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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8749
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pubmed:dateCreated |
1991-5-28
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pubmed:abstractText |
31 patients with L-tryptophan-associated eosinophilia-myalgia syndrome (EMS) that developed during the United States outbreak in 1989 were followed up prospectively at a university hospital outpatient rheumatology clinic for 16 to 24 months from the onset of their illness. Another patient with EMS associated with L-tryptophan in 1988 was followed up for 30 months. 93% of the 28 survivors from the 1989 cohort continue to have symptoms affecting 1-4 organ systems (median 3) and 3 have died, so the disorder produces considerable morbidity and mortality. The chronic sequelae most often associated with long-term disability are sclerodermatous skin thickening (54%), sensorimotor polyneuropathy (61%), proximal myopathy (36%), and severe episodic myalgias (64%). Thrombocytopenia developed in 1 patient. HLA-class II typing revealed a non-significant trend towards an association with HLA-DR4. Early therapy with corticosteroids did not seem to prevent the development of chronic manifestations.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
4
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pubmed:volume |
337
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1071-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1673503-Adult,
pubmed-meshheading:1673503-Aged,
pubmed-meshheading:1673503-Chronic Disease,
pubmed-meshheading:1673503-Eosinophilia,
pubmed-meshheading:1673503-Erythema,
pubmed-meshheading:1673503-Female,
pubmed-meshheading:1673503-Follow-Up Studies,
pubmed-meshheading:1673503-HLA-DR4 Antigen,
pubmed-meshheading:1673503-Humans,
pubmed-meshheading:1673503-Male,
pubmed-meshheading:1673503-Middle Aged,
pubmed-meshheading:1673503-Muscular Diseases,
pubmed-meshheading:1673503-Pain,
pubmed-meshheading:1673503-Prognosis,
pubmed-meshheading:1673503-Prospective Studies,
pubmed-meshheading:1673503-Syndrome,
pubmed-meshheading:1673503-Tryptophan
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pubmed:year |
1991
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pubmed:articleTitle |
Clinical follow-up and immunogenetic studies of 32 patients with eosinophilia-myalgia syndrome.
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pubmed:affiliation |
Department of Medicine, State University of New York, Stony Brook 11794-8161.
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pubmed:publicationType |
Journal Article
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