The “cold hands sign” in multiple system atrophy
Identifieur interne : 002A51 ( Istex/Corpus ); précédent : 002A50; suivant : 002A52The “cold hands sign” in multiple system atrophy
Auteurs : Christine Klein ; Richard Brown ; Gregor Wenning ; QuinnSource :
- Movement Disorders [ 0885-3185 ] ; 1997-07.
English descriptors
Abstract
Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure. Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature. Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.
Url:
DOI: 10.1002/mds.870120407
Links to Exploration step
ISTEX:D763791306404D4B8A24789938351722C6C4C5ABLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">The “cold hands sign” in multiple system atrophy</title><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Brown, Richard" sort="Brown, Richard" uniqKey="Brown R" first="Richard" last="Brown">Richard Brown</name><affiliation><mods:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Wenning, Gregor" sort="Wenning, Gregor" uniqKey="Wenning G" first="Gregor" last="Wenning">Gregor Wenning</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Quinn" sort="Quinn" uniqKey="Quinn" last="Quinn">Quinn</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D763791306404D4B8A24789938351722C6C4C5AB</idno><date when="1997" year="1997">1997</date><idno type="doi">10.1002/mds.870120407</idno><idno type="url">https://api.istex.fr/document/D763791306404D4B8A24789938351722C6C4C5AB/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002A51</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">The “cold hands sign” in multiple system atrophy</title><author><name sortKey="Klein, Christine" sort="Klein, Christine" uniqKey="Klein C" first="Christine" last="Klein">Christine Klein</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Brown, Richard" sort="Brown, Richard" uniqKey="Brown R" first="Richard" last="Brown">Richard Brown</name><affiliation><mods:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Wenning, Gregor" sort="Wenning, Gregor" uniqKey="Wenning G" first="Gregor" last="Wenning">Gregor Wenning</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author><author><name sortKey="Quinn" sort="Quinn" uniqKey="Quinn" last="Quinn">Quinn</name><affiliation><mods:affiliation>University Department of Clinical Neurology, Queen Square, London, England</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1997-07">1997-07</date><biblScope unit="vol">12</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="514">514</biblScope><biblScope unit="page" to="518">518</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D763791306404D4B8A24789938351722C6C4C5AB</idno><idno type="DOI">10.1002/mds.870120407</idno><idno type="ArticleID">MDS870120407</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Multiple system atrophy</term><term>Parkinson's disease</term><term>cold hands sign</term><term>skin temperature</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure. Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature. Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Christine Klein</name><affiliations><json:string>University Department of Clinical Neurology, Queen Square, London, England</json:string></affiliations></json:item><json:item><name>Richard Brown</name><affiliations><json:string>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</json:string></affiliations></json:item><json:item><name>Gregor Wenning</name><affiliations><json:string>University Department of Clinical Neurology, Queen Square, London, England</json:string></affiliations></json:item><json:item><name>Dr. Quinn</name><affiliations><json:string>University Department of Clinical Neurology, Queen Square, London, England</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Multiple system atrophy</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>skin temperature</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cold hands sign</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure.Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature.Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.</abstract><qualityIndicators><score>4.757</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 827.759 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>1066</abstractCharCount><pdfWordCount>2777</pdfWordCount><pdfCharCount>16905</pdfCharCount><pdfPageCount>5</pdfPageCount><abstractWordCount>165</abstractWordCount></qualityIndicators><title>The “cold hands sign” in multiple system atrophy</title><genre><json:string>Serial article</json:string></genre><host><volume>12</volume><pages><total>5</total><last>518</last><first>514</first></pages><issn><json:string>0885-3185</json:string></issn><issue>4</issue><subject><json:item><value>Article</value></json:item></subject><genre></genre><language><json:string>unknown</json:string></language><title>Movement Disorders</title><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi></host><publicationDate>1997</publicationDate><copyrightDate>1997</copyrightDate><doi><json:string>10.1002/mds.870120407</json:string></doi><id>D763791306404D4B8A24789938351722C6C4C5AB</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/D763791306404D4B8A24789938351722C6C4C5AB/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/D763791306404D4B8A24789938351722C6C4C5AB/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/D763791306404D4B8A24789938351722C6C4C5AB/fulltext/tei"><teiHeader type="text"><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">The “cold hands sign” in multiple system atrophy</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>1997</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The “cold hands sign” in multiple system atrophy</title><author><persName><forename type="first">Christine</forename><surname>Klein</surname></persName><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation></author><author><persName><forename type="first">Richard</forename><surname>Brown</surname></persName><affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</affiliation></author><author><persName><forename type="first">Gregor</forename><surname>Wenning</surname></persName><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation></author><author><persName><surname>Quinn</surname><roleName type="degree">Dr.</roleName></persName><note type="correspondence"><p>Correspondence: Institute of Neurology, Queen Square, London WC1N 3BG, UK</p></note><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation></author></analytic><monogr><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="DOI">10.1002/(ISSN)1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1997-07"></date><biblScope unit="vol">12</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="514">514</biblScope><biblScope unit="page" to="518">518</biblScope></imprint></monogr><idno type="istex">D763791306404D4B8A24789938351722C6C4C5AB</idno><idno type="DOI">10.1002/mds.870120407</idno><idno type="ArticleID">MDS870120407</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1997</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure.Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature.Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Multiple system atrophy</term></item><item><term>Parkinson's disease</term></item><item><term>skin temperature</term></item><item><term>cold hands sign</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1996-09-02">Received</change><change when="1997-01-10">Registration</change><change when="1997-07">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/D763791306404D4B8A24789938351722C6C4C5AB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="40"><doi origin="wiley" registered="yes">10.1002/mds.v12:4</doi><numberingGroup><numbering type="journalVolume" number="12">12</numbering><numbering type="journalIssue">4</numbering></numberingGroup><coverDate startDate="1997-07">July 1997</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="7" status="forIssue"><doi origin="wiley" registered="yes">10.1002/mds.870120407</doi><idGroup><id type="unit" value="MDS870120407"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Article</title><title type="tocHeading1">Articles</title></titleGroup><copyright ownership="thirdParty">Copyright © 1997 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="1996-09-02"></event><event type="manuscriptRevised" date="1997-01-09"></event><event type="manuscriptAccepted" date="1997-01-10"></event><event type="firstOnline" date="2004-11-04"></event><event type="publishedOnlineFinalForm" date="2004-11-04"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">514</numbering><numbering type="pageLast">518</numbering></numberingGroup><correspondenceTo>Institute of Neurology, Queen Square, London WC1N 3BG, UK</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS870120407.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="0"></count><count type="referenceTotal" number="16"></count></countGroup><titleGroup><title type="main" xml:lang="en">The “cold hands sign” in multiple system atrophy</title><title type="short" xml:lang="en">THE “COLD HANDS” SIGN</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Christine</givenNames><familyName>Klein</familyName></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Richard</givenNames><familyName>Brown</familyName></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Gregor</givenNames><familyName>Wenning</familyName></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><honorifics>Dr.</honorifics><givenNames>Niall</givenNames><familyName>Quinn</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="GB" type="organization"><unparsedAffiliation>University Department of Clinical Neurology, Queen Square, London, England</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="GB" type="organization"><unparsedAffiliation>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Multiple system atrophy</keyword><keyword xml:id="kwd2">Parkinson's disease</keyword><keyword xml:id="kwd3">skin temperature</keyword><keyword xml:id="kwd4">cold hands sign</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure.</p><p>Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature.</p><p>Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>The “cold hands sign” in multiple system atrophy</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>THE “COLD HANDS” SIGN</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The “cold hands sign” in multiple system atrophy</title></titleInfo><name type="personal"><namePart type="given">Christine</namePart><namePart type="family">Klein</namePart><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Richard</namePart><namePart type="family">Brown</namePart><affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gregor</namePart><namePart type="family">Wenning</namePart><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr.</namePart><namePart type="family">Quinn</namePart><affiliation>University Department of Clinical Neurology, Queen Square, London, England</affiliation><description>Correspondence: Institute of Neurology, Queen Square, London WC1N 3BG, UK</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1997-07</dateIssued><dateCaptured encoding="w3cdtf">1996-09-02</dateCaptured><dateValid encoding="w3cdtf">1997-01-10</dateValid><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="references">16</extent></physicalDescription><abstract lang="en">Patients with multiple system atrophy (MSA) often have cold, dusky, violaceous hands, with poor circulatory return after blanching by pressure. We therefore compared hand skin temperature in nine age‐matched subjects with probable MSA, 10 with idiopathic Parkinson's disease (PD), and 10 healthy controls both at rest and following a standard cooling procedure. Baseline skin temperature in the MSA group was significantly lower than in both the PD and control groups, and four of the nine MSA patients were colder at baseline than the coldest control value. After cooling, the MSA group also showed a significantly greater reduction in skin temperature than the PD group. The rate of skin temperature recovery did not differ between the three groups, although the MSA group required more time to return completely to their baseline temperature. Changes in skin colour or temperature are easily detected, and suggest a defect in neurovascular control of distal extremities. The “cold hands sign” is another clinical “red flag” that helps to raise the suspicion of MSA.</abstract><subject lang="en"><genre>Keywords</genre><topic>Multiple system atrophy</topic><topic>Parkinson's disease</topic><topic>skin temperature</topic><topic>cold hands sign</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>1997</date><detail type="volume"><caption>vol.</caption><number>12</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>514</start><end>518</end><total>5</total></extent></part></relatedItem><identifier type="istex">D763791306404D4B8A24789938351722C6C4C5AB</identifier><identifier type="DOI">10.1002/mds.870120407</identifier><identifier type="ArticleID">MDS870120407</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 1997 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002A51 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 002A51 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:D763791306404D4B8A24789938351722C6C4C5AB
|texte= The “cold hands sign” in multiple system atrophy
}}
| This area was generated with Dilib version V0.6.23. |  |