<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192019000300460</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manifestaciones maxilofaciales en pacientes con artritis reumatoide]]></article-title>
<article-title xml:lang="en"><![CDATA[Maxillofacial manifestations in patients with rheumatoid arthritis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alemán Miranda]]></surname>
<given-names><![CDATA[Otto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aput Noya]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Rodríguez]]></surname>
<given-names><![CDATA[Yamila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jardón Caballero]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nápoles Pastoriza]]></surname>
<given-names><![CDATA[Dainara Danila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Provincial Clinicoquirúrgico Docente Saturnino Lora Torres, ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica Estomatológica del Ministerio del Interior  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas Facultad de Estomatología ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>3</numero>
<fpage>460</fpage>
<lpage>467</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192019000300460&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192019000300460&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192019000300460&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La artritis reumatoide es una enfermedad sistémica crónica inflamatoria que se caracteriza por una reacción autoinmune y puede producir manifestaciones bucofaciales.  Objetivo:  Describir las manifestaciones maxilofaciales de la artritis reumatoide.  Métodos:  Se realizó un estudio observacional, descriptivo, de serie de casos, de 25 pacientes con artritis reumatoide, seleccionados por el método aleatorio simple, ingresados en el Servicio de Reumatología del Hospital Provincial Clinicoquirúrgico Docente Saturnino Lora Torres de Santiago de Cuba, de septiembre de 2016 a febrero de 2017, a los cuales se les efectuó un examen físico detallado intra- y extrabucal.  Resultados:  La localización intrabucal donde existieron más manifestaciones fue el periodonto de protección (84,0 %), seguido del periodonto de inserción (40,0 %). En cuanto a las manifestaciones extrabucales, fueron escasas, con un leve predominio de afectación en la región parotídea (32,0 %). La mayoría de la serie presentó alteraciones de la articulación temporomandibular (80,0 %) y periodontopatías (84,0 %); en tanto, una minoría padeció ulceraciones y manchas negras (con 12,0 %, respectivamente).  Conclusiones:  En esta investigación se identificaron grandes afectaciones del complejo bucal, como periodontopatías, alteraciones de la articulación temporomandibular, entre otras, que pueden influir negativamente en la calidad de vida de estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Rheumatoid arthritis is a systemic inflammatory chronic disease characterized by an autoimmune reaction and it can produce oral and facial manifestations.  Objective:  To describe the maxillofacial manifestations of the rheumatoid arthritis.  Methods:  An observational, descriptive series of cases study, of 25 patients with rheumatoid arthritis, randomly selected, who were admitted in the Rheumatology Service of Saturnino Lora Torres Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba was carried out, from September, 2016 to February, 2017, to whom an intraoral and extraoral detailed physical examination was made.  Results:  The intraoral localization where more manifestations existed was the protection periodonto (84.0 %), followed by the insertion periodonto (40.0 %). As for the extraoral manifestations, they were scarce, with a mild prevalence of damage in the parotid region (32.0 %). Most of the series presented temporomandibular joint changes (80.0 %) and periodontopathies (84.0 %); while a small minority suffered ulcerations and black stains (with 12.0 % each).  Conclusions: In this investigation considerable changes of the oral complex were identified, such as periodontopathies, changes of the temporomandibular joint, among other that can influence negatively in the life quality of these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[artritis reumatoide]]></kwd>
<kwd lng="es"><![CDATA[manifestaciones maxilofaciales]]></kwd>
<kwd lng="es"><![CDATA[alteraciones de la articulación temporomandibular]]></kwd>
<kwd lng="es"><![CDATA[periodontopatías]]></kwd>
<kwd lng="en"><![CDATA[rheumatoid arthritis]]></kwd>
<kwd lng="en"><![CDATA[maxillofacial manifestations]]></kwd>
<kwd lng="en"><![CDATA[changes of the temporomandibular joint]]></kwd>
<kwd lng="en"><![CDATA[periodontopathies]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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