array:23 [
  "pii" => "S1578219008702129"
  "issn" => "15782190"
  "doi" => "10.1016/S1578-2190(08)70212-9"
  "estado" => "S300"
  "fechaPublicacion" => "2008-03-01"
  "aid" => "70212"
  "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
  "copyrightAnyo" => "2008"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Actas Dermosifiliogr. 2008;99:127-33"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2371
    "formatos" => array:3 [
      "EPUB" => 33
      "HTML" => 1530
      "PDF" => 808
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1578219008702130"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70213-0"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70213"
    "copyright" => "Academia Española de Dermatología y Venereología and Elsevier España, S.L."
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Actas Dermosifiliogr. 2008;99:134-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3738
      "formatos" => array:3 [
        "EPUB" => 35
        "HTML" => 1925
        "PDF" => 1778
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case reports</span>"
      "titulo" => "Keratoderma Palmoplantaris Varians &#40;Striata et Areata&#41;&#46; A Form of Chronic Idiopathic Acrokeratosis Described by Degos"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "134"
          "paginaFinal" => "137"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Queratodermia Palmoplantar Varians &#40;<span class="elsevierStyleItalic">Striata Et Areata</span>&#41; Tipo Acroqueratosis Esencial Cr&#243;nica de Degos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Padial, V&#46; Morales, J&#46;C&#46; Armario-Hita, J&#46;L&#46; Ingunza, J&#46;M&#46; Fern&#225;ndez-Vozmediano"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Padial"
            ]
            1 => array:2 [
              "nombre" => "V&#46;"
              "apellidos" => "Morales"
            ]
            2 => array:2 [
              "nombre" => "J&#46;C&#46;"
              "apellidos" => "Armario-Hita"
            ]
            3 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Ingunza"
            ]
            4 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Fern&#225;ndez-Vozmediano"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702130?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702130/v1_201304241426/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1578219008702117"
    "issn" => "15782190"
    "doi" => "10.1016/S1578-2190(08)70211-7"
    "estado" => "S300"
    "fechaPublicacion" => "2008-03-01"
    "aid" => "70211"
    "copyright" => "Academia Espa&#241;ola de Dermatolog&#237;a y Venereolog&#237;a and Elsevier Espa&#241;a&#44; S&#46;L&#46;"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2008;99:119-26"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2288
      "formatos" => array:3 [
        "EPUB" => 41
        "HTML" => 1429
        "PDF" => 818
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original articles</span>"
      "titulo" => "Sociodemographic Characteristics of Spanish Skin Cancer Patients"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "119"
          "paginaFinal" => "126"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Caracter&#237;sticas Sociodemogr&#225;ficas del C&#225;ncer Cut&#225;neo en Espa&#241;a"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "B&#46; P&#233;rez-Su&#225;rez, A&#46; Guerra-Tapia"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "B&#46;"
              "apellidos" => "P&#233;rez-Su&#225;rez"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Guerra-Tapia"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702117?idApp=UINPBA000044"
    "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702117/v1_201304241426/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
    "titulo" => "Analysis of the Demand for Dermatological Care in the Immigrant Population Served by Hospital Miguel Servet in Saragossa&#44; Spain"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "127"
        "paginaFinal" => "133"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "N&#46; Porta, J&#46; San Juan, E&#46; Simal, R&#46; Baldellou, M&#46; Ara, M&#46;L&#46; Zubiri"
        "autores" => array:6 [
          0 => array:4 [
            "nombre" => "N&#46;"
            "apellidos" => "Porta"
            "email" => array:1 [
              0 => "nportaa&#64;medynet&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "San Juan"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Simal"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "R&#46;"
            "apellidos" => "Baldellou"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Ara"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "M&#46;L&#46;"
            "apellidos" => "Zubiri"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatolog&#237;a&#44; Hospital Miguel Servet&#44; Zaragoza&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Asesor de Inform&#225;tica&#44; Centro de Profesores y Recursos n&#46;&#176; 1&#44; Zaragoza&#44; Spain"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Nieves Porta Azn&#225;rez Avda&#46; G&#243;mez Laguna 16&#44; 3&#46;&#176;A&#44; 50009 Zaragoza&#44; Spain&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "An&#225;lisis de la Demanda Asistencial de Dermatolog&#237;a en la Poblaci&#243;n Inmigrante del &#193;rea de Salud del Hospital Miguel Servet de Zaragoza"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaAceptado" => "2007-04-03"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec84108"
