Counter irritation test in primary fibromyalgia
Identifieur interne : 000B89 ( Istex/Corpus ); précédent : 000B88; suivant : 000B90Counter irritation test in primary fibromyalgia
Auteurs : R. Guieu ; G. Serratrice ; J. PougetSource :
- Clinical Rheumatology [ 0770-3198 ] ; 1994-12-01.
Abstract
Summary: In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation. Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients. In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.
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DOI: 10.1007/BF02243002
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Counter irritation test in primary fibromyalgia</title><author><name sortKey="Guieu, R" sort="Guieu, R" uniqKey="Guieu R" first="R." last="Guieu">R. Guieu</name><affiliation><mods:affiliation>URA CNRS 1455, Faculté de médecine secteur Nord, Bd P Dramard, 13015, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Serratrice, G" sort="Serratrice, G" uniqKey="Serratrice G" first="G." last="Serratrice">G. Serratrice</name><affiliation><mods:affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Pouget, J" sort="Pouget, J" uniqKey="Pouget J" first="J." last="Pouget">J. Pouget</name><affiliation><mods:affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:3B6E6BB56274D958F1F9926C556A6428D48F2CBE</idno><date when="1994" year="1994">1994</date><idno type="doi">10.1007/BF02243002</idno><idno type="url">https://api.istex.fr/document/3B6E6BB56274D958F1F9926C556A6428D48F2CBE/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000B89</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000B89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Counter irritation test in primary fibromyalgia</title><author><name sortKey="Guieu, R" sort="Guieu, R" uniqKey="Guieu R" first="R." last="Guieu">R. Guieu</name><affiliation><mods:affiliation>URA CNRS 1455, Faculté de médecine secteur Nord, Bd P Dramard, 13015, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Serratrice, G" sort="Serratrice, G" uniqKey="Serratrice G" first="G." last="Serratrice">G. Serratrice</name><affiliation><mods:affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Pouget, J" sort="Pouget, J" uniqKey="Pouget J" first="J." last="Pouget">J. Pouget</name><affiliation><mods:affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Clinical Rheumatology</title><title level="j" type="abbrev">Clin Rheumatol</title><idno type="ISSN">0770-3198</idno><idno type="eISSN">1434-9949</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><date type="published" when="1994-12-01">1994-12-01</date><biblScope unit="volume">13</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="605">605</biblScope><biblScope unit="page" to="610">610</biblScope></imprint><idno type="ISSN">0770-3198</idno></series><idno type="istex">3B6E6BB56274D958F1F9926C556A6428D48F2CBE</idno><idno type="DOI">10.1007/BF02243002</idno><idno type="ArticleID">BF02243002</idno><idno type="ArticleID">Art10</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0770-3198</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Summary: In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation. Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients. In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.</div></front></TEI><istex><corpusName>springer</corpusName><author><json:item><name>R. Guieu</name><affiliations><json:string>URA CNRS 1455, Faculté de médecine secteur Nord, Bd P Dramard, 13015, Marseille, France</json:string></affiliations></json:item><json:item><name>G. Serratrice</name><affiliations><json:string>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</json:string></affiliations></json:item><json:item><name>J. Pouget</name><affiliations><json:string>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</json:string></affiliations></json:item></author><articleId><json:string>BF02243002</json:string><json:string>Art10</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Summary: In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation. Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients. In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.