Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone
Identifieur interne : 001E93 ( Istex/Corpus ); précédent : 001E92; suivant : 001E94Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone
Auteurs : G. E. Cabrera ; E. Scopelitis ; M. L. Cuellar ; L. H. Silveira ; H. Mena ; L. R. EspinozaSource :
- Clinical Rheumatology [ 0770-3198 ] ; 1994-06-01.
English descriptors
- KwdEn :
- Teeft :
- Abdominal, Abdominal complaints, Abdominal pain, Abdominal symptoms, Acute abdomen, Benign course, Bowel, Cyst, Cystoides, Entire colon, Erythematosus, Excellent response, Gastrointestinal, Gastrointestinal manifestations, High dose prednisone, Intestinal, Intestinal resection, Intestinal vasculitis, Intestinal wall, Intestinalis, Lupus, Necrotizing enteritis, Obstruction, Philadelphia saunders, Pneumatosis, Pneumatosis cystoides intestinalis, Pneumatosis cystoidesintestinalis, Pneumatosis intestinalis, Pneumoperitoneum, Resection, Right knee, Skin rash, Small bowel, Surgical, Systemic, Systemic illnesses, Systemic lupus, Systemic lupus erythematosus, Uncommon disorder, Unusual complication, Vasculitis, Weight loss.
Abstract
Summary: Pneumatosis cystoides intestinalis (PCI) is an uncommon disorder usually associated with intestinal and pulmonary obstructive diseases, recent abdominal procedures and systemic illnesses. PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.
Url:
DOI: 10.1007/BF02249034
Links to Exploration step
ISTEX:1F717768D6EC0674265DF00E484F5D16C65CBC15Le document en format XML
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PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.</div></front></TEI><istex><corpusName>springer-journals</corpusName><keywords><teeft><json:string>intestinal</json:string><json:string>vasculitis</json:string><json:string>pneumatosis</json:string><json:string>lupus</json:string><json:string>intestinalis</json:string><json:string>cystoides</json:string><json:string>erythematosus</json:string><json:string>bowel</json:string><json:string>intestinal vasculitis</json:string><json:string>abdominal pain</json:string><json:string>systemic lupus erythematosus</json:string><json:string>pneumatosis cystoides intestinalis</json:string><json:string>obstruction</json:string><json:string>pneumoperitoneum</json:string><json:string>weight loss</json:string><json:string>resection</json:string><json:string>intestinal resection</json:string><json:string>acute abdomen</json:string><json:string>cyst</json:string><json:string>pneumatosis intestinalis</json:string><json:string>intestinal wall</json:string><json:string>entire colon</json:string><json:string>high dose prednisone</json:string><json:string>small bowel</json:string><json:string>abdominal symptoms</json:string><json:string>philadelphia saunders</json:string><json:string>abdominal</json:string><json:string>systemic</json:string><json:string>necrotizing enteritis</json:string><json:string>excellent response</json:string><json:string>systemic lupus</json:string><json:string>skin rash</json:string><json:string>right knee</json:string><json:string>benign course</json:string><json:string>abdominal complaints</json:string><json:string>systemic illnesses</json:string><json:string>unusual complication</json:string><json:string>gastrointestinal manifestations</json:string><json:string>uncommon disorder</json:string><json:string>pneumatosis cystoidesintestinalis</json:string><json:string>gastrointestinal</json:string><json:string>surgical</json:string></teeft></keywords><author><json:item><name>G. E. Cabrera</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item><json:item><name>E. Scopelitis</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item><json:item><name>M. L. Cuellar</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item><json:item><name>L. H. Silveira</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item><json:item><name>H. Mena</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item><json:item><name>Dr. L. R. Espinoza</name><affiliations><json:string>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Pneumatosis Cystoides Intestinalis</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Systemic Lupus Erythematosus</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Gastrointestinal Lupus</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Collagen Vascular Disease</value></json:item></subject><articleId><json:string>BF02249034</json:string><json:string>Art22</json:string></articleId><arkIstex>ark:/67375/1BB-DXPDBRHT-8</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Summary: Pneumatosis cystoides intestinalis (PCI) is an uncommon disorder usually associated with intestinal and pulmonary obstructive diseases, recent abdominal procedures and systemic illnesses. PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.