array:24 [
  "pii" => "S1578219014003084"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2014.11.010"
  "estado" => "S300"
  "fechaPublicacion" => "2015-01-01"
  "aid" => "1031"
  "copyright" => "Elsevier España, S.L.U. and AEDV"
  "copyrightAnyo" => "2014"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2015;106:68-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1786
    "formatos" => array:3 [
      "EPUB" => 39
      "HTML" => 956
      "PDF" => 791
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731014003615"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2014.06.007"
      "estado" => "S300"
      "fechaPublicacion" => "2015-01-01"
      "aid" => "1031"
      "copyright" => "Elsevier España, S.L.U. and AEDV"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2015;106:68-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 8517
        "formatos" => array:3 [
          "EPUB" => 2
          "HTML" => 1542
          "PDF" => 6973
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Foro De Residentes</span>"
        "titulo" => "FR &#8211; S&#237;filis&#58; actualizaci&#243;n en el manejo diagn&#243;stico y terap&#233;utico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "68"
            "paginaFinal" => "69"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Update on the Diagnosis and Treatment of Syphilis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "C&#46;E&#46; Morales-M&#250;nera, P&#46;A&#46; Fuentes-Finkelstein, M&#46; Vall Mayans"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "C&#46;E&#46;"
                "apellidos" => "Morales-M&#250;nera"
              ]
              1 => array:2 [
                "nombre" => "P&#46;A&#46;"
                "apellidos" => "Fuentes-Finkelstein"
              ]
              2 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Vall Mayans"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219014003084"
          "doi" => "10.1016/j.adengl.2014.11.010"
          "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/S1578219014003084?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014003615?idApp=UINPBA000044"
      "url" => "/00017310/0000010600000001/v2_201706012025/S0001731014003615/v2_201706012025/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219014003242"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2014.04.028"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1014"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2015;106:70-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1410
      "formatos" => array:3 [
        "EPUB" => 57
        "HTML" => 899
        "PDF" => 454
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
      "titulo" => "<span class="elsevierStyleItalic">Malassezia</span> Growth on Peritumoral Skin After Routine Methyl-5-Aminolevulinate Photodynamic Therapy for Actinic Keratosis and Nonmelanoma Skin Cancer"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "70"
          "paginaFinal" => "71"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Crecimiento de <span class="elsevierStyleItalic">Malassezia</span> en Piel Peritumoral Tras Terapia Fotodinámica con Metil-5-aminolevulinato para Queratosis Actínica y Cáncer de Piel No Melanoma"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1208
              "Ancho" => 1667
              "Tamanyo" => 119298
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Box plot shows the difference in the number of <span class="elsevierStyleItalic">Malassezia</span> colonies before and after exposure of the peritumoral area and the adjacent control area to MAL-PDT and red light illumination, respectively.</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Y. Gilaberte, C. Aspiroz, C. Alejandre, A. Rezusta"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Y."
              "apellidos" => "Gilaberte"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Aspiroz"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Alejandre"
            ]
            3 => array:2 [
              "nombre" => "A."
              "apellidos" => "Rezusta"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0001731014002221"
        "doi" => "10.1016/j.ad.2014.04.010"
        "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/S0001731014002221?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003242?idApp=UINPBA000044"
    "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003242/v2_201502060417/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219014003023"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2014.11.004"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1039"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2015;106:65-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1979
      "formatos" => array:3 [
        "EPUB" => 44
        "HTML" => 1352
        "PDF" => 583
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Videos of Surgical Procedures in Dermatology</span>"
      "titulo" => "Subcutaneous Vector-Running Sutures"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "65"
          "paginaFinal" => "67"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sutura oblicua subcutánea"
        ]
      ]
      "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" => 713
              "Ancho" => 950
              "Tamanyo" => 115093
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Scar from the excision of a melanoma on the anterior aspect of the right thigh 2 years after performing the vector-running subcutaneous suture. The same case is presented in the video.</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S. Serrano-Ortega, C. Serrano-Falcón, M.A. Fernández-Pugnaire"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "S."
              "apellidos" => "Serrano-Ortega"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Serrano-Falcón"
            ]
            2 => array:2 [
              "nombre" => "M.A."
              "apellidos" => "Fernández-Pugnaire"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731014003846"
        "doi" => "10.1016/j.ad.2014.06.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014003846?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003023?idApp=UINPBA000044"
    "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003023/v2_201502060417/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Focus</span>"
    "titulo" => "Update on the Diagnosis and Treatment of Syphilis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "68"
        "paginaFinal" => "69"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "C.E. Morales-Múnera, P.A. Fuentes-Finkelstein, M. Vall Mayans"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "C.E."
