Guidelines for treatment of atopic eczema (atopic dermatitis) Part I
Identifieur interne : 000209 ( France/Analysis ); précédent : 000208; suivant : 000210Guidelines for treatment of atopic eczema (atopic dermatitis) Part I
Auteurs : J. Ring [Allemagne] ; A. Alomar [Espagne] ; T. Bieber [Allemagne] ; M. Deleuran [Danemark] ; A. Fink-Wagner [Allemagne] ; C. Gelmetti [Italie] ; U. Gieler [Allemagne] ; J. Lipozencic [Croatie] ; T. Luger [Allemagne] ; A. P. Oranje [Pays-Bas] ; T. Sch Fer [Allemagne] ; T. Schwennesen [Allemagne] ; S. Seidenari [Italie] ; D. Simon [Suisse] ; S. St Nder [Croatie] ; G. Stingl [Autriche] ; S. Szalai [Hongrie] ; J. C. Szepietowski [Pologne] ; A. Taïeb [France] ; T. Werfel [Allemagne] ; A. Wollenberg [Allemagne] ; U. Darsow [Allemagne]Source :
- Journal of the European Academy of Dermatology and Venereology [ 0926-9959 ] ; 2012-08.
English descriptors
- Teeft :
- Acad, Acad dermatol, Acad dermatol venereol, Acta derm venereol, Allergen, Allergy, Allergy clin immunol, Antibiotic, Antihistamine, Antipruritic, Antipruritic effect, Arch dermatol, Astellas, Asthma, Atopic, Atopic dermatitis, Atopic eczema, Atopy, Atopy patch test, Aureus, Authors journal, Calcineurin, Calcineurin inhibitors, Capsaicin, Clin, Clinical trials, Colonization, Corticosteroid, Cutaneous, Darsow, Dermatitis, Dermatol, Dermatology, Eczema, Eczematous, Eczena, Emollient, Emollient therapy, European academy, Food allergy, Germany department, Glucocorticosteroids, Guideline, Immunol, Inhibitor, Jeadv, Mite, Novartis, Ointment, Pediatr, Pediatr allergy immunol, Pierre fabre, Pimecrolimus, Pimecrolimus cream, Placebo, Proactive, Proactive therapy, Pruritus, Randomized, Receptor, Regimen, Reitamo, Relapse, Scorad, Sensitization, Severe atopic dermatitis, Skin barrier function, Staphylococcus, Staphylococcus aureus, Steroid, Systematic review, Tacrolimus, Tacrolimus ointment, Topical, Topical calcineurin inhibitors, Topical corticosteroids, Topical steroids, Topical therapy, Topical treatment, Uticasone, Venereol, Venereology, Venereology guidelines, Venereology ring, Werfel, Wollenberg, Young children.
Abstract
The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti‐inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases. Topical corticosteroids remain the mainstay of therapy, but the TCI tacrolimus and pimecrolimus are preferred in certain locations. Systemic immune‐suppressive treatment is an option for severe refractory cases. Microbial colonization and superinfection may induce disease exacerbation and can justify additional antimicrobial treatment. Adjuvant therapy includes UV irradiation preferably with UVA1 wavelength or UVB 311 nm. Dietary recommendations should be specific and given only in diagnosed individual food allergy. Allergen‐specific immunotherapy to aeroallergens may be useful in selected cases. Stress‐induced exacerbations may make psychosomatic counselling recommendable. ‘Eczema school’ educational programs have been proven to be helpful. Pruritus is targeted with the majority of the recommended therapies, but some patients need additional antipruritic therapies.
