<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000601211</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Espondilitis anquilosante. Presentación de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Ankylosing spondylitis. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mederos Sust]]></surname>
<given-names><![CDATA[Sandys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>6</numero>
<fpage>1211</fpage>
<lpage>1218</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000601211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000601211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000601211&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La espondilitis anquilosante es una enfermedad sistémica caracterizada por inflamación del esqueleto axial, las grandes articulaciones periféricas y los dedos, así como dolor, rigidez de la espalda y manifestaciones a otros niveles del organismo como puede ser en el ojo. Se presenta el caso de una paciente de 46 años de edad que acudió al Hospital Gustavo Aldereguía Lima, de Cienfuegos, por dolor lumbar y sintomatología urinaria refractaria a terapéutica habitual, por lo cual fue ingresada para estudio. Fue evaluada según su cuadro clínico y a través del empleo de exámenes complementarios, lo que permitió el diagnóstico de una espondilitis anquilosante. Se le impuso tratamiento con antinflamatorios no esteroideos y fue dada de alta médica con seguimiento por su área de salud. Por lo importante que resulta confirmar el diagnóstico temprano, antes de que ocurran deformidades irreversibles y así evitar secuelas e impotencia en los pacientes que la padecen, con lo cual se les garantiza una mayor calidad de vida, se decidió la presentación de este caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Ankylosing spondylitis is a systemic disease characterized by inflammation of the axial skeleton, large peripheral joints, and fingers, as well as pain, stiffness of the back, and manifestations at other levels of the body, such as the eye. We present the case of a 46-year-old patient who attended the Gustavo Aldereguía Lima Hospital, in Cienfuegos, due to lumbar pain and urinary symptoms refractory to usual therapy, for which she was admitted for study. She was evaluated according to her clinical picture and through the use of complementary tests, which allowed the diagnosis of ankylosing spondylitis. Treatment with non-steroidal anti-inflammatory drugs was prescribed and she was discharged with follow-up by her health area. Due to the importance of confirming the early diagnosis, before irreversible deformities occur and thus avoiding sequelae and impotence in patients who suffer from it, to guarantee them a better quality of life, it was decided to present this case.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[espondilitis anquilosante]]></kwd>
<kwd lng="es"><![CDATA[articulaciones]]></kwd>
<kwd lng="es"><![CDATA[presentación de caso]]></kwd>
<kwd lng="en"><![CDATA[spondylitis, ankylosing]]></kwd>
<kwd lng="en"><![CDATA[joints]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Martín]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[San Martín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabeu]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Espondilitis anquilosante y espondiloartritis axiales]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Belmonte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castellano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Román]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rosas]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Enfermedades Reumáticas. Actualización]]></source>
<year>2013</year>
<edition>2</edition>
<page-range>234-8</page-range><publisher-loc><![CDATA[Valencia ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad Valenciana de Reumatología]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Guadalupe]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Espondilitis anquilosante. Conceptos generales]]></article-title>
<source><![CDATA[El Residente]]></source>
<year>2013</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>106-13</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sanhueza]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Weizs]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Leiter]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Soto]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chiang]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Espondiloartritis anquilosante revisión de hallazgos imagenológicos en la columna]]></article-title>
<source><![CDATA[Rev Chil Rad]]></source>
<year>2016</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>171-83</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kasper]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Hauser]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Jameson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fauci]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Longo]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Loscalzo]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Harrison. Principios de Medicina Interna]]></source>
<year>2015</year>
<edition>19</edition>
<publisher-loc><![CDATA[México, DF ]]></publisher-loc>
<publisher-name><![CDATA[McGraw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Sociedad Española de Reumatología</collab>
<source><![CDATA[Guía de Práctica Clínica sobre el manejo de los pacientes con Espondiloartritis]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[SER]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<collab>Asociación Viguesa de Espondilíticos de Pontevedra</collab>
<source><![CDATA[La espondilitis anquilosante. Guía del Paciente]]></source>
<year>1999</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[AVIDEPO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bohórquez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Movasat]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Turrión]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Péreza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Espondiloartritis Espondilitis anquilosante]]></article-title>
<source><![CDATA[Medicine]]></source>
<year>2017</year>
<volume>12</volume>
<numero>26</numero>
<issue>26</issue>
<page-range>1485-97</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gratacós]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manifestaciones extraarticulares y complicaciones de la espondiloartritis anquilosante]]></article-title>
<source><![CDATA[Reumatol Clin]]></source>
<year>2005</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-31</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Velasco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Velasco]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Alejandro]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Villacres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jinez]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abordaje práctico de la espondiloartritis]]></article-title>
<source><![CDATA[Rev Cub Reumatol]]></source>
<year>2019</year>
<volume>21</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kontzias]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Espondilitis anquilosante. Manual MSD]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Rahway, NJ ]]></publisher-loc>
<publisher-name><![CDATA[Merck]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<collab>Sociedad Española de Reumatología</collab>
<source><![CDATA[Aprendiendo a convivir con la espondilitis anquilosante]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[SER]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Collantes]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gratacós]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mulero]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El uso de antagonistas del TNFa en las espondiloartritis, incluida la artritis psoriásica]]></article-title>
<source><![CDATA[Reumatol Clin]]></source>
<year>2007</year>
<volume>3</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>S60-70</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