            "apellidos" => "Morales-Múnera"
            "email" => array:2 [
              0 => "cmorales@santpau.cat"
              1 => "carrymorales@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "P.A."
            "apellidos" => "Fuentes-Finkelstein"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M."
            "apellidos" => "Vall Mayans"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Unidad de ITS, Hospital Universitario Vall d&#8217;Hebron-Drassanes, Barcelona, Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author."
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "RR &#8211; Sífilis: actualización en el manejo diagnóstico y terapéutico"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The incidence of syphilis has tripled during the last 10 years, and doubts frequently arise about diagnosis and treatment.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Syphilis is diagnosed using polymerase chain reaction or dark-field microscopy to demonstrate the presence of spirochetes in a sample obtained from the chancre and/or positive findings in treponemal and nontreponemal tests performed at all stages of the disease.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Both serology tests should be performed together; when performed separately, they lose their diagnostic value because of the increase in false positives. Follow-up is with nontreponemal tests, since fluctuations in the results mirror disease activity, and should always be with the same nontreponemal test used in the initial diagnosis, preferably from the same manufacturer.</p><p id="par0020" class="elsevierStylePara elsevierViewall">It is important to remember that, just as treponemal tests tend to remain positive and fluctuations in the results are not indicative of disease activity, nontreponemal tests do not yield negative results in a high percentage of appropriately treated patients.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Treatment is still based on intramuscular penicillin G benzathine administered in a single dose of 2 400 000<span class="elsevierStyleHsp" style=""></span>U for primary syphilis, secondary syphilis, and early latent syphilis and intramuscular penicillin G benzathine administered at 2 400 000<span class="elsevierStyleHsp" style=""></span>U weekly for 3 weeks in the case of late latent or indeterminate syphilis and tertiary syphilis. Patients who are allergic to penicillin can receive oral doxycycline at 100<span class="elsevierStyleHsp" style=""></span>mg twice daily for 14-28 days depending on the stage of the disease; in the case of penicillin-allergic pregnant women, the recommendation continues to be desensitization followed by penicillin G benzathine.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Patients should undergo clinical and laboratory follow-up every 3-6 months for 1 year. Decreased values in the nontreponemal test are considered a good response to treatment.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Patients whose values do not decrease by at least 2 dilutions should be evaluated bearing in mind the possibility of neurosyphilis, and patients whose values increase by at least 2 dilutions in the nontreponemal tests should be re-treated, since they may be experiencing reinfection.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Although diagnosis and follow-up of patients infected by the human immunodeficiency virus (HIV) are the same as for non&#8211;HIV-infected patients, isolated cases of therapeutic failure and more pronounced neurological involvement have been detected at earlier stages in HIV-infected patients.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Every attempt should be made to seek and treat the all the patient&#39;s sexual partners from the 3 months before the diagnosis of primary, secondary, or early latent syphilis, even if the results of serology testing are negative. Where serology testing has not been possible or follow-up cannot be ensured, partners from before this 3-month period should be investigated. In the case of late latent syphilis, partners should be evaluated and treated depending on the results of serology testing.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">It should also be remembered that syphilis is a notifiable disease.</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec401976"
          "palabras" => array:4 [
            0 => "Syphilis"
            1 => "Syphilis cutaneous"
            2 => "Serologic tests"
            3 => "Syphilis serodiagnosis"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Morales-M&uacute;nera C, Fuentes-Finkelstein P, Vall Mayans M. RR &#8211; S&iacute;filis: actualizaci&oacute;n en el manejo diagn&oacute;stico y terap&eacute;utico. Actas Dermosifiliogr. 2015;106:74&#8211;75.</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Utilidad de la inmunohistoqu&iacute;mica con anticuerpos antitreponema en el diagn&oacute;stico de la s&iacute;filis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C. Hern&aacute;ndez"
                            1 => "R. F&uacute;nez"
                            2 => "B. Repiso"
                            3 => "M. Frieyro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2012.12.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2013"
                        "volumen" => "104"
                        "paginaInicial" => "926"
                        "paginaFinal" => "928"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23465786"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "CDC guidelines Diseases characterized by genital, anal, or peria-nal ulcers. Sexually-transmitted diseases. Treatment guidelines August 2006."
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Management of specific infections: Syphilis 2010. IUSTI. Dispo-nible en: <a href="http://www.iusti.org/regions/europe/euroguidelines.htm">http://www.iusti.org/regions/europe/euroguidelines.htm</a>."
