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Leroy C, Girard C, Girard-Madoux M, Coppéré B, Desmurs-Clavel H, Pérard L, Hot A, Ninet J. Une sarcoïdose qui en a dans le ventre. Rev Med Interne 2014. [DOI: 10.1016/j.revmed.2014.03.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Gerfaud-Valentin M, Maucort-Boulch D, Hot A, Iwaz J, Ninet J, Durieu I, Broussolle C, Sève P. Adult-onset still disease: manifestations, treatment, outcome, and prognostic factors in 57 patients. Medicine (Baltimore) 2014; 93:91-99. [PMID: 24646465 PMCID: PMC4616309 DOI: 10.1097/md.0000000000000021] [Citation(s) in RCA: 172] [Impact Index Per Article: 17.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
We conducted a retrospective observational study to describe a cohort and identify the prognostic factors in adult-onset Still disease (AOSD). Patients enrolled in this retrospective chart review fulfilled either Yamaguchi or Fautrel criteria. Candidate variables were analyzed with logistic unadjusted and adjusted regression models. Fifty-seven patients were seen in the internal medicine (75%) and rheumatology (25%) departments over a mean period of 8.4 years. The median time to diagnosis was 4 months. The course of AOSD was monocyclic in 17 patients, polycyclic in 25, and chronic in 15. The assessment of glycosylated ferritin (GF) in 37 patients was correlated with early diagnosis. Nine F-fluorodeoxyglucose positron emission tomography (FDG-PET) scans identified the lymph nodes and glands as the main sites of hypermetabolism. Complications were frequent (n = 19), including reactive hemophagocytic syndrome (n = 8). None of the 3 deaths could be attributed to AOSD. Corticosteroid dependence, as predicted by a low GF level, occurred in 23 patients (45%). A quarter of the patients received tumor necrosis factor-α blockers or anakinra with good tolerance. Fever >39.5 °C was predictive of monocyclic AOSD, while arthritis and thrombocytopenia were associated with chronic and complicated AOSD, respectively. The youngest patients had the highest risks of resistance to first-line treatments.AOSD remains difficult to diagnose. Mortality is low despite frequent complications. GF and FDG-PET scans were of value in the diagnostic approach. The condition in highly symptomatic patients evolved to systemic AOSD, whereas more progressive patterns with arthritis predicted chronic AOSD.
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Chastang MC, Desjonqueres M, Hentgen V, Quartier Dit Maire P, Grateau G, Kone-Paut I, Durieu I, Ninet J, Cochat P. PReS-FINAL-2231: A series of 41 mutations of TNFRAF1A. Pediatr Rheumatol Online J 2013. [PMCID: PMC4042902 DOI: 10.1186/1546-0096-11-s2-p221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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54
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Poutrel S, Virot E, Pondarre C, Coppere B, Raba M, Ninet J, Hot A. Efficacité du rituximab sur l’allo-immunisation tardive post transfusionnelle chez le patient drépanocytaire : 4 cas. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.10.218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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55
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Pasquet F, Pavic M, Ninet J, Hot A. [Autoimmune diseases and cancers. Part I: cancers complicating autoimmune diseases and their treatment]. Rev Med Interne 2013; 35:310-6. [PMID: 24268698 DOI: 10.1016/j.revmed.2013.10.336] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2013] [Revised: 09/12/2013] [Accepted: 10/23/2013] [Indexed: 12/17/2022]
Abstract
The link between systemic disease and cancer is not fortuitous. An autoimmune disease can represent the starter for developing a non-Hodgkin lymphoma. This is particularly true for Sjögren's syndrome that is associated with the highest risk of lymphoma (odds ratio up to 44). Other systemic autoimmune diseases concerned are systemic lupus with an odds ratio of 4.5 and rheumatoid arthritis with an odds ratio of 2 to 3. It is now well established that high inflammatory activity, rather than immunosuppressive treatment, is the major risk determinant. The association between solid cancer and autoimmune systemic disease is uncommon and concerns in particular scleroderma and lung cancer. Concerning biotherapy-induced cancers, there is no demonstrated increased risk with anti-TNFα (except for cutaneous carcinoma and maybe melanoma) or with tocilizumab and abatacept even if studies with longer follow-up are needed at least for these two last drugs.
