<?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>S1817-59962020000400015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dengue, COVID-19 y gota, una asociación infrecuente]]></article-title>
<article-title xml:lang="en"><![CDATA[Dengue, COVID-19 and gout, an uncommon association]]></article-title>
</title-group>
<contrib-group>
<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[Valdés González]]></surname>
<given-names><![CDATA[Elda María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solis Cartas]]></surname>
<given-names><![CDATA[Urbano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sigcho Romero]]></surname>
<given-names><![CDATA[Sara Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escuela Superior Politécnica de Chimborazo  ]]></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>
<aff id="Af3">
<institution><![CDATA[,Centro dermatocosmético ORAL-DERM  ]]></institution>
<addr-line><![CDATA[Riobamba Chimborazo]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>22</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962020000400015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El panorama médico mundial actual está enfocado en el control de la COVID-19. La enfermedad afecta con mayor frecuencia a pacientes con enfermedades crónicas y puede concomitar con otras enfermedades virales; situación que incrementa el riesgo de complicaciones graves en los pacientes. El propósito de este estudio es dar a conocer las manifestaciones clínicas presentes en un paciente con gota en el cual concomitaron el dengue y la COVID-19. Se presenta a un paciente masculino de 50 años de edad con diagnóstico de artropatía gotosa de 5 años de evolución que comenzó con un cuadro inflamatorio atípico para esta enfermedad, acompañado de otras manifestaciones clínicas como decaimiento marcado, lesiones hemorragíparas en la piel, hematuria y disnea progresiva. Se realizó el diagnóstico de dengue y COVID-19 mediante estudios serológicos. Se aplicó el protocolo de tratamiento para ambas enfermedades, y el paciente evolucionó favorablemente hasta que fue dado de alta hospitalaria 26 días después sin que se presentaran complicaciones de la artropatía gotosa, el dengue o la COVID-19. Es importante conocer el patrón articular en el curso de las enfermedades reumáticas, pues esto, unido a las características epidemiológicas imperantes, facilita el diagnóstico de asociación de distintas enfermedades como ocurrió en el caso presentado. Se requiere crear protocolos y guías de actuación que establezcan el esquema terapéutico ante pacientes con estos diagnósticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The current world medical panorama is focused on the control of COVID-19. The disease occurs more frequently in patients with chronic diseases and can be associated with other viral diseases; in this situation, the risk of serious complications in patient&#8217;s increases. To present the clinical manifestations present in a patient with gout in whom dengue and COVID-19 coexist. A 50-year-old male patient is presented with a diagnosis of gouty arthropathy of 5 years of evolution that begins with an atypical inflammatory picture for this disease, accompanied by other clinical manifestations such as marked decay, hemorrhagic skin lesions, hematuria and progressive dyspnea. Dengue and COVID-19 diagnosis is made through serological studies. It is important to know the joint pattern in the course of rheumatic diseases, this, together with the prevailing epidemiological characteristics, facilitates the diagnosis of association of different diseases as occurred in the case presented.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dengue]]></kwd>
<kwd lng="es"><![CDATA[coronavirus SARSCoV-2]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[gota]]></kwd>
<kwd lng="en"><![CDATA[dengue]]></kwd>
<kwd lng="en"><![CDATA[Sar-Cov-2 coronavirus]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[gout]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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