Url:
DOI: 10.1111/j.1468-3083.2012.04635.x
Affiliations:
- Allemagne, Autriche, Croatie, Danemark, Espagne, France, Hongrie, Italie, Pays-Bas, Pologne, Suisse
- Aquitaine, Bade-Wurtemberg, Basse-Saxe, Bavière, Canton de Berne, Catalogne, District de Cologne, District de Fribourg-en-Brisgau, District de Haute-Bavière, District de Münster, Hambourg, Hollande-Méridionale, Hongrie centrale, Nouvelle-Aquitaine, Rhénanie-du-Nord-Westphalie, Vienne (Autriche)
- Barcelone, Berne, Bonn, Bordeaux, Budapest, Constance (Allemagne), Hambourg, Hanovre, Munich, Münster, Rotterdam, Vienne (Autriche)
- Université technique de Munich
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Ring</name><affiliation wicri:level="4"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Christine Kühne‐Center for Allergy Research and Education (CK‐CARE), Technische Universität München, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université technique de Munich</orgName></affiliation><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Environmental Dermatology and Allergy, Helmholtz Zentrum München/TUM, ZAUM‐Center for Allergy and Environment, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Allemagne</country></affiliation></author><author><name sortKey="Alomar, A" sort="Alomar, A" uniqKey="Alomar A" first="A." last="Alomar">A. Alomar</name><affiliation wicri:level="3"><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Dermatology, Hospital de Sant Pau, Universitat Autonoma Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Bieber, T" sort="Bieber, T" uniqKey="Bieber T" first="T." last="Bieber">T. Bieber</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy, University Bonn, Bonn</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Bonn</settlement></placeName></affiliation></author><author><name sortKey="Deleuran, M" sort="Deleuran, M" uniqKey="Deleuran M" first="M." last="Deleuran">M. Deleuran</name><affiliation wicri:level="1"><country xml:lang="fr">Danemark</country><wicri:regionArea>Department of Dermatology, Aarhus University Hospital, Aarhus</wicri:regionArea><wicri:noRegion>Aarhus</wicri:noRegion></affiliation></author><author><name sortKey="Fink Agner, A" sort="Fink Agner, A" uniqKey="Fink Agner A" first="A." last="Fink-Wagner">A. Fink-Wagner</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>EFA Project and Fundraising Officer, Konstanz</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Constance (Allemagne)</settlement></placeName></affiliation></author><author><name sortKey="Gelmetti, C" sort="Gelmetti, C" uniqKey="Gelmetti C" first="C." last="Gelmetti">C. Gelmetti</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto di Scienze Dermatologiche, Università di Milano, Milano</wicri:regionArea><wicri:noRegion>Milano</wicri:noRegion></affiliation></author><author><name sortKey="Gieler, U" sort="Gieler, U" uniqKey="Gieler U" first="U." last="Gieler">U. Gieler</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapy, University of Gießen and Marburg GmbH, Gießen</wicri:regionArea><wicri:noRegion>Gießen</wicri:noRegion><wicri:noRegion>Gießen</wicri:noRegion></affiliation></author><author><name sortKey="Lipozencic, J" sort="Lipozencic, J" uniqKey="Lipozencic J" first="J." last="Lipozencic">J. Lipozencic</name><affiliation wicri:level="1"><country xml:lang="fr">Croatie</country><wicri:regionArea>Department of Dermatology and Venereology, University Hospital Center Zagreb, Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation></author><author><name sortKey="Luger, T" sort="Luger, T" uniqKey="Luger T" first="T." last="Luger">T. Luger</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, Competence Center Chronic Pruritus, University Hospital of Münster, Münster</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Münster</region><settlement type="city">Münster</settlement></placeName></affiliation></author><author><name sortKey="Oranje, A P" sort="Oranje, A P" uniqKey="Oranje A" first="A. P." last="Oranje">A. P. Oranje</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Pediatric