</abstract><qualityIndicators><score>6.617</score><pdfWordCount>2133</pdfWordCount><pdfCharCount>14208</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>548 x 749 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>207</abstractWordCount><abstractCharCount>1465</abstractCharCount><keywordCount>4</keywordCount></qualityIndicators><title>Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone</title><genre><json:string>research-article</json:string></genre><host><title>Clinical 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abdomen</json:string></inist></categories><publicationDate>1994</publicationDate><copyrightDate>1994</copyrightDate><doi><json:string>10.1007/BF02249034</json:string></doi><id>1F717768D6EC0674265DF00E484F5D16C65CBC15</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/1BB-DXPDBRHT-8/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/1BB-DXPDBRHT-8/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/1BB-DXPDBRHT-8/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher 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Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation></author><author xml:id="author-0001"><persName><forename type="first">E.</forename><surname>Scopelitis</surname></persName><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation></author><author xml:id="author-0002"><persName><forename type="first">M.</forename><surname>Cuellar</surname></persName><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation></author><author xml:id="author-0003"><persName><forename type="first">L.</forename><surname>Silveira</surname></persName><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation></author><author xml:id="author-0004"><persName><forename 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PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Key words</head><item><term>Pneumatosis Cystoides Intestinalis</term></item><item><term>Systemic Lupus Erythematosus</term></item><item><term>Gastrointestinal Lupus</term></item><item><term>Collagen Vascular Disease</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Rheumatology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1993-07-27">Created</change><change 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Rheumatology</JournalTitle><JournalAbbreviatedTitle>Clin Rheumatol</JournalAbbreviatedTitle><JournalSubjectGroup><JournalSubject Type="Primary">Medicine & Public Health</JournalSubject><JournalSubject Type="Secondary">Rheumatology</JournalSubject></JournalSubjectGroup></JournalInfo><Volume><VolumeInfo VolumeType="Regular" TocLevels="0"><VolumeIDStart>13</VolumeIDStart><VolumeIDEnd>13</VolumeIDEnd><VolumeIssueCount>4</VolumeIssueCount></VolumeInfo><Issue IssueType="Regular"><IssueInfo TocLevels="0"><IssueIDStart>2</IssueIDStart><IssueIDEnd>2</IssueIDEnd><IssueArticleCount>28</IssueArticleCount><IssueHistory><CoverDate><Year>1994</Year><Month>6</Month></CoverDate></IssueHistory><IssueCopyright><CopyrightHolderName>Acta Medica Belgica</CopyrightHolderName><CopyrightYear>1994</CopyrightYear></IssueCopyright></IssueInfo><Article ID="Art22"><ArticleInfo Language="En" ArticleType="OriginalPaper" NumberingStyle="Unnumbered" TocLevels="0" ContainsESM="No"><ArticleID>BF02249034</ArticleID><ArticleDOI>10.1007/BF02249034</ArticleDOI><ArticleSequenceNumber>22</ArticleSequenceNumber><ArticleTitle Language="En">Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone</ArticleTitle><ArticleCategory>Case Report</ArticleCategory><ArticleFirstPage>312</ArticleFirstPage><ArticleLastPage>316</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2005</Year><Month>10</Month><Day>7</Day></RegistrationDate><Received><Year>1993</Year><Month>7</Month><Day>27</Day></Received><Accepted><Year>1993</Year><Month>11</Month><Day>4</Day></Accepted></ArticleHistory><ArticleCopyright><CopyrightHolderName>Acta Medica Belgica</CopyrightHolderName><CopyrightYear>1994</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants><ArticleContext><JournalID>10067</JournalID><VolumeIDStart>13</VolumeIDStart><VolumeIDEnd>13</VolumeIDEnd><IssueIDStart>2</IssueIDStart><IssueIDEnd>2</IssueIDEnd></ArticleContext></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>G.</GivenName><GivenName>E.</GivenName><FamilyName>Cabrera</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>E.</GivenName><FamilyName>Scopelitis</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>M.</GivenName><GivenName>L.</GivenName><FamilyName>Cuellar</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>L.</GivenName><GivenName>H.</GivenName><FamilyName>Silveira</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>H.</GivenName><FamilyName>Mena</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><Prefix>Dr.</Prefix><GivenName>L.</GivenName><GivenName>R.