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2. Brazilian society of rheumatology methodological guide for the development of evidence-based clinical guidelines in rheumatology

Author

Ana Karla Guedes de Melo, Ana Luíza Mendes Amorim Caparroz, Mirhelen Mendes de Abreu, Daniela Castelo Azevedo, Leonardo Santos Hoff, Sérgio Candido Kowalski, Themis Mizerkowski Torres, Solange Murta Barros, Gilda Aparecida Ferreira, Odirlei André Montecielo, Ricardo Machado Xavier, and Virgínia Fernandes Moça Trevisani

Subjects
Rheumatology
Abstract

Clinical practice guidelines (CPG) are developed to align standards of health care around the world, aiming to reduce the incidence of misconducts and enabling more effective use of health resources. Considering the complexity, cost, and time involved in formulating CPG, strategies should be used to facilitate and guide authors through each step of this process. The main objective of this document is to present a methodological guide prepared by the Epidemiology Committee of the Brazilian Society of Rheumatology for the elaboration of CPG in rheumatology. Through an extensive review of the literature, this study compiles the main practical recommendations regarding the following steps of CPG drafting: distribution of working groups, development of the research question, search, identification and selection of relevant studies, evidence synthesis and quality assessment of the body of evidence, the Delphi methodology for consensus achievement, presentation and dissemination of the recommendations, CPG quality assessment and updating. This methodological guide serves as an important tool for rheumatologists to develop reliable and high-quality CPG, standardizing clinical practices worldwide.

Published
2023
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3. Update to 'guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force'

Author

Anna Carolina Faria Moreira Gomes Tavares, Ana Karla Guedes de Melo, Vítor Alves Cruz, Lilian David de Azevedo Valadares, Ricardo Machado Xavier, Viviane Angelina de Souza, and Gecilmara Cristina Salviato Pileggi

Subjects
COVID-19 Vaccines, Rheumatology, Rheumatic Diseases, Vaccination, COVID-19, Humans, Brazil
Published
2022
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4. Update to “guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force”

Author

Tavares, Anna Carolina Faria Moreira Gomes, primary, de Melo, Ana Karla Guedes, additional, Cruz, Vítor Alves, additional, Valadares, Lilian David de Azevedo, additional, Xavier, Ricardo Machado, additional, de Souza, Viviane Angelina, additional, and Pileggi, Gecilmara Cristina Salviato, additional

Published
2022
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5. Guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force

Author

Tavares, Anna Carolina Faria Moreira Gomes, primary, de Melo, Ana Karla Guedes, additional, Cruz, Vítor Alves, additional, de Souza, Viviane Angelina, additional, de Carvalho, Joana Starling, additional, Machado, Ketty Lysie Libardi Lira, additional, de Azevedo Valadares, Lilian David, additional, dos Reis Neto, Edgard Torres, additional, de Rezende, Rodrigo Poubel Vieira, additional, de Resende Guimarães, Maria Fernanda Brandão, additional, Ferreira, Gilda Aparecida, additional, de Sousa Braz, Alessandra, additional, de Abreu Vieira, Rejane Maria Rodrigues, additional, de Medeiros Pinheiro, Marcelo, additional, Ribeiro, Sandra Lúcia Euzébio, additional, Bica, Blanca Elena Gomes Rios, additional, Baptista, Kátia Lino, additional, da Costa, Izaias Pereira, additional, Marques, Claudia Diniz Lopes, additional, Lopes, Maria Lúcia Lemos, additional, Martinez, José Eduardo, additional, Giorgi, Rina Dalva Neubarth, additional, da Mota, Lícia Maria Henrique, additional, da Rocha Loures, Marcos Antônio Araújo, additional, dos Santos Paiva, Eduardo, additional, Monticielo, Odirlei André, additional, Xavier, Ricardo Machado, additional, Kakehasi, Adriana Maria, additional, and Pileggi, Gecilmara Cristina Salviato, additional

Published
2022
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6. Recomendações da Sociedade Brasileira de Reumatologia para diagnóstico e tratamento da febre chikungunya. Parte 2 – Tratamento

