "113"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Fracaso renal agudo secundario a rabdomi&#243;lisis por d&#233;ficit de carnitin palmitoil transferasa"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Carmen Bernis, Y. Hern&#225;ndez Hern&#225;ndez, A. P&#233;rez de Jos&#233;, J. A. S&#225;nchez Tomero"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Carmen"
              "apellidos" => "Bernis"
            ]
            1 => array:2 [
              "Iniciales" => "Y."
              "apellidos" => "Hern&#225;ndez Hern&#225;ndez"
            ]
            2 => array:2 [
              "Iniciales" => "A."
              "apellidos" => "P&#233;rez de Jos&#233;"
            ]
            3 => array:2 [
              "Iniciales" => "J. A."
              "apellidos" => "S&#225;nchez Tomero"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "X0211699508033295"
        "doi" => " "
        "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/X0211699508033295?idApp=UINPBA000064"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033292?idApp=UINPBA000064"
    "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033292/v0_201502091617/en/main.assets"
  ]
  "en" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Acute post-estreptoccocal glomerulonephritis in the elderly"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "113"
        "paginaFinal" => "114"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Rosa P&#233;rez Morales, J. P&#233;rez Mart&#237;nez, F. Llamas Fuentes, E. Andr&#233;s Mompean"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Rosa"
            "apellidos" => "P&#233;rez Morales"
            "email" => array:1 [
              0 => "rosa5ve&#64;hotmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          1 => array:3 [
            "Iniciales" => "J."
            "apellidos" => "P&#233;rez Mart&#237;nez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          2 => array:3 [
            "Iniciales" => "F."
            "apellidos" => "Llamas Fuentes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
          3 => array:3 [
            "Iniciales" => "E."
            "apellidos" => "Andr&#233;s Mompean"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "affa"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "Servicio de Nefrología, Complejo Hospitalario Universitario de Albacete, Albacete, Albacete, España, "
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "affa"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Glomerulonefritis aguda post-estreptoc&#243;cica en paciente a&#241;oso"
      ]
    ]
    "textoCompleto" => "<p class="elsevierStylePara">To the editor&#58;</p><p class="elsevierStylePara">Post-streptococcal glomerulonephritis &#40;PSGN&#41; is the prototype of acute glomerulonephritis&#46; It is heralded by a group A b-hemolytic streptococcus infection&#46;<span class="elsevierStyleSup">1&#44;8</span> The evolution is benign in children&#44; and poorer with older age<span class="elsevierStyleSup">2</span> and in case of renal acute failure&#46;<span class="elsevierStyleSup">5</span> Approximately in 95&#37; of the cases renal function is recovers in within 3-4 weeks&#46; The evolution in the elderly is less predictable&#46;<span class="elsevierStyleSup">1&#44;4&#44;5</span> Irreversible renal failure occurs in less than 1&#37; of children and in a higher percentage of adults&#46;<span class="elsevierStyleSup">6&#44;7&#44;9</span> The treatment consists of antihypertensive drugs&#44; diuretics and antibiotics&#44; and sometimes hemodialysis may be required&#46;<span class="elsevierStyleSup">1&#44;3&#44;8</span> Immunosuppressive therapy is indicated in case of glomerulonephritis with crescent formation&#46;<span class="elsevierStyleSup">5</span> Steroids appear to be efficacious in adults with PSGN and nephrotic syndrome&#46;<span class="elsevierStyleSup">3</span></p><p class="elsevierStylePara">We present a 78 years old male who was admitted because of cardiac failure of 48 hours and oligo-anuria&#44; together with renal function worsening in the last week&#46; The blood analysis revealed Cr 4&#46;2 mg&#47;dL &#40;former Cr was 1&#46;4 mg&#47;dL&#41;&#44; microhematuria and proteinuria of 500 mg&#47;dL&#46; Two weeks ago he had acute pharingotonsillitis and gout&#44; and treatment with NSAIDS and colchicine was prescribed&#46; He had a history of high blood pressure&#44; coronary heart disease and prostatic hyperplasia&#46; On physical exam he was eupneic&#44; had no fever and appeared in good health status&#46; Blood pressure was high&#44; basal crackles were heard in lungs and pitting edemas were evident in both legs&#46; Laboratory findings disclosed glomerular filtration worsening&#44; hyperuricemia&#44; hypoalbuminemia&#44; and mild anemia and leukocytosis&#46; ESR&#44; rheumatoid factor and ASLO values were elevated&#46; The level of C3 was decreased and other immunological