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Lensel AS, Lermusiaux P, Boileau C, Feugier P, Sérusclat A, Zerbib Y, Ninet J. [Is a patient's knowledge of cardiovascular risk factors better after the occurrence of a major ischemic event? Survey of 135 cases and 260 controls]. ACTA ACUST UNITED AC 2013; 38:360-6. [PMID: 24211108 DOI: 10.1016/j.jmv.2013.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Accepted: 09/25/2013] [Indexed: 11/16/2022]
Abstract
AIM We hypothezised that patients (cases) who are hospitalized for a major ischemic event--myocardial infarction, stroke, decompensation of peripheral arterial disease--acquire better knowledge than a control population--atheromatous patients without a major ischemic event, patients consulting for a vein disease or a diabetes evaluation, and accompanists--about cardiovascular risk factors (smoking, hypertension, diabetes, dyslipidemia, obesity) and have a better understanding of the usefulness of making changes in their lifestyle (quit smoking, regular exercise, Mediterranean diet, low salt diet, weight control, diabetes care). METHODS A questionnaire was proposed at vascular surgery consultations and vascular and cardiac functional explorations, at the M Pavillon of the Édouard-Herriot hospital, Lyon, France. In five months, 395 questionnaires (135 cases and 260 controls) were analyzed. RESULTS The global knowledge score was statistically higher for cases than for controls (cases 3.23±1.81; controls 2.77±2.03; P=0.037). Cases did not abide by monitoring and dietary rules better, except as regards the management of diabetes. Regular physical activity was statistically more prevalent among controls than among cases. Cases mainly received their information from their doctors (general practitioner for 59% of controls and 78% of cases, cardiologist for 25% of controls and 57% of cases) while controls got their information more through magazines or advertising. CONCLUSION Our results show that after a major ischemic event, cases' knowledge of risk factors is better than the rest of the population without improved rules lifestyle changes. This suggests the usefulness of evaluating a therapeutic education program for atheromatous disease.
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Veyrier M, Ducreux C, Henaine R, Ninet J, Bozio A, Sassolas F, Di Filippo S. Long term follow-up after heart transplantation in very young children. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.4400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Chalard A, Sanchez I, Gouton M, Henaine R, Salami FA, Ninet J, Douek PC, Di Filippo S, Boussel L. Effect of pulmonary valve replacement on left ventricular fucntion in patients with tetralogy of fallot. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht308.1712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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59
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Lovric D, Thuny F, Carmona C, Schnell F, Ernande L, Thibault H, Bergerot C, Ninet J, Croisille P, Derumeaux GA. Myocardial extracellular volume fraction by cardiac magnetic resonance for early detection of left ventricular involvement in systemic sclerosis. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht309.p3833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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60
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Joly H, Soufi A, Henaine R, Sassolas F, Ninet J, Bozio A, Metton O, Di Filippo S. Long-term survival and functional status of adult patient with Eisenmenger syndrome. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht307.p329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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61
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Soufi A, Veyrier M, Ducreux C, Sassolas F, Henaine R, Metton O, Ninet J, Joly H, Bozio A, Di Filippo S. Infective endocarditis in adults with congenital heart disease. Arch Cardiovasc Dis 2013. [DOI: 10.1016/j.acvd.2013.06.043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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62
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Joly H, Soufi A, Bozio A, Sassolas F, Henaine R, Metton O, Ninet J, Di Filippo S. Long-term survival and functional status of adult patients with Eisenmenger Syndrome. Arch Cardiovasc Dis 2013. [DOI: 10.1016/j.acvd.2013.06.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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63
