<?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>S1817-59962019000200010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Monoartritis aguda. Urgencia en la atención reumatológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute monoarthritis. Urgency in rheumatologic care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velasco Bustamante]]></surname>
<given-names><![CDATA[Jonathan Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velasco Bustamante]]></surname>
<given-names><![CDATA[Dagmar Lizbeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baquero Vallejo]]></surname>
<given-names><![CDATA[Galo Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Valverde]]></surname>
<given-names><![CDATA[Jessica Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villacres Pinza]]></surname>
<given-names><![CDATA[Marco Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jinez Coca]]></surname>
<given-names><![CDATA[Karina Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Especialidades Eugenio Espejo  ]]></institution>
<addr-line><![CDATA[Pichincha ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública  ]]></institution>
<addr-line><![CDATA[Pichincha ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Provincial Docente Ambato  ]]></institution>
<addr-line><![CDATA[Tungurahua ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Básico Machachi  ]]></institution>
<addr-line><![CDATA[Pichincha ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Básico San Cayetano  ]]></institution>
<addr-line><![CDATA[Tungurahua ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962019000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962019000200010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962019000200010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el dolor articular agudo es una emergencia reumatológica. Con pocas excepciones, todas las patologías articulares pueden presentarse inicialmente como dolor agudo mono o poliarticular.  Objetivo:  revisar elementos asociados al diagnóstico temprano de la monoartritis aguda en pacientes con o sin evidencia de trauma para que sea identificada como una urgencia clínico quirúrgica.  Desarrollo:  la monoartritis aguda es la inflamación de una sola articulación con un dolor intenso, que se caracteriza por enrojecimiento de la articulación, calor, tumefacción y limitación de los movimientos con una duración aproximada hasta 6 semanas.  Conclusiones: para realizar el diagnóstico y poder efectuar una correcta atención de urgencia es necesario tener en cuenta un amplio espectro de patologías en el diagnóstico diferencial, por tanto, es esencial llevar a cabo un buen interrogatorio, obtener información sobre la historia de la enfermedad actual y hacer un examen físico detallado. Ante estos eventos es preciso que las instituciones y servicios implicados disponibles de forma inmediata, prevista y coordinada las condiciones físicas y materiales necesarias para recibir al paciente e iniciar el inicio el tratamiento indicado bajo la supervisión de los especialistas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute joint pain is a rheumatological emergency. With few exceptions, all joint pathologies can present initially as acute mono or polyarticular pain.  Objective:  To review elements associated with the early diagnosis of acute monoarthritis in patients with or without evidence of trauma to be identified as a surgical clinical emergency.  Development:  Acute monoarthritis is the inflammation of a single joint with intense pain, characterized by redness of the joint, heat, swelling and limitation of movements with an approximate duration of up to 6 weeks.  Conclusions:  In order to make the diagnosis and be able to carry out a correct emergency care, it is necessary to take into account a wide spectrum of pathologies in the differential diagnosis, therefore, it is essential to carry out a good interrogation, obtain information about the history of the current disease and do a detailed physical examination. In view of these events, it is necessary that the institutions and services involved immediately available and planned and coordinated the physical and material conditions necessary to receive the patient and initiate the indicated treatment under the supervision of the specialists.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dolor agudo]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico temprano]]></kwd>
<kwd lng="es"><![CDATA[monoartritis aguda]]></kwd>
<kwd lng="es"><![CDATA[trauma]]></kwd>
<kwd lng="es"><![CDATA[urgencia clínico quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[Acute pain]]></kwd>
<kwd lng="en"><![CDATA[early diagnosis]]></kwd>
<kwd lng="en"><![CDATA[acute monoarthritis]]></kwd>
<kwd lng="en"><![CDATA[trauma]]></kwd>
<kwd lng="en"><![CDATA[clinical surgical emergency]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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