101
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Smail A, Schmidt J, Frémeaux D, Berrou C, Roger PA, Lepage L, Salle V, Lion S, Duhaut P, Gondry J, Ducroix JP. Étude rétrospective concernant les femmes usagères de drogues ayant accouché au centre de gynécologie et obstétrique d’Amiens entre janvier 1997 et décembre 2006. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.03.062] [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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102
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Smail A, Masmoudi K, Schmidt J, Oukachbi Z, Lion S, Salle V, Duhaut P, Ducroix JP. Une addiction à ne pas méconnaître. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.03.290] [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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103
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Smail A, Schmidt J, Berrou C, Salle V, Roger PA, Duhaut P, Ducroix JP. Un œdème palpébral d’origine bien particulière. Rev Med Interne 2009. [DOI: 10.1016/j.revmed.2009.03.287] [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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104
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Morin L, Smail A, Mercier JC, Titomanlio L. Clinical Reasoning: A child with pulsatile headache and vomiting. Neurology 2009; 72:e69-71. [DOI: 10.1212/01.wnl.0000346690.84004.af] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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105
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Schmidt J, Duhaut P, Pernes S, Smail A, Le Page L, Salle V, Oukachbi Z, Ducroix JP. Interactions fuoroquinones-fluindione : étude de 185patients consécutifs. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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106
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Bellarbre F, Duhaut P, Schmidt J, Chatelain D, Salle V, Smail A, Le Page L, Sevestre H, Ducroix JP. Valeurs prédictives positives et négatives de la vasculite périphérique temporale dans la pseudopolyarthrite rhizomélique. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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107
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Schmidt J, Duhaut P, Smail A, Salle V, Chatelain D, Bosshard S, Pellet H, Piette JC, Ducroix JP. Incidence des événements infectieux sévères au cours de la maladie de Horton et de la pseudopolyarthrite rhizomélique : étude prospective en double cohorte GRACG. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.101] [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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108
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Bellarbre F, Duhaut P, Schmidt J, Chatelain D, Smail A, Salle V, Le Page L, Sevestre H, Ducroix JP. Vasculite capillaire sur biopsie d’artère temporale : spectre étiologique. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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109
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Duhaut P, Schmidt J, Smail A, Salle V, Chatelain D, Bosshard S, Pellet H, Piette JC, Ducroix JP. Maladie de Horton à biopsie positive ou négative, avec ou sans cellules géantes : entité unique, ou syndrome ? Étude de cohorte multicentrique GRACG. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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110
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Schmidt J, Duhaut P, Goichot B, Smail A, Le Page L, Salle V, Ducroix JP. Occlusions vasculaires rétiniennes : Quel bilan, quel traitement ? une enquête de pratique. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.10.122] [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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111
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Schmidt J, Duhaut P, Bourgeois A, Salle V, Smail A, Chatelain D, Betsou F, Maziere J, Ducroix J. Procalcitonin at the onset of giant cell arteritis and polymyalgia rheumatica: the GRACG prospective study. Rheumatology (Oxford) 2008; 48:158-9. [DOI: 10.1093/rheumatology/ken437] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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112
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Schmidt J, Afak N, Duhaut P, Salle V, Smail A, Pellet H, Ducroix JP. Utilisation des médecines parallèles : enquête chez 1423 patients hospitalisés. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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113
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Pauquet R, Salle V, Oukachbi Z, Domont F, Smail A, Chatelain D, Ducroix JP. Actinomycose vaginale simulant une tumeur pelvienne. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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114
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Bellarbre F, Duhaut P, Schmidt J, Chatelain D, Salle V, Smail A, Oukachbi Z, Ducroix J. Les phosphatases alcalines sont-elles utiles dans le diagnostic de la maladie de Horton ? Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.337] [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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115
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Domont F, Smail A, Salle V, Pauquet R, Oukachbi Z, El Samad Y, Ducroix JP. Une spondylodiscite d’étiologie inhabituelle. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.179] [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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116
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Lev E, Schmidt J, Robin C, Smail A, Salle V, Le Page L, Oukachbi Z, Duhaut P, Ducroix JP. Lupus systémique et syndrome des antiphospholipides : une cause inhabituelle de « péritonite ». Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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117