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Veyrier M, Ducreux C, Henaine R, Bozio A, Sassolas F, Ninet J, Di Filippo S. Long-term follow-up after heart transplantation in very young children. Arch Cardiovasc Dis 2013. [DOI: 10.1016/j.acvd.2013.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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64
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Hot A, Guerry MJ, Amudala N, Guillevin L, Merkel PA, Ninet J, Jayne D. Traitement des syndromes de Churg et Strauss réfractaires par rituximab. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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65
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Abisror N, Kahn JE, Mekinian A, Noel N, Agard C, Jeandel C, Dhôte R, Ninet J, Fain O. Le syndrome de Gleich : à propos de 21 observations. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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66
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Robine A, Bernard C, Hot A, Maucort-Boulch D, Ninet J, Broussolle C, Sève P. Apport du PET-scan et de la biologie moléculaire dans la prise en charge des fièvres prolongées inexpliquées : à propos d’une série rétrospective de 103 cas. Rev Med Interne 2013. [DOI: 10.1016/j.revmed.2013.03.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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67
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Pagnoux C, Quéméneur T, Ninet J, Perrodeau E, Diot E, Kyndt X, De Wazières B, Reny J, Puéchal X, Leberruyer P, Lidove O, Vanhille P, Godmer P, Albath-Sadiki A, Bienvenu B, Cohen P, Mouthon L, Ravaud P, Guillevin L. Treatment of systemic necrotizing vasculitides in patients≥65 years old: Results of the multicenter randomized CORTAGE trial. Presse Med 2013. [DOI: 10.1016/j.lpm.2013.02.069] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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68
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Poutrel S, Plauchu H, Zabot MT, Errazuriz E, Dupuis-Girod S, Ninet J, Hot A. Caractéristiques phénotypiques d’une population de patients présentant des anomalies de microscopie électronique compatibles avec le diagnostic d’Ehlers Danlos Vasculaire. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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69
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Pagnoux C, Quéméneur T, Ninet J, Perrodeau E, Diot E, Kyndt X, de Wazieres B, Rény JL, Puéchal X, Leberruyer PY, Lidove O, Guillevin L. Traitement des vascularites systémiques nécrosantes chez les sujets plus ou moins 65ans : résultats de l’essai multicentrique randomisé CORTAGE. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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70
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Gerfaud-Valentin M, Maucort-Boulch D, Hot A, Ninet J, Durieu I, Broussolle C, Sève P. Évaluation de la réponse thérapeutique, des facteurs pronostiques évolutifs et de résistance au traitement de la maladie de Still de l’adulte : étude d’une cohorte rétrospective de 57 cas. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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71
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Durel C, Pérard L, Berthoux E, Gincul R, Ninet J, Hot A. Sarcoïdose induite par les anti-TNFα : révélation sous infliximab puis rechute sous adalimumab. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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72
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Durel C, Pérard L, Poutrel S, Ninet J, Hot A. Microangiopathie thrombotique révélatrice d’une rechute d’un cancer mammaire métastatique. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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73
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Neidecker J, Blaise B, Ninet J. [Venous air emboli in a 4 year old child]. ACTA ACUST UNITED AC 2012; 31 Suppl 1:S12-3. [PMID: 22721513 DOI: 10.1016/s0750-7658(12)70047-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 4 year old girl is referred to our institution for resection of a nephroblastoma with an extension of the tumor into the lumen of the inferior vena cava. To perform a correct resection of the tumor, the operation was conducted under cardiopulmonary bypass. At the end of the procedure, a bilateral mydriasis was noticed. A CT-scan concluded to a massive venous air emboli. As the procedure was unventful, and no other cause of air emboli was found, the etiology of this emboli is problably retrograde because of the large opening of the inferior vena cava that was required to remove the tumor. To avoid similar case the use of transcranial doppler monitoring may be of interest.
