array:24 [
  "pii" => "S2254887419301444"
  "issn" => "22548874"
  "doi" => "10.1016/j.rceng.2019.04.008"
  "estado" => "S300"
  "fechaPublicacion" => "2020-11-01"
  "aid" => "1687"
  "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
  "copyrightAnyo" => "2019"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Rev Clin Esp. 2020;220:520-1"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0014256519301572"
      "issn" => "00142565"
      "doi" => "10.1016/j.rce.2019.04.011"
      "estado" => "S300"
      "fechaPublicacion" => "2020-11-01"
      "aid" => "1687"
      "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Rev Clin Esp. 2020;220:520-1"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:2 [
        "total" => 2
        "HTML" => 2
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Medicina en im&#225;genes</span>"
        "titulo" => "Sarcoidosis y esplenomegalia masiva&#58; un dilema diagn&#243;stico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "520"
            "paginaFinal" => "521"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Sarcoidosis and massive splenomegaly&#58; a diagnostic dilemma"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 563
                "Ancho" => 750
                "Tamanyo" => 136762
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "C&#46; Pe&#241;a Arce, &#211;&#46; V&#225;zquez G&#243;mez, F&#46; Merino Morales, C&#46; Diego Hern&#225;ndez"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Pe&#241;a Arce"
              ]
              1 => array:2 [
                "nombre" => "&#211;&#46;"
                "apellidos" => "V&#225;zquez G&#243;mez"
              ]
              2 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Merino Morales"
              ]
              3 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Diego Hern&#225;ndez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2254887419301444"
          "doi" => "10.1016/j.rceng.2019.04.008"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301444?idApp=WRCEE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301572?idApp=WRCEE"
      "url" => "/00142565/0000022000000008/v3_202011080645/S0014256519301572/v3_202011080645/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2254887419302012"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2019.03.030"
    "estado" => "S300"
    "fechaPublicacion" => "2020-11-01"
    "aid" => "1699"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2020;220:522-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
      "titulo" => "Invasive pulmonary aspergillosis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "522"
          "paginaFinal" => "523"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Aspergilosis pulmonar invasiva"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0015"
          "etiqueta" => "Figure 3"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr3.jpeg"
              "Alto" => 680
              "Ancho" => 905
              "Tamanyo" => 236478
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0015"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "L&#46;A&#46; Fern&#225;ndez-Bermejo, G&#46; Ram&#237;rez-Olivencia"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "L&#46;A&#46;"
              "apellidos" => "Fern&#225;ndez-Bermejo"
            ]
            1 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Ram&#237;rez-Olivencia"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256519301729"
        "doi" => "10.1016/j.rce.2019.03.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301729?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419302012?idApp=WRCEE"
    "url" => "/22548874/0000022000000008/v2_202102250825/S2254887419302012/v2_202102250825/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2254887419301286"
    "issn" => "22548874"
    "doi" => "10.1016/j.rceng.2019.02.015"
    "estado" => "S300"
    "fechaPublicacion" => "2020-11-01"
    "aid" => "1674"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and Sociedad Espa&#241;ola de Medicina Interna &#40;SEMI&#41;"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Rev Clin Esp. 2020;220:518-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
      "titulo" => "Multiple peritoneal splenosis mimicking mesenteric metastases in a woman with breast carcinoma"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "518"
          "paginaFinal" => "519"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Esplenosis peritoneal m&#250;ltiple simulando una met&#225;stasis mesent&#233;rica en una mujer con carcinoma mamario"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:6 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1247
              "Ancho" => 1255
              "Tamanyo" => 173534
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Y&#46; Gedikli, F&#46; Guven, G&#46; Ongen, H&#46; Ogul"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Y&#46;"
              "apellidos" => "Gedikli"
            ]
            1 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Guven"
            ]
            2 => array:2 [
              "nombre" => "G&#46;"
              "apellidos" => "Ongen"
            ]
            3 => array:2 [
              "nombre" => "H&#46;"
              "apellidos" => "Ogul"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0014256519301419"
        "doi" => "10.1016/j.rce.2019.02.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519301419?idApp=WRCEE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301286?idApp=WRCEE"
    "url" => "/22548874/0000022000000008/v2_202102250825/S2254887419301286/v2_202102250825/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Medicine in Images</span>"
    "titulo" => "Sarcoidosis and massive splenomegaly&#58; a diagnostic dilemma"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "520"
