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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Immigration is a reality that cannot be ignored and that provides new professional challenges&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> As a result&#44; the number of publications related to immigration has increased markedly&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Among the skin conditions affected by immigration are sexually transmitted diseases&#44; with some articles reporting a greater incidence of carriers of condyloma acuminata among immigrants&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The aim of this study was to answer the question posed by the title of this article&#44; though any conclusions are clearly limited to the population actually studied&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">We retrospectively included male patients with a clinical and histologic diagnosis of condyloma acuminata who were seen in the dermatology clinic of our hospital between February 18&#44; 2008 and December 31&#44; 2011&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">We undertook chart review of these patients&#44; and noted the following information&#58; autochthonous or immigrant &#40;including country of origin in the latter case&#41;&#44; age&#44; site&#47;number&#47;duration of lesions&#44; presence of human papillomavirus &#40;HPV&#41; in skin lesions &#40;using CLART Clinical Arrays from GENOMICA&#41;&#44; associated sexually transmitted diseases&#44; risky sexual practices&#44; treatments received&#44; and outcome&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In total&#44; the medical records from 113 patients were retrieved&#46; Of these patients&#44; 93 &#40;82&#37;&#41; were autochthonous and the rest were immigrants who had been living in Spain for at least 6 months&#46; The origin of these patients was extremely varied &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">The remaining demographic information is presented in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; There were no significant differences in terms of genital or perianal site of lesions&#46; Two autochthonous patients had oral mucosal lesions&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">We did not find any differences between groups in terms of the presence of HPV as determined by the Clinical Arrays &#40;GENOMICA&#41; assay&#46; The most frequent HPV serotypes were 6 and 11&#46; An immigrant patient was positive for HPV 6 and an autochthonous patient was positive for HPV 61 and 81&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">We found no differences in the type of treatment needed to control the lesions or whether monotherapy or combination therapy was administered&#46; In both groups&#44; the treatments used&#44; from most frequent to least frequent&#44; were cryotherapy&#44; podophyllin&#44; and topical imiquimod&#46; Likewise&#44; no differences were observed in terms of outcome for the 2 groups&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The analysis of articles related to an increase in sexually transmitted diseases in the immigrant population in Spain points to greater frequency of HPV infections among female immigrant prostitutes&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> However&#44; this observation is not well established in male immigrants&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;6</span></a> Albares et al&#46;&#44;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> in studies in Spain&#44; did not find any significant differences in patients with condyloma acuminata among immigrant and autochthonous populations&#44; but they did not analyze men and women separately&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">In our series&#44; no differences were found between immigrant and autochthonous populations on comparing the characteristics of patients with condyloma acuminata&#44; although immigrants tended to wait longer before seeking medical attention&#46; This finding could be explained by a possible lack of awareness of the health system or cultural taboos concerning sexually transmitted diseases among male immigrants&#46;</p></span>"
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2009&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;Ecuador 1&#44; Paraguay 1&#44; and Peru 1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;Bulgaria 2&#44; Colombia 2&#44; Morocco 2&#44; Portugal 1&#44; Rumania 1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">8 &#40;Morocco 4&#44; Ecuador 1&#44; Peru 1&#44; Dominican Republic 1&#44; Russia 1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1 month to 7 years &#40;6 patients more than 1 year&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">28 patients &#40;partner with condyloma&#44; 7 cases&#41;&nbsp;\t\t\t\t\t\t\n
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Case and Research Letters
Condyloma Acuminata in Male Patients. Are There Differences Between the Immigrant and Autochthonous Populations?
Condilomas acuminados en varones. ¿Existen diferencias entre población inmigrante y autóctona?