Author

Claudia Diniz Lopes Marques, Angela Luzia Branco Pinto Duarte, Aline Ranzolin, Andrea Tavares Dantas, Nara Gualberto Cavalcanti, Rafaela Silva Guimarães Gonçalves, Laurindo Ferreira da Rocha Junior, Lilian David de Azevedo Valadares, Ana Karla Guedes de Melo, Eutilia Andrade Medeiros Freire, Roberto Teixeira, Francisco Alves Bezerra Neto, Marta Maria das Chagas Medeiros, Jozélio Freire de Carvalho, Mario Sergio F. Santos, Regina Adalva de L. Couto Océa, Roger A. Levy, Carlos Augusto Ferreira de Andrade, Geraldo da Rocha Castelar Pinheiro, Mirhelen Mendes Abreu, José Fernando Verztman, Selma Merenlender, Sandra Lucia Euzebio Ribeiro, Izaias Pereira da Costa, Gecilmara Pileggi, Virginia Fernandes Moça Trevisani, Max Igor Banks Lopes, Carlos Brito, Eduardo Figueiredo, Fabio Queiroga, Tiago Feitosa, Angélica da Silva Tenório, Gisela Rocha de Siqueira, Renata Paiva, José Tupinambá Sousa Vasconcelos, and Georges Christopoulos

Subjects
030203 arthritis & rheumatology, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, 030217 neurology & neurosurgery
Published
2017
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7. Recomendações da Sociedade Brasileira de Reumatologia para diagnóstico e tratamento da febre chikungunya. Parte 1 – Diagnóstico e situações especiais

Author

Claudia Diniz Lopes Marques, Angela Luzia Branco Pinto Duarte, Aline Ranzolin, Andrea Tavares Dantas, Nara Gualberto Cavalcanti, Rafaela Silva Guimarães Gonçalves, Laurindo Ferreira da Rocha Junior, Lilian David de Azevedo Valadares, Ana Karla Guedes de Melo, Eutilia Andrade Medeiros Freire, Roberto Teixeira, Francisco Alves Bezerra Neto, Marta Maria das Chagas Medeiros, Jozélio Freire de Carvalho, Mario Sergio F. Santos, Regina Adalva de L. Couto Océa, Roger A. Levy, Carlos Augusto Ferreira de Andrade, Geraldo da Rocha Castelar Pinheiro, Mirhelen Mendes Abreu, José Fernando Verztman, Selma Merenlender, Sandra Lucia Euzebio Ribeiro, Izaias Pereira da Costa, Gecilmara Pileggi, Virginia Fernandes Moça Trevisani, Max Igor Banks Lopes, Carlos Brito, Eduardo Figueiredo, Fabio Queiroga, Tiago Feitosa, Angélica da Silva Tenório, Gisela Rocha de Siqueira, Renata Paiva, José Tupinambá Sousa Vasconcelos, and Georges Christopoulos

Subjects
030203 arthritis & rheumatology, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, 030212 general & internal medicine
Published
2017
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8. Nefropatia por IgA em paciente portadora de lúpus eritematoso sistêmico: relato de caso e revisão de literatura

Author

D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, Leonardo Sales da Silva, Bruna Laiza Fontes Almeida, Ana Karla Guedes de Melo, and Alessandra de Sousa Braz

Subjects
030203 arthritis & rheumatology, Gynecology, medicine.medical_specialty, Lúpus eritematoso sistêmico, business.industry, 030232 urology & nephrology, IgA nephropathy, Nefropatia por IgA, Glomerulonefrite, 03 medical and health sciences, Systemic lupus erythematosus, Glomerulonephritis, 0302 clinical medicine, Rheumatology, medicine, skin and connective tissue diseases, business
Abstract