        "paginaFinal" => "521"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "C&#46; Pe&#241;a Arce, &#211;&#46; V&#225;zquez G&#243;mez, F&#46; Merino Morales, C&#46; Diego Hern&#225;ndez"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "C&#46;"
            "apellidos" => "Pe&#241;a Arce"
            "email" => array:1 [
              0 => "Kasiopea_cris@hotmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "&#211;&#46;"
            "apellidos" => "V&#225;zquez G&#243;mez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "F&#46;"
            "apellidos" => "Merino Morales"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Diego Hern&#225;ndez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Universitario de M&#243;stoles&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Anatom&#237;a Patol&#243;gica&#44; Hospital Universitario de M&#243;stoles&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Sarcoidosis y esplenomegalia masiva&#58; un dilema diagn&#243;stico"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 410
            "Ancho" => 756
            "Tamanyo" => 43699
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 46-year-old woman was admitted for osteomyelitis in the fifth toe of the right foot&#44; which progressed satisfactorily after antibiotherapy and surgical debridement&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">There was a noteworthy presence of axillary adenopathies&#44; splenomegaly and reduced sensitivity in both legs&#46; Laboratory tests revealed pancytopenia &#40;lymphocyte 490&#8239;&#956;L&#44; hemoglobin 10&#46;7&#8239;g&#47;dL&#44; platelets 110&#44;000&#8239;&#956;L&#41; with no hepatic or coagulation abnormalities&#46; The patient presented an increased erythrocyte sedimentation rate &#40;64&#8239;mm&#47;h&#41;&#44; hypergammaglobulinemia with a monoclonal IgM &#955; peak &#40;normal renal function&#44; calcium and bone survey&#41;&#44; a B2-microglobulin level of 4&#46;14&#8239;mg&#47;L&#44; a normal lactate dehydrogenase level and an angiotensin-converting enzyme level &#62;120&#8239;U&#47;L&#46; There were no relevant findings in the chest radiography&#46; The abdominal ultrasound revealed splenomegaly of 20&#8239;cm&#44; with no signs of liver disease or portal hypertension&#46; The electromyograph revealed axonal sensory-motor neuropathy in both legs&#46; The ophthalmologic examination revealed no abnormalities&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The study was completed with an interferon gamma release assay and serology &#40;human immunodeficiency virus&#44; hepatitis B virus&#44; hepatitis C virus&#44; Lues maligna&#44; <span class="elsevierStyleItalic">Leishmania</span>&#44; <span class="elsevierStyleItalic">Toxoplasma</span>&#44; Epstein-Barr virus&#44; human herpes virus 8&#44; <span class="elsevierStyleItalic">Coxiella</span>&#44; <span class="elsevierStyleItalic">Bartonella</span> and <span class="elsevierStyleItalic">Brucella</span>&#41;&#44; the results of which were negative&#46; Cytomegalovirus IgG antibodies were not present in the blood polymerase chain reaction&#46; An autoimmune study and biopsy of subcutaneous fat resulted in no relevant findings&#46; A body computed tomography showed massive splenomegaly and supradiaphragmatic and infradiaphragmatic adenopathies suggestive of lymphoproliferative syndrome&#46; Positron emission tomography-computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41; confirmed the presence of massive splenomegaly and multiple hypermetabolic adenopathies&#44; more noticeable in the bilateral lateral cervical and left axillary lymph nodes&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">A bone marrow biopsy showed reactive hypercellularity&#44; and histology of one of the lateral cervical adenopathies revealed non-necrotizing granulomas&#46; Given the atypical presentation of the condition and to rule out a splenic lymphoproliferative syndrome&#44; we performed a splenectomy&#46; The presence of a parenchyma completely replaced by non-necrotizing confluent epithelioid granulomas &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41; confirmed the diagnosis of splenic sarcoidosis&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2019-04-14"
    "fechaAceptado" => "2019-04-23"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Pe&#241;a Arce C&#44; V&#225;zquez G&#243;mez &#211;&#44; Merino Morales F&#44; Diego Hern&#225;ndez C&#46; Sarcoidosis y esplenomegalia masiva&#58; un dilema diagn&#243;stico&#46; Rev Clin Esp&#46; 2020&#59;220&#58;520&#8211;521&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 410
            "Ancho" => 756
            "Tamanyo" => 43699
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0005"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 568
            "Ancho" => 756
            "Tamanyo" => 133687
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0010"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">&#46;</p>"
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/22548874/0000022000000008/v2_202102250825/S2254887419301444/v2_202102250825/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "71811"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Medicine in images"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000008/v2_202102250825/S2254887419301444/v2_202102250825/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301444?idApp=WRCEE"
]
Share
Journal Information
Share
Share
Download PDF
More article options
Medicine in Images
Sarcoidosis and massive splenomegaly: a diagnostic dilemma
Sarcoidosis y esplenomegalia masiva: un dilema diagnóstico
C. Peña Arcea,
Corresponding author
Kasiopea_cris@hotmail.com

Corresponding author.
