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First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)

Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. Patients with SLE in Latin America face special problems that should be considered when therapeutic guidelines are developed. The objective of the...

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Autores principales: Pons-Estel, Bernardo A, Bonfa, Eloisa, Soriano, Enrique R, Cardiel, Mario H, Izcovich, Ariel, Popoff, Federico, Criniti, Juan M, Vásquez, Gloria, Massardo, Loreto, Duarte, Margarita, Barile-Fabris, Leonor A, García, Mercedes A, Amigo, Mary-Carmen, Espada, Graciela, Catoggio, Luis J, Sato, Emilia Inoue, Levy, Roger A, Acevedo Vásquez, Eduardo M, Chacón-Díaz, Rosa, Galarza-Maldonado, Claudio M, Iglesias Gamarra, Antonio J, Molina, José Fernando, Neira, Oscar, Silva, Clóvis A, Vargas Peña, Andrea, Gómez-Puerta, José A, Scolnik, Marina, Pons-Estel, Guillermo J, Ugolini-Lopes, Michelle R, Savio, Verónica, Drenkard, Cristina, Alvarellos, Alejandro J, Ugarte-Gil, Manuel F, Babini, Alejandra, Cavalcanti, André, Cardoso Linhares, Fernanda Athayde, Haye Salinas, Maria Jezabel, Fuentes-Silva, Yurilis J, Montandon de Oliveira e Silva, Ana Carolina, Eraso Garnica, Ruth M, Herrera Uribe, Sebastián, Gómez-Martín, Diana, Robaina Sevrini, Ricardo, Quintana, Rosana M, Gordon, Sergio, Fragoso-Loyo, Hilda, Rosario, Violeta, Saurit, Verónica, Appenzeller, Simone, dos Reis Neto, Edgard Torres, Cieza, Jorge, González Naranjo, Luis A, González Bello, Yelitza C, Collado, María Victoria, Sarano, Judith, Retamozo, Soledad, Sattler, María E, Gamboa-Cárdenas, Rocio V, Cairoli, Ernesto, Conti, Silvana M, Amezcua-Guerra, Luis M, Silveira, Luis H, Borba, Eduardo F, Pera, Mariana A, Alba Moreyra, Paula B, Arturi, Valeria, Berbotto, Guillermo A, Gerling, Cristian, Gobbi, Carla A, Gervasoni, Viviana L, Scherbarth, Hugo R, Brenol, João C Tavares, Cavalcanti, Fernando, Costallat, Lilian T Lavras, Da Silva, Nilzio A, Monticielo, Odirlei A, Seguro, Luciana Parente Costa, Xavier, Ricardo M, Llanos, Carolina, Montúfar Guardado, Rubén A, Garcia de la Torre, Ignacio, Pineda, Carlos, Portela Hernández, Margarita, Danza, Alvaro, Guibert-Toledano, Marlene, Reyes, Gil Llerena, Acosta Colman, Maria Isabel, Aquino, Alicia M, Mora-Trujillo, Claudia S, Muñoz-Louis, Roberto, García Valladares, Ignacio, Orozco, María Celeste, Burgos, Paula I, Betancur, Graciela V, Alarcón, Graciela S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225798/
https://www.ncbi.nlm.nih.gov/pubmed/30045853
http://dx.doi.org/10.1136/annrheumdis-2018-213512
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author Pons-Estel, Bernardo A
Bonfa, Eloisa
Soriano, Enrique R
Cardiel, Mario H
Izcovich, Ariel
Popoff, Federico
Criniti, Juan M
Vásquez, Gloria
Massardo, Loreto
Duarte, Margarita
Barile-Fabris, Leonor A
García, Mercedes A
Amigo, Mary-Carmen
Espada, Graciela
Catoggio, Luis J
Sato, Emilia Inoue
Levy, Roger A
Acevedo Vásquez, Eduardo M
Chacón-Díaz, Rosa
Galarza-Maldonado, Claudio M
Iglesias Gamarra, Antonio J
Molina, José Fernando
Neira, Oscar
Silva, Clóvis A
Vargas Peña, Andrea
Gómez-Puerta, José A
Scolnik, Marina
Pons-Estel, Guillermo J
Ugolini-Lopes, Michelle R
Savio, Verónica
Drenkard, Cristina
Alvarellos, Alejandro J
Ugarte-Gil, Manuel F
Babini, Alejandra
Cavalcanti, André
Cardoso Linhares, Fernanda Athayde
Haye Salinas, Maria Jezabel
Fuentes-Silva, Yurilis J
Montandon de Oliveira e Silva, Ana Carolina
Eraso Garnica, Ruth M
Herrera Uribe, Sebastián
Gómez-Martín, Diana
Robaina Sevrini, Ricardo
Quintana, Rosana M
Gordon, Sergio
Fragoso-Loyo, Hilda
Rosario, Violeta
Saurit, Verónica
Appenzeller, Simone
dos Reis Neto, Edgard Torres
Cieza, Jorge
González Naranjo, Luis A
González Bello, Yelitza C
Collado, María Victoria
Sarano, Judith
Retamozo, Soledad
Sattler, María E
Gamboa-Cárdenas, Rocio V
Cairoli, Ernesto
Conti, Silvana M
Amezcua-Guerra, Luis M
Silveira, Luis H
Borba, Eduardo F
Pera, Mariana A
Alba Moreyra, Paula B
Arturi, Valeria
Berbotto, Guillermo A
Gerling, Cristian
Gobbi, Carla A
Gervasoni, Viviana L
Scherbarth, Hugo R
Brenol, João C Tavares
Cavalcanti, Fernando
Costallat, Lilian T Lavras
Da Silva, Nilzio A