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Schmidt J, Duhaut P, Smail A, Salle V, Châtelain D, Bosshard S, Pellet H, Piette JC, Ducroix JP. Pseudopolyarthrite rhizomélique (PPR) et rechute : incidence et facteurs de risque : étude GRACG. Rev Med Interne 2008. [DOI: 10.1016/j.revmed.2008.03.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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118
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Lanoix J, Borel A, Salle V, Smail A, Thomas D, Schmit J. G-06 Bactériémies à Sphingomonas paucimobilis et perfusion d’immunoglobuline intraveineuse. À propos de 3 cas. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73125-1] [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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119
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Brochart C, Blanpain S, Lehmann P, Smail A, Demuynck F, Hassani H, Testelin S, Lacour MC, Ducroix JP, Salle V, Saliou G. [CT-scan findings in "silent sinus syndrome"]. J Neuroradiol 2007; 34:347-8. [PMID: 18031814 DOI: 10.1016/j.neurad.2007.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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120
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Le Page L, Lion-Daolio S, Guillaumont MP, Grignon P, Smail A, Ducroix JP. Une anomalie à l'électrocardiogramme chez un patient toxicomane. Rev Med Interne 2007; 28:709-10. [PMID: 17451846 DOI: 10.1016/j.revmed.2007.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2007] [Accepted: 02/26/2007] [Indexed: 11/17/2022]
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121
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Salle V, Smail A, Joly JP, Capiod JC, Gontier MF, Duhaut P, Ducroix JP. Gastric MALT Lymphoma Presenting as Waldenström's Macroglobulinemia Without Bone Marrow Involvement. ACTA ACUST UNITED AC 2007; 7:470-1. [PMID: 17875236 DOI: 10.3816/clm.2007.n.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
We report a case of gastric mucosa-associated lymphoid tissue (MALT) lymphoma with macroglobulinemia in a 59-year-old man who presented with melena. A computed tomography scan of the abdomen showed irregular thickening of the wall of the stomach, and endoscopic examination disclosed enlarged and inflammatory folds of the fundus. Histopathologic examination of gastric samples showed mucosal infiltration by small lymphocytes, which were positive for CD20 and negative for CD10 and CD23, confirming the diagnosis of gastric MALT lymphoma. Serum electrophoresis detected a monoclonal peak and immunoelectrophoresis revealed an immunoglobulin M kappa component. Bone marrow aspirate and biopsy results were normal. The patient received chemotherapy. After treatment, he was in complete remission, and the serum monoclonal component had disappeared. Our observation is uncommon because of important macroglobulinemia occurring in gastric MALT lymphoma without bone marrow involvement.
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MESH Headings
- Antigens, CD20
- Bone Marrow/metabolism
- Bone Marrow/pathology
- Humans
- Immunoglobulin M/blood
- Immunoglobulin kappa-Chains/blood
- Lymphocytes/pathology
- Lymphoma, B-Cell, Marginal Zone/blood
- Lymphoma, B-Cell, Marginal Zone/diagnosis
- Lymphoma, B-Cell, Marginal Zone/drug therapy
- Lymphoma, B-Cell, Marginal Zone/pathology
- Male
- Middle Aged
- Neprilysin
- Receptors, IgE
- Remission Induction
- Stomach Neoplasms/blood
- Stomach Neoplasms/diagnosis
- Stomach Neoplasms/drug therapy
- Stomach Neoplasms/pathology
- Stomach Neoplasms/secondary
- Waldenstrom Macroglobulinemia/blood
- Waldenstrom Macroglobulinemia/diagnosis
- Waldenstrom Macroglobulinemia/drug therapy
- Waldenstrom Macroglobulinemia/pathology
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122
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Andréjak C, Lescure FX, Douadi Y, Laurans G, Smail A, Duhaut P, Jounieaux V, Schmit JL. Non-tuberculous mycobacteria pulmonary infection: Management and follow-up of 31 infected patients. J Infect 2007; 55:34-40. [PMID: 17360040 DOI: 10.1016/j.jinf.2007.01.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2006] [Revised: 01/18/2007] [Accepted: 01/19/2007] [Indexed: 10/23/2022]
Abstract
BACKGROUND The global number of non-tuberculous mycobacteria (NTM) pulmonary infections is increasing. Treatment decisions and management are difficult and the prognosis of these infections has been rarely evaluated. METHODS The aim of this study was to evaluate management and prognosis of patients with NTM pulmonary infection in a French teaching hospital. In this study, we evaluated management of patients satisfying the ATS (American Thoracic Society) criteria for NTM pulmonary infection in Amiens hospital from 1992 to 2002 and retrospectively compared this management to ATS guidelines. Short-term and long-term survival was also described. RESULTS Thirty-one patients satisfying the ATS criteria for NTM pulmonary infection were included: 15 patients were infected with Mycobacterium xenopi, nine with Mycobacterium avium intracellulare, four with Mycobacterium kansasii and three patients were infected with rapidly growing mycobacteria. Twenty-seven patients had past or concomitant diseases responsible for local or systemic immunosuppression. Eleven patients were not treated. In the 20 treated patients, 13 different antibiotic combinations were used, often comprising three or more drugs. The median survival was 15 months. Twenty-one patients (67%) died before 5 years of follow-up. Thirty per cent of deaths were attributed to NTM pulmonary infection. Adjusting treatment to the results of susceptibility tests or ATS guidelines was not associated with any significant difference in survival. CONCLUSION As the high mortality rate may be related to concomitant diseases, management of NTM pulmonary infection also depends on comorbidities, and should be defined according to the severity of underlying diseases.
