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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A susceptibilidade gen&#233;tica na ocorr&#234;ncia da sarcoidose &#233; sugerida por alguns factores&#44; nomeadamente pela observa&#231;&#227;o de casos de agrega&#231;&#227;o familiar e a associa&#231;&#227;o da ra&#231;a a diferentes tipos de incid&#234;ncia e gravidade da doen&#231;a&#46; V&#225;rios estudos t&#234;m evidenciado a associa&#231;&#227;o da classe I e especialmente da classe II do sistema HLA com a susceptibilidade &#224; sarcoidose&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Estudo dos polimorfismos gen&#233;ticos da classe I e II do sistema HLA e do TNF-&#945; num grupo de doentes com sarcoidose&#44; nomeadamente a sua influ&#234;ncia na susceptibilidade&#44; apresenta&#231;&#227;o cl&#237;nica e evolu&#231;&#227;o da doen&#231;a&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Foram inclu&#237;dos 104 doentes com sarcoidose&#44; tendo sido estudadas a apresenta&#231;&#227;o cl&#237;nica&#44; funcional&#44; radiol&#243;gica e os resultados do LBA&#46; Foram usados m&#233;todos de biologia molecular na genotipagem do HLA-A&#42;&#44; B&#42;&#44; C&#42;&#44; DRB1&#42;&#44; DQB1&#42; e TNF-&#945;&#46; O ADN foi extra&#237;do do sangue perif&#233;rico e foram usados os m&#233;todos PCR-SSP e PCR-<span class="elsevierStyleItalic">reverse hibridization</span>&#46; As frequ&#234;ncias al&#233;licas foram comparadas com controlos da mesma regi&#227;o geogr&#225;fica pelo teste &#967;<span class="elsevierStyleSup">2</span>&#44; sendo usado o teste Kruskal-Wallis para vari&#225;veis cont&#237;nuas&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Comparativamente com os controlos&#44; os doentes inclu&#237;dos apresentavam frequ&#234;ncias aumentadas de&#58; B&#42;08 &#40;10&#44;6&#37; <span class="elsevierStyleItalic">vs</span> 6&#44;1&#37;&#41;&#44; 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RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;39&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;5&#59;3&#44;8&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 e DQB1&#42;02 &#40;38&#37; <span class="elsevierStyleItalic">vs</span> 18&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;1&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;3&#59;3&#44;3&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#46; O alelo DQB1&#42;03 est&#225; diminu&#237;do nos doentes que apresentam s&#237;ndroma ventilat&#243;ria obstrutiva&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;53&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;0&#44;3&#59;0&#44;9&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46; O alelo DRB1&#42;15 encontra-se significativamente associado quer &#224; s&#237;ndroma ventilat&#243;ria restritiva quer &#224; diminui&#231;&#227;o da transfer&#234;ncia alveolocapilar &#40;21&#44;1&#37; <span class="elsevierStyleItalic">vs</span> 6&#44;6&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;46&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;35&#59;4&#44;48&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 e &#40;18&#44;1&#37; <span class="elsevierStyleItalic">vs</span> 3&#44;8&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;87&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#44; respectivamente&#46; Por sua vez&#44; o gen&#243;tipo A&#47;A <span class="elsevierStyleItalic">&#40;high&#41;</span> do TNF-&#945; apresentou uma frequ&#234;ncia aumentada &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;04&#41; nos doentes com eritema nodoso&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> Os resultados obtidos adicionam evid&#234;ncia ao facto de&#44; quer a classe I quer a classe II do sistema HLA influenciarem a susceptibilidade&#44; o tipo de apresenta&#231;&#227;o&#44; o grau de gravidade e a evolu&#231;&#227;o na sarcoidose&#46; Por outro lado&#44; o eritema nodoso parece relacionar-se com o gen&#243;tipo de elevada produ&#231;&#227;o de TNF-&#945;&#44; associa&#231;&#227;o esta j&#225; anteriormente descrita&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6</span>&#41;<span class="elsevierStyleBold">&#58; 727-746</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Several factors suggest a genetic predisposition to sarcoidosis&#44; namely the recognition of race as a risk factor and the occurrence of familial clustering of cases&#46; Several studies have reported an association of sarcoidosis and HLA class I and especially class II alleles in different populations&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim&#58;</span> HLA class I&#44; class II and TNF-&#945; genotyping in a group of sarcoidosis patients and its relation with clinical presentation and outcome&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> A total of 104 sarcoidosis patients were included&#46; Clinical presentation&#44; functional&#44; 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The TNF-&#945; A&#47;A &#40;high&#41; genotype is significantly associated with erythema nodosum &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions&#58;</span> These data add support to the genetic association of HLA class I and II with sarcoidosis in terms of susceptibility&#44; type of presentation&#44; severity and outcome&#46; Moreover as previously described in other populations&#44; the TNF-&#945; A&#47;A &#40;high&#41; genotype has a significant association with erythema nodosum&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6&#41;&#58; 727-746</span></p></span>"
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Artigo Original/Original Article
Estudo de polimorfismos genéticos do HLA (classes I e II) e do TNF-α em doentes com sarcoidose
HLA class I and II and TNF-α gene polymorphisms in sarcoidosis patients
António Morais1, Helena Alves2, Bruno Lima2, Luís Delgado3, Ricardo Gonçalves2, Sandra Tafulo2
1 Serviço de Pneumologia do Hospital São João, Porto / Pulmonology Unit, Hospital São João, Porto