          "palabras" => array:3 [
            0 => "immigrants"
            1 => "epidemiology"
            2 => "skin diseases"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec84107"
          "palabras" => array:3 [
            0 => "inmigrantes"
            1 => "epidemiolog&#237;a"
            2 => "enfermedades dermatol&#243;gicas"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">In recent years there has been an increase in the size of the immigrant population consulting dermatology services in Spain&#46; The aim of this study was to describe the epidemiological characteristics of this sector of the population in the health care area served by Miguel Servet Hospital in Saragossa&#44; Spain&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Data were collected on immigrant patients seen in the dermatology department of our hospital during 2004&#46; Dermatological diagnoses were classified according to the International Classification of Diseases&#44; Ninth Revision&#44; Clinical Modification&#46; Statistical analysis was undertaken using the SPSS statistical package&#44; Access database management software&#44; and Excel spreadsheets&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 706 patients were seen&#44; corresponding to approximately 4&#37; of all first appointments&#44; and more women were seen than men&#44; a difference that was statistically significant&#46; The mean age of the patients was 31 years and there were no statistically significant differences in age between the sexes&#46; In order of frequency&#44; the most common countries of origin of the patients were Ecuador&#44; Colombia&#44; Romania&#44; Morocco&#44; Gambia&#44; Guinea&#44; and Senegal&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The most common skin diseases in this population group were infectious diseases&#44; in particular mycoses&#44; followed by viral diseases and pyodermatitis&#44; as well as sexually transmitted diseases&#46; In all cases&#44; the incidente of the disease was higher than in the Spanish population&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">An appropriate knowledge of dermatological diseases in this population group is necessary both to obtain correct diagnosis and to develop preventative measures for imported diseases&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha observado en los &#250;ltimos a&#241;os un aumento en la poblaci&#243;n inmigrante que acude a nuestras consultas&#46; Pretendemos describir en el presente estudio las caracter&#237;sticas epidemiol&#243;gicas dermatol&#243;gicas de este grupo de poblaci&#243;n en el &#225;rea de salud del Hospital Miguel Servet de Zaragoza&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han recogido los datos de los pacientes inmigrantes atendidos en nuestras consultas de Dermatolog&#237;a durante el a&#241;o 2004&#46; Los diagn&#243;sticos dermatol&#243;gicos se han codificado seg&#250;n el ICD-9-CM&#46; El estudio estad&#237;stico se ha realizado con el programa SPSS&#44; el gestor de base de datos Access y la hoja de c&#225;lculo Excel&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han atendido un total de 706 pacientes inmigrantes&#44; lo que supone el 4&#37; aproximado del total de primeras visitas&#44; apreci&#225;ndose una mayor frecuencia de mujeres&#44; con diferencias significativas&#46; La edad media es de 31 a&#241;os&#44; sin que se aprecien diferencias significativas entre ambos sexos&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Ecuador&#44; Colombia&#44; Ruman&#237;a&#44; Marruecos&#44; Gambia&#44; Guinea y Senegal son por este orden los pa&#237;ses de origen que con m&#225;s frecuencia se han detectado entre nuestros pacientes&#46; Las enfermedades dermatol&#243;gicas m&#225;s frecuentes en este grupo de poblaci&#243;n han sido las de origen infeccioso&#44; sobre todo micosis&#44; siguiendo las de origen viral y las piodermitis as&#237; como las enfermedades de transmisi&#243;n sexual&#44; apreci&#225;ndose en todas ellas una incidencia superior a la de la poblaci&#243;n aut&#243;ctona&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Se hace necesario un adecuado conocimiento de la patolog&#237;a dermatol&#243;gica en este grupo de poblaci&#243;n con el fin de realizar tanto un correcto diagn&#243;stico y tratamiento como de desarrollar medidas de prevenci&#243;n de enfermedades importadas&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:19 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patolog&#237;a dermatol&#243;gica en inmigrantes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "E&#46; De Eusebio"
                            1 => "B&#46; Zambrano"
                            2 => "P&#46; Ja&#233;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semergen"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "paginaInicial" => "345"
                        "paginaFinal" => "355"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin diseases in immigrants seen as out-patients in the Institute of Dermatology of the University of Rome &#8220;La Sapienza&#8221; from 1989 to 1994"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "U&#46; Bottoni"
                            1 => "C&#46; Dianzani"
                            2 => "M&#46;E&#46; Rossi"
                            3 => "M&#46; Carlesimo"
                            4 => "S&#46; Calvieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Epidemiol"