Monticielo, Odirlei A
Seguro, Luciana Parente Costa
Xavier, Ricardo M
Llanos, Carolina
Montúfar Guardado, Rubén A
Garcia de la Torre, Ignacio
Pineda, Carlos
Portela Hernández, Margarita
Danza, Alvaro
Guibert-Toledano, Marlene
Reyes, Gil Llerena
Acosta Colman, Maria Isabel
Aquino, Alicia M
Mora-Trujillo, Claudia S
Muñoz-Louis, Roberto
García Valladares, Ignacio
Orozco, María Celeste
Burgos, Paula I
Betancur, Graciela V
Alarcón, Graciela S
author_facet Pons-Estel, Bernardo A
Bonfa, Eloisa
Soriano, Enrique R
Cardiel, Mario H
Izcovich, Ariel
Popoff, Federico
Criniti, Juan M
Vásquez, Gloria
Massardo, Loreto
Duarte, Margarita
Barile-Fabris, Leonor A
García, Mercedes A
Amigo, Mary-Carmen
Espada, Graciela
Catoggio, Luis J
Sato, Emilia Inoue
Levy, Roger A
Acevedo Vásquez, Eduardo M
Chacón-Díaz, Rosa
Galarza-Maldonado, Claudio M
Iglesias Gamarra, Antonio J
Molina, José Fernando
Neira, Oscar
Silva, Clóvis A
Vargas Peña, Andrea
Gómez-Puerta, José A
Scolnik, Marina
Pons-Estel, Guillermo J
Ugolini-Lopes, Michelle R
Savio, Verónica
Drenkard, Cristina
Alvarellos, Alejandro J
Ugarte-Gil, Manuel F
Babini, Alejandra
Cavalcanti, André
Cardoso Linhares, Fernanda Athayde
Haye Salinas, Maria Jezabel
Fuentes-Silva, Yurilis J
Montandon de Oliveira e Silva, Ana Carolina
Eraso Garnica, Ruth M
Herrera Uribe, Sebastián
Gómez-Martín, Diana
Robaina Sevrini, Ricardo
Quintana, Rosana M
Gordon, Sergio
Fragoso-Loyo, Hilda
Rosario, Violeta
Saurit, Verónica
Appenzeller, Simone
dos Reis Neto, Edgard Torres
Cieza, Jorge
González Naranjo, Luis A
González Bello, Yelitza C
Collado, María Victoria
Sarano, Judith
Retamozo, Soledad
Sattler, María E
Gamboa-Cárdenas, Rocio V
Cairoli, Ernesto
Conti, Silvana M
Amezcua-Guerra, Luis M
Silveira, Luis H
Borba, Eduardo F
Pera, Mariana A
Alba Moreyra, Paula B
Arturi, Valeria
Berbotto, Guillermo A
Gerling, Cristian
Gobbi, Carla A
Gervasoni, Viviana L
Scherbarth, Hugo R
Brenol, João C Tavares
Cavalcanti, Fernando
Costallat, Lilian T Lavras
Da Silva, Nilzio A
Monticielo, Odirlei A
Seguro, Luciana Parente Costa
Xavier, Ricardo M
Llanos, Carolina
Montúfar Guardado, Rubén A
Garcia de la Torre, Ignacio
Pineda, Carlos
Portela Hernández, Margarita
Danza, Alvaro
Guibert-Toledano, Marlene
Reyes, Gil Llerena
Acosta Colman, Maria Isabel
Aquino, Alicia M
Mora-Trujillo, Claudia S
Muñoz-Louis, Roberto
García Valladares, Ignacio
Orozco, María Celeste
Burgos, Paula I
Betancur, Graciela V
Alarcón, Graciela S
author_sort Pons-Estel, Bernardo A
collection PubMed
description Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. Patients with SLE in Latin America face special problems that should be considered when therapeutic guidelines are developed. The objective of the study is to develop clinical practice guidelines for Latin American patients with lupus. Two independent teams (rheumatologists with experience in lupus management and methodologists) had an initial meeting in Panama City, Panama, in April 2016. They selected a list of questions for the clinical problems most commonly seen in Latin American patients with SLE. These were addressed with the best available evidence and summarised in a standardised format following the Grading of Recommendations Assessment, Development and Evaluation approach. All preliminary findings were discussed in a second face-to-face meeting in Washington, DC, in November 2016. As a result, nine organ/system sections are presented with the main findings; an ‘overarching’ treatment approach was added. Special emphasis was made on regional implementation issues. Best pharmacologic options were examined for musculoskeletal, mucocutaneous, kidney, cardiac, pulmonary, neuropsychiatric, haematological manifestations and the antiphospholipid syndrome. The roles of main therapeutic options (ie, glucocorticoids, antimalarials, immunosuppressant agents, therapeutic plasma exchange, belimumab, rituximab, abatacept, low-dose aspirin and anticoagulants) were summarised in each section. In all cases, benefits and harms, certainty of the evidence, values and preferences, feasibility, acceptability and equity issues were considered to produce a recommendation with special focus on ethnic and socioeconomic aspects. Guidelines for Latin American patients with lupus have been developed and could be used in similar settings.