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Cavalli Z, Pérard L, Desmurs-Clavel H, Ninet J, Hot A. Atteinte ovarienne au cours d’une vascularite à ANCA. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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75
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Karkowski L, Hot A, Pasquet F, Perard L, Durieu I, Salles G, Laville M, Sebag L, Pavic M, Guesquieres H, Ninet J. Amylose cardiaque : étude rétrospective descriptive et analyse de survie à partir de 46 dossiers. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.03.118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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76
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Ninet J, Hot A. [Deep vein thrombosis (except lower limb and abdominal veins)]. Rev Med Interne 2012; 33 Suppl 1:S30-2. [PMID: 22525880 DOI: 10.1016/j.revmed.2012.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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77
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Pasquet F, Combarnous F, Macgregor B, Coppere B, Mausservey C, Ninet J, Hot A. Safety and efficacy of rituximab treatment for vasculitis in hepatitis B virus-associated type II cryoglobulinemia: a case report. J Med Case Rep 2012; 6:39. [PMID: 22284897 PMCID: PMC3292813 DOI: 10.1186/1752-1947-6-39] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2011] [Accepted: 01/27/2012] [Indexed: 12/20/2022] Open
Abstract
Introduction Systemic B-cell depletion and clinical remission of the systemic effects of cryoglobulins have already been achieved using rituximab in hepatitis C virus-positive immunocompetent patients. Conversely, to the best of our knowledge there are no reports in the literature regarding the use of rituximab in hepatitis B virus-associated cryoglobulinemia. Case presentation We report here the case of a 60-year-old Caucasian man who presented with hepatitis B virus-associated type II cryoglobulinemia with severe multisystem disease, including membranoproliferative glomerulonephritis with acute renal failure. The vasculitis was refractory to conventional and antiviral therapy but rituximab use led to a fall in cryoglobulin levels and disease control. The B-cell depletion was safe and efficient to induce a complete remission of the disease. Conclusion Our case highlights the benefit and the efficacy of rituximab in association with antiviral therapy in small vessel vasculitis related to hepatitis B virus-associated mixed cryoglobulinemia.
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Mausservey C, Fabien N, Perard L, Coppere B, Cordier J, Roman S, Julien D, Grange C, Miossec P, Seve P, Ninet J, Hot A. Morbi-mortalité et ses causes au cours de la sclérodermie systémique : données de la cohorte du réseau de soins lyonnais. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.10.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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79
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Karkowski L, Wolf M, Lescampf J, Coppérré B, Veyradier A, Ninet J, Hot A. Purpura thrombotique thrombocytopénique secondaire à l’utilisation du clopidogrel. Rev Med Interne 2011; 32:762-5. [DOI: 10.1016/j.revmed.2011.10.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2011] [Revised: 06/07/2011] [Accepted: 10/05/2011] [Indexed: 11/28/2022]
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80
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Berthoux E, Fabien N, Chayvialle JA, Ninet J, Durieu I. Maladie cœliaque de l’adulte et thromboses : à propos de sept cas. Rôle des facteurs thrombophiliques. Rev Med Interne 2011; 32:600-4. [DOI: 10.1016/j.revmed.2011.02.025] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2010] [Revised: 02/14/2011] [Accepted: 02/20/2011] [Indexed: 02/07/2023]
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81
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Chevalier Y, Dargaud Y, Argaud L, Ninet J, Jouanneau E, Négrier C. Successive bleeding and thrombotic complications in a patient with afibrinogenemia: A case report. Thromb Res 2011; 128:296-8. [DOI: 10.1016/j.thromres.2011.03.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2010] [Revised: 02/09/2011] [Accepted: 03/17/2011] [Indexed: 11/17/2022]
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82
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Roman S, Hot A, Fabien N, Cordier JF, Miossec P, Ninet J, Mion F. Esophageal dysmotility associated with systemic sclerosis: a high-resolution manometry study. Dis Esophagus 2011; 24:299-304. [PMID: 21166734 DOI: 10.1111/j.1442-2050.2010.01150.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Esophageal involvement occurs in about 80% of patients with systemic sclerosis, with a marked diminution of peristaltic pressures in the distal two-thirds of the esophagus. Our aims were to more fully characterize esophageal motility disorders in systemic sclerosis using high-resolution manometry (HRM) and to determine predictive factors of esophageal involvement. Fifty-one patients (46 females) with systemic sclerosis were included in this retrospective study. Esophageal motility was characterized with HRM. The demographic data, esophageal symptoms, presence of other organ involvement, and autoantibody profile (anti-Scl70 antibodies [Scl70], anticentromere antibodies [ACA]) were recorded for all patients. Esophageal body dysmotility was present in 33 patients (67.3%) and was associated with hypotensive esophagogastric junction in 27 patients (55.1%). The velocity of proximal contractions was higher in patients with esophageal body dysmotility compared to patients with normal peristalsis (median 10.8 cm/s vs. 5.5, P = 0.04). The amplitude of middle esophageal contraction but not of distal esophageal contraction was reduced in patients with hypoperistalsis. Diffuse esophageal skin involvement, presence of Scl70 and absence of ACA were associated with esophageal involvement. Esophageal symptoms encountered in 87.5% of patients were not predictive of esophageal dysmotility. This HRM series confirms the high prevalence of esophageal body dysmotility in systemic sclerosis. Diffuse skin involvement, positive Scl70 and negative ACA, but not esophageal symptoms, may predict esophageal body dysmotility.
