<?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>S1817-59962019000400020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones articulares severas en la artritis reumatoide]]></article-title>
<article-title xml:lang="en"><![CDATA[Severe joint complications in rheumatoid arthritis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lescano Ruíz]]></surname>
<given-names><![CDATA[Martín Alonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís Carta]]></surname>
<given-names><![CDATA[Urbano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosero Mera]]></surname>
<given-names><![CDATA[Liliana Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escuela Superior Politécnica de Chimborazo Centro de Salud de Penipe ]]></institution>
<addr-line><![CDATA[Riobamba, Chimborazo ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Chimborazo  ]]></institution>
<addr-line><![CDATA[Riobamba, Chimborazo ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962019000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962019000400020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962019000400020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La artritis reumatoide es una enfermedad autoinmune ampliamente distribuida que puede presentar severos daños a larga data. Se caracteriza por un cuadro articular inflamatorio, autoinmune y sistémico que generalmente afecta articulaciones pequeñas, por ende las que se ven más afectadas son las articulaciones de las extremidades, tanto de las manos como de los pies. Estas afecciones provocan distintos grados de discapacidad funcional y disminución de la percepción de la calidad de vida relacionada con la salud. Un diagnóstico precoz y un tratamiento oportuno previene o al menos enlentece la aparición de deformidades e impotencia funcional. Se presenta un caso de una paciente femenina, joven con secuelas óseas severas en ambos pies.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Rheumatoid arthritis is a widely distributed autoimmune disease that can present severe long-term damage. It is characterized by an inflammatory, autoimmune and systemic joint that usually affects small joints, therefore those that are most affected are the joints of the extremities, both the hands and the feet. These conditions cause different degrees of functional disability and decrease in the perception of the quality of life related to health. Early diagnosis and timely treatment prevent or at least slow down the appearance of deformities and functional impotence. We present a case of a female patient, young with severe bone sequelae on both feet.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[artritis reumatoide]]></kwd>
<kwd lng="es"><![CDATA[autoinmunidad]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[deformidades del pie]]></kwd>
<kwd lng="en"><![CDATA[arthritis rheumatoid]]></kwd>
<kwd lng="en"><![CDATA[autoimmunity]]></kwd>
<kwd lng="en"><![CDATA[foot deformities]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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