<?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>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962018000200009</article-id>
<article-id pub-id-type="doi">10.5281/zenodo.1183352</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Necrosis avascular de la cabeza femoral en un paciente con gota]]></article-title>
<article-title xml:lang="en"><![CDATA[Avascular necrosis of the femoral head in a patient with gout]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solis Cartas]]></surname>
<given-names><![CDATA[Urbano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bejarano]]></surname>
<given-names><![CDATA[Silvia Calvopina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés González]]></surname>
<given-names><![CDATA[Jorge Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre Saimeda]]></surname>
<given-names><![CDATA[Gladys Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Chimborazo Escuela Superior Politécnica de Chimborazo ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>20</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962018000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962018000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962018000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La gota es una enfermedad inflamatoria que se produce por trastornos en el metabolismo del ácido úrico. Afecta principalmente a pacientes del sexo masculino con predominio de aparición por encima de los 50 años de edad. El cuadro clínico se caracteriza por la presencia de un síndrome inflamatorio monoartiular con predilección por los miembros inferiores; sus principales complicaciones están dadas por afectación renal de diversa índole. La necrosis avascular de una o ambas cabezas femorales es una infrecuente complicación que puede deberse a múltiples causas, entre las que cuentan de manera significativas los antecedentes de traumas, la presencia de enfermedades reumáticas u otras afecciones que impliquen compromiso de la pequeña circulación. En esta ocasión se presenta el caso de un paciente masculino de 57 años de edad, con diagnóstico de gota de 6 años de evolución que se le realiza el diagnóstico de necrosis avascular de cabeza femoral izquierda.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Gout is an inflammatory disease that is caused by disorders in the metabolism of uric acid. It mainly affects male patients with a predominance of over 50 years of age. The clinical picture is characterized by the presence of a monoarticular inflammatory syndrome with a predilection for the lower limbs; Its main complications are due to kidney involvement of various kinds. The avascular necrosis of one or both femoral heads is an infrequent complication that can be due to multiple causes, among which there are significant antecedents of traumas, the presence of rheumatic diseases or other conditions that imply compromise of the small circulation. On this occasion, the case of a 57-year-old male patient with a 6-year history of gout who underwent a diagnosis of avascular necrosis of the left femoral head was presented.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedades autoinmunes]]></kwd>
<kwd lng="es"><![CDATA[gota]]></kwd>
<kwd lng="es"><![CDATA[osteonecrosis]]></kwd>
<kwd lng="en"><![CDATA[autoimmune diseases]]></kwd>
<kwd lng="en"><![CDATA[gout]]></kwd>
<kwd lng="en"><![CDATA[osteonecrosis]]></kwd>
</kwd-group>
</article-meta>
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