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003084/v2_201502060417/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "34945"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Resident&#39;s Forum"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010600000001/v2_201502060417/S1578219014003084/v2_201502060417/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003084?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Resident's Focus
Update on the Diagnosis and Treatment of Syphilis
RR – Sífilis: actualización en el manejo diagnóstico y terapéutico
C.E. Morales-Múneraa,
Corresponding author
, P.A. Fuentes-Finkelsteina, M. Vall Mayansb
a Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
b Unidad de ITS, Hospital Universitario Vall d’Hebron-Drassanes, Barcelona, Spain
Read
8409
Times
was read the article
3045
Total PDF
5364
Total HTML
Share statistics
 array:24 [
  "pii" => "S1578219014003084"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2014.11.010"
  "estado" => "S300"
  "fechaPublicacion" => "2015-01-01"
  "aid" => "1031"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
  "copyrightAnyo" => "2014"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Actas Dermosifiliogr. 2015;106:68-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1786
    "formatos" => array:3 [
      "EPUB" => 39
      "HTML" => 956
      "PDF" => 791
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0001731014003615"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2014.06.007"
      "estado" => "S300"
      "fechaPublicacion" => "2015-01-01"
      "aid" => "1031"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Actas Dermosifiliogr. 2015;106:68-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 8517
        "formatos" => array:3 [
          "EPUB" => 2
          "HTML" => 1542
          "PDF" => 6973
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Foro De Residentes</span>"
        "titulo" => "FR &#8211; S&#237;filis&#58; actualizaci&#243;n en el manejo diagn&#243;stico y terap&#233;utico"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "68"
            "paginaFinal" => "69"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Update on the Diagnosis and Treatment of Syphilis"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "C&#46;E&#46; Morales-M&#250;nera, P&#46;A&#46; Fuentes-Finkelstein, M&#46; Vall Mayans"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "C&#46;E&#46;"
                "apellidos" => "Morales-M&#250;nera"
              ]
              1 => array:2 [
                "nombre" => "P&#46;A&#46;"
                "apellidos" => "Fuentes-Finkelstein"
              ]
              2 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Vall Mayans"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219014003084"
          "doi" => "10.1016/j.adengl.2014.11.010"
          "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/S1578219014003084?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014003615?idApp=UINPBA000044"
      "url" => "/00017310/0000010600000001/v2_201706012025/S0001731014003615/v2_201706012025/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1578219014003242"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2014.04.028"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1014"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Actas Dermosifiliogr. 2015;106:70-1"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1410
      "formatos" => array:3 [
        "EPUB" => 57
        "HTML" => 899
        "PDF" => 454
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letter</span>"
      "titulo" => "<span class="elsevierStyleItalic">Malassezia</span> Growth on Peritumoral Skin After Routine Methyl-5-Aminolevulinate Photodynamic Therapy for Actinic Keratosis and Nonmelanoma Skin Cancer"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "70"
          "paginaFinal" => "71"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Crecimiento de <span class="elsevierStyleItalic">Malassezia</span> en Piel Peritumoral Tras Terapia Fotodinámica con Metil-5-aminolevulinato para Queratosis Actínica y Cáncer de Piel No Melanoma"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1208
              "Ancho" => 1667
              "Tamanyo" => 119298
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Box plot shows the difference in the number of <span class="elsevierStyleItalic">Malassezia</span> colonies before and after exposure of the peritumoral area and the adjacent control area to MAL-PDT and red light illumination, respectively.</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Y. Gilaberte, C. Aspiroz, C. Alejandre, A. Rezusta"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Y."
              "apellidos" => "Gilaberte"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Aspiroz"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Alejandre"
            ]
            3 => array:2 [
              "nombre" => "A."
              "apellidos" => "Rezusta"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S0001731014002221"
        "doi" => "10.1016/j.ad.2014.04.010"
        "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/S0001731014002221?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003242?idApp=UINPBA000044"
    "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003242/v2_201502060417/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S1578219014003023"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2014.11.004"
    "estado" => "S300"
    "fechaPublicacion" => "2015-01-01"
    "aid" => "1039"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2015;106:65-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1979
      "formatos" => array:3 [
        "EPUB" => 44
        "HTML" => 1352
        "PDF" => 583
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Videos of Surgical Procedures in Dermatology</span>"
      "titulo" => "Subcutaneous Vector-Running Sutures"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "65"
          "paginaFinal" => "67"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Sutura oblicua subcutánea"
        ]
      ]
      "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" => 713
              "Ancho" => 950
              "Tamanyo" => 115093
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Scar from the excision of a melanoma on the anterior aspect of the right thigh 2 years after performing the vector-running subcutaneous suture. The same case is presented in the video.</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "S. Serrano-Ortega, C. Serrano-Falcón, M.A. Fernández-Pugnaire"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "S."