                        "fecha" => "1998"
                        "volumen" => "14"
                        "paginaInicial" => "201"
                        "paginaFinal" => "204"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9556181"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of skin disorders in school children in Ibadan&#44; Nigeria"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;O&#46; Ogunbiyi"
                            1 => "E&#46; Owoaje"
                            2 => "A&#46; Ndahi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1525-1470.2005.22101.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Dermatol"
                        "fecha" => "2005"
                        "volumen" => "22"
                        "paginaInicial" => "6"
                        "paginaFinal" => "10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15660888"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Skin diseases among refugees and immigrants&#46; Four exotic case reports"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;G&#46; Poulsen"
                            1 => "C&#46;S&#46; Petersen"
                            2 => "K&#46; Weismann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ugeskr Laeger"
                        "fecha" => "2000"
                        "volumen" => "162"
                        "paginaInicial" => "6246"
                        "paginaFinal" => "6248"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11107982"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Urgencias dermatol&#243;gicas pedi&#225;tricas en un hospital terciario"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Roca"
                            1 => "A&#46;C&#46; L&#225;zaro"
                            2 => "A&#46; Vicente"
                            3 => "A&#46; Larumbe"
                            4 => "M&#46;P&#46; Grasa"
                            5 => "F&#46;J&#46; Carapeto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Piel"
                        "fecha" => "2004"
                        "volumen" => "19"
                        "paginaInicial" => "124"
                        "paginaFinal" => "130"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio comparativo de la patolog&#237;a infecciosa en ni&#241;os inmigrantes de distintas procedencias"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Huerga"
                            1 => "R&#46; L&#243;pez-V&#233;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Anales de Pediatr&#237;a"
                        "fecha" => "2004"
                        "volumen" => "60"
                        "numero" => "1"
                        "paginaInicial" => "16"
                        "paginaFinal" => "21"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14718127"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clasificaci&#243;n Estad&#237;stica Internacional de Enfermedades"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Pe&#241;as"
                            1 => "M&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Codificaci&#243;n de las Enfermedades Dermatol&#243;gicas"
                        "fecha" => "1999"
                        "editorial" => "Drug Farma"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Codificaci&#243;n de las Enfermedades Dermatol&#243;gicas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46; Pe&#241;as"
                            1 => "M&#46; Jones"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1996"
                        "editorial" => "Drug Farma"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Porta N&#46; Estudio de las caracter&#237;sticas epidemiol&#243;gicas y demanda asistencial de dermatolog&#237;a en el &#225;rea de salud de un hospital de referencia &#91;doctoral thesis&#93;&#46; Facultad de Medicina&#46; Universidad de Zaragoza&#59; 2002&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Manual b&#225;sico del investigador novel"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "A&#46; Mar&#237;n"
                            1 => "J&#46;L&#46; Cucal&#243;n"
                            2 => "J&#46; Sebasti&#225;n"
                            3 => "J&#46; Porta"
                            4 => "S&#46; Lou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1999"
                        "editorial" => "Glaxo Welcome"
                        "editorialLocalizacion" => "Zaragoza"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cu&#225;ndo pensar en enfermedades importadas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Pardo"
                            1 => "J&#46;L&#46; P&#233;rez-Arellano"
                            2 => "I&#46; Galindo"
                            3 => "M&#46; Cordero"
                            4 => "A&#46; Muro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semergen"
                        "fecha" => "2005"
                        "volumen" => "31"
                        "paginaInicial" => "109"
                        "paginaFinal" => "116"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tropical dermatology&#58; bacterial tropical diseases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "O&#46; Lupi"
                            1 => "V&#46; Madkan"
                            2 => "S&#46;K&#46; Tyring"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2005.03.066"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2006"
                        "volumen" => "54"
                        "paginaInicial" => "559"
