{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:10:54Z","timestamp":1760188254287,"version":"3.38.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2003,10,1]],"date-time":"2003-10-01T00:00:00Z","timestamp":1064966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p> We report a case of neonatal lupus syndrome (NLS) in an in vitro fertilization induced triplet pregnancy. Echocardiographicsigns of myocarditiswere evident at the 21st week of gestation(w.g.) in twin I, with a subsequentdevelopmentof a complete atrioventricular(AV) block at the 25th w.g.; twin III also displayed echocardiographic signs of myocarditis at the same time. Treatment with dexamethasone (4mg\/day) was started at the 25th w.g. A complete echocardiographicregression of the myocarditis signs was achieved, while AV block was unaffected.Caesarian section was performed at the 31.5 w.g. after a premature rupture of the membranes. Complete AV block was confirmed in twin I with a heart rate of 51beats\/min that required a pacemaker implant 40 days after. Twin III developed a first-degree AV block that switched to a periodic second-degreeblock later, while twin II displayed only liver enzyme abnormalities. <\/jats:p>","DOI":"10.1191\/0961203303lu441cr","type":"journal-article","created":{"date-parts":[[2003,11,12]],"date-time":"2003-11-12T12:45:16Z","timestamp":1068641116000},"page":"775-778","source":"Crossref","is-referenced-by-count":25,"title":["Neonatal lupus: fetal myocarditis progressing to atrioventricular block in triplets"],"prefix":"10.1177","volume":"12","author":[{"given":"V","family":"Fesslova","sequence":"first","affiliation":[{"name":"Department of Cardiology, Istituti Clinici di Perfezionamento, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Mannarino","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istituti Clinici di Perfezionamento, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Salice","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istituti Clinici di Perfezionamento, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Boschetto","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istituti Clinici di Perfezionamento, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Trespidi","sequence":"additional","affiliation":[{"name":"1st Obstetric-Gynecological Clinic, Istituti Clinici di Perfezionamento,                         Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Acaia","sequence":"additional","affiliation":[{"name":"1st Obstetric-Gynecological Clinic, Istituti Clinici di Perfezionamento,                         Milan, 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