Dermatology, Erasmus MC – Sophia Children’s Hospital, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Sch Fer, T" sort="Sch Fer, T" uniqKey="Sch Fer T" first="T." last="Sch Fer">T. Sch Fer</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute for Social Medicine, University Lübeck, Lübeck</wicri:regionArea><wicri:noRegion>Lübeck</wicri:noRegion><wicri:noRegion>Lübeck</wicri:noRegion></affiliation></author><author><name sortKey="Schwennesen, T" sort="Schwennesen, T" uniqKey="Schwennesen T" first="T." last="Schwennesen">T. Schwennesen</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Deutscher NEURODERMITIS Bund (DNB), Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Seidenari, S" sort="Seidenari, S" uniqKey="Seidenari S" first="S." last="Seidenari">S. Seidenari</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Dermatology, University of Modena and Reggio Emilia, Modena</wicri:regionArea><wicri:noRegion>Modena</wicri:noRegion></affiliation></author><author><name sortKey="Simon, D" sort="Simon, D" uniqKey="Simon D" first="D." last="Simon">D. Simon</name><affiliation wicri:level="3"><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Dermatology, Universitätsklinik für Dermatologie, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="St Nder, S" sort="St Nder, S" uniqKey="St Nder S" first="S." last="St Nder">S. St Nder</name><affiliation wicri:level="1"><country xml:lang="fr">Croatie</country><wicri:regionArea>Department of Dermatology and Venereology, University Hospital Center Zagreb, Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation></author><author><name sortKey="Stingl, G" sort="Stingl, G" uniqKey="Stingl G" first="G." last="Stingl">G. Stingl</name><affiliation wicri:level="3"><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Dermatology, University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation></author><author><name sortKey="Szalai, S" sort="Szalai, S" uniqKey="Szalai S" first="S." last="Szalai">S. Szalai</name><affiliation wicri:level="3"><country xml:lang="fr">Hongrie</country><wicri:regionArea>Department of Dermatology, Heim Pál Children’s Hospital, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Szepietowski, J C" sort="Szepietowski, J C" uniqKey="Szepietowski J" first="J. C." last="Szepietowski">J. C. Szepietowski</name><affiliation wicri:level="1"><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw</wicri:regionArea><wicri:noRegion>Wroclaw</wicri:noRegion></affiliation></author><author><name sortKey="Taieb, A" sort="Taieb, A" uniqKey="Taieb A" first="A." last="Taïeb">A. Taïeb</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Dermatology and Pediatric Dermatology, Hôpital St André, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Werfel, T" sort="Werfel, T" uniqKey="Werfel T" first="T." last="Werfel">T. Werfel</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Wollenberg, A" sort="Wollenberg, A" uniqKey="Wollenberg A" first="A." last="Wollenberg">A. Wollenberg</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy, Ludwig‐Maximilian University, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Darsow, U" sort="Darsow, U" uniqKey="Darsow U" first="U." last="Darsow">U. Darsow</name><affiliation wicri:level="4"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology and Allergy Biederstein, Christine Kühne‐Center for Allergy Research and Education (CK‐CARE), Technische Universität München, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université technique de Munich</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of the European Academy of Dermatology and Venereology</title><title level="j" type="alt">JOURNAL OF EUROPEAN ACADEMY DERMATOLOGY VENEREOLOGY</title><idno type="ISSN">0926-9959</idno><idno type="eISSN">1468-3083</idno><imprint><biblScope unit="vol">26</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1045">1045</biblScope><biblScope unit="page" to="1060">1060</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-08">2012-08</date></imprint><idno