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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the publication <span class="elsevierStyleItalic">Systemic lupus erythematosus myocarditis after COVID-19</span><a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> by Sogbe et al&#46; describing a 72-year-old woman with pleuritic chest pain one week after receiving the third dose of BNT162b2 mRNA vaccine&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Serological tests for cardiotropic infections were negative&#44; but autoimmune screening revealed positive results for antinuclear antibodies at 1&#58;160 dilution&#44; anti-dsDNA&#44; and anti-histone antibodies&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Sogbe et al&#46; suggested a diagnosis of systemic lupus erythematosus with cardiac affection&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> According to Sogbe et al&#46;&#44; this is the first case report of lupus myocarditis after COVID-19 vaccination&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">It is understandable that the COVID-19 vaccine may cause a rheumatological problem&#46; However&#44; any possible background disease and co-morbidity must be ruled out&#46; It is impossible to rule out pre- or post-vaccination immunological&#47;rheumatological problems without laboratory investigation data&#46; This is a clinical problem that might go unnoticed as a side effect of vaccination due to the presence of a confounding factor&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Last&#44; but no less important&#44; silent and asymptomatic infection with COVID-19 is possible and may develop during or after vaccination&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> COVID-19 is another potential contributor to lupus myocarditis&#46;</p></span>"
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