parameters were normal&#46; Lipid levels and proteinogram were normal&#46; The Bence Jones selective proteinuria was negative as well as the urine culture&#46; Abdominal ultrasound showed normal looking kidneys&#44; and the echocardiography was also unremarkable&#46; The X-ray film showed pulmonary vascular redistribution&#46; The analysis of pharyngeal exudate disclosed beta-hemolytic Streptococcus&#46;</p><p class="elsevierStylePara">We initiated treatment with furosemide and antihypertensive drugs and negative balances were achieved&#46; ACE inhibitors and NSAIDS were discontinued&#46; The clinical evolution was favorable&#44; blood pressure was controlled&#44; but renal function did not change&#46; When we received the results of the immunological study we suspect a diagnosis of PSGN and initiated treatment with oral amoxycillina clavulanate for 2 weeks&#46; Renal function further worsened and a renal biopsy was performed on the 20th day of in-hospital stay&#46;</p><p class="elsevierStylePara">The pathological study revealed diffuse proliferative mesangial and capillary glomerulonephritis &#40;11&#37; glomerular sclerosis&#44; 22&#37; epithelial crescents&#44; diffuse increase of mesangial and endothelial cellularity&#44; and chronic inflammatory infiltrate in the interstitium&#46; Immunofluorescence showed basal membrane and mesangial granular depositions of C3&#44; IgG&#44; IgA&#44; C4&#44; C1q&#46; &#40;fig&#46; 1&#41;</p><p class="elsevierStylePara">Prednisone &#40;1 mg&#47;kg&#47;day&#41; was initiated&#44; penicillin G sodium was intravenously administered during fourteen days and hemodialysis was required&#46; When the patient was discharged he had lost 6 kg of weight&#44; pharyngeal swab exam was negative&#44; C3 fraction had increased and renal function had improved &#40;Cr 3&#46;1 mg&#47;dL&#41;&#46; Steroid treatment was maintained for 17 months and the blood pressure was controlled with 4 drugs&#46; The complement value was normal after two months and the ASLO levels were normal after 6 months&#46; The patient has currently normal blood pressure&#44; good health status and his renal function is stable &#40;Cr&#46; 1&#46;8 mg&#47;dL&#41;&#46;</p><p class="elsevierStylePara">There are few reported cases of PSGN in the elderly&#44; perhaps because the incidence of the disease is very low in this age&#46; For this reason the evolution is not uniformly described&#44; although it is generally accepted that renal biopsy should be performed early&#44; as the clinical picture can be mistaken with other conditions and also because the outcome can be poor&#46; It is indicated to initiate immunosuppressive therapy either with prednisone or with other agents&#46; The decision of the agent and the duration of the therapy should be individualized&#46; </p>"
    "pdfFichero" => "P-E-S-A10016-EN.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "Bibliography"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Rodríguez-Iturbe, B. Glomerulonefritis endocapilar aguda. En: Hernando L, Aljama P, Arias M (Ed): Nefrología Clínica 2.ª Edición. Editorial Médica Panamericana. pp. 308-314, Madrid-España, 2004."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Lavjay Butani. Prolonged hypocomplementaemia after post-streptococcal glomerulonephritis. Nephrol Dial Transplant 16: 869, 2001. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11274296" 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" => "Raff A, Hebert T, Pullman J, Coco M. Crescentic post. streptococcal glomerulonephritis with nephritic syndrome in the adult: is aggressive therapy warranted? Clin Nephrol May; 63 (5): 375-80, 2005."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Hsu YH, Yang AH, Chen TW, Huang TP. Focal segmental glomerulosclerosis after poststreptococcal glomerulonephritis in the elderly: a case report. Zhonghua Yi Xue Za Zhi (Taipei) May; 61 (5): 301-5, 1998."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Vijayakumar M. Acute and crescentic glomerulonephritis. Indian J Pediatr Dec; 69 (12): 1071-5, 2002."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Baldwing DS. Poststreptococcal glomerulonephritis. Am J Med 1077; 62: 1 <a href="http://www.ncbi.nlm.nih.gov/pubmed/19958882" target="_blank">[Pubmed]</a>"
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Pinto SW, Sesso R, Vasoncelos E y cols. Follow-up of patients with epidemic poststreptococcal glomerulonephritis. Am J Kidney Dis 38: 249, 2001. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11479149" 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" => "Couser WG. Glomerulonephritis. The Lancet May (9163): 509-515, 1999."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:3 [
                  "referenciaCompleta" => "Melby PC, Musick WD, Luger AM, Khanna R. Poststreptococcal glomerulonephritis in the elderly. Report of a case and review of the literature. Am J Nephrol 7 (3): 235-40, 1987."