type="ISSN">0926-9959</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0926-9959</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acad</term><term>Acad dermatol</term><term>Acad dermatol venereol</term><term>Acta derm venereol</term><term>Allergen</term><term>Allergy</term><term>Allergy clin immunol</term><term>Antibiotic</term><term>Antihistamine</term><term>Antipruritic</term><term>Antipruritic effect</term><term>Arch dermatol</term><term>Astellas</term><term>Asthma</term><term>Atopic</term><term>Atopic dermatitis</term><term>Atopic eczema</term><term>Atopy</term><term>Atopy patch test</term><term>Aureus</term><term>Authors journal</term><term>Calcineurin</term><term>Calcineurin inhibitors</term><term>Capsaicin</term><term>Clin</term><term>Clinical trials</term><term>Colonization</term><term>Corticosteroid</term><term>Cutaneous</term><term>Darsow</term><term>Dermatitis</term><term>Dermatol</term><term>Dermatology</term><term>Eczema</term><term>Eczematous</term><term>Eczena</term><term>Emollient</term><term>Emollient therapy</term><term>European academy</term><term>Food allergy</term><term>Germany department</term><term>Glucocorticosteroids</term><term>Guideline</term><term>Immunol</term><term>Inhibitor</term><term>Jeadv</term><term>Mite</term><term>Novartis</term><term>Ointment</term><term>Pediatr</term><term>Pediatr allergy immunol</term><term>Pierre fabre</term><term>Pimecrolimus</term><term>Pimecrolimus cream</term><term>Placebo</term><term>Proactive</term><term>Proactive therapy</term><term>Pruritus</term><term>Randomized</term><term>Receptor</term><term>Regimen</term><term>Reitamo</term><term>Relapse</term><term>Scorad</term><term>Sensitization</term><term>Severe atopic dermatitis</term><term>Skin barrier function</term><term>Staphylococcus</term><term>Staphylococcus aureus</term><term>Steroid</term><term>Systematic review</term><term>Tacrolimus</term><term>Tacrolimus ointment</term><term>Topical</term><term>Topical calcineurin inhibitors</term><term>Topical corticosteroids</term><term>Topical steroids</term><term>Topical therapy</term><term>Topical treatment</term><term>Uticasone</term><term>Venereol</term><term>Venereology</term><term>Venereology guidelines</term><term>Venereology ring</term><term>Werfel</term><term>Wollenberg</term><term>Young children</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The existing evidence for treatment of atopic eczema (atopic dermatitis, AE) is evaluated using the national standard Appraisal of Guidelines Research and Evaluation. The consensus process consisted of a nominal group process and a DELPHI procedure. Management of AE must consider the individual symptomatic variability of the disease. Basic therapy is focused on hydrating topical treatment, and avoidance of specific and unspecific provocation factors. Anti‐inflammatory treatment based on topical glucocorticosteroids and topical calcineurin inhibitors (TCI) is used for exacerbation management and more recently for proactive therapy in selected cases. Topical corticosteroids remain the mainstay of therapy, but the TCI tacrolimus and pimecrolimus are preferred in certain locations. Systemic immune‐suppressive treatment is an option for severe refractory cases. Microbial colonization and superinfection may induce disease exacerbation and can justify additional antimicrobial treatment. Adjuvant therapy includes UV irradiation preferably with UVA1 wavelength or UVB 311 nm. Dietary recommendations should be specific and given only in diagnosed individual food allergy. Allergen‐specific immunotherapy to aeroallergens may be useful in selected cases. Stress‐induced exacerbations may make psychosomatic counselling recommendable. ‘Eczema school’ educational programs have been proven to be helpful. Pruritus is targeted with the majority of the recommended therapies, but some patients need additional antipruritic therapies.