ResumoO lúpus eritematoso sistêmico (LES) é uma doença autoimune multissistêmica que tem como uma das manifestações mais marcantes a nefrite. Apesar de poder coexistir com outras doenças autoimunes e determinar a predisposição a diversas complicações infecciosas, o LES raramente é descrito em associação a nefropatias de etiologia não lúpica. Relatamos o caso da rara associação entre LES e nefropatia por IgA (NIgA) primária, a glomerulopatia primária mais frequente na população mundial. A paciente foi diagnosticada com LES pela ocorrência de eritema malar, alopecia, derrame pleural, proteinúria, pancitopenia, FAN 1:1.280 padrão nuclear pontilhado fino e anticardiolipina IgM 280 U/mL. A biópsia renal revelou hipercelularidade mesangial com depósitos isolados de IgA, compatível com NIgA primária. Foi tratada com antimalárico, prednisona e inibidor da enzima conversora de angiotensina e apresentou boa evolução. Por consistirem em doenças relativamente frequentes, a coexistência de LES e NIgA pode ser de fato um achado incomum por motivos desconhecidos ou uma condição subdiagnosticada. Este relato atenta para a importância da distinção entre a atividade de doença renal do LES e nefropatias não lúpicas, em especial a NIgA, definição que tem implicações importantes sobre o prognóstico renal e regimes terapêuticos a serem adotados em curto e longo prazo.AbstractSystemic erythematosus lupus (SLE) is a multisystemic autoimmune disease which has nephritis as one of the most striking manifestations. Although it can coexist with other autoimmune diseases, and determine the predisposition to various infectious complications, SLE is rarely described in association with non‐lupus nephropathies etiologies. We report the rare association of SLE and primary IgA nephropathy (IgAN), the most frequent primary glomerulopathy in the world population. The patient was diagnosed with SLE due to the occurrence of malar rash, alopecia, pleural effusion, proteinuria, ANA 1: 1,280, nuclear fine speckled pattern, and anticardiolipin IgM and 280 U/mL. Renal biopsy revealed mesangial hypercellularity with isolated IgA deposits, consistent with primary IgAN. It was treated with antimalarial drug, prednisone and inhibitor of angiotensin converting enzyme, showing good progress. Since they are relatively common diseases, the coexistence of SLE and IgAN may in fact be an uncommon finding for unknown reasons or an underdiagnosed condition. This report focus on the importance of the distinction between the activity of renal disease in SLE and non‐SLE nephropathy, especially IgAN, a definition that has important implications on renal prognosis and therapeutic regimens to be adopted in the short and long term.

Published
2016
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9. Brazilian recommendations on the safety and effectiveness of the yellow fever vaccination in patients with chronic immune-mediated inflammatory diseases

Author

Pileggi, Gecilmara Salviato, primary, Da Mota, Licia Maria Henrique, additional, Kakehasi, Adriana Maria, additional, De Souza, Alexandre Wagner, additional, Rocha, Aline, additional, de Melo, Ana Karla Guedes, additional, da Fonte, Caroline Araujo M., additional, Bortoletto, Cecilia, additional, Brenol, Claiton Viegas, additional, Marques, Claudia Diniz Lopes, additional, Zaltman, Cyrla, additional, Borba, Eduardo Ferreira, additional, Reis, Enio Ribeiro, additional, Freire, Eutilia Andrade Medeiros, additional, Klumb, Evandro Mendes, additional, Christopoulos, Georges Basile, additional, Laurindo, Ieda Maria M., additional, Ballalai, Isabella, additional, Da Costa, Izaias Pereira, additional, Michelin, Lessandra, additional, de Azevêdo Valadares, Lilian David, additional, Chebli, Liliana Andrade, additional, Lacerda, Marcus, additional, Toscano, Maria Amazile Ferreira, additional, Yazbek, Michel Alexandre, additional, De Abreu Vieira, Rejane Maria R., additional, Magalhães, Renata, additional, Kfouri, Renato, additional, Richtmann, Rosana, additional, Merenlender, Selma Da Costa Silva, additional, Valim, Valeria, additional, De Assis, Marcos Renato, additional, Kowalski, Sergio Candido, additional, and Trevisani, Virginia Fernandes Moça, additional

Published
2019
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10. AVALIAÇÃO DO IMPACTO DO ACOMETIMENTO DAS MÃOS NA QUALIDADE FUNCIONAL DE PACIENTES PORTADORES DE ESCLEROSE SISTÊMICA

Author

S.R.C. Batista, Alessandra de Sousa Braz, D.C.S. Egypto, Ana Karla Guedes de Melo, Eutilia Andrade Medeiros Freire, and J.C. Soares

Subjects
030203 arthritis & rheumatology, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, Medicine, 030212 general & internal medicine, business
Published
2017
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12. ESCLEROMIXEDEMA EM PACIENTE PORTADORA DE LÚPUS ERITEMATOSO SISTÊMICO – RELATO DE UM CASO

Author

Ana Karla Guedes de Melo, D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, A.V.L. Carvalho, Alessandra de Sousa Braz, and D.K.L. Araújo

Subjects
030203 arthritis & rheumatology, Gynecology, 030207 dermatology & venereal diseases, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, Medicine, business
Published
2017
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13. TRADUÇÃO E VALIDAÇÃO DO QUESTIONÁRIO BIRMINGHAM VASCULITIS ACTIVITY SCORE VERSION 3 SOBRE ATIVIDADE DE DOENÇA EM PACIENTES COM VASCULITES SISTÊMICAS PRIMÁRIAS