2 Centro de Histocompatibilidade do Norte / Histocompatability Centre of the North
3 Serviço de Imunologia da Faculdade de Medicina do Porto / Pulmonology Unit, Porto Faculty of Medicine
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdu&#231;&#227;o&#58;</span> A susceptibilidade gen&#233;tica na ocorr&#234;ncia da sarcoidose &#233; sugerida por alguns factores&#44; nomeadamente pela observa&#231;&#227;o de casos de agrega&#231;&#227;o familiar e a associa&#231;&#227;o da ra&#231;a a diferentes tipos de incid&#234;ncia e gravidade da doen&#231;a&#46; V&#225;rios estudos t&#234;m evidenciado a associa&#231;&#227;o da classe I e especialmente da classe II do sistema HLA com a susceptibilidade &#224; sarcoidose&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos&#58;</span> Estudo dos polimorfismos gen&#233;ticos da classe I e II do sistema HLA e do TNF-&#945; num grupo de doentes com sarcoidose&#44; nomeadamente a sua influ&#234;ncia na susceptibilidade&#44; apresenta&#231;&#227;o cl&#237;nica e evolu&#231;&#227;o da doen&#231;a&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material e m&#233;todos&#58;</span> Foram inclu&#237;dos 104 doentes com sarcoidose&#44; tendo sido estudadas a apresenta&#231;&#227;o cl&#237;nica&#44; funcional&#44; radiol&#243;gica e os resultados do LBA&#46; Foram usados m&#233;todos de biologia molecular na genotipagem do HLA-A&#42;&#44; B&#42;&#44; C&#42;&#44; DRB1&#42;&#44; DQB1&#42; e TNF-&#945;&#46; O ADN foi extra&#237;do do sangue perif&#233;rico e foram usados os m&#233;todos PCR-SSP e PCR-<span class="elsevierStyleItalic">reverse hibridization</span>&#46; As frequ&#234;ncias al&#233;licas foram comparadas com controlos da mesma regi&#227;o geogr&#225;fica pelo teste &#967;<span class="elsevierStyleSup">2</span>&#44; sendo usado o teste Kruskal-Wallis para vari&#225;veis cont&#237;nuas&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados&#58;</span> Comparativamente com os controlos&#44; os doentes inclu&#237;dos apresentavam frequ&#234;ncias aumentadas de&#58; B&#42;08 &#40;10&#44;6&#37; <span class="elsevierStyleItalic">vs</span> 6&#44;1&#37;&#41;&#44; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;8&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;1&#59;3&#44;1&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#59; DRB1&#42;12 &#40;4&#44;3&#37; <span class="elsevierStyleItalic">vs</span> 1&#44;7&#37;&#41;&#44; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;63&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;1&#59;6&#44;1&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;03&#46; Os doentes com eritema nodoso apresentaram aumento das frequ&#234;ncias al&#233;licas de DRB1&#42;03 &#40;28&#37; <span class="elsevierStyleItalic">vs</span> 9&#44;3&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;39&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;5&#59;3&#44;8&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 e DQB1&#42;02 &#40;38&#37; <span class="elsevierStyleItalic">vs</span> 18&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;1&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;3&#59;3&#44;3&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;02&#46; O alelo DQB1&#42;03 est&#225; diminu&#237;do nos doentes que apresentam s&#237;ndroma ventilat&#243;ria obstrutiva&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;53&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;0&#44;3&#59;0&#44;9&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#46; O alelo DRB1&#42;15 encontra-se significativamente associado quer &#224; s&#237;ndroma ventilat&#243;ria restritiva quer &#224; diminui&#231;&#227;o da transfer&#234;ncia alveolocapilar &#40;21&#44;1&#37; <span class="elsevierStyleItalic">vs</span> 6&#44;6&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;46&#44; IC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#44;35&#59;4&#44;48&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 e &#40;18&#44;1&#37; <span class="elsevierStyleItalic">vs</span> 3&#44;8&#37;&#41;&#44; RR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#44;87&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#44; respectivamente&#46; Por sua vez&#44; o gen&#243;tipo A&#47;A <span class="elsevierStyleItalic">&#40;high&#41;</span> do TNF-&#945; apresentou uma frequ&#234;ncia aumentada &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;04&#41; nos doentes com eritema nodoso&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclus&#245;es&#58;</span> Os resultados obtidos adicionam evid&#234;ncia ao facto de&#44; quer a classe I quer a classe II do sistema HLA influenciarem a susceptibilidade&#44; o tipo de apresenta&#231;&#227;o&#44; o grau de gravidade e a evolu&#231;&#227;o na sarcoidose&#46; Por outro lado&#44; o eritema nodoso parece relacionar-se com o gen&#243;tipo de elevada produ&#231;&#227;o de TNF-&#945;&#44; associa&#231;&#227;o esta j&#225; anteriormente descrita&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6</span>&#41;<span class="elsevierStyleBold">&#58; 727-746</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction&#58;</span> Several factors suggest a genetic predisposition to sarcoidosis&#44; namely the recognition of race as a risk factor and the occurrence of familial clustering of cases&#46; Several studies have reported an association of sarcoidosis and HLA class I and especially class II alleles in different populations&#46;</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim&#58;</span> HLA class I&#44; class II and TNF-&#945; genotyping in a group of sarcoidosis patients and its relation with clinical presentation and outcome&#46;</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Material and methods&#58;</span> A total of 104 sarcoidosis patients were included&#46; Clinical presentation&#44; functional&#44; radiology&#44; BAL findings and organ involvement were studied&#46; HLA&#8211; A&#42;&#44; -B&#42;&#44; -C&#42;&#44; DRB1&#42;&#44; DQB1&#42; and TNF-&#945; were genotyped by molecular biology