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spelling pubmed-62257982018-11-23 First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR) Pons-Estel, Bernardo A Bonfa, Eloisa Soriano, Enrique R Cardiel, Mario H Izcovich, Ariel Popoff, Federico Criniti, Juan M Vásquez, Gloria Massardo, Loreto Duarte, Margarita Barile-Fabris, Leonor A García, Mercedes A Amigo, Mary-Carmen Espada, Graciela Catoggio, Luis J Sato, Emilia Inoue Levy, Roger A Acevedo Vásquez, Eduardo M Chacón-Díaz, Rosa Galarza-Maldonado, Claudio M Iglesias Gamarra, Antonio J Molina, José Fernando Neira, Oscar Silva, Clóvis A Vargas Peña, Andrea Gómez-Puerta, José A Scolnik, Marina Pons-Estel, Guillermo J Ugolini-Lopes, Michelle R Savio, Verónica Drenkard, Cristina Alvarellos, Alejandro J Ugarte-Gil, Manuel F Babini, Alejandra Cavalcanti, André Cardoso Linhares, Fernanda Athayde Haye Salinas, Maria Jezabel Fuentes-Silva, Yurilis J Montandon de Oliveira e Silva, Ana Carolina Eraso Garnica, Ruth M Herrera Uribe, Sebastián Gómez-Martín, Diana Robaina Sevrini, Ricardo Quintana, Rosana M Gordon, Sergio Fragoso-Loyo, Hilda Rosario, Violeta Saurit, Verónica Appenzeller, Simone dos Reis Neto, Edgard Torres Cieza, Jorge González Naranjo, Luis A González Bello, Yelitza C Collado, María Victoria Sarano, Judith Retamozo, Soledad Sattler, María E Gamboa-Cárdenas, Rocio V Cairoli, Ernesto Conti, Silvana M Amezcua-Guerra, Luis M Silveira, Luis H Borba, Eduardo F Pera, Mariana A Alba Moreyra, Paula B Arturi, Valeria Berbotto, Guillermo A Gerling, Cristian Gobbi, Carla A Gervasoni, Viviana L Scherbarth, Hugo R Brenol, João C Tavares Cavalcanti, Fernando Costallat, Lilian T Lavras Da Silva, Nilzio A Monticielo, Odirlei A Seguro, Luciana Parente Costa Xavier, Ricardo M Llanos, Carolina Montúfar Guardado, Rubén A Garcia de la Torre, Ignacio Pineda, Carlos Portela Hernández, Margarita Danza, Alvaro Guibert-Toledano, Marlene Reyes, Gil Llerena Acosta Colman, Maria Isabel Aquino, Alicia M Mora-Trujillo, Claudia S Muñoz-Louis, Roberto García Valladares, Ignacio Orozco, María Celeste Burgos, Paula I Betancur, Graciela V Alarcón, Graciela S Ann Rheum Dis Recommendation Systemic lupus erythematosus (SLE), a complex and heterogeneous autoimmune disease, represents a significant challenge for both diagnosis and treatment. Patients with SLE in Latin America face special problems that should be considered when therapeutic guidelines are developed. The objective of the study is to develop clinical practice guidelines for Latin American patients with lupus. Two independent teams (rheumatologists with experience in lupus management and methodologists) had an initial meeting in Panama City, Panama, in April 2016. They selected a list of questions for the clinical problems most commonly seen in Latin American patients with SLE. These were addressed with the best available evidence and summarised in a standardised format following the Grading of Recommendations Assessment, Development and Evaluation approach. All preliminary findings were discussed in a second face-to-face meeting in Washington, DC, in November 2016. As a result, nine organ/system sections are presented with the main findings; an ‘overarching’ treatment approach was added. Special emphasis was made on regional implementation issues. Best pharmacologic options were examined for musculoskeletal, mucocutaneous, kidney, cardiac, pulmonary, neuropsychiatric, haematological manifestations and the antiphospholipid syndrome. The roles of main therapeutic options (ie, glucocorticoids, antimalarials, immunosuppressant agents, therapeutic plasma exchange, belimumab, rituximab, abatacept, low-dose aspirin and anticoagulants) were summarised in each section. In all cases, benefits and harms, certainty of the evidence, values and preferences, feasibility, acceptability and equity issues were considered to produce a recommendation with special focus on ethnic and socioeconomic aspects. Guidelines for Latin American patients with lupus have been developed and could be used in similar settings. BMJ Publishing Group 2018-11 2018-07-25 /pmc/articles/PMC6225798/ /pubmed/30045853 http://dx.doi.org/10.1136/annrheumdis-2018-213512 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Recommendation