                        "paginaFinal" => "580"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16546577"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tinea capitis inflamatoria por Trichophyton violaceum simulando dermatosis pustulosa erosiva"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Moreno-Ram&#237;rez"
                            1 => "A&#46; Herrera-Saval"
                            2 => "F&#46; Camacho"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2003"
                        "volumen" => "94"
                        "paginaInicial" => "165"
                        "paginaFinal" => "168"
                        "itemHostRev" => array:3 [
                          "pii" => "S1552526008026393"
                          "estado" => "S300"
                          "issn" => "15525260"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Superficial mycoses due to Trichophyton violaceum in Athens Greece&#58; a 15-year retrospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Frangoulis"
                            1 => "H&#46; Papadogeorgakis"
                            2 => "B&#46; Athanasopoulou"
                            3 => "A&#46; Katsambas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1439-0507.2005.01159.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mycoses"
                        "fecha" => "2005"
                        "volumen" => "48"
                        "paginaInicial" => "425"
                        "paginaFinal" => "429"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16262880"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence of tinea capitis and tinea pedis in Barcelona schoolchildren"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Trivino-Dur&#225;n"
                            1 => "J&#46;M&#46; Torres-Rodr&#237;guez"
                            2 => "A&#46; Mart&#237;nez-Roig"
                            3 => "C&#46; Cortina"
                            4 => "V&#46; Belver"
                            5 => "M&#46; P&#233;rez-Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Infect Dis J"
                        "fecha" => "2005"
                        "volumen" => "24"
                        "paginaInicial" => "137"
                        "paginaFinal" => "141"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15702042"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Increasing tinea capitis prevalence in Stockholm reflects immigrations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Hallgren"
                            1 => "B&#46; Petrini"
                            2 => "C&#46;F&#46; Wahlgren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Mycol"
                        "fecha" => "2004"
                        "volumen" => "42"
                        "paginaInicial" => "505"
                        "paginaFinal" => "509"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15682638"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tinea due to Trichophyton violaceum and Trichophyton soudanense in Hamilton&#44; New Zealand"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;R&#46; Lamb"
                            1 => "M&#46; Rademaker"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2001"
                        "volumen" => "42"
                        "paginaInicial" => "260"
                        "paginaFinal" => "263"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11903158"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of tinea capitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Feuilhade"
                            1 => "C&#46; Lacroix"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Presse Med"
                        "fecha" => "2001"
                        "volumen" => "30"
                        "paginaInicial" => "499"
                        "paginaFinal" => "504"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11307495"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tinea corporis extensa en paciente inmunocompetente"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Campos"
                            1 => "A&#46; Quesada"
                            2 => "D&#46;M&#46; Arranz"
                            3 => "R&#46;M&#46; D&#237;az"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Semergen"
                        "fecha" => "2006"
                        "volumen" => "32"
                        "paginaInicial" => "304"
                        "paginaFinal" => "306"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000009900000002/v1_201304241426/S1578219008702129/v1_201304241426/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6155"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Original Articles"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000009900000002/v1_201304241426/S1578219008702129/v1_201304241426/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008702129?idApp=UINPBA000044"
]
Share
Journal Information
Vol. 99. Issue 2.
Pages 127-133 (March 2008)
Share
Share
Download PDF
More article options
Vol. 99. Issue 2.
Pages 127-133 (March 2008)
Original article
Full text access
Analysis of the Demand for Dermatological Care in the Immigrant Population Served by Hospital Miguel Servet in Saragossa, Spain
Análisis de la Demanda Asistencial de Dermatología en la Población Inmigrante del Área de Salud del Hospital Miguel Servet de Zaragoza
Visits
5702
N. Portaa,
Corresponding author
nportaa@medynet.com