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Autriche</li><li>Croatie</li><li>Danemark</li><li>Espagne</li><li>France</li><li>Hongrie</li><li>Italie</li><li>Pays-Bas</li><li>Pologne</li><li>Suisse</li></country><region><li>Aquitaine</li><li>Bade-Wurtemberg</li><li>Basse-Saxe</li><li>Bavière</li><li>Canton de Berne</li><li>Catalogne</li><li>District de Cologne</li><li>District de Fribourg-en-Brisgau</li><li>District de Haute-Bavière</li><li>District de Münster</li><li>Hambourg</li><li>Hollande-Méridionale</li><li>Hongrie centrale</li><li>Nouvelle-Aquitaine</li><li>Rhénanie-du-Nord-Westphalie</li><li>Vienne (Autriche)</li></region><settlement><li>Barcelone</li><li>Berne</li><li>Bonn</li><li>Bordeaux</li><li>Budapest</li><li>Constance (Allemagne)</li><li>Hambourg</li><li>Hanovre</li><li>Munich</li><li>Münster</li><li>Rotterdam</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université technique de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Ring, J" sort="Ring, J" uniqKey="Ring J" first="J." last="Ring">J. Ring</name></region><name sortKey="Bieber, T" sort="Bieber, T" uniqKey="Bieber T" first="T." last="Bieber">T. Bieber</name><name sortKey="Darsow, U" sort="Darsow, U" uniqKey="Darsow U" first="U." last="Darsow">U. Darsow</name><name sortKey="Fink Agner, A" sort="Fink Agner, A" uniqKey="Fink Agner A" first="A." last="Fink-Wagner">A. Fink-Wagner</name><name sortKey="Gieler, U" sort="Gieler, U" uniqKey="Gieler U" first="U." last="Gieler">U. Gieler</name><name sortKey="Luger, T" sort="Luger, T" uniqKey="Luger T" first="T." last="Luger">T. Luger</name><name sortKey="Ring, J" sort="Ring, J" uniqKey="Ring J" first="J." last="Ring">J. Ring</name><name sortKey="Ring, J" sort="Ring, J" uniqKey="Ring J" first="J." last="Ring">J. Ring</name><name sortKey="Sch Fer, T" sort="Sch Fer, T" uniqKey="Sch Fer T" first="T." last="Sch Fer">T. Sch Fer</name><name sortKey="Schwennesen, T" sort="Schwennesen, T" uniqKey="Schwennesen T" first="T." last="Schwennesen">T. Schwennesen</name><name sortKey="Werfel, T" sort="Werfel, T" uniqKey="Werfel T" first="T." last="Werfel">T. Werfel</name><name sortKey="Wollenberg, A" sort="Wollenberg, A" uniqKey="Wollenberg A" first="A." last="Wollenberg">A. Wollenberg</name></country><country name="Espagne"><region name="Catalogne"><name sortKey="Alomar, A" sort="Alomar, A" uniqKey="Alomar A" first="A." last="Alomar">A. Alomar</name></region></country><country name="Danemark"><noRegion><name sortKey="Deleuran, M" sort="Deleuran, M" uniqKey="Deleuran M" first="M." last="Deleuran">M. Deleuran</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Gelmetti, C" sort="Gelmetti, C" uniqKey="Gelmetti C" first="C." last="Gelmetti">C. Gelmetti</name></noRegion><name sortKey="Seidenari, S" sort="Seidenari, S" uniqKey="Seidenari S" first="S." last="Seidenari">S. Seidenari</name></country><country name="Croatie"><noRegion><name sortKey="Lipozencic, J" sort="Lipozencic, J" uniqKey="Lipozencic J" first="J." last="Lipozencic">J. Lipozencic</name></noRegion><name sortKey="St Nder, S" sort="St Nder, S" uniqKey="St Nder S" first="S." last="St Nder">S. St Nder</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Oranje, A P" sort="Oranje, A P" uniqKey="Oranje A" first="A. P." last="Oranje">A. P. Oranje</name></region></country><country name="Suisse"><region name="Canton de Berne"><name sortKey="Simon, D" sort="Simon, D" uniqKey="Simon D" first="D." last="Simon">D. Simon</name></region></country><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Stingl, G" sort="Stingl, G" uniqKey="Stingl G" first="G." last="Stingl">G. Stingl</name></region></country><country name="Hongrie"><region name="Hongrie centrale"><name sortKey="Szalai, S" sort="Szalai, S" uniqKey="Szalai S" first="S." last="Szalai">S. Szalai</name></region></country><country name="Pologne"><noRegion><name sortKey="Szepietowski, J C" sort="Szepietowski, J C" uniqKey="Szepietowski J" first="J. C." last="Szepietowski">J. C. Szepietowski</name></noRegion></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Taieb, A" sort="Taieb, A" uniqKey="Taieb A" first="A." last="Taïeb">A. Taïeb</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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