<?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>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282024000100079</article-id>
<article-id pub-id-type="doi">10.29315/gm.v1i1.510</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Artrite Psoriática e o seu Desafio Diagnóstico: Relato de Caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Psoriatic Arthritis and its Diagnostic Challenge: Case Report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garuta]]></surname>
<given-names><![CDATA[Ina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[Sérgio Barros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lira]]></surname>
<given-names><![CDATA[Luís Terroso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[Alice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerqueira]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Luís Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACES Cascais USF Mare Interna de Formação Específica de MGF]]></institution>
<addr-line><![CDATA[Cascais ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ACES Grande Porto VII USF Afurada Assistente de MGF]]></institution>
<addr-line><![CDATA[Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACES Grande Porto VII USF Gaya Assistente de MGF]]></institution>
<addr-line><![CDATA[Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ACES Almada Seixal USF Saúde Laranjeiro Assistente de MGF]]></institution>
<addr-line><![CDATA[Almada Seixal ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de Braga  ]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,ACES Estuário do Tejo USF Lusitano ]]></institution>
<addr-line><![CDATA[Alverca do Ribatejo ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>79</fpage>
<lpage>83</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282024000100079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282024000100079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282024000100079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A artrite psoriática (AP) apresenta-se, habitualmente, como uma oligoartrite ou monoartrite, e pode constituir um desafio diagnóstico na ausência de história de psoríase. Relata-se o caso de um paciente de 57 anos que recorreu ao Médico de Família (MF) após um ano de evolução de sinais inflamatórios e onicólise do 3º dedo da mão direita. Os exames iniciais mostravam sinais inflamatórios dos tecidos peri-ungueais até à articulação interfalângica distal, e parâmetros inflamatórios analíticos negativos. O quadro foi interpretado em contexto infecioso e, posteriormente, como osteoartrose, não tendo existido melhoria com os tratamentos instituídos. A doença e o atraso no diagnóstico tiveram significativo impacto psicológico e profissional no paciente. Este caso relata uma apresentação rara de AP, podendo aumentar a suspeição diagnóstica desta entidade nos Cuidados de Saúde Primários, e evidencia o papel do MF no acompanhamento holístico e gestão das expectativas do paciente, além da articulação com as outras especialidades.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Psoriatic arthritis (PA) usually presents as oligoarthritis or monoarthritis and can be a diagnostic challenge in the absence of psoriasis background. We report the case of a 57-year-old patient who presented to the Family Physician (FF) after one year of inflammatory signs and onycholysis of the 3rd finger of the right hand. Initial exams showed signs of inflammation from the periungueal tissues to the distal interphalangeal joint, and negative analytical inflammatory parameters. The condition was interpreted in an infectious context and, later, as osteoarthritis, without improvement with the instituted treatments. The disease and the diagnosis delay had significant psychological and professional impact on the patient. This case reports a rare presentation of PA, that could increase the diagnostic suspicion of this entity in Primary Health Care and highlights the role of the FF in the holistic follow-up and management of patient expectations, besides articulation with other specialties.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Arthritis, Psoriatic/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Fingers]]></kwd>
<kwd lng="pt"><![CDATA[Artrite Psoriática/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Dedos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gladman]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Ritchlin]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical manifestations and diagnosis of psoriatic arthritis.]]></article-title>
<source><![CDATA[UpToDate]]></source>
<year>2023</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>DynaMed</collab>
<source><![CDATA[Psoriatic Arthritis]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Ipswich (MA) ]]></publisher-loc>
<publisher-name><![CDATA[EBSCO Information Services]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[Yeh]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psoriatic arthritis: Epidemiology, diagnosis, and treatment.]]></article-title>
<source><![CDATA[World J Orthop]]></source>
<year>2014</year>
<volume>5</volume>
<page-range>537-43</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Queller]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Bhatia]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Dermatologist's Approach to Onychomycosis.]]></article-title>
<source><![CDATA[J Fungi]]></source>
<year>2015</year>
<volume>1</volume>
<page-range>173-84</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shibuya]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Tabuse]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Yamaji]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kiso]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Yoshikawa]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of osteomyelitis of the distal interphalangeal joint with antibiotic-impregnated calcium phosphate paste granules.]]></article-title>
<source><![CDATA[J Hand Surg Global Online]]></source>
<year>2019</year>
<volume>1</volume>
<page-range>119-23</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Couto-Gonzalez]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Brea-García]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Taboada-Suárez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Purulent infection in the third finger with associated osteomyelitis.]]></article-title>
<source><![CDATA[BMJ Case Rep]]></source>
<year>2013</year>
<volume>2013</volume>
<page-range>bcr2012008476</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flevas]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Syngouna]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fandridis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Tsiodras]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mavrogenis]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infections of the hand: an overview.]]></article-title>
<source><![CDATA[EFORT Open Rev]]></source>
<year>2019</year>
<volume>4</volume>
<page-range>183-93</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