Pons-Estel, Bernardo A
Bonfa, Eloisa
Soriano, Enrique R
Cardiel, Mario H
Izcovich, Ariel
Popoff, Federico
Criniti, Juan M
Vásquez, Gloria
Massardo, Loreto
Duarte, Margarita
Barile-Fabris, Leonor A
García, Mercedes A
Amigo, Mary-Carmen
Espada, Graciela
Catoggio, Luis J
Sato, Emilia Inoue
Levy, Roger A
Acevedo Vásquez, Eduardo M
Chacón-Díaz, Rosa
Galarza-Maldonado, Claudio M
Iglesias Gamarra, Antonio J
Molina, José Fernando
Neira, Oscar
Silva, Clóvis A
Vargas Peña, Andrea
Gómez-Puerta, José A
Scolnik, Marina
Pons-Estel, Guillermo J
Ugolini-Lopes, Michelle R
Savio, Verónica
Drenkard, Cristina
Alvarellos, Alejandro J
Ugarte-Gil, Manuel F
Babini, Alejandra
Cavalcanti, André
Cardoso Linhares, Fernanda Athayde
Haye Salinas, Maria Jezabel
Fuentes-Silva, Yurilis J
Montandon de Oliveira e Silva, Ana Carolina
Eraso Garnica, Ruth M
Herrera Uribe, Sebastián
Gómez-Martín, Diana
Robaina Sevrini, Ricardo
Quintana, Rosana M
Gordon, Sergio
Fragoso-Loyo, Hilda
Rosario, Violeta
Saurit, Verónica
Appenzeller, Simone
dos Reis Neto, Edgard Torres
Cieza, Jorge
González Naranjo, Luis A
González Bello, Yelitza C
Collado, María Victoria
Sarano, Judith
Retamozo, Soledad
Sattler, María E
Gamboa-Cárdenas, Rocio V
Cairoli, Ernesto
Conti, Silvana M
Amezcua-Guerra, Luis M
Silveira, Luis H
Borba, Eduardo F
Pera, Mariana A
Alba Moreyra, Paula B
Arturi, Valeria
Berbotto, Guillermo A
Gerling, Cristian
Gobbi, Carla A
Gervasoni, Viviana L
Scherbarth, Hugo R
Brenol, João C Tavares
Cavalcanti, Fernando
Costallat, Lilian T Lavras
Da Silva, Nilzio A
Monticielo, Odirlei A
Seguro, Luciana Parente Costa
Xavier, Ricardo M
Llanos, Carolina
Montúfar Guardado, Rubén A
Garcia de la Torre, Ignacio
Pineda, Carlos
Portela Hernández, Margarita
Danza, Alvaro
Guibert-Toledano, Marlene
Reyes, Gil Llerena
Acosta Colman, Maria Isabel
Aquino, Alicia M
Mora-Trujillo, Claudia S
Muñoz-Louis, Roberto
García Valladares, Ignacio
Orozco, María Celeste
Burgos, Paula I
Betancur, Graciela V
Alarcón, Graciela S
First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title_full First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title_fullStr First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title_full_unstemmed First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title_short First Latin American clinical practice guidelines for the treatment of systemic lupus erythematosus: Latin American Group for the Study of Lupus (GLADEL, Grupo Latino Americano de Estudio del Lupus)–Pan-American League of Associations of Rheumatology (PANLAR)
title_sort first latin american clinical practice guidelines for the treatment of systemic lupus erythematosus: latin american group for the study of lupus (gladel, grupo latino americano de estudio del lupus)–pan-american league of associations of rheumatology (panlar)
topic Recommendation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6225798/
https://www.ncbi.nlm.nih.gov/pubmed/30045853
http://dx.doi.org/10.1136/annrheumdis-2018-213512
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AT ugolinilopesmicheller firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT savioveronica firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT drenkardcristina firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT alvarellosalejandroj firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT ugartegilmanuelf firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT babinialejandra firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT cavalcantiandre firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT cardosolinharesfernandaathayde firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT hayesalinasmariajezabel firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT fuentessilvayurilisj firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT montandondeoliveiraesilvaanacarolina firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT erasogarnicaruthm firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT herrerauribesebastian firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gomezmartindiana firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT robainasevriniricardo firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT quintanarosanam firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gordonsergio firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT fragosoloyohilda firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT rosariovioleta firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT sauritveronica firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT appenzellersimone firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT dosreisnetoedgardtorres firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT ciezajorge firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gonzaleznaranjoluisa firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gonzalezbelloyelitzac firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT colladomariavictoria firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT saranojudith firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT retamozosoledad firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT sattlermariae firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gamboacardenasrociov firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT cairoliernesto firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT contisilvanam firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT amezcuaguerraluism firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT silveiraluish firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT borbaeduardof firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT peramarianaa firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT albamoreyrapaulab firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT arturivaleria firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT berbottoguillermoa firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gerlingcristian firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gobbicarlaa firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT gervasonivivianal firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT scherbarthhugor firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT brenoljoaoctavares firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT cavalcantifernando firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT costallatliliantlavras firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT dasilvanilzioa firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT monticieloodirleia firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT segurolucianaparentecosta firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT xavierricardom firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT llanoscarolina firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT montufarguardadorubena firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT garciadelatorreignacio firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT pinedacarlos firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT portelahernandezmargarita firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT danzaalvaro firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT guiberttoledanomarlene firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT reyesgilllerena firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT acostacolmanmariaisabel firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT aquinoaliciam firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT moratrujilloclaudias firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT munozlouisroberto firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT garciavalladaresignacio firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT orozcomariaceleste firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT burgospaulai firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT betancurgracielav firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar
AT alarcongracielas firstlatinamericanclinicalpracticeguidelinesforthetreatmentofsystemiclupuserythematosuslatinamericangroupforthestudyoflupusgladelgrupolatinoamericanodeestudiodellupuspanamericanleagueofassociationsofrheumatologypanlar