R.M. Díaz Díaza,
Autor para correspondencia
, C. Garrido Gutiérreza, A. Navarro Canterob, E. Ruíz Bravo-Burguillosb
a Sección de Dermatología Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain
b Sección de Anatomía Patológica, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Immigration is a reality that cannot be ignored and that provides new professional challenges&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> As a result&#44; the number of publications related to immigration has increased markedly&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#8211;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Among the skin conditions affected by immigration are sexually transmitted diseases&#44; with some articles reporting a greater incidence of carriers of condyloma acuminata among immigrants&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The aim of this study was to answer the question posed by the title of this article&#44; though any conclusions are clearly limited to the population actually studied&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">We retrospectively included male patients with a clinical and histologic diagnosis of condyloma acuminata who were seen in the dermatology clinic of our hospital between February 18&#44; 2008 and December 31&#44; 2011&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">We undertook chart review of these patients&#44; and noted the following information&#58; autochthonous or immigrant &#40;including country of origin in the latter case&#41;&#44; age&#44; site&#47;number&#47;duration of lesions&#44; presence of human papillomavirus &#40;HPV&#41; in skin lesions &#40;using CLART Clinical Arrays from GENOMICA&#41;&#44; associated sexually transmitted diseases&#44; risky sexual practices&#44; treatments received&#44; and outcome&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">In total&#44; the medical records from 113 patients were retrieved&#46; Of these patients&#44; 93 &#40;82&#37;&#41; were autochthonous and the rest were immigrants who had been living in Spain for at least 6 months&#46; The origin of these patients was extremely varied &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">The remaining demographic information is presented in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; There were no significant differences in terms of genital or perianal site of lesions&#46; Two autochthonous patients had oral mucosal lesions&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">We did not find any differences between groups in terms of the presence of HPV as determined by the Clinical Arrays &#40;GENOMICA&#41; assay&#46; The most frequent HPV serotypes were 6 and 11&#46; An immigrant patient was positive for HPV 6 and an autochthonous patient was positive for HPV 61 and 81&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">We found no differences in the type of treatment needed to control the lesions or whether monotherapy or combination therapy was administered&#46; In both groups&#44; the treatments used&#44; from most frequent to least frequent&#44; were cryotherapy&#44; podophyllin&#44; and topical imiquimod&#46; Likewise&#44; no differences were observed in terms of outcome for the 2 groups&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">The analysis of articles related to an increase in sexually transmitted diseases in the immigrant population in Spain points to greater frequency of HPV infections among female immigrant prostitutes&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> However&#44; this observation is not well established in male immigrants&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;6</span></a> Albares et al&#46;&#44;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> in studies in Spain&#44; did not find any significant differences in patients with condyloma acuminata among immigrant and autochthonous populations&#44; but they did not analyze men and women separately&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">In our series&#44; no differences were found between immigrant and autochthonous populations on comparing the characteristics of patients with condyloma acuminata&#44; although immigrants tended to wait longer before seeking medical attention&#46; This finding could be explained by a possible lack of awareness of the health system or cultural taboos concerning sexually transmitted diseases among male immigrants&#46;</p></span>"
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;Bulgaria 2&#44; Colombia 2&#44; Morocco 2&#44; Portugal 1&#44; Rumania 1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;Morocco 4&#44; Ecuador 1&#44; Peru 1&#44; Dominican Republic 1&#44; Russia 1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Abbreviations&#58; HIV&#44; human immunodeficiency virus&#59; STD&#44; sexually transmitted disease&#46;</p>"
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Autochthonous Population&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Immigrant Population&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Age at time of visit &#40;most frequent 10-year age range&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19-65 years &#40;20-30 and 30-40 years old&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">19-53 years &#40;20-30 and 30-40 years old&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Number of lesions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Single&#58; 29 patients&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Single&#58; 3 patients&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Duration of lesions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 month to 7 years &#40;6 patients more than 1 year&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 month to 2 years&#40;5 patients more than 1 year&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Risky sexual practices&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 patients &#40;partner with condyloma&#44; 7 cases&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 patients &#40;partner with condyloma&#44; 1 case&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Associated STD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">HIV<span class="elsevierStyleSup">&#43;</span> status in 1 patientGonococcal urethritis&#44; 1 patientLatent syphilis&#44; 1 patientActive hepatitis B&#44; 1 patient&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Gonococcal urethritis&#44; 1 patientResidual syphilis&#44; 2 patientsPrevious hepatitis B&#44; 2 patients&nbsp;\t\t\t\t\t\t\n
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                  "host" => array:1 [
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Información del artículo
ISSN: 15782190
Idioma original: Inglés
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