, Ó. Vázquez Gómeza, F. Merino Moralesa, C. Diego Hernándezb
a Servicio de Medicina Interna, Hospital Universitario de Móstoles, Madrid, Spain
b Servicio de Anatomía Patológica, Hospital Universitario de Móstoles, Madrid, Spain

Purchase article

For the purchase of this article it is necessary to fill in the following form:

Afganistan
Albania
Alemania
Andorra
Angola
Anguilla
Antartica
Antigua and barbuda
Antillas holandesas
Arabia saudita
Argelia
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgica
Belice
Benin
Bermudas/antillas britanicas
Bhutan
Bolivia
Bosnia y herzegowina
Botswana
Brasil
Brunei darussalam
Bulgaria
Burkina faso
Burundi
Cabo verde
Camboya
Camerun
Canada
Chad
Chile
China
Chipre
Colombia
Comoros
Corea
Costa rica
Cote d´ivoire
Croacia
Cuba
Dinamarca
Djibouti
Dominica
East timor
Ecuador
Egipto
El salvador
Emiratos arabes unidos
Eritrea
Escocia
Eslovaquia
Eslovenia
España
Estados federados de micronesia
Estados unidos
Estonia
Etiopia
Fiji
Filipinas
Finlandia
Francia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Grecia
Grenada
Groenlandia
Guadalupe
Guam
Guatemala
Guayana britanica
Guinea
Guinea ecuatorial
Guinea francesa
Guinea-bissau
Haiti
Holanda
Honduras
Hong kong
Hungria
India
Indonesia
Irak
Iran
Irlanda
Isla bouvet
Isla cocos (keeling)
Isla cook
Isla mauricio
Isla navidad
Isla norfolk
Islandia
Islas caiman
Islas falkland (malvinas)
Islas faroe
Islas georgia del sur y sandwich
Islas heard and mc donald
Islas marshall
Islas northern mariana
Islas salomon
Islas svalbard and jan mayen
Islas turks and caicos
Islas united states minor outlyi
Islas virgenes (britanicas)
Islas virgenes (u.s.a.)
Islas wallis and futuna
Israel
Italia
Jamaica
Japon
Jordania
Kazakhstan
Kenia
Kiribati
Kuwait
Kyrgyzstan
Lesoto
Letonia
Libano
Liberia
Libia arab jamahiriya
Liechtenstein
Lituania
Luxemburgo
Macao
Macedonia
Madagascar
Malasia
Malawi
Maldives
Mali
Malta
Marruecos
Martinica
Mauritania
Mayotte
Mexico
Monaco
Mongolia
Monserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nicaragua
Niger
Nigeria
Niue
Noruega
Nueva caledonia
Nueva zelanda
Oman
Pakistan
Palau
Panama
Papua new guinea
Paraguay
Peru
Pitcairn
Polinesia francesa
Polonia
Portugal
Posesiones gran bretaña
Posesiones u.s.a.
Puerto rico
Qatar
Reino unido
Republica checa
Republica de africa central
Republica de cabo verde
Republica de congo
Republica de corea
Republica de moldova
Republica democratica de laos
Republica democratica del congo
Republica dominicana
Reunion
Ruanda
Rumania
Rusia
Sahara occidental
Saint kitts and nevis
Samoa
Samoa americana
San marino
San tomas y principe
San vincent and the grenadines
Santa lucia
Senegal
Serbia
Seychelles
Sierra leona
Singapur
Siria
Somalia
Sri lanka
St. helena
St. pierre and miquelon
Sudafrica
Sudan
Suecia
Suiza
Surinam
Swaziland
Tailandia
Taiwan republica de china
Tajikistan
Tanzania
Territorio de indias britanicas
Togo
Tokelau
Tonga
Trinidad and tobago
Tunisia
Turkmenistan
Turquia
Tuvalu
Ucrania
Uganda
Uruguay
Uzbekistan
Vanuatu
Vaticano
Venezuela
Vietnam
Yemen
Yugoslavia
Zambia
Zimbawe
Lebanon
Paises bajos
A coruña
Alava
Albacete
Alicante
Almeria
Asturias
Avila
Badajoz
Balears
Barcelona
Bizkaia
Burgos
Caceres
Cadiz
Cantabria
Castellon
Ceuta
Ciudad real
Cordoba
Cuenca
Girona
Granada
Guadalajara
Guipuzcoa
Huelva
Huesca
Jaen
La rioja
Las palmas
Leon
Lleida
Lugo
Madrid
Malaga
Melilla
Murcia
Navarra
Ourense
Palencia
Pontevedra
Salamanca
Segovia
Sevilla
Soria
Tarragona
Tenerife
Teruel
Toledo
Valencia
Valladolid
Zamora
Zaragoza
-- Not applicable --
I accept to receive information about Elsevier's special products and promotions by email
I accept to receive information about products and special promotions from Elsevier partners by email
I have read and understand the Privacy Policy and Terms and conditions and agree to be bound by all of its terms.
* Required fields
In addition to temporary access to the article, it will be sent by email.
Customer Support
Phone
Calls from Spain
932 415 960
Calls from abroad
+34 932 415 960
Hours from 9 a.m. to 6 p.m. except the months of July and August, which will be from 9 am to 3 pm.
Idiomas
Revista Clínica Española (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?