                  "contribucion" => array:1 [
                    0 => null
                  ]
                  "host" => array:1 [
                    0 => null
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/20132514/0000002800000001/v0_201502091616/X2013251408033284/v0_201502091617/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/20132514/0000002800000001/v0_201502091616/X2013251408033284/v0_201502091617/en/P-E-S-A10016-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251408033284?idApp=UINPBA000064"
]
Article information
ISSN: 20132514
Original language: English
DOI:
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 8 13 21
2024 October 84 36 120
2024 September 89 26 115
2024 August 102 69 171
2024 July 63 31 94
2024 June 82 50 132
2024 May 97 40 137
2024 April 49 24 73
2024 March 40 18 58
2024 February 50 37 87
2024 January 54 34 88
2023 December 32 30 62
2023 November 79 90 169
2023 October 72 53 125
2023 September 83 24 107
2023 August 42 19 61
2023 July 53 34 87
2023 June 54 19 73
2023 May 73 34 107
2023 April 46 27 73
2023 March 61 26 87
2023 February 36 21 57
2023 January 58 38 96
2022 December 58 47 105
2022 November 60 45 105
2022 October 46 49 95
2022 September 59 36 95
2022 August 72 51 123
2022 July 43 40 83
2022 June 67 33 100
2022 May 78 35 113
2022 April 107 51 158
2022 March 94 53 147
2022 February 108 48 156
2022 January 79 35 114
2021 December 66 35 101
2021 November 91 39 130
2021 October 103 45 148
2021 September 65 39 104
2021 August 52 35 87
2021 July 81 49 130
2021 June 73 30 103
2021 May 70 47 117
2021 April 160 60 220
2021 March 136 35 171
2021 February 84 29 113
2021 January 83 14 97
2020 December 46 13 59
2020 November 56 21 77
2020 October 33 20 53
2020 September 49 9 58
2020 August 57 19 76
2020 July 87 11 98
2020 June 116 145 261
2020 May 96 90 186
2020 April 65 22 87
2020 March 69 19 88
2020 February 59 19 78
2020 January 65 26 91
2019 December 67 27 94
2019 November 66 23 89
2019 October 47 17 64
2019 September 47 18 65
2019 August 42 16 58
2019 July 43 30 73
2019 June 43 14 57
2019 May 46 28 74
2019 April 75 49 124
2019 March 33 15 48
2019 February 28 9 37
2019 January 33 16 49
2018 December 74 37 111
2018 November 102 14 116
2018 October 98 12 110
2018 September 57 19 76
2018 August 45 25 70
2018 July 50 16 66
2018 June 55 21 76
2018 May 50 17 67
2018 April 60 5 65
2018 March 53 16 69
2018 February 72 4 76
2018 January 38 9 47
2017 December 51 17 68
2017 November 33 6 39
2017 October 25 7 32
2017 September 30 8 38
2017 August 35 9 44
2017 July 37 20 57
2017 June 27 7 34
2017 May 37 15 52
2017 April 32 7 39
2017 March 25 10 35
2017 February 39 8 47
2017 January 24 5 29
2016 December 53 7 60
2016 November 51 5 56
2016 October 65 7 72
2016 September 73 2 75
2016 August 121 3 124
2016 July 131 5 136
2016 June 113 0 113
2016 May 123 0 123
2016 April 84 0 84
2016 March 62 0 62
2016 February 80 0 80
2016 January 95 0 95
2015 December 85 0 85
2015 November 73 0 73
2015 October 76 0 76
2015 September 54 0 54
2015 August 67 0 67
2015 July 58 0 58
2015 June 39 0 39
2015 May 58 0 58
2015 April 5 0 5
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?