Correspondence: Nieves Porta Aznárez Avda. Gómez Laguna 16, 3.°A, 50009 Zaragoza, Spain.
, J. San Juanb, E. Simala, R. Baldelloua, M. Araa, M.L. Zubiria
a Servicio de Dermatología, Hospital Miguel Servet, Zaragoza, Spain
b Asesor de Informática, Centro de Profesores y Recursos n.° 1, Zaragoza, Spain
This item has received
Article information
Abstract
Introduction

In recent years there has been an increase in the size of the immigrant population consulting dermatology services in Spain. The aim of this study was to describe the epidemiological characteristics of this sector of the population in the health care area served by Miguel Servet Hospital in Saragossa, Spain.

Material and methods

Data were collected on immigrant patients seen in the dermatology department of our hospital during 2004. Dermatological diagnoses were classified according to the International Classification of Diseases, Ninth Revision, Clinical Modification. Statistical analysis was undertaken using the SPSS statistical package, Access database management software, and Excel spreadsheets.

Results

A total of 706 patients were seen, corresponding to approximately 4% of all first appointments, and more women were seen than men, a difference that was statistically significant. The mean age of the patients was 31 years and there were no statistically significant differences in age between the sexes. In order of frequency, the most common countries of origin of the patients were Ecuador, Colombia, Romania, Morocco, Gambia, Guinea, and Senegal.

The most common skin diseases in this population group were infectious diseases, in particular mycoses, followed by viral diseases and pyodermatitis, as well as sexually transmitted diseases. In all cases, the incidente of the disease was higher than in the Spanish population.

Conclusions

An appropriate knowledge of dermatological diseases in this population group is necessary both to obtain correct diagnosis and to develop preventative measures for imported diseases.

Key words:
immigrants
epidemiology
skin diseases
Resumen
Introducción

Se ha observado en los últimos años un aumento en la población inmigrante que acude a nuestras consultas. Pretendemos describir en el presente estudio las características epidemiológicas dermatológicas de este grupo de población en el área de salud del Hospital Miguel Servet de Zaragoza.

Material y métodos

Se han recogido los datos de los pacientes inmigrantes atendidos en nuestras consultas de Dermatología durante el año 2004. Los diagnósticos dermatológicos se han codificado según el ICD-9-CM. El estudio estadístico se ha realizado con el programa SPSS, el gestor de base de datos Access y la hoja de cálculo Excel.

Resultados

Se han atendido un total de 706 pacientes inmigrantes, lo que supone el 4% aproximado del total de primeras visitas, apreciándose una mayor frecuencia de mujeres, con diferencias significativas. La edad media es de 31 años, sin que se aprecien diferencias significativas entre ambos sexos.

Ecuador, Colombia, Rumanía, Marruecos, Gambia, Guinea y Senegal son por este orden los países de origen que con más frecuencia se han detectado entre nuestros pacientes. Las enfermedades dermatológicas más frecuentes en este grupo de población han sido las de origen infeccioso, sobre todo micosis, siguiendo las de origen viral y las piodermitis así como las enfermedades de transmisión sexual, apreciándose en todas ellas una incidencia superior a la de la población autóctona.

Conclusiones

Se hace necesario un adecuado conocimiento de la patología dermatológica en este grupo de población con el fin de realizar tanto un correcto diagnóstico y tratamiento como de desarrollar medidas de prevención de enfermedades importadas.

