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            "apellidos" => "Gonzalez de Zarate Apiñaniz"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudi&#243; la alteraci&#243;n pulmonar en 28 pacientes consecutivos con lupus eritematoso sist&#233;mico &#40;LES&#41;&#44; no seleccionados por sus s&#237;ntomas respiratorios&#46; Las pruebas de funci&#243;n pulmonar muestran alguna alteraci&#243;n en 25 pacientes &#40;75&#37;&#41; sin relaci&#243;n con la historia cl&#237;nica o radiograf&#237;a tor&#225;cica&#46; La capacidad de difusi&#243;n estuvo reducida en 16 casos &#40;57&#37;&#41;&#44; y una disminuci&#243;n de la capacidad pulmonar total &#40;TLC&#41; estuvo presente en 2 pacientes&#46; La medida de las presiones m&#225;ximas est&#225;ticas revelan debilidad muscular inspiratoria y espiratoria en 5 casos &#40;18&#37;&#41;&#46; Esta alteraci&#243;n puede ser considerada probablemente como parte de una afectaci&#243;n muscular subcl&#237;nica debida al LES&#44; que sin embargo&#44; afectar&#237;a predominantemente a los m&#250;sculos respiratorios&#46; Esta debilidad no estuvo relacionada con el uso de corticoides o inanici&#243;n generalizada&#46; La reducci&#243;n de la TLC presente en el LES tendr&#237;a como patogenia probable la debilidad muscular respiratoria&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The degree of pulmonary impairment was studied in 28 consecutive patients with systemic lupus erythematosus &#40;LES&#41; not selected by respiratory symptoms&#46; Pulmonary function tests revealed abnormalities In 25 patients &#40;75&#37;&#41;&#46; Those findings showed no relationship with the clinical history or the thorax x-ray examination&#46; Diffusion capacity was reduced in 16 cases &#40;57&#37;&#41;&#44; and two patients showed a reduced total lung capacity &#40;TLC&#41;&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Be of static maximum pressures revealed inspiratory and espiratory muscular weakness in 5 cases &#40;18&#37;&#41;&#46; Such abnormalities may be considered probably as a part of a subclinical muscular involvement due to LES&#44; with a predominancy for respiratory musdes&#46; The muscular weakness was not related to corticosteroid treatment or generalized inanition&#46; The most probable pathogenesis of the decreased TLC seen in patients with LES would be a respiratory muscles weakness</p></span>"
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                  "contribucion" => array:1 [
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                            0 => "O&#46; Laitenen"
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                      "titulo" => "Unexplained dyspnaea and shrinking lungs in systemic lupus erythematosus"
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                            0 => "H&#46; Eisenberg"
                            1 => "E&#46;L&#46; Dubois"
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              "identificador" => "bib0040"
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                      "titulo" => "Respiratory muscle disfunction in systemic lupus erythematosus"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Martens"
                            1 => "M&#46; Demendts"
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                      "Revista" => array:5 [
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                      "titulo" => "Inspiratory muscle dysfunction and unexplained dyspnea in systemic lupus erythematosus"
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                        0 => array:2 [
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                            0 => "S&#46; Jacobelli"
                            1 => "R&#46; Moreno"
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                            3 => "S&#46; Rivero"
                            4 => "C&#46; Lisboa"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The 1982 revised criteria for the classification of systemic lupus erythematosus"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "E&#46;M&#46; Tan"
                            1 => "A&#46;S&#46; Cohen"
                            2 => "J&#46;F&#46; Fries"
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                  ]
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                      "Revista" => array:5 [
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                    0 => array:2 [
                      "titulo" => "Epidemiology standardization project"
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                          "autores" => array:1 [
                            0 => "B&#46;G&#46; Ferris"
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                      "titulo" => "Respiratory function test&#46; Normal values at medium altitudes and the prediction of normal results"
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                          "etal" => false
                          "autores" => array:2 [
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                        "fecha" => "1959"
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                            "web" => "Medline"
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