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123
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Desblache J, Caze B, Duhaut P, Faille N, Bellarbre F, Smail A, Salle V, Lefrère JJ, Ducroix JP. Déterminants des thromboses artérielles ou veineuses chez les patients avec hyperplaquettose. Rev Med Interne 2007. [DOI: 10.1016/j.revmed.2007.03.071] [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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124
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Goëb V, Salle V, Duhaut P, Jouen F, Smail A, Ducroix JP, Tron F, Le Loët X, Vittecoq O. Clinical significance of autoantibodies recognizing Sjögren's syndrome A (SSA), SSB, calpastatin and alpha-fodrin in primary Sjögren's syndrome. Clin Exp Immunol 2007; 148:281-7. [PMID: 17286756 PMCID: PMC1868868 DOI: 10.1111/j.1365-2249.2007.03337.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2007] [Indexed: 11/29/2022] Open
Abstract
The aim of our study was (i) to compare the clinical and biological characteristics of 148 (137 women, 11 men) primary Sjögren's syndrome (pSS) patients at diagnosis as a function of their sex and (ii) to assess the prognostic value of anti-calpastatin and anti-alpha-fodrin autoantibodies. In addition, the presence of anti-nuclear antibodies (ANA), anti-52- and 60-kDa Sjögren's syndrome A (SSA), anti-Sjögren's syndrome B (SSB), anti-cyclic citrullinated peptide (CCP) antibodies and rheumatoid factors (RF) of IgA, IgG and IgM isotypes was sought in sera collected at pSS onset. Raynaud's syndrome, significantly more frequent in women, was the only systemic manifestation of pSS whose frequency differed significantly as a function of the patient's sex (P = 0.02). ANA (P = 0.001) and anti-60-kDa SSA autoantibodies (P = 0.03) were significantly more common in women, while men never synthesized detectable levels of anti-SSB, anti-calpastatin or IgG anti-alpha-fodrin autoantibodies. In addition, anti-CCP autoantibodies were found in low percentages of pSS patients (4% F/18% M). The absence of autoantibodies does not exclude the diagnosis of pSS in men that will be based mainly on the anatomopathological findings of a minor salivary gland biopsy. Positivity of anti-60-kDa SSA, anti-SSB, anti-calpastatin, IgA and IgG anti-alpha-fodrin antibodies is not associated with pSS clinical and biological severity.
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125
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Mahévas M, Le Page L, Salle V, Lescure FX, Smail A, Cevallos R, Garidi R, Marolleau JP, Duhaut P, Ducroix JP. Thrombocytopenia in sarcoidosis. SARCOIDOSIS, VASCULITIS, AND DIFFUSE LUNG DISEASES : OFFICIAL JOURNAL OF WASOG 2006; 23:229-235. [PMID: 18038923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND Haematological manifestations in sarcoidosis are uncommon. The prevalence of thrombocytopenia in sarcoidosis is not well assessed. AIM To describe the main characteristics and outcome of sarcoidosis associated with thrombocytopenia. METHODS We described 2 personal cases and a complete record of all reports of thrombocytopenia in sarcoidosis was persuaded through a medline multi language computer search from 1972 until now. CASES REPORTS In the first observation the clinical course was similar to immune thrombocytopenic purpura. Steroids were efficient. In the second, we have reported the first used of Rituximab in thrombocytopenia in sarcoidosis with a partial success. REVIEW OF THE LITERATURE We identified three main physiopathological mechanisms among the 31 cases collected. Hypersplenism or splenomegaly was found in ten cases, granulomas in bone marrow were found in only four. Auto-immune thrombocytopenic purpura was suspected in the other cases. 23 patients had been treated with steroids, which proved effective in 21 cases (in association with intravenous immunoglobulin(IV-ig) or anti-D. Among the five cases for which steroids were non efficient, subsequent splenectomy allowed normalization of platelets count. Splenectomy was performed in seven cases, as a first intention treatment for five patients, and successful in four. One patient died of massive haemorrhage during the surgery. Among the 5 patients treated with IV-Ig, 4 had a complete response. CONCLUSION Different physiopathological mechanisms are responsible of thrombocytopenia in sarcoidosis. Granulomas in bone marrow or hypersplenism may be involved. Immune thrombocytopenic purpura must be suspected in all other cases. Steroids remain the most effective treatment, and must be proposed in first intention.
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