Author

Karla Valéria Miranda De Campos, D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, D.K.L. Araújo, Alessandra de Sousa Braz, A.T.P. Vieira, and Ana Karla Guedes de Melo

Subjects
030203 arthritis & rheumatology, 0301 basic medicine, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 030104 developmental biology, 0302 clinical medicine, Rheumatology, business.industry, medicine, business
Published
2017
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14. DOENÇA DE STILL DO ADULTO COMPLICADA COM HIPERTENSÃO PULMONAR

Author

D.C.S.E. Brito, F.F.C. Formiga, Eutilia Andrade Medeiros Freire, A.V.L. Carvalho, Ana Karla Guedes de Melo, and Alessandra de Sousa Braz

Subjects
030203 arthritis & rheumatology, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, medicine, 030204 cardiovascular system & hematology, business
Published
2017
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15. PREVALÊNCIA DOS FATORES DE RISCO E AVALIAÇÃO DO RISCO CARDIOVASCULAR DE PORTADORES DE ARTRITE PSORIÁSICA EM UM HOSPITAL UNIVERSITÁRIO

Author

M.R.M.P. Soares, B.P.S. Campos, D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, Ana Karla Guedes de Melo, Alessandra de Sousa Braz, G.D.S. Gomes, and A.T.V. Araújo

Subjects
030203 arthritis & rheumatology, Gynecology, 030207 dermatology & venereal diseases, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, medicine, business
Published
2017
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16. Recomendações da Sociedade Brasileira de Reumatologia para diagnóstico e tratamento da febre chikungunya. Parte 1 – Diagnóstico e situações especiais

Author

Marques, Claudia Diniz Lopes, primary, Duarte, Angela Luzia Branco Pinto, additional, Ranzolin, Aline, additional, Dantas, Andrea Tavares, additional, Cavalcanti, Nara Gualberto, additional, Gonçalves, Rafaela Silva Guimarães, additional, Rocha Junior, Laurindo Ferreira da, additional, Valadares, Lilian David de Azevedo, additional, Melo, Ana Karla Guedes de, additional, Freire, Eutilia Andrade Medeiros, additional, Teixeira, Roberto, additional, Bezerra Neto, Francisco Alves, additional, Medeiros, Marta Maria das Chagas, additional, Carvalho, Jozélio Freire de, additional, Santos, Mario Sergio F., additional, Océa, Regina Adalva de L. Couto, additional, Levy, Roger A., additional, Andrade, Carlos Augusto Ferreira de, additional, Pinheiro, Geraldo da Rocha Castelar, additional, Abreu, Mirhelen Mendes, additional, Verztman, José Fernando, additional, Merenlender, Selma, additional, Ribeiro, Sandra Lucia Euzebio, additional, Costa, Izaias Pereira da, additional, Pileggi, Gecilmara, additional, Trevisani, Virginia Fernandes Moça, additional, Lopes, Max Igor Banks, additional, Brito, Carlos, additional, Figueiredo, Eduardo, additional, Queiroga, Fabio, additional, Feitosa, Tiago, additional, Tenório, Angélica da Silva, additional, Siqueira, Gisela Rocha de, additional, Paiva, Renata, additional, Vasconcelos, José Tupinambá Sousa, additional, and Christopoulos, Georges, additional

Published
2017
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17. Recomendações da Sociedade Brasileira de Reumatologia para diagnóstico e tratamento da febre chikungunya. Parte 2 – Tratamento