</abstract><qualityIndicators><score>5.434</score><pdfVersion>1.3</pdfVersion><pdfPageSize>548 x 749 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1356</abstractCharCount><pdfWordCount>2878</pdfWordCount><pdfCharCount>18184</pdfCharCount><pdfPageCount>6</pdfPageCount><abstractWordCount>213</abstractWordCount></qualityIndicators><title>Counter irritation test in primary fibromyalgia</title><refBibs><json:item><author><json:item><name>D,J 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II. Lack of effect on non-convergent neurones, supraspinal involvement and theoretical implications</title><publicationDate>1979-03</publicationDate></json:item></refBibs><genre><json:string>research-article</json:string></genre><host><volume>13</volume><pages><last>610</last><first>605</first></pages><issn><json:string>0770-3198</json:string></issn><issue>4</issue><subject><json:item><value>Rheumatology</value></json:item></subject><journalId><json:string>10067</json:string></journalId><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1434-9949</json:string></eissn><title>Clinical Rheumatology</title><publicationDate>1994</publicationDate><copyrightDate>1994</copyrightDate></host><categories><wos><json:string>science</json:string><json:string>rheumatology</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>arthritis & rheumatology</json:string></scienceMetrix></categories><publicationDate>1994</publicationDate><copyrightDate>1994</copyrightDate><doi><json:string>10.1007/BF02243002</json:string></doi><id>3B6E6BB56274D958F1F9926C556A6428D48F2CBE</id><score>0.16122997</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/3B6E6BB56274D958F1F9926C556A6428D48F2CBE/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/3B6E6BB56274D958F1F9926C556A6428D48F2CBE/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/3B6E6BB56274D958F1F9926C556A6428D48F2CBE/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Counter irritation test in primary fibromyalgia</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><availability><p>Clinical Rheumatology, 1994</p></availability><date>1994-01-11</date></publicationStmt><notesStmt><note>Originals</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Counter irritation test in primary fibromyalgia</title><author xml:id="author-1" corresp="yes"><persName><forename type="first">R.</forename><surname>Guieu</surname></persName><affiliation>URA CNRS 1455, Faculté de médecine secteur Nord, Bd P Dramard, 13015, Marseille, France</affiliation></author><author xml:id="author-2"><persName><forename type="first">G.</forename><surname>Serratrice</surname></persName><affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</affiliation></author><author xml:id="author-3"><persName><forename type="first">J.</forename><surname>Pouget</surname></persName><affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</affiliation></author></analytic><monogr><title level="j">Clinical Rheumatology</title><title level="j" type="abbrev">Clin Rheumatol</title><idno type="journal-ID">10067</idno><idno type="pISSN">0770-3198</idno><idno type="eISSN">1434-9949</idno><idno type="issue-article-count">22</idno><idno type="volume-issue-count">4</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>London</pubPlace><date type="published" when="1994-12-01"></date><biblScope unit="volume">13</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="605">605</biblScope><biblScope unit="page" to="610">610</biblScope></imprint></monogr><idno type="istex">3B6E6BB56274D958F1F9926C556A6428D48F2CBE</idno><idno type="DOI">10.1007/BF02243002</idno><idno type="ArticleID">BF02243002</idno><idno type="ArticleID">Art10</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1994-01-11</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Summary: In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation. Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients. In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Rheumatology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1994-01-11">Created</change><change when="1994-12-01">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2016-11-22">References added</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-01-20">References 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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>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd><IssueArticleCount>22</IssueArticleCount><IssueHistory><CoverDate><Year>1994</Year><Month>12</Month></CoverDate></IssueHistory><IssueCopyright><CopyrightHolderName>Clinical Rheumatology</CopyrightHolderName><CopyrightYear>1994</CopyrightYear></IssueCopyright></IssueInfo><Article ID="Art10"><ArticleInfo Language="En" ArticleType="OriginalPaper" NumberingStyle="Unnumbered" TocLevels="0" ContainsESM="No"><ArticleID>BF02243002</ArticleID><ArticleDOI>10.1007/BF02243002</ArticleDOI><ArticleSequenceNumber>10</ArticleSequenceNumber><ArticleTitle Language="En">Counter irritation test in primary fibromyalgia</ArticleTitle><ArticleCategory>Originals</ArticleCategory><ArticleFirstPage>605</ArticleFirstPage><ArticleLastPage>610</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2005</Year><Month>10</Month><Day>17</Day></RegistrationDate><Received><Year>1994</Year><Month>1</Month><Day>11</Day></Received><Accepted><Year>1994</Year><Month>3</Month><Day>14</Day></Accepted></ArticleHistory><ArticleCopyright><CopyrightHolderName>Clinical Rheumatology</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>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd></ArticleContext></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1" CorrespondingAffiliationID="Aff1"><AuthorName DisplayOrder="Western"><GivenName>R.