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Pasquet F, Offner M, Barba T, Gallay L, Coppere B, Ninet J, Hot A. Tuberculose : une complication peut en cacher une autre. Brainstorming et feu cytokinique…. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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84
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Gallay L, Pérard L, Berthoux E, Streichenberger N, Marquet A, Monard E, Hot A, Ninet J. Maladie de Behçet compliquée d’une Myosite, à propos d’un cas. Rev Med Interne 2011. [DOI: 10.1016/j.revmed.2011.03.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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85
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Guettrot-Imbert G, Haroche J, Grimon G, Charlotte F, Ninet J, Possenti S, Kelly A, Amoura Z, Aumaître O, André M. F-18 FDG-PET/CT in aseptic abscesses with recurrent febrile abdominal pain. Scand J Gastroenterol 2011; 46:577-82. [PMID: 21114433 DOI: 10.3109/00365521.2010.539254] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE Mendelian and complex autoinflammatory disorders frequently manifest as recurrent abdominal pain and fever. Diagnosis may be difficult and scant data are available about the interest of 2-deoxy-2-[18F]fluoro-D-glucose-positron emission tomography/computed tomography (FDG-PET/CT) in such conditions, particularly aseptic abscesses (AA). MATERIAL AND METHODS We analyzed five cases of AA in which FDG-PET/CT was performed at diagnosis (n = 2) and after a suspected relapse (n = 5). Follow-up FDG-PET/CT was performed in two patients 9 days and 6 weeks after the initiation of oral corticosteroids. RESULTS FDG-PET/CT showed intense uptake foci in the abdominal lymph nodes (n = 4), liver (n = 2) and spleen (n = 4) before treatment. A marked metabolic response was observed while patients were being treated. In a relapsing patient with abdominal pain but no raised CRP, although CT scan was unchanged, abnormal uptake of FDG was observed. By contrast, some lesions previously observed on CT scan displayed no fixation on new FDG-PET/CT and were suggestive of sequelae in three patients. CONCLUSION Although nonspecific, FDG-PET/CT may be an interesting tool for the diagnosis and management of recurrent and febrile abdominal pain in AA. At the time of relapse, it can differentiate between a sequela of previous flares and a new localization. It can be used for whole-body screening to look for other asymptomatic disease localizations.
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Gousseff M, Arnaud L, Lambert M, Hot A, Hamidou M, Duhaut P, Papo T, Soubrier M, Ruivard M, Malizia G, Tieulié N, Rivière S, Ninet J, Hatron PY, Amoura Z. The systemic capillary leak syndrome: a case series of 28 patients from a European registry. Ann Intern Med 2011; 154:464-71. [PMID: 21464348 DOI: 10.7326/0003-4819-154-7-201104050-00004] [Citation(s) in RCA: 104] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND The systemic capillary leak syndrome (SCLS) is a rare disease characterized by life-threatening attacks of capillary hyperpermeability. OBJECTIVE To describe the clinical characteristics, laboratory findings, treatments, and outcomes of patients with SCLS who were not previously reported in the literature. DESIGN Case series. SETTING Patients referred to a European multicenter SCLS registry between January 1997 and July 2010. PATIENTS 28 patients with SCLS. MEASUREMENTS Frequency, severity of attacks, and vital status were assessed every 6 months, from diagnosis to the end of the study. RESULTS 13 men and 15 women referred to the registry who were not previously reported in the literature had 252 attacks. Median age at disease onset was 49.1 years (range, 5.4 to 77.7 years), and median annual frequency of attacks was 1.23 (range, 0.13 to 21.18) per patient. Monoclonal IgG gammopathy was observed in 25 patients (89%). Preventive treatment included intravenous immunoglobulin (n = 18), terbutaline (n = 9), and aminophylline (n = 10). Eight patients died (29%); 1-year survival was 89%, and 5-year survival was 73%. Death was directly related to SCLS attacks in 6 of 8 cases (75%). In 10 patients with a prediagnosis period greater than 6 months who received preventive treatment, the annual frequency of attacks after diagnosis decreased by a median of 1.55 (range, 0.14 to 8.84) per patient. Five years after diagnosis, survival was 85% in 23 patients who had received prophylactic treatment and 20% in 5 patients who had not. LIMITATION The benefits of preventive treatment could not be precisely ascertained because of the small sample size and because most patients received several treatments. CONCLUSION Clinical experience with these 28 patients with SCLS suggests that prophylactic treatment with β(2)-agonists or intravenous immunoglobulin may reduce the frequency and severity of attacks and may improve survival. PRIMARY FUNDING SOURCE Université Pierre et Marie Curie, Paris, France.