              "apellidos" => "Serrano-Ortega"
            ]
            1 => array:2 [
              "nombre" => "C."
              "apellidos" => "Serrano-Falcón"
            ]
            2 => array:2 [
              "nombre" => "M.A."
              "apellidos" => "Fernández-Pugnaire"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731014003846"
        "doi" => "10.1016/j.ad.2014.06.013"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731014003846?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003023?idApp=UINPBA000044"
    "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003023/v2_201502060417/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Resident&#39;s Focus</span>"
    "titulo" => "Update on the Diagnosis and Treatment of Syphilis"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "68"
        "paginaFinal" => "69"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "C.E. Morales-Múnera, P.A. Fuentes-Finkelstein, M. Vall Mayans"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "C.E."
            "apellidos" => "Morales-Múnera"
            "email" => array:2 [
              0 => "cmorales@santpau.cat"
              1 => "carrymorales@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "P.A."
            "apellidos" => "Fuentes-Finkelstein"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M."
            "apellidos" => "Vall Mayans"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Unidad de ITS, Hospital Universitario Vall d&#8217;Hebron-Drassanes, Barcelona, Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author."
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "RR &#8211; Sífilis: actualización en el manejo diagnóstico y terapéutico"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The incidence of syphilis has tripled during the last 10 years, and doubts frequently arise about diagnosis and treatment.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Syphilis is diagnosed using polymerase chain reaction or dark-field microscopy to demonstrate the presence of spirochetes in a sample obtained from the chancre and/or positive findings in treponemal and nontreponemal tests performed at all stages of the disease.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Both serology tests should be performed together; when performed separately, they lose their diagnostic value because of the increase in false positives. Follow-up is with nontreponemal tests, since fluctuations in the results mirror disease activity, and should always be with the same nontreponemal test used in the initial diagnosis, preferably from the same manufacturer.</p><p id="par0020" class="elsevierStylePara elsevierViewall">It is important to remember that, just as treponemal tests tend to remain positive and fluctuations in the results are not indicative of disease activity, nontreponemal tests do not yield negative results in a high percentage of appropriately treated patients.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Treatment is still based on intramuscular penicillin G benzathine administered in a single dose of 2 400 000<span class="elsevierStyleHsp" style=""></span>U for primary syphilis, secondary syphilis, and early latent syphilis and intramuscular penicillin G benzathine administered at 2 400 000<span class="elsevierStyleHsp" style=""></span>U weekly for 3 weeks in the case of late latent or indeterminate syphilis and tertiary syphilis. Patients who are allergic to penicillin can receive oral doxycycline at 100<span class="elsevierStyleHsp" style=""></span>mg twice daily for 14-28 days depending on the stage of the disease; in the case of penicillin-allergic pregnant women, the recommendation continues to be desensitization followed by penicillin G benzathine.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Patients should undergo clinical and laboratory follow-up every 3-6 months for 1 year. Decreased values in the nontreponemal test are considered a good response to treatment.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Patients whose values do not decrease by at least 2 dilutions should be evaluated bearing in mind the possibility of neurosyphilis, and patients whose values increase by at least 2 dilutions in the nontreponemal tests should be re-treated, since they may be experiencing reinfection.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Although diagnosis and follow-up of patients infected by the human immunodeficiency virus (HIV) are the same as for non&#8211;HIV-infected patients, isolated cases of therapeutic failure and more pronounced neurological involvement have been detected at earlier stages in HIV-infected patients.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Every attempt should be made to seek and treat the all the patient&#39;s sexual partners from the 3 months before the diagnosis of primary, secondary, or early latent syphilis, even if the results of serology testing are negative. Where serology testing has not been possible or follow-up cannot be ensured, partners from before this 3-month period should be investigated. In the case of late latent syphilis, partners should be evaluated and treated depending on the results of serology testing.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">It should also be remembered that syphilis is a notifiable disease.</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec401976"
          "palabras" => array:4 [
            0 => "Syphilis"
            1 => "Syphilis cutaneous"
            2 => "Serologic tests"
            3 => "Syphilis serodiagnosis"
          ]
        ]
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Morales-M&uacute;nera C, Fuentes-Finkelstein P, Vall Mayans M. RR &#8211; S&iacute;filis: actualizaci&oacute;n en el manejo diagn&oacute;stico y terap&eacute;utico. Actas Dermosifiliogr. 2015;106:74&#8211;75.</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:3 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Utilidad de la inmunohistoqu&iacute;mica con anticuerpos antitreponema en el diagn&oacute;stico de la s&iacute;filis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C. Hern&aacute;ndez"
                            1 => "R. F&uacute;nez"
                            2 => "B. Repiso"
                            3 => "M. Frieyro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2012.12.011"
                      "Revista" => array:6 [
                        "tituloSerie" => "Actas Dermosifiliogr"
                        "fecha" => "2013"
                        "volumen" => "104"
                        "paginaInicial" => "926"
                        "paginaFinal" => "928"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23465786"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "CDC guidelines Diseases characterized by genital, anal, or peria-nal ulcers. Sexually-transmitted diseases. Treatment guidelines August 2006."