Palabras clave:
inmigrantes
epidemiología
enfermedades dermatológicas
Full text is only aviable in PDF
References
[1]
E. De Eusebio, B. Zambrano, P. Jaén.
Patología dermatológica en inmigrantes.
Semergen, 30 (2004), pp. 345-355
[2]
U. Bottoni, C. Dianzani, M.E. Rossi, M. Carlesimo, S. Calvieri.
Skin diseases in immigrants seen as out-patients in the Institute of Dermatology of the University of Rome “La Sapienza” from 1989 to 1994.
Eur J Epidemiol, 14 (1998), pp. 201-204
[3]
A.O. Ogunbiyi, E. Owoaje, A. Ndahi.
Prevalence of skin disorders in school children in Ibadan, Nigeria.
Pediatr Dermatol, 22 (2005), pp. 6-10
[4]
A.G. Poulsen, C.S. Petersen, K. Weismann.
Skin diseases among refugees and immigrants. Four exotic case reports.
Ugeskr Laeger, 162 (2000), pp. 6246-6248
[5]
C. Roca, A.C. Lázaro, A. Vicente, A. Larumbe, M.P. Grasa, F.J. Carapeto.
Urgencias dermatológicas pediátricas en un hospital terciario.
Piel, 19 (2004), pp. 124-130
[6]
H. Huerga, R. López-Vélez.
Estudio comparativo de la patología infecciosa en niños inmigrantes de distintas procedencias.
Anales de Pediatría, 60 (2004), pp. 16-21
[7]
P. Peñas, M. Jones.
Clasificación Estadística Internacional de Enfermedades.
Codificación de las Enfermedades Dermatológicas, Drug Farma, (1999),
[8]
P. Peñas, M. Jones.
Codificación de las Enfermedades Dermatológicas.
Drug Farma, (1996),
[9]
Porta N. Estudio de las características epidemiológicas y demanda asistencial de dermatología en el área de salud de un hospital de referencia [doctoral thesis]. Facultad de Medicina. Universidad de Zaragoza; 2002.
[10]
A. Marín, J.L. Cucalón, J. Sebastián, J. Porta, S. Lou.
Manual básico del investigador novel.
Glaxo Welcome, (1999),
[11]
J. Pardo, J.L. Pérez-Arellano, I. Galindo, M. Cordero, A. Muro.
Cuándo pensar en enfermedades importadas.
Semergen, 31 (2005), pp. 109-116
[12]
O. Lupi, V. Madkan, S.K. Tyring.
Tropical dermatology: bacterial tropical diseases.
J Am Acad Dermatol, 54 (2006), pp. 559-580
[13]
D. Moreno-Ramírez, A. Herrera-Saval, F. Camacho.
Tinea capitis inflamatoria por Trichophyton violaceum simulando dermatosis pustulosa erosiva.
Actas Dermosifiliogr, 94 (2003), pp. 165-168
[14]
E. Frangoulis, H. Papadogeorgakis, B. Athanasopoulou, A. Katsambas.
Superficial mycoses due to Trichophyton violaceum in Athens Greece: a 15-year retrospective study.
[15]
L. Trivino-Durán, J.M. Torres-Rodríguez, A. Martínez-Roig, C. Cortina, V. Belver, M. Pérez-González, et al.
Prevalence of tinea capitis and tinea pedis in Barcelona schoolchildren.
Pediatr Infect Dis J, 24 (2005), pp. 137-141
[16]
J. Hallgren, B. Petrini, C.F. Wahlgren.
Increasing tinea capitis prevalence in Stockholm reflects immigrations.
Med Mycol, 42 (2004), pp. 505-509
[17]
S.R. Lamb, M. Rademaker.
Tinea due to Trichophyton violaceum and Trichophyton soudanense in Hamilton, New Zealand.
Australas J Dermatol, 42 (2001), pp. 260-263
[18]
M. Feuilhade, C. Lacroix.
Epidemiology of tinea capitis.
Presse Med, 30 (2001), pp. 499-504
[19]
L. Campos, A. Quesada, D.M. Arranz, R.M. Díaz.
Tinea corporis extensa en paciente inmunocompetente.
Semergen, 32 (2006), pp. 304-306
Copyright © 2008. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
Download PDF
Idiomas
Actas Dermo-Sifiliográficas
Article options
Tools
es en

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

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