{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:13:30Z","timestamp":1761664410147,"version":"build-2065373602"},"reference-count":14,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Reumatolog\u00eda Cl\u00ednica"],"published-print":{"date-parts":[[2020,11]]},"DOI":"10.1016\/j.reuma.2018.08.013","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T09:43:42Z","timestamp":1543830222000},"page":"502-505","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Coexistencia de lupus eritematoso sist\u00e9mico y miastenia gravis. Una expresi\u00f3n infrecuente de poliautoinmunidad"],"prefix":"10.1016","volume":"16","author":[{"given":"Carolina","family":"Garc\u00eda-Alfonso","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Bernal-Mac\u00edas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulieth","family":"Garc\u00eda-Pardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia Patricia","family":"Mill\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda-Claudia","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.reuma.2018.08.013_bib0075","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1007\/s12016-012-8317-z","article-title":"The multiple autoimmune syndromes. A clue for the autoimmune tautology","volume":"43","author":"Anaya","year":"2012","journal-title":"Clin Rev Allergy Immunol."},{"key":"10.1016\/j.reuma.2018.08.013_bib0080","first-page":"254319","article-title":"Introducing polyautoimmunity: Secondary autoimmune diseases no longer exist","volume":"1","author":"Rojas-Villarraga","year":"2012","journal-title":"Autoimmune Dis."},{"key":"10.1016\/j.reuma.2018.08.013_bib0085","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S0025-7753(00)71529-6","article-title":"[Diagnosis and treatment of myasthenia gravis]","volume":"115","author":"Ponseti","year":"2000","journal-title":"Med Clin (Barc)."},{"key":"10.1016\/j.reuma.2018.08.013_bib0090","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1007\/s10067-005-0099-8","article-title":"Myasthenia gravis and systemic lupus erythematosus: Truly associated or coincidental \u2014two case reports and review of the literature","volume":"25","author":"Bhinder","year":"2006","journal-title":"Clin Rheumatol."},{"key":"10.1016\/j.reuma.2018.08.013_bib0095","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1016\/S0140-6736(07)60279-7","article-title":"Systemic lupus erythematosus","volume":"369","author":"D\u2019Cruz","year":"2007","journal-title":"Lancet"},{"issue":"5-6","key":"10.1016\/j.reuma.2018.08.013_bib0100","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1159\/000365568","article-title":"The course of myasthenia gravis with systemic lupus erythematosus","volume":"72","author":"Bekircan-Kurt","year":"2014","journal-title":"Eur Neurol."},{"key":"10.1016\/j.reuma.2018.08.013_bib0105","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3109\/00207454.2010.539307","article-title":"Frequency of autoimmune diseases in myasthenia gravis: A systematic review","volume":"121","author":"Mao","year":"2011","journal-title":"Int J Neurosci."},{"key":"10.1016\/j.reuma.2018.08.013_bib0110","doi-asserted-by":"crossref","first-page":"472","DOI":"10.3889\/oamjms.2018.110","article-title":"Myasthenia gravis and associated diseases","volume":"6","author":"Tanovska","year":"2018","journal-title":"Open access Maced J Med Sci."},{"key":"10.1016\/j.reuma.2018.08.013_bib0115","first-page":"289","article-title":"Systemic lupus erythematosus with muscle weakness due to myasthenia gravis","volume":"51","author":"De Sousa Studart","year":"2011","journal-title":"Rev Bras Reumatol."},{"key":"10.1016\/j.reuma.2018.08.013_bib0120","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.autrev.2009.10.001","article-title":"Factors influencing polyautoimmunity in systemic lupus erythematosus","volume":"9","author":"Rojas-Villarraga","year":"2010","journal-title":"Autoimmun Rev."},{"key":"10.1016\/j.reuma.2018.08.013_bib0125","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1111\/j.1600-0404.1989.tb03881.x","article-title":"Associated disorders in myasthenia gravis: Autoimmune diseases and their relation to thymectomy","volume":"80","author":"Thorlacius","year":"1989","journal-title":"Acta Neurol Scand."},{"key":"10.1016\/j.reuma.2018.08.013_bib0130","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1007\/s00415-011-6335-z","article-title":"The association of systemic lupus erythematosus and myasthenia gravis: A series of 17 cases, with a special focus on hydroxychloroquine use and a review of the literature","volume":"259","author":"Jallouli","year":"2012","journal-title":"J Neurol."},{"key":"10.1016\/j.reuma.2018.08.013_bib0135","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1002\/art.20999","article-title":"Familial aggregation of systemic lupus erythematosus, rheumatoid arthritis, and other autoimmune diseases in 1,177 lupus patients from the GLADEL cohort","volume":"52","author":"Alarc\u00f3n-Segovia","year":"2005","journal-title":"Arthritis Rheum."},{"key":"10.1016\/j.reuma.2018.08.013_bib0140","doi-asserted-by":"crossref","first-page":"527","DOI":"10.2147\/CLEP.S146617","article-title":"Familial aggregation of myasthenia gravis in affected families: A population-based study","volume":"9","author":"Liu","year":"2017","journal-title":"Clin Epidemiol."}],"container-title":["Reumatolog\u00eda Cl\u00ednica"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1699258X18301931?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1699258X18301931?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T14:59:57Z","timestamp":1761663597000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1699258X18301931"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["S1699258X18301931"],"URL":"https:\/\/doi.org\/10.1016\/j.reuma.2018.08.013","relation":{},"ISSN":["1699-258X"],"issn-type":[{"type":"print","value":"1699-258X"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Coexistencia de lupus eritematoso sist\u00e9mico y miastenia gravis. Una expresi\u00f3n infrecuente de poliautoinmunidad","name":"articletitle","label":"Article Title"},{"value":"Reumatolog\u00eda Cl\u00ednica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.reuma.2018.08.013","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Espa\u00f1a, S.L.U. and Sociedad Espa\u00f1ola de Reumatolog\u00eda y Colegio Mexicano de Reumatolog\u00eda. All rights reserved.","name":"copyright","label":"Copyright"}]}}