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87
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Varron L, Schott AM, Cottin V, Ninet J, Broussolle C, Seve P. Sarcoidose du sujet âgé : étude cas–témoins. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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88
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Girard C, Hot A, Billotey C, Cathébras P, Vital Durand D, Peyramond D, Broussolle C, Ninet J. Contribution du PET scan dans le diagnostic étiologique des fièvres prolongées inexpliquées : à propos de 100 cas. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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89
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Mausservey C, Garon A, Ninet J, Hot A. Plexite brachiale : présentation inhabituelle d’une périartérite noueuse. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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90
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Karkowski L, Pérard L, Mausserey C, Desmurs-Clavel H, Lachenal F, Debourdeau P, Salles G, Cathebras P, Pavic M, Ninet J, Hot A. Efficacité sur le long terme du traitement par rituximab du purpura thrombotique thrombocytopénique acquis. À propos de 12 cas. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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91
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Faurie P, Pérard L, Hot A, Desmurs-Clavel H, Fassier T, Boibieux A, Ninet J. [Recurrent aseptic meningitis secondary to nonsteroidal anti-inflammatory drugs in a patient with lupus]. Rev Med Interne 2010; 31:e1-3. [PMID: 20541295 DOI: 10.1016/j.revmed.2009.08.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2009] [Revised: 06/26/2009] [Accepted: 08/18/2009] [Indexed: 11/29/2022]
Abstract
We report a 39-year-old woman with systemic lupus who presented with recurrent aseptic meningitis secondary to treatment with nonsteroidal anti-inflammatory drugs (NSAIDs). She presented two episodes following ibuprofen administration that were characterized by aseptic meningitis with high protein level in cerebrospinal fluid, and increased serum acute phase reactants. No evidence of an infection or vasculitis was documented. Clinical manifestation resolved rapidly with ibuprofen discontinuation, and corticosteroids therapy was unnecessary. Aseptic meningitis related to NSAIDs reported in lupus patients should be considered because of their specific modality of care and their favourable outcome.
