Biomedical subjects
J A Bosch Gil
Publications and source records attributed to J A Bosch Gil.
[Primary Sjögren's syndrome: clinical and immunological characteristics of 114 patients].
BACKGROUND: To analyze the clinical and immunological characteristics of a series of 114 patients with primary Sjögren's syndrome (PSS), and to evaluate the different diagnostic criteria and the association to lymphoproliferative disorders. PATIENTS AND METHOD: We included 114 patients (108 female and 6 male) with a diagnosis of PSS. All patients fulfilled the 1993 European Community criteria for the diagnosis of PSS and 76 patients fulfilled the San Diego Criteria. RESULTS: Mean age was 51 years with a mean follow-up of 7.3 years. The commonest clinical manifestation at onset (70%) was xerostomia/xerophtalmia (sicca syndrome). Extra glandular involvement was articular in 42% of cases, neurologic (35%), respiratory (21%) and hepatic (13%). Eleven patients (9%) developed vasculitis, and three (2%) developed a lympho-proliferative disorder. No statistically significant differences regarding symptoms at onset, frequency of glandular or extra glandular manifestations and severity of disease were observed between the two diagnostic criteria groups. HCV infection was associated with vasculitis (p < 0.001; OR: 20.6; CI 95%, 3.2-129) and lymphoproliferative disorders (p < 0.001). CONCLUSIONS: The clinical evolution of PSS does not vary when using different diagnostic criteria (San Diego and European Community criteria). A subset of patients with vasculitis and lymphoproliferative diseases is found to have an associated HCV infection.
[Proptosis and orbital tumor in an 80-year old woman. Primary orbital amyloidosis].
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[Budd-Chiari syndrome during puerperium in a patient with Behcet's disease].
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[Lupus and immunodepression].
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[Visual hallucinations in Horton's arteritis].
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[Hypothyroidism and inappropriate antidiuretic hormone secretion syndrome].
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[Polyarteritis nodosa and perforation of the nasal septum].
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[Acne with constitutional manifestations. Acne fulminans].
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[Sea-blue histiocyte syndrome and prolonged fever].
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[Non-alcoholic steatohepatitis. Presentation of a case with development into hepatic cirrhosis].
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[Scleroderma and IgA monoclonal gammopathy].
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[Chronic meningococcemia associated with Clostridium perfringens bacteremia].
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[Hepatic tuberculoma: apropos of 2 case reports].
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[Sjögren syndrome and cardiomyopathy].
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[S. bovis endocarditis or sepsis and underlying gastrointestinal disease].
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