<?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>S2182-51732026000100056</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v42i1.14214</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Artrite gotosa, tofos gotosos: a realidade de um doente incumpridor (relato de caso)]]></article-title>
<article-title xml:lang="en"><![CDATA[Gouty arthritis, gouty tophi: the reality of a non-compliant patient (case report)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Norte]]></surname>
<given-names><![CDATA[Ana Carina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernardes]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ULS do Algarve USF SerraMar ]]></institution>
<addr-line><![CDATA[Loulé ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS do Algarve USF SerraMar ]]></institution>
<addr-line><![CDATA[Loulé ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2026</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>56</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732026000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732026000100056&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732026000100056&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A artrite gotosa é uma doença inflamatória caracterizada pela deposição de cristais de monourato de sódio nas articulações e tecidos moles, desencadeando processos inflamatórios. Se não for tratada adequadamente, a doença pode evoluir para gota tofácea crónica, com formação de tofos gotosos que podem causar danos articulares e, em casos mais graves, ulceração.  Descrição do caso:  Apresenta-se um doente que desenvolveu um quadro grave de artrite gotosa ulcerada devido ao incumprimento terapêutico.  Comentário:  A não adesão do doente, tanto ao seguimento médico como à terapêutica medicamentosa, resultou no agravamento da sua patologia, com impacto negativo a nível pessoal, bem como num inadequado aproveitamento dos recursos médicos e farmacológicos. A educação para a saúde, a comunicação eficaz entre profissional de saúde e o doente e o acompanhamento regular são fundamentais para prevenir complicações e melhorar a qualidade de vida dos doentes com gota.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Gout is an inflammatory disease caused by the buildup of uric acid crystals in the joints and surrounding tissues. If untreated, gout can progress to a chronic form, leading to the formation of tophi and potentially severe joint damage, including ulceration.  Case description:  This case report presents a patient who developed a severe case of ulcerated gouty arthritis due to non-adherence to treatment.  Comments:  This patient&#8217;s non-adherence to both medical follow-up and medication therapy led to the worsening of their condition, with a negative personal impact, as well as an inadequate use of medical and pharmacological resources. Health education, effective communication between healthcare professionals and patients, and regular follow-up are essential to prevent complications and improve patients&#8217; quality of life with gout.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Gota]]></kwd>
<kwd lng="pt"><![CDATA[Artrite gotosa]]></kwd>
<kwd lng="pt"><![CDATA[Tofos gotosos]]></kwd>
<kwd lng="pt"><![CDATA[Adesão à terapêutica]]></kwd>
<kwd lng="pt"><![CDATA[Educação para a saúde]]></kwd>
<kwd lng="en"><![CDATA[Gout]]></kwd>
<kwd lng="en"><![CDATA[Gouty arthritis]]></kwd>
<kwd lng="en"><![CDATA[Gouty tophi]]></kwd>
<kwd lng="en"><![CDATA[Medication adherence]]></kwd>
<kwd lng="en"><![CDATA[Health education]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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