methods&#46; DNA was extracted from peripheral blood and PCR-SSP and PCR-reverse hybridisation methods were used&#46; Allele frequencies were compared with controls from the same region&#46; The X<span class="elsevierStyleSup">2</span> test was used for discrete values and the Kruskal-Wallis test for continuous values&#46;</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results&#58;</span> When patients were compared with controls we noticed increased frequencies of B&#42;08 &#40;10&#46;6&#37; <span class="elsevierStyleItalic">vs</span>&#46; 6&#46;1&#37;&#41;&#44; O&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;8&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#46;1&#59;3&#46;1&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;02&#59; DRB1&#42;12 &#40;4&#46;3&#37; <span class="elsevierStyleItalic">vs</span>&#46; 1&#46;7&#37;&#41;&#44; O&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;63&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#46;1&#59;6&#46;1&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;03&#46; Patients with erythema nodosum have increased frequencies of the alleles DRB1&#42;03 &#40;28&#37; <span class="elsevierStyleItalic">vs</span>&#46; 9&#46;3&#37;&#41;&#44; R&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;39&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#46;5&#59;3&#46;8&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;01 and DQB1&#42;02 &#40;38&#37; <span class="elsevierStyleItalic">vs</span>&#46; 18&#37;&#41;&#44; R&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;1&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#46;3&#59;3&#46;3&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;02&#46; Allele DQB1&#42;03 is decreased in patients with obstructive pattern R&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;53&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;0&#46;3&#59;0&#46;9&#93;&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; Allele DRB1&#42;15 is related to restrictive pattern and reduced diffusion capacity &#40;21&#46;1&#37; <span class="elsevierStyleItalic">vs</span>&#46; 6&#46;6&#37;&#41;&#44; R&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;46&#44; C&#46;I&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#91;1&#46;35&#59;4&#46;48&#93;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;01 and &#40;18&#46;1&#37; <span class="elsevierStyleItalic">vs</span>&#46; 3&#46;8&#37;&#41;&#44; R&#46;R&#46;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>1&#46;87&#44; p<span class="elsevierStyleInf">c</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05 respectively&#46; The TNF-&#945; A&#47;A &#40;high&#41; genotype is significantly associated with erythema nodosum &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;04&#41;&#46;</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusions&#58;</span> These data add support to the genetic association of HLA class I and II with sarcoidosis in terms of susceptibility&#44; type of presentation&#44; severity and outcome&#46; Moreover as previously described in other populations&#44; the TNF-&#945; A&#47;A &#40;high&#41; genotype has a significant association with erythema nodosum&#46;</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2008&#59; XIV &#40;6&#41;&#58; 727-746</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
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        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia &#47; Bibliography</span>"
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            "bibliografiaReferencia" => array:42 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
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                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "ATS&#47;ERS&#47; WASOG Statement on Sarcoidosis"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "G&#46;W&#46; Hunninghake"
                              1 => "U&#46; Costabel"
                              2 => "M&#46; Ando"
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                      0 => array:2 [
                        "doi" => "10.1164/ajrccm.160.2.ats4-99"
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                          "tituloSerie" => "Am J Respir Crit Care Med"
                          "fecha" => "1999"
                          "volumen" => "160"
                          "paginaInicial" => "736"
                          "paginaFinal" => "755"
                          "link" => array:1 [
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                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10430755"
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                        "titulo" => "Sarcoidosis"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "M&#46;C&#46; Iannuzzi"
                              1 => "B&#46;A&#46; Rybicki"
                              2 => "A&#46;S&#46; Teirstein"
                            ]
                          ]
                        ]
                      ]
                    ]
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                      0 => array:2 [
                        "doi" => "10.1056/NEJMra071714"
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                          "tituloSerie" => "N Engl J Med"
                          "fecha" => "2007"
                          "volumen" => "357"
                          "paginaInicial" => "2153"
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                        "titulo" => "Sarcoidosis"
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                              0 => "R&#46;P&#46; Baughman"
                              1 => "E&#46;E&#46; Lower"
                              2 => "R&#46; du Bois"
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                        "doi" => "10.1016/S0140-6736(03)12888-7"
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                          "tituloSerie" => "Lancet"