Author

Marques, Claudia Diniz Lopes, primary, Duarte, Angela Luzia Branco Pinto, additional, Ranzolin, Aline, additional, Dantas, Andrea Tavares, additional, Cavalcanti, Nara Gualberto, additional, Gonçalves, Rafaela Silva Guimarães, additional, Junior, Laurindo Ferreira da Rocha, additional, Valadares, Lilian David de Azevedo, additional, Melo, Ana Karla Guedes de, additional, Freire, Eutilia Andrade Medeiros, additional, Teixeira, Roberto, additional, Neto, Francisco Alves Bezerra, additional, Medeiros, Marta Maria das Chagas, additional, Carvalho, Jozélio Freire de, additional, Santos, Mario Sergio F., additional, Océa, Regina Adalva de L. Couto, additional, Levy, Roger A., additional, Andrade, Carlos Augusto Ferreira de, additional, Pinheiro, Geraldo da Rocha Castelar, additional, Abreu, Mirhelen Mendes, additional, Verztman, José Fernando, additional, Merenlender, Selma, additional, Ribeiro, Sandra Lucia Euzebio, additional, Costa, Izaias Pereira da, additional, Pileggi, Gecilmara, additional, Trevisani, Virginia Fernandes Moça, additional, Lopes, Max Igor Banks, additional, Brito, Carlos, additional, Figueiredo, Eduardo, additional, Queiroga, Fabio, additional, Feitosa, Tiago, additional, Tenório, Angélica da Silva, additional, Siqueira, Gisela Rocha de, additional, Paiva, Renata, additional, Vasconcelos, José Tupinambá Sousa, additional, and Christopoulos, Georges, additional

Published
2017
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18. PÚRPURA TROMBOCITOPÈNICA IMUNE EM ARTRITE REUMATOIDE: RELATO DE UM CASO

Author

D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, A.V.L. Carvalho, Alessandra de Sousa Braz, F.F.C. Formiga, and Ana Karla Guedes de Melo

Subjects
030203 arthritis & rheumatology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, medicine, business, Dermatology, 030215 immunology
Published
2017
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19. FEBRE CHIKUNGUNYA EM PACIENTES COM LUPUS ERITEMATOSO SISTÊMICO: SÉRIE DE CASOS

Author

Lilian David de Azevedo Valadares, R.A. Ocea, Marta Maria das Chagas Medeiros, A. Duarte, Ana Karla Guedes de Melo, Nara Gualberto Cavalcanti, Henrique de Ataíde Mariz, Claudia Diniz Lopes Marques, and Eutilia Andrade Medeiros Freire

Subjects
030203 arthritis & rheumatology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, Medicine, business, Dermatology
Published
2017
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20. AVALIAÇÃO DA PREVALÊNCIA DE SÍNDROME METABÓLICA EM PORTADORES DE ESCLEROSE SISTÊMICA ATENDIDOS EM SERVIÇO DE REUMATOLOGIA DE HOSPITAL UNIVERSITÁRIO

Author

D.C.S. Egypto, Ana Karla Guedes de Melo, Alessandra de Sousa Braz, J.C. Soares, S.R.C. Batista, and Eutilia Andrade Medeiros Freire

Subjects
030203 arthritis & rheumatology, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, Medicine, 030204 cardiovascular system & hematology, business
Published
2017
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21. AVALIAÇÃO DO RISCO CARDIOVASCULAR EM PORTADORES DE ESCLEROSE SISTÊMICA ATENDIDOS EM SERVIÇO DE REUMATOLOGIA DE HOSPITAL UNIVERSITÁRIO

Author

D.C.S. Egypto, Ana Karla Guedes de Melo, S.R.C. Batista, Alessandra de Sousa Braz, Eutilia Andrade Medeiros Freire, and J.C. Soares

Subjects
030203 arthritis & rheumatology, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, Medicine, 030204 cardiovascular system & hematology, business
Published
2017
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22. TRADUÇÃO E VALIDAÇÃO DO QUESTIONÁRIO VASCULITIS DAMAGE INDEX (VDI) SOBRE ÍNDICE DE DANO EM PACIENTES COM VASCULITES SISTÊMICAS PRIMÁRIAS

Author

D.K.L. Araújo, A.T.P. Vieira, Alessandra de Sousa Braz, Ana Karla Guedes de Melo, Eutilia Andrade Medeiros Freire, Karla Valéria Miranda De Campos, and D.C.S.E. Brito

Subjects
030203 arthritis & rheumatology, 0301 basic medicine, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 030104 developmental biology, 0302 clinical medicine, Rheumatology, business.industry, Medicine, business
Published
2017
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23. EVOLUÇÃO CLÍNICA EM PACIENTES PORTADORES DE DOENÇAS AUTOIMUNES E USUÁRIOS DE CRACK: RELATO DE QUATRO CASOS E REVISÃO DA LITERATURA

Author

M.R.M.P. Soares, D.C.S.E. Brito, Eutilia Andrade Medeiros Freire, Alessandra de Sousa Braz, Ana Karla Guedes de Melo, and A.L.M. Andrade

Subjects
030203 arthritis & rheumatology, Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Rheumatology, business.industry, medicine, business, 030227 psychiatry
Published
2017
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