</GivenName><FamilyName>Guieu</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>G.</GivenName><FamilyName>Serratrice</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>J.</GivenName><FamilyName>Pouget</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgName>URA CNRS 1455, Faculté de médecine secteur Nord</OrgName><OrgAddress><Street>Bd P Dramard</Street><Postcode>13015</Postcode><City>Marseille</City><Country>France</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgName>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone</OrgName><OrgAddress><Street>1 chemin de l'Armée d'Afrique</Street><Postcode>13005</Postcode><City>Marseille</City><Country>France</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Summary</Heading><Para>In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation.</Para><Para>Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients.</Para><Para>In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>Fibromyalgia</Keyword><Keyword>Nociceptive Threshold</Keyword><Keyword>Counter-irritation</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Counter irritation test in primary fibromyalgia</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Counter irritation test in primary fibromyalgia</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">R.</namePart><namePart type="family">Guieu</namePart><affiliation>URA CNRS 1455, Faculté de médecine secteur Nord, Bd P Dramard, 13015, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Serratrice</namePart><affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Pouget</namePart><affiliation>Clinique des Maladies du Système Nerveux et de l'Appareil Locomoteur, CHU Timone, 1 chemin de l'Armée d'Afrique, 13005, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper"></genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">London</placeTerm></place><dateCreated encoding="w3cdtf">1994-01-11</dateCreated><dateIssued encoding="w3cdtf">1994-12-01</dateIssued><copyrightDate encoding="w3cdtf">1994</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Summary: In primary fibromyalgia the main symptom is diffuse pain predominating at tender points which are sensitive to palpation. The aim of this study was to compare the effects on the amplitude of the nociceptive flexion reflex of the lower limb (RIII reflex) of applying painful pressure to the tender points with the effects of the same pressure applied to other points of the body or to the same part of the body in control subjects. This method was chosen because previous studies have shown that it was possible to activate the diffuse noxious inhibitory system using a “counter-irritation” stimulation. Our study was carried out on 18 fibromyalgic patients and on 12 control subjects. During the counter-irritation procedure, consisting of applying pressure with a mechanical dolorimeter to tender points, a clear cut and significant decrease in the amplitude of the RIII response was observed in 6 patients. In conclusion, in view of the subjective nature of the criteria used at present to diagnose primary fibromyalgia, we would like to suggest that a positive counter-irritation test be adopted as a further obligatory criterion, since it has been clearly established that the diffuse noxious inhibitory control responsible for the decrease in the RIII amplitude can be activated only when the subjects undergo intense nociceptive stimulation.</abstract><note>Originals</note><relatedItem type="host"><titleInfo><title>Clinical Rheumatology</title></titleInfo><titleInfo type="abbreviated"><title>Clin Rheumatol</title></titleInfo><genre type="journal" displayLabel="Archive Journal"></genre><originInfo><dateIssued encoding="w3cdtf">1994-12-01</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">22</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>1994</date><detail type="volume"><number>13</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="pages"><start>605</start><end>610</end></extent></part><recordInfo><recordOrigin>Clinical Rheumatology, 1994</recordOrigin></recordInfo></relatedItem><identifier type="istex">3B6E6BB56274D958F1F9926C556A6428D48F2CBE</identifier><identifier type="DOI">10.1007/BF02243002</identifier><identifier type="ArticleID">BF02243002</identifier><identifier type="ArticleID">Art10</identifier><accessCondition type="use and reproduction" contentType="copyright">Clinical Rheumatology, 1994</accessCondition><recordInfo><recordContentSource>SPRINGER</recordContentSource><recordOrigin>Clinical Rheumatology, 1994</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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