{"id":16576,"date":"2023-02-10T20:18:25","date_gmt":"2023-02-10T19:18:25","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=16576"},"modified":"2023-02-10T20:30:58","modified_gmt":"2023-02-10T19:30:58","slug":"la-sindrome-de-charcot-clinica-i-tractament","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/la-sindrome-de-charcot-clinica-i-tractament\/","title":{"rendered":"La s\u00edndrome de Charcot. Cl\u00ednica i tractament"},"content":{"rendered":"\r\n<p>La s\u00edndrome de Charcot \u00e9s una neuropatia perif\u00e8rica degenerativa, cr\u00f2nica i progressiva que afecta una o m\u00e9s articulacions perif\u00e8riques. La patologia es desenvolupa per falta de propiocepci\u00f3 sensorial i nocioceptiva normal en les innervacions de les articulacions del peu i turmell.<\/p>\r\n\r\n\r\n\r\n<p>La diabetis mellitus amb un elevat nivell de gluc\u00e8mia en sang mantingut en el temps provoca dues de les causes d&#8217;aparici\u00f3 de la neuropatia: lesi\u00f3 nerviosa i anomalies en la circulaci\u00f3 vascular. No obstant aix\u00f2, existeixen altres condicions sist\u00e8miques que la poden provocar com a neuropatia perif\u00e8rica.<\/p>\r\n\r\n\r\n\r\n<p>Sovint com a resultat d&#8217;aquesta p\u00e8rdua sensorial i el seu respectiu dany de vasos sanguinis, les articulacions del peu estan sotmeses a traumatismes i lesions repetitives que originen un efecte neurotraum\u00e0tic que danya progressivament articulacions, lligaments, cart\u00edlags i ossos.<\/p>\r\n\r\n\r\n\r\n<p>La detecci\u00f3 preco\u00e7 i l&#8217;inici de la s\u00edndrome de Charcot \u00e9s primordial a l&#8217;hora d&#8217;evitar amputacions. Per tant, \u00e9s imperatiu establir un control estricte dels pacients de risc i recon\u00e8ixer els primers signes d&#8217;artropatia en persones amb diabetis, comen\u00e7ant per l&#8217;educaci\u00f3 del pacient en inspecci\u00f3 i cures di\u00e0ries adequades i control exhaustiu de la gluc\u00e8mia.<\/p>\r\n\r\n\r\n\r\n<p>La progressi\u00f3 de la s\u00edndrome de Charcot pot oc\u00f3rrer en q\u00fcesti\u00f3 de setmanes o mesos, amb origen en un trauma menor lligat a la p\u00e8rdua de percepci\u00f3 del dolor i posici\u00f3 del peu que doni lloc a lesions repetitives en una o m\u00e9s articulacions produint que es fragmentin i es destrueixin.<\/p>\r\n\r\n\r\n\r\n<p>Els s\u00edmptomes inicials poden incloure: dolor lleu, edema, eritema, augment de temperatura local i inestabilitat articular. En etapes posteriors, luxacions i deformaci\u00f3 del peu i del turmell: col\u00b7lapse del peu medial (peu pla i peu balanc\u00ed) i deformaci\u00f3 dels dits.<\/p>\r\n\r\n\r\n\r\n<p>La pressi\u00f3 an\u00f2mala provocada per les deformacions pot produir lesions o \u00falceres que, a causa de la insensibilitat, tendeixen a fer-se m\u00e9s grans i profundes abans de ser detectades. A m\u00e9s, si la gluc\u00e8mia no est\u00e0 controlada, hi ha m\u00e9s probabilitats d&#8217;infecci\u00f3 i m\u00e9s dificultat per a combatre-la.<\/p>\r\n\r\n\r\n\r\n<p>El millor tractament \u00e9s una bona prevenci\u00f3 de complicacions. En primer lloc, rep\u00f2s de l&#8217;extremitat afectada, descarregant aix\u00ed el pes en el membre durant la fase aguda de la malaltia per a evitar fractures i \u00falceres. La immobilitzaci\u00f3 s&#8217;haur\u00e0 d&#8217;anar revisant peri\u00f2dicament sobre la base de l&#8217;edema, l&#8217;eritema i la temperatura.<\/p>\r\n\r\n\r\n\r\n<p>El tractament agut consistir\u00e0 en l&#8217;enguixat del peu i turmell amb la finalitat de disminuir la inflamaci\u00f3 i protegir els ossos. El tractament quir\u00fargic es reserva per a deformitats \u00f2ssies que impliquin m\u00e9s risc d&#8217;\u00falceres per al pacient o en fractures inestables i dislocacions que requereixin soldar efica\u00e7ment aquestes patologies.<\/p>\r\n\r\n\r\n\r\n<p>Una vegada finalitzada la fase aguda, ser\u00e0 important l&#8217;\u00fas de cal\u00e7at adequat, aix\u00ed com de suports plantars per a evitar punts de sobrec\u00e0rregues que ens poden propiciar l&#8217;aparici\u00f3 d&#8217;\u00falceres.<\/p>\r\n\r\n<p>&nbsp;<\/p>\r\n<p><!-- \/wp:post-content -->\r\n\r\n<!-- wp:image {\"id\":16538,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"1030\" height=\"679\" class=\"wp-image-16538\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-1030x679.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-1030x679.jpg 1030w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-355x234.jpg 355w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-1536x1012.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-2048x1349.jpg 2048w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-1500x988.jpg 1500w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc-2186-705x464.jpg 705w\" sizes=\"auto, (max-width: 1030px) 100vw, 1030px\" \/>\r\n<figcaption class=\"wp-element-caption\">Imatge radiol\u00f2gica del peu amb S\u00edndrome de Charcot<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16542,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"1030\" height=\"773\" class=\"wp-image-16542\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-1030x773.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-1030x773.jpg 1030w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-312x234.jpg 312w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-1536x1152.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-2048x1536.jpg 2048w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-1500x1125.jpg 1500w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc00744-705x529.jpg 705w\" sizes=\"auto, (max-width: 1030px) 100vw, 1030px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Afectaci\u00f3 del peu amb S\u00edndrome de Charcot. Observi la diferencia entre ambd\u00f3s peus.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16546,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"1030\" class=\"wp-image-16546\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-773x1030.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-773x1030.jpg 773w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-176x234.jpg 176w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-1152x1536.jpg 1152w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-1536x2048.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-1125x1500.jpg 1125w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-529x705.jpg 529w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/dsc09640-scaled.jpg 1920w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Afectaci\u00f3 dels radis externs del peu amb S\u00edndrome de Charcot.