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Management of specific infections: Syphilis 2010. IUSTI. Dispo-nible en: <a href="http://www.iusti.org/regions/europe/euroguidelines.htm">http://www.iusti.org/regions/europe/euroguidelines.htm</a>."
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000010600000001/v2_201502060417/S1578219014003084/v2_201502060417/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "34945"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Resident&#39;s Forum"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000010600000001/v2_201502060417/S1578219014003084/v2_201502060417/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219014003084?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 5 6 11
2024 October 101 87 188
2024 September 131 30 161
2024 August 133 68 201
2024 July 97 39 136
2024 June 334 33 367
2024 May 86 40 126
2024 April 87 31 118
2024 March 72 35 107
2024 February 75 45 120
2024 January 65 34 99
2023 December 59 20 79
2023 November 75 32 107
2023 October 95 27 122
2023 September 92 31 123
2023 August 99 19 118
2023 July 70 42 112
2023 June 81 36 117
2023 May 99 43 142
2023 April 94 35 129
2023 March 173 41 214
2023 February 97 38 135
2023 January 92 59 151
2022 December 77 45 122
2022 November 63 54 117
2022 October 67 42 109
2022 September 69 73 142
2022 August 65 52 117
2022 July 46 50 96
2022 June 45 38 83
2022 May 95 59 154
2022 April 74 49 123
2022 March 76 40 116
2022 February 69 42 111
2022 January 88 48 136
2021 December 68 49 117
2021 November 62 74 136
2021 October 74 87 161
2021 September 58 39 97
2021 August 62 32 94
2021 July 68 37 105
2021 June 51 32 83
2021 May 103 30 133
2021 April 88 76 164
2021 March 94 35 129
2021 February 82 65 147
2021 January 56 32 88
2020 December 53 15 68
2020 November 47 28 75
2020 October 34 9 43
2020 September 44 14 58
2020 August 43 31 74
2020 July 32 5 37
2020 June 42 26 68
2020 May 32 23 55
2020 April 32 16 48
2020 March 34 30 64
2020 February 3 7 10
2020 January 4 3 7
2019 December 8 1 9
2019 November 4 2 6
2019 September 8 0 8
2019 August 4 6 10
2019 July 2 4 6
2019 June 6 21 27
2019 May 2 42 44
2019 April 0 14 14
2019 March 2 7 9
2019 February 0 1 1
2019 January 2 1 3
2018 December 1 6 7
2018 November 1 0 1
2018 October 2 0 2
2018 September 5 2 7
2018 August 1 4 5
2018 July 0 4 4
2018 June 0 2 2
2018 May 0 4 4
2018 April 0 9 9
2018 March 2 1 3
2018 February 24 10 34
2018 January 37 12 49
2017 December 41 11 52
2017 November 37 9 46
2017 October 36 14 50
2017 September 28 26 54
2017 August 43 23 66
2017 July 32 11 43
2017 June 42 23 65
2017 May 47 25 72
2017 April 30 28 58
2017 March 17 12 29
2017 February 27 25 52
2017 January 21 20 41
2016 December 30 19 49
2016 November 46 25 71
2016 October 39 18 57
2016 September 0 10 10
2016 August 0 1 1
2016 July 12 7 19
2016 June 28 9 37
2016 May 17 34 51
2016 April 14 11 25
2016 March 16 24 40
2016 February 17 11 28
2016 January 9 17 26
2015 December 10 13 23
2015 November 8 17 25
2015 October 8 14 22
2015 September 11 22 33
2015 August 9 18 27
2015 July 40 24 64
2015 June 21 23 44
2015 May 26 24 50
2015 April 31 26 57
2015 March 38 27 65
2015 February 10 13 23
Show all

Follow this link to access the full text of the article

Idiomas
Actas Dermo-Sifiliográficas
es en

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

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