<?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>S2182-51732022000300300</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i3.13221</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Pericardite lúpica: dor torácica e febre em tempos de COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Lupus pericarditis: chest pain and fever amidst COVID-19 pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Gustavo Gonçalves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[André Rosas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[Ana Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF Tondela  ]]></institution>
<addr-line><![CDATA[Tondela ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>3</numero>
<fpage>300</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000300300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000300300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000300300&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O lúpus eritematoso sistémico (LES) é uma doença inflamatória crónica, multissistémica e imunomediada de etiologia desconhecida. Em Portugal estima-se que 0,07% da população apresente este diagnóstico, sendo que os primeiros sintomas se manifestam na faixa etária dos 16 aos 49 anos em 75% dos casos. As manifestações clínicas da LES são múltiplas e relacionam-se com o caráter multissistémico desta patologia. A heterogeneidade da apresentação clínica estende-se desde as alterações muco-cutâneas ou articulares ligeiras (90%) até ao comprometimento da função renal, pulmonar, cardíaca, hematológica ou neuropsiquiátrica.  Descrição do caso:  Utente do sexo feminino, com 18 anos, com antecedentes de LES, recorreu a consulta aberta na USF por queixas de toracalgia subesternal de início insidioso, agravada pela inspiração profunda e alívio com a flexão anterior do tórax, com noção de dispneia, tosse irritativa e febre associadas.  Comentário:  O LES, devido ao seu caráter multissistémico e crónico, é responsável por um amplo conjunto de manifestações clínicas, sendo considerado por muitos &#8220;um dos grandes imitadores&#8221;. No contexto epidemiológico atual a presença de sintomas como febre, dor torácica e tosse sugere de imediato a hipótese diagnóstica da doença COVID-19, que indubitavelmente deve ser excluída. Contudo, o papel do médico de família, como conhecedor privilegiado dos antecedentes pessoais do utente, nomeadamente das suas doenças crónicas e do seu seguimento, bem como das manifestações clínicas associadas à sua recorrência ou agudização, permite-lhe uma suspeição diagnóstica sustentada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Systemic lupus erythematosus (SLE) is a chronic autoimmune inflammatory disease of unknown cause with multisystemic involvement. In Portugal, it is estimated that 0.07% of the population has this diagnosis, with the first symptoms manifesting in the age group of 16 to 49 years old in 75% of the cases. The clinical manifestations of SLE are multiple and are related to the multisystemic character of this pathology. The heterogeneity of the clinical presentation extends from mild mucocutaneous or joint changes (90%) to impaired renal, pulmonary, cardiac, hematological, or neuropsychiatric function.  Case description:  Woman, 18 years old, with a history of SLE, went to an open consultation at her family doctor due to complaints of insidious onset of sternal thoracalgia, aggravated by deep inspiration and relief with anterior flexion of the chest, with the notion of dyspnea, irritating cough, and associated fever.  Comment:  SLE due to its multisystemic and chronic nature, is responsible for a wide range of clinical manifestations, being considered by many &#8216;one of the greatest imitators&#8217;. In the current epidemiological context, the presence of symptoms such as fever, chest pain, and cough immediately suggest the diagnostic hypothesis of the disease COVID-19, which, undoubtedly, should be excluded. However, the role of the family doctor, as a privileged expert on the patient&#8217;s personal history, namely on their chronic illnesses and their follow-up, as well as on the clinical manifestations associated with the disease&#8217;s recurrence or exacerbation, allows him to have a supported diagnostic suspicion.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Lúpus eritematoso sistémico]]></kwd>
<kwd lng="pt"><![CDATA[Dor torácica]]></kwd>
<kwd lng="pt"><![CDATA[Febre]]></kwd>
<kwd lng="pt"><![CDATA[Tosse]]></kwd>
<kwd lng="pt"><![CDATA[Dispneia]]></kwd>
<kwd lng="pt"><![CDATA[Pericardite lúpica]]></kwd>
<kwd lng="en"><![CDATA[Systemic lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[Chest pain]]></kwd>
<kwd lng="en"><![CDATA[Fever]]></kwd>
<kwd lng="en"><![CDATA[Cough]]></kwd>
<kwd lng="en"><![CDATA[Dyspnea]]></kwd>
<kwd lng="en"><![CDATA[Lupus pericarditis]]></kwd>
</kwd-group>
</article-meta>
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