                          "fecha" => "2003"
                          "volumen" => "361"
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                        "titulo" => "Genetics ofn sarcoidosis&#59; candidate genes and genome scans"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "M&#46;C&#46; Iannuzzi"
                              1 => "B&#46;A&#46; Rybicki"
                            ]
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                      0 => array:2 [
                        "doi" => "10.1513/pats.200607-141JG"
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                          "tituloSerie" => "Proc Am Thorac Soc"
                          "fecha" => "2007"
                          "volumen" => "4"
                          "paginaInicial" => "108"
                          "paginaFinal" => "116"
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                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17202299"
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                        "titulo" => "Familial aggregation of sarcoidosis&#46; A case control etiologic study of sarcoidosis &#40;ACCESS&#41;"
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                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "B&#46;A&#46; Rybicki"
                              1 => "M&#46;C&#46; Iannuzzi"
                              2 => "M&#46;M&#46; Frederick"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:4 [
                          "tituloSerie" => "Am J Repir Crit Care Med"
                          "fecha" => "2001"
                          "volumen" => "164"
                          "paginaInicial" => "2085"
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                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "The HLA System"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "J&#46; Klein"
                              1 => "A&#46; Sato"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1056/NEJM200009073431006"
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                          "tituloSerie" => "N Engl J Med"
                          "fecha" => "2000"
                          "volumen" => "343"
                          "numero" => "10"
                          "paginaInicial" => "702"
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                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10974135"
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                "identificador" => "bb0035"
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                        "titulo" => "Sarcoidosis and human leucocyte antigen class I and II genes"
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                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "B&#46;A&#46; Rybicki"
                              1 => "M&#46;C&#46; Iannuzzi"
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                      ]
                    ]
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                      0 => array:2 [
                        "doi" => "10.1164/rccm.2401005"
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                          "tituloSerie" => "Am J Respir Crit Care Med"
                          "fecha" => "2004"
                          "volumen" => "169"
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                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "HLA antigens in sarcoidosis"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "D&#46; Brewerton"
                              1 => "C&#46; Cockburn"
                              2 => "D&#46; James"
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                        ]
                      ]
                    ]
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                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Clin Exp Immunol"
                          "fecha" => "1977"
                          "volumen" => "27"
                          "paginaInicial" => "227"
                          "paginaFinal" => "229"
                          "link" => array:1 [
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                      0 => array:2 [
                        "titulo" => "HLA-B8 in sarcoidosis"
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                          0 => array:2 [
                            "etal" => true
                            "autores" => array:3 [
                              0 => "S&#46; Olenchock"
                              1 => "E&#46; Heise"
                              2 => "J&#46; Marz"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Ann Allergy"
                          "fecha" => "1981"
                          "volumen" => "47"
                          "paginaInicial" => "151"
                          "paginaFinal" => "153"
                          "link" => array:1 [
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                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6455946"
                              "web" => "Medline"
                            ]
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                    ]
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              ]
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                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "HLA antigens associated with sarcoidosis"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "K&#46; Lenhart"
                              1 => "V&#46; Kolek"
                              2 => "A&#46; Bartova"
                            ]
                          ]
                        ]
                      ]
                    ]
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ISSN: 08732159
Original language: Portuguese
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Pulmonology

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