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Clinical Image
Anterior mediastinal mass associated with febrile syndrome as a single manifestation of IgG4-related disease
Masa mediastínica anterior asociada a síndrome febril como única manifestación de enfermedad relacionada con IgG4
María Dolores Rabadán-Caravaca
Corresponding author
mariadolrc@gmail.com

Corresponding author.
, Eduardo Ruiz-Carazo, María Dolores García-Roa
Departamento de Radiodiagnóstico, Hospital Universitario Virgen de las Nieves, Granada, Spain
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Rabad&#225;n-Caravaca MD&#44; Ruiz-Carazo E&#44; Garc&#237;a-Roa MD&#46; Masa mediast&#237;nica anterior asociada a s&#237;ndrome febril como &#250;nica manifestaci&#243;n de enfermedad relacionada con IgG4&#46; Arch Bronconeumol&#46; 2021&#59;57&#58;702&#46;</p>"
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                            3 => "A&#46; Berm&#250;dez- Naveira"
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                          "autores" => array:5 [
                            0 => "R&#46; Yoshikawa"
                            1 => "H&#46; Igai"
                            2 => "F&#46; Ohsawa"
                            3 => "T&#46; Yazawa"
                            4 => "M&#46; Kamiyoshihara"
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Article information
ISSN: 15792129
Original language: English
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