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16550,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"1030\" height=\"844\" class=\"wp-image-16550\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/i9274306-1030x844.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/i9274306-1030x844.jpg 1030w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/i9274306-286x234.jpg 286w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/i9274306-705x577.jpg 705w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/i9274306.jpg 1465w\" sizes=\"auto, (max-width: 1030px) 100vw, 1030px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Ulcera plantar deguda a la malformaci\u00f3 \u00f3sea.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16554,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"1030\" class=\"wp-image-16554\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-773x1030.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-773x1030.jpg 773w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-176x234.jpg 176w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-1152x1536.jpg 1152w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-1536x2048.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-1125x1500.jpg 1125w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-529x705.jpg 529w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6038-scaled.jpg 1920w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Imatge de perfil del peu amb S\u00edndrome de Charcot. Observi les prominencies \u00f3seas.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16558,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"1030\" class=\"wp-image-16558\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-773x1030.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-773x1030.jpg 773w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-176x234.jpg 176w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-1152x1536.jpg 1152w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-1536x2048.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-1125x1500.jpg 1125w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-529x705.jpg 529w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6039-scaled.jpg 1920w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Visi\u00f3 posterior del peu amb S\u00edndrome de Charcot.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16562,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"1030\" height=\"822\" class=\"wp-image-16562\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-1030x822.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-1030x822.jpg 1030w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-293x234.jpg 293w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-1536x1226.jpg 1536w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-2048x1635.jpg 2048w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-1500x1197.jpg 1500w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/img-6040-705x563.jpg 705w\" sizes=\"auto, (max-width: 1030px) 100vw, 1030px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Petjada plantar amb afectaci\u00f3 de Charcot. Observi la mala distribuci\u00f3 de cargas plantars.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:image {\"id\":16566,\"sizeSlug\":\"large\",\"linkDestination\":\"none\"} --><\/p>\r\n<figure class=\"wp-block-image size-large\"><img  title=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\" loading=\"lazy\" decoding=\"async\" width=\"773\" height=\"1030\" class=\"wp-image-16566\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-773x1030.jpg\"  alt=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament\"  srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-773x1030.jpg 773w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-176x234.jpg 176w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-1152x1536.jpg 1152w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-1125x1500.jpg 1125w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808-529x705.jpg 529w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/lsns4808.jpg 1200w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" \/>\r\n<p>&nbsp;<\/p>\r\n<figcaption class=\"wp-element-caption\">Ulcera plantar provocada per remodelaci\u00f3 \u00f3sea.<\/figcaption>\r\n<\/figure>\r\n<p><!-- \/wp:image -->\r\n\r\n<!-- wp:paragraph --><\/p>","protected":false},"excerpt":{"rendered":"<p>La s\u00edndrome de Charcot \u00e9s una neuropatia perif\u00e8rica degenerativa, cr\u00f2nica i progressiva que afecta una o m\u00e9s articulacions perif\u00e8riques. La patologia es desenvolupa per falta de propiocepci\u00f3 sensorial i nocioceptiva normal en les innervacions de les articulacions del peu i turmell. La diabetis mellitus amb un elevat nivell de gluc\u00e8mia en sang mantingut en el [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":16583,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[276,293,346,306,307],"tags":[],"class_list":["post-16576","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alteracions-dermatologiques","category-divulgacio","category-icp-ca","category-patologia-ca","category-peu-diabetic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>La s\u00edndrome de Charcot. Cl\u00ednica i tractament - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La s\u00edndrome de Charcot. Cl\u00ednica i tractament - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"La s\u00edndrome de Charcot \u00e9s una neuropatia perif\u00e8rica degenerativa, cr\u00f2nica i progressiva que afecta una o m\u00e9s articulacions perif\u00e8riques. La patologia es desenvolupa per falta de propiocepci\u00f3 sensorial i nocioceptiva normal en les innervacions de les articulacions del peu i turmell. La diabetis mellitus amb un elevat nivell de gluc\u00e8mia en sang mantingut en el [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/ca\/la-sindrome-de-charcot-clinica-i-tractament\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-10T19:18:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-10T19:30:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2023\/02\/portada-1-2-rotated.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"768\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Miguel \u00c1ngel Ba\u00f1os Bernad\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/la-sindrome-de-charcot-clinica-i-tractament\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/la-sindrome-de-charcot-clinica-i-tractament\\\/\"},\"author\":{\"name\":\"Miguel \u00c1ngel Ba\u00f1os Bernad\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/d2ccc8088f9445f3e2758c2a60caf354\"},\"headline\":\"La s\u00edndrome de Charcot. 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