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92
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Costedoat-Chalumeau N, Galicier L, Francès C, Aumaitre O, Lioté F, Le Guern V, Limal N, Smail A, Ninet J, Perard L, Le Huong Thi D, Asli B, Grandpeix C, Sailler L, Ackermann F, Papo T, Brihaye B, Fain O, Stirnemann J, Jallouli M, Leroux G, Hulot JS, Lechat P, Musset L, Piette JC, Amoura Z. Étude des facteurs associés à une concentration basse d’hydroxychloroquine chez 523 patients inclus dans l’étude Plaquénil Lupus Systémique (PLUS, étude française multicentrique). Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.410] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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93
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Hot A, Roman S, Mion F, Cordier JF, Coppere B, Jullien D, Ninet J. Évaluation des troubles de la mobilité œsophagienne par manométrie à haute résolution chez les patients atteints de sclérodermie systémique. Rev Med Interne 2010. [DOI: 10.1016/j.revmed.2010.03.439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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94
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Marion-Audibert AM, Benslama N, Chouvet B, Rode A, Durieux M, Mabrut JY, Duperret S, Souquet JC, Ninet J. [Ascitis associated with ischemic bowel revealing systemic lupus]. GASTROENTEROLOGIE CLINIQUE ET BIOLOGIQUE 2010; 34:e6-e8. [PMID: 20189338 DOI: 10.1016/j.gcb.2010.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2009] [Revised: 11/17/2009] [Accepted: 01/08/2010] [Indexed: 05/28/2023]
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95
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Hot A, Toh ML, Coppéré B, Perard L, Girard Madoux MH, Mausservey C, Desmurs-Clavel H, Ffrench M, Ninet J. Reactive hemophagocytic syndrome in adult-onset Still disease: clinical features and long-term outcome: a case-control study of 8 patients. Medicine (Baltimore) 2010; 89:37-46. [PMID: 20075703 DOI: 10.1097/md.0b013e3181caf100] [Citation(s) in RCA: 79] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Reactive hemophagocytic syndrome (RHS) is a rare, life-threatening, and little-known complication of rheumatic diseases. This disorder is characterized by fever, pancytopenia, liver failure, coagulopathy, and neurologic symptoms. RHS may develop in patents who have lymphoma, organ transplantation, serious infection, and rheumatic diseases, most notably systemic lupus erythematosus and adult-onset Still disease (AOSD). Observations of specific cases of RHS in AOSD remain rare, and the significance of this syndrome during the course of AOSD remains unknown. We retrospectively studied 16 episodes of AOSD-associated RHS in 8 patients. To determine whether RHS is associated with a particular phenotype of AOSD, we conducted a case-control study from the cohort of AOSD patients seen during the same period. The estimated frequency of RHS in AOSD patients from our cohort was 15.3% (8/52). The median age at RHS diagnosis was 44.5 years. We collected clinical and laboratory data. RHS was the first manifestation of AOSD in 7 cases. The main symptoms were fever (n = 8), salmon rash (n = 6), arthralgia (n = 7), lymphadenopathy (n = 6), and shock (n = 4). Serum ferritin concentration was consistently elevated (>1000 microg/L in 8 cases), and the level of glycosylated ferritin was low in all cases (<5% in 7 cases, 15% in 1 case). Six patients presented with coagulopathy; hypertriglyceridemia was found in 6 cases. Admission to the intensive care unit was required in 4 cases. Treatment included corticosteroids (n = 8) and intravenous immunoglobulin (n = 6), cyclophosphamide in 2 cases, infliximab in the same 2 cases, and cyclosporine in 1 case. With a follow-up ranging from 2 to 15 years, the patients were in remission with prednisone plus methotrexate (n = 4), prednisone plus infliximab (n = 2), and low-dose prednisone alone (n = 2). We compared the 8 patients included in this study with 44 control patients with AOSD without RHS. Low haptoglobin levels, very high ferritin levels (>10,000 microg/L), and a normal or low neutrophil count seem to be predictive factors of the occurrence of RHS in AOSD.
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96
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Karsenty J, Hot A, Billotey C, Monard E, Mausservey C, Coppere B, Perard L, Seve P, Durieu I, Rouviere O, Ninet J. Intérêt du PET scan dans les atteintes inflammatoires de l’aorte. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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97
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Monard E, Hot A, Mausservey C, Girard-Madoux M, Pérard L, Coppere B, Desmurs-Clavel H, Ninet J. Syndrome de Schnitzler réfractaire : effet « miraculeux » de l’Anakinra, une nouvelle observation. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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98
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Bernard C, Pérard L, Cornut PL, Baillif S, Mausservey C, Monard E, Hot A, Ninet J. Infection par le VIH compliquée d’une sarcoïdose neuroméningée lors d’un syndrome de restauration immunitaire ; à propos d’un cas. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.294] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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99
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Mausservey C, Hot A, Guebre F, Coppere B, Monard E, Perard L, Madoux M, Desmurs-Clavel H, Ninet J. Caractéristiques cliniques de l’infection à Cytomegalmovirus au cours du lupus. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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100
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Desilles JP, Hot A, Combarnous F, Zoulim F, Desmurs-Clavel H, Ninet J. Efficacité et tolérance du rituximab dans le traitement de la vascularite cryoglobulinémique associée à l’infection par le virus de l’hépatite B. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.10.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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