<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732020000600511</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v36i6.12699</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Cultura e a consulta de medicina geral e familiar: um caso de síndroma de Dhat]]></article-title>
<article-title xml:lang="en"><![CDATA[Culture and family medicine: a dhat&#8217;s syndrome case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antunes]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Lisboa Central USF da Baixa ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>6</numero>
<fpage>511</fpage>
<lpage>515</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732020000600511&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732020000600511&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732020000600511&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A síndroma de Dhat consiste na preocupação em que a perda de sémen seja causadora de perda de energia vital e, consequentemente, de doença. Ocorre principalmente em homens jovens e sul-asiáticos e apresenta-se sob a forma de sintomas inespecíficos (como fraqueza, tristeza e ansiedade). Com este caso pretende-se discutir a importância do contexto sociocultural de um utente e a sua abordagem em cuidados de saúde primários.  Descrição do caso:  Descreve-se o caso de um homem de 44 anos, natural do Bangladesh, sem antecedentes pessoais ou familiares relevantes. Membro de uma família nuclear em fase IV do ciclo de vida de Duvall no país de origem, emigrou para Portugal em 2010, onde vive sozinho. Sem seguimento anterior na USF, pediu consulta não programada por queixas de fraqueza e ansiedade com um mês de evolução e sensação de morte iminente desde há poucos dias. Associava os sintomas à emissão de um líquido branco durante a micção. Negou contactos sexuais nos últimos sete anos. Tendo em conta a hipótese diagnóstica de síndroma de Dhat realizou-se escuta ativa, com reconhecimento do sofrimento e tranquilização do utente. Foram marcadas consultas de reavaliação, às quais o utente aderiu e durante as quais a relação terapêutica médico-doente foi sendo estabelecida, com melhoria progressiva da sintomatologia referida.  Comentário:  A multiculturalidade assume um papel cada vez mais relevante nas sociedades. O médico de família, como prestador de cuidados de primeira linha, pode ter um papel importante na identificação de síndromas culturais. O conhecimento desta síndroma em particular permitiu uma abordagem individualizada, evitando medidas terapêuticas desadequadas, com evolução favorável do caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Dhat's syndrome is the concern that the loss of semen causes loss of vital energy and, consequently, causes disease. It occurs mainly in young men from the south of Asia and presents in the form of nonspecific symptoms (such as weakness, sadness, and anxiety). This case intends to discuss the importance of a patient&#8217;s socio-cultural context and its approach in a primary health care setting.  Case description:  It is presented the case of a 44-year-old man, from Bangladesh, with no relevant personal and family history. A member of a nuclear family in his home country (in phase IV of Duvall&#8217;s life cycle), he emigrated to Portugal in 2010, where he lives alone. With no previous follow-up at the Health Center (USF), he requested an unscheduled consultation with complaints of weakness, anxiety, and a feeling of imminent death. He associated the symptoms with the emission of white liquid during urination. He denied having sexual contacts in the last 7 years. Considering the possible diagnostic of Dhat syndrome, an active listening posture was adopted. Reassessment appointments were scheduled, to which the patient adhered, and during which the doctor-patient therapeutic relationship was established, with progressive improvement of the symptoms.  Comment:  Multiculturality plays an increasingly important role in societies. The family doctor, as a gatekeeper, can play an important role in identifying cultural syndromes. Knowledge of this particular syndrome allowed for an individualized approach, avoiding inappropriate therapeutic measures, with a favorable outcome of the case.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diversidade cultural]]></kwd>
<kwd lng="pt"><![CDATA[Síndroma de Dhat]]></kwd>
<kwd lng="pt"><![CDATA[Medicina geral e familiar.]]></kwd>
<kwd lng="en"><![CDATA[Cultural diversity]]></kwd>
<kwd lng="en"><![CDATA[Dhat syndrome]]></kwd>
<kwd lng="en"><![CDATA[Family practice.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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