</GivenName><FamilyName>Espinoza</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Section of Rheumatology, Department of Medicine</OrgDivision><OrgName>LSU Medical Center</OrgName><OrgAddress><Street>1542 Tulane Avenue</Street><Postcode>70112-2822</Postcode><City>New Orleans</City><State>LA</State></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Summary</Heading><Para>Pneumatosis cystoides intestinalis (PCI) is an uncommon disorder usually associated with intestinal and pulmonary obstructive diseases, recent abdominal procedures and systemic illnesses. PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>Pneumatosis Cystoides Intestinalis</Keyword><Keyword>Systemic Lupus Erythematosus</Keyword><Keyword>Gastrointestinal Lupus</Keyword><Keyword>Collagen Vascular Disease</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Pneumatosis cystoides intestinalis in systemic lupus erythematosus with intestinal vasculitis : Treatment with high dose prednisone</title></titleInfo><name type="personal"><namePart type="given">G.</namePart><namePart type="given">E.</namePart><namePart type="family">Cabrera</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E.</namePart><namePart type="family">Scopelitis</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="given">L.</namePart><namePart type="family">Cuellar</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="given">H.</namePart><namePart type="family">Silveira</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">H.</namePart><namePart type="family">Mena</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="given">L.</namePart><namePart type="given">R.</namePart><namePart type="family">Espinoza</namePart><affiliation>Section of Rheumatology, Department of Medicine, LSU Medical Center, 1542 Tulane Avenue, 70112-2822, New Orleans, LA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">London</placeTerm></place><dateCreated encoding="w3cdtf">1993-07-27</dateCreated><dateIssued encoding="w3cdtf">1994-06-01</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Summary: Pneumatosis cystoides intestinalis (PCI) is an uncommon disorder usually associated with intestinal and pulmonary obstructive diseases, recent abdominal procedures and systemic illnesses. PCI has been reported in patients with systemic lupus erythematosus associated with intestinal vasculitis. We describe herein a patient with a month history of intermittent abdominal pain, diarrhoea, hyporexia, and weight loss who underwent intestinal resection for acute abdomen. Post-operatively she gave a three-month history of arthritis of the right knee, ankles and feet, arthralgia of the wrists, MCPs and shoulders. She also described weakness, weight loss, Raynaud's phenomenon, and a skin rash. Laboratory examination revealed an increased ESR, low haemoglobin and haematocrit, positive rheumatoid factor, a positive ANA with a speckled pattern, as well antibodies to DNA, SS-A and cardiolipin. The abdominal symptomatology especially pain, cramps and bouts of diarrhoea persisted after the surgery and became worse two months later. Abdominal X-ray showed distention of bowel with cyst formation in the wall of the entire colon. A diagnosis of PCI was made radiologically. The intestinal pathology was reviewed and vasculitis was identified. The patient received treatment with high dose prednisone with an excellent response; prednisone was progressively tapered and she has been asymptomatic without abdominal complaints or other symptoms for over a year.</abstract><note>Case Report</note><subject lang="en"><genre>Key words</genre><topic>Pneumatosis Cystoides Intestinalis</topic><topic>Systemic Lupus Erythematosus</topic><topic>Gastrointestinal Lupus</topic><topic>Collagen Vascular Disease</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Rheumatology</title></titleInfo><titleInfo type="abbreviated"><title>Clin Rheumatol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">1994-06-01</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Rheumatology</topic></subject><identifier type="ISSN">0770-3198</identifier><identifier type="eISSN">1434-9949</identifier><identifier type="JournalID">10067</identifier><identifier type="IssueArticleCount">28</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>1994</date><detail type="volume"><number>13</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="pages"><start>312</start><end>316</end></extent></part><recordInfo><recordOrigin>Acta Medica Belgica, 1994</recordOrigin></recordInfo></relatedItem><identifier type="istex">1F717768D6EC0674265DF00E484F5D16C65CBC15</identifier><identifier type="ark">ark:/67375/1BB-DXPDBRHT-8</identifier><identifier type="DOI">10.1007/BF02249034</identifier><identifier type="ArticleID">BF02249034</identifier><identifier type="ArticleID">Art22</identifier><accessCondition type="use and reproduction" contentType="copyright">Acta Medica Belgica, 1994</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Acta Medica Belgica, 1994